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Impacts of Etomidate on the Proliferation, Migration and Immune Escape of Endometrial Cancer Cells by Regulating cGAS-STING Signal Pathway


CHEN Chuikai1*, WANG Qing1, WANG Xiaohua2

(1Department of Anesthesia, Hainan Women and Children’s Medical Center, Haikou 570100, China;2Department of Gynecology, Hainan Women and Children’s Medical Center, Haikou 570100, China)
Abstract:

This paper aimed to investigate the effects of Eto (etomidate) on the proliferation, migration and immune escape of endometrial cancer cells by regulating the cGAS (cyclic guanosine-adenosine synthetase)- STING (interferon gene stimulating factor) signal pathway. Human endometrial cancer cell line HEC-1-A was treated with 10, 20, and 40 μg/mL Eto and labeled as low, medium, and high concentration Eto groups, and untreated HEC-1-A cells were used as control group. Meantime, on the basis of Eto high concentration, 1 μmol/L cGAS inhibitor RU.521 was added to treat HEC-1-A cells, which was recorded as Eto high concentration+RU.521 group. The proliferation and apoptosis of HEC-1-A cells in each group were detected by MTT method and flow cytometry. Transwell test was applied to detect the migration of HEC-1-A cells in each group. The expression levels of cGAS, STING and PD-L1 (immune escape protein) in HEC-1-A cells were detected by Western blot. The cells of each group were inoculated into the right back of mice to build a model of endometrial cell carcinoma transplanted tumor. After 4 weeks of feeding, the tumors were separated and weighed, and the number of CD8+ T cells in the tissues was determined by immunohistochemistry. The results show that compared with the control group, the apoptosis rate of HEC-1-A cells, the infiltration number of CD8+ T cells, the expression of cGAS and STING proteins in the Eto low, medium and high concentration groups increased, while the proliferation rate, migration number, expression of PD-L1 of HEC-1-A cells, and tumor mass were obviously decreased, in a concentration-dependent manner (P<0.05). Compared with Eto high concentration group, the apoptosis rate of HEC-1-A cells, the infiltration number of CD8+ T cells, the expression of cGAS and STING proteins in Eto high concentration+RU.521 group decreased, while the proliferation rate, migration number, expression of PD-L1 of HEC-1-A cells, and and tumor mass were obviously increased (P<0.05). In short, Eto can inhibit the proliferation, migration and immune escape of endometrial cancer cells and induce their apoptosis by regulating and activating the cGAS-STING signal pathway.


CSTR: 32200.14.cjcb.2023.06.0005