Research Papers:

This article has been corrected. Correction in: Oncotarget. 2023; 14:44-46.

IGF-1 and hyperglycaemia-induced FOXA1 and IGFBP-2 affect epithelial to mesenchymal transition in prostate epithelial cells

Rehanna Mansor, Jeff Holly, Rachel Barker, Kalina Biernacka, Hanna Zielinska, Anthony Koupparis, Edward Rowe, Jon Oxley, Alex Sewell, Richard M. Martin, Athene Lane, Lucy Hackshaw-McGeagh and Claire Perks _

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Oncotarget. 2020; 11:2543-2559. https://doi.org/10.18632/oncotarget.27650

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Rehanna Mansor1,2, Jeff Holly1, Rachel Barker1, Kalina Biernacka1, Hanna Zielinska1, Anthony Koupparis3, Edward Rowe3, Jon Oxley4, Alex Sewell4, Richard M. Martin5,6, Athene Lane5,6, Lucy Hackshaw-McGeagh5 and Claire Perks1

1 IGFs and Metabolic Endocrinology Group, Bristol Medical School, Translational Health Sciences, University of Bristol, Southmead Hospital, Bristol, UK

2 Faculty of Medicine, Royal College of Medicine Perak, Universiti Kuala Lumpur, Ipoh, MY

3 Department of Urology, Bristol Urological Institute, Southmead Hospital, Bristol, UK

4 Department of Cellular Pathology, North Bristol NHS Trust, Southmead Hospital, Bristol, UK

5 NIHR Biomedical Research Centre, Level 3, University Hospitals Bristol Education Centre, Bristol, UK

6 Population Health Sciences, University of Bristol, Bristol, UK

Correspondence to:

Claire Perks,email: [email protected]

Keywords: hyperglycaemia; prostate cancer; FOXA1; IGFBP-2; EMT

Received: March 14, 2020     Accepted: June 01, 2020     Published: June 30, 2020


Localized prostate cancer (PCa) is a manageable disease but for most men with metastatic disease, it is often fatal. A western diet has been linked with PCa progression and hyperglycaemia has been associated with the risk of lethal and fatal prostate cancer.

Using PCa cell lines, we examined the impact of IGF-I and glucose on markers of epithelial-to-mesenchymal transition (EMT), migration and invasion. We examined the underlying mechanisms using cell lines and tumour tissue samples.

IGF-I had differential effects on the process of EMT: inhibiting in normal and promoting in cancer cells, whereas hyperglycamia alone had a stimulatory effect in both. These effects were independent of IGF and in both cases, hyperglycaemia induced an increase IGFBP-2(tumour promoter) and FOXA1. A positive correlation existed between levels of IGFBP-2 and FOXA1 in benign and cancerous prostate tissue samples and in vitro and in vivo data indicated that FOXA1 strongly interacted with the IGFBP-2 gene in normal prostate epithelial cells that was associated with a negative regulation of IGFBP-2, whereas in cancer cells the level of FOXA1 associating with the IGFBP-2 gene was minimal, suggesting loss of this negative regulation.

IGF-I and hyperglycaemia-induced FOXA1/IGFBP-2 play important roles in EMT.

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