tumor tissue specimens; tumor tissues; animal tissue samples
primary CRC cells; CRC/5-Fu cells; CRC/5-Fu resistant strain
patient-derived xenograft
ceRNA regulation (promotes); EMT (promotes); migration (promotes); invasion (promotes); proliferation (promotes); apoptosis (inhibits); stemness (promotes); drug resistance (promotes); chemoresistance (promotes); metastasis (promotes)
Microarray; RT-qPCR; Actinomycin D / DRB Stability Assay; RNase R Treatment; Back-Splice Junction PCR / divergent primers PCR; Sanger Sequencing; FISH / smFISH; Clinical Sample Validation; ROC Analysis; Survival Analysis; Cohort Study; Transfection; CCK8; Transwell Assay; Wound Healing Assay; Flow Cytometry(Non-apoptosis/cycle); Western Blot; In Vivo Animal Model; IHC (Immunohistochemistry); TUNEL; Bioinformatics Analysis; Luciferase Reporter Assay; RNA Pull-Down; RIP (RNA Immunoprecipitation)
circ-0023919 has diagnostic efficacy for 5-Fu resistance and high expression is significantly associated with poor prognosis; it is considered a potential therapeutic target for CRC treatment.
Tumor cell-derived exosomal circ-0023919 is upregulated in 5-Fu-resistant colorectal cancer cells and exosomes and is associated with poor prognosis and diagnostic value for 5-Fu resistance. Functionally, circ-0023919 promotes CRC cell migration, invasion, tumor growth, EMT, stemness, drug efflux, and chemoresistance. Mechanistically, it acts as a ceRNA sponge for miR-197-5p to increase ICAM5 expression, thereby promoting EMT-mediated 5-Fu resistance.
0.898
Tumor cell exosome circ-0023919 promotes EMT through the miR-197-5p/ICAM5 axis and enhances the drug resistance of colorectal cancer to 5-fu.
combined biological and clinical study