Review Article

Long Noncoding RNA UCA1 in Gastrointestinal Cancers: Molecular Regulatory Roles and Patterns, Mechanisms, and Interactions

Table 1

Summary of the studies that assessed the expression and regulatory roles of lncRNA UCA1 in human cell lines and tissues of GI cancer.

Cancer typeStudy subjectCell lineFinding/mechanistic responseReference

Esophageal cancer90 ESCC patients who underwent surgeryEC109, EC9706, KYSE150, KYSE510, and NE1(i) LncRNA UCA1 was overexpressed and contributed to poor prognosis[37]
(ii) Silenced lncRNA UCA1 decreased cell proliferation, migration, and invasion
66 esophageal cancer patients underwent surgical resectionEC9706 and KYSE(i) LncRNA UCA1 was overexpressed and contributed to poor prognosis[38]
(ii) Sox4 was identified as a direct target gene of lncRNA UCA1 and acted as a ceRNA
(iii) LncRNA UCA1 reduced miR-204 level
110 EC tissues and 60 paired of adjacent nontumorous tissuesEC1, EC109, EC9706, KYSE150, and Het-1A(i) LncRNA UCA1 was overexpressed in EC tissues with advanced EC stages and was associated with poor prognosis[39]
(ii) Overexpressed lncRNA UCA1 promoted cell proliferation and metastasis
(iii) LncRNA UCA1 promoted glycolysis by sequestering miR-203 to increase HK2 levels, resulting in enhanced Warburg effect
106 newly diagnosed patients with primary cancer and previously untreated ESCCEC109(i) LncRNA UCA1 lowly expressed in tumor tissue compared to the adjacent nontumor tissue[40]
(ii) LncRNA UCA1 suppressed ESCC via inhibition of Wnt signaling pathway
(iii) LncRNA UCA1 reduced C-myc and active β-catenin protein expression
15 paired EC tissues and adjacent normal tissues of EC patientsEC18, KYSE140, and NEEC(i) LncRNA UCA1 expression was decreased in EC tissues and plasma exosomes[41]
(ii) LncRNA UCA1 inhibited cell proliferation, invasion, migration, and colony formation as well as inhibited tumor growth in vivo
(iii) Exosomal lncRNA UCA1 directly targeted miRNA-613 in EC cells
Gastric cancer20 plasma samples of patients and pair-matched plasma samplesFive GC tissues and five pair-matched noncancerous tissues(i) Overexpressed lncRNA UCA1 in both GC tissue and plasma of GC patients[42]
(ii) Plasma lncRNA UCA1 provided higher diagnostic performance for the detection of GC
Gastric cancer112 patients diagnosed with GCSGC-7901, BGC-823, MKN-28, AGS, and GES-1(i) Overexpressed lncRNA UCA1 in GC human tissue and GC cell lines[43]
(ii) High lncRNA UCA1 expression correlated with worse differentiation, tumor size, invasion depth, and TNM stage
Chinese patientsBGC-823 and SGC-7901(i) Elevated lncRNA UCA1 in tumor tissues of GC patients[44]
(ii) LncRNA UCA1 promoted metastasis by sponging miR-203, resulting in ZEB overexpression
Ten GC and ten paracancerous normal tissues from the patients in ChinaMGC‐803, SGC‐7901, BGC‐823, AGS, MKN‐45, and GES‐1.(i) LncRNA UCA1 expression was higher in GC compared to paracancerous tissues[45]
(ii) SATB1 and lncRNA UCA1 competitively bound to miR‐495‐3p that acts as a ceRNA and reduced its expression
62 GC patients who underwent surgical resectionAGS, MKN-28, SGC-7901, MKN-45, and GES-1(i) Overexpressed lncRNA UCA1 in GC human tissue and GC cell lines[46]
(ii) LncRNA UCA1 repressed miR-590-3p, leading to increased CREB1 expression
40 primary GC tissues and corresponding adjacent nontumorous gastric tissue samplesAGS, SGC-7901, BGC-823, MGC-803, and SNU-1(i) Overexpressed lncRNA UCA1 in GC human tissue compared to adjacent noncancerous tissues[47]
(ii) LncRNA UCA1 repressed miR-26a/b, miR-193a, and miR-214 expression through direct interaction
(iii) LncRNA UCA1 upregulated pdl1
37 paired GC tissues and corresponding adjacent normal tissuesHGC27, MGC803, NCI-N87, BGC-823, SGC7901, and GES-1(i) Overexpressed lncRNA UCA1 in GC human tissue compared to adjacent normal tissues[48]
(ii) TGFb1-induced lncRNA UCA1 elevation and acceleration of EMT
102 gastric cancer patients who underwent surgeryMKN-28, SGC-7901, MGC-803, BGC-823, MKN-45, and GES-1(i) The overexpression of UCA1 in GC was higher in GC tissue than adjacent noncancerous tissues, and it is correlated with TNM stage and lymph node metastases[49]
(ii) LncRNA UCA1 activated PI3K-Akt-mTOR signaling pathway
39 patients with GCBGC-823, SGC-7901, AGS, MKN-45, NCI-N87, and MKN-28(i) LncRNA UCA1 highly expressed in GC tissues than its matched nontumor tissues[50]
(ii) SP1 induced lncRNA UCA1
(iii) EZH2 and lncRNA UCA1 interaction activated AKT/GSK-3B/cyclin D1 axis
49 patients with GCMGC-803, HGC-27, NCI-N87, and GES-1(i) LncRNA UCA1 was highly expressed in GC tissues than its adjacent nontumor tissues[51]
(ii) LncRNA UCA1 promoted tumor metastasis by inducing GRK2 degradation, which activated the ERK-MMP9 signaling pathway
28 primary GC patients who had not received previous chemotherapy or radiotherapySGC-7901, SGC-7901, SGC-7901/ADR, SGC-7901/DDP, and SGC-7901/FU(i) LncRNA UCA1 was one of the lncRNAs overexpressed in GC tissue[52]
(ii) Multidrug resistance of GC by repressing miR-27b
53 pairs of GC tissues and adjacent normal tissuesGES-1, SNU-5, AGS, and NCI-N87(i) LncRNA UCA1 was highly expressed in GC tissues than its adjacent nontumor tissues[53]
(ii) Knockdown of lncRNA UCA1 increased sensitivity to cisplatin by inducing cell apoptosis
(iii) LncRNA UCA1 reduced miR-513a-3p and elevated CYP1B1
MGC-803 and BGC-823(i) LncRNA UCA1 promoted the migration of hypoxia-resistant GC cells via miR-7-5p/EGFR axis[54]
Hepatobiliary cancer60 paired tumorous and adjacent nontumorous liver tissues obtained immediately after surgical resectionLO2 cells and HBx-expressing hepatoma cells(i) HBx induced lncRNA UCA1 expression in hepatocytes[55]
(ii) LncRNA UCA1 reduced p27kip1 expression and increased EZH2 expression via histone methylation on p27kip1 promoter region
(iii) LncRNA UCA1 induced CDK2 expression without altering CDK4 and CDK6
88 HCC patientsHepG2 and Huh7(i) LncRNA UCA1 highly expressed in 79 patients out of 88 HCC patients[56]
(ii) TGF-β1 induced the expression of lncRNA UCA1 and HXK2
66 newly diagnosed HCC patientsSNU-398 and SNU-449(i) Overexpressed lncRNA UCA1 was detected in HCC tissues compared to healthy tissues[57]
(ii) miR-124 repressed ROCK1
(iii) ROCK1 reduced lncRNA UCA1 expression
(iv) HBV and HCV infections did not affect the expression of lncRNA UCA1 and miR-124
50 HCC patients from online data setsHEK 293t and HepG2(i) Overexpressed SND1 in HCC tissues than normal tissues[58]
(ii) SND1 induced lncRNA UCA1 expression through the interaction of SND1 with MYB
HepG2(i) Arsenic stress induced lncRNA UCA1[59]
(ii) LncRNA UCA1 promoted protective roles of arsenic-induced cell death by blocking autophagic flux
(iii) LncRNA UCA1 protected HCC cells against arsenic stress by repressing miR-184 and elevating OSGIN1 that activated mTOR/p70S6K autophagy inhibition pathway
68 CCA patientsHCCC-9810, RBE, QBC939, Huh-28, HuCCT1, KMBC, CCLP-1, and HIBEC(i) LncRNA UCA1 was overexpressed in CCA tissues and cell lines[60]
(ii) LncRNA UCA1 inhibited apoptosis through Bcl-2/caspase-3 pathway
(iii) Activated AKT/GSK-3β axis elevated CCND1 expression
22 CCA patients receiving surgical resectionLIPF155C, CCLP1, QBC939, huh28, and HIBEC(i) LncRNA UCA1 was highly expressed lncRNA in CCA compared with paracarcinoma tissues[61]
(ii) Regulation of miR-122/CLIC1 and activation of ERK/MAPK signaling pathway
45 GBC tissues and neighboring noncancerous tissues from patients who underwent liver resectionNOZ and GBC-SD(i) High expression of lncRNA UCA1 was associated with tumor size, lymph node metastasis, TNM stage, and short survival time in GBC patients[62]
(ii) Recruitment of EZH2 to the promoter of p21 and E-cadherin
(iii) Epigenetically suppressed p21 and E-cadherin expression
Pancreatic cancer128 PC patients received operation as initial systemic treatmentPanc-1, Bxpc-3, Capan-1,SW-1990, and HPDE6C-7(i) LncRNA UCA1 overexpressed in PC tissue and cell lines[63]
(ii) LncRNA UCA1 suppressed p27 protein
50 PC patientsSW1990, BxPC-3, MiaPaCa-2, PANC-1, CAPAN-1, and HPDE(iii) Highly expressed lncRNA UCA1 in PC tissues and cell lines[64]
(iv) LncRNA UCA1 sponged miR135a
36 PC patients underwent surgical resectionHPC-Y5, PANC-1, SW1990, and AsPC-1(i) Out of 19 lncRNAs, lncRNA UCA1 was one of the overexpressed lncRNAs in PC tissues[65]
(ii) LncRNA UCA1 repressed miR-96, resulting in increased FOXO3 expression
Analysis of mRNA levels of lncRNA UCA1 in PC patients from BADEA and TCGA databasesBxPC-3, SW1990, PaTu8988, and PANC-1(i) Higher mRNA levels of lncRNA UCA1 in PC tissues than normal pancreatic tissues and correlated with poor prognosis[66]
(ii) LncRNA UCA1 promoted cell migration and invasion via Hippo signaling pathway
Analysis of lncRNA UCA1 mRNA levels from TCGA database in PDAC tumor specimens and normalPaTu8902, Mpanc96, HEK293T, and H6C7(i) LncRNA UCA1 was highly expressed in PDAC tumor specimens than normal tissue[67]
(ii) LncRNA UCA1 acted as a ceRNA to increase the expression of KRAS via sponging miR-590-3p
(iii) KRAS promoted lncRNA UCA1 expression.
Colorectal cancer80 CRC patientsCaCO-2, SW480, HCT116, LoVo, and CCC-HIE-2(i) Overexpressed lncRNA UCA1 promoted cell proliferation, apoptosis, and cell cycle distribution[68]
Two CRC cohorts, including 90 and 119 human primary CRC tissues and their paired adjacent noncancerous tissues, respectivelyHEK-293T, HCT8, HCT116, HT29, LoVo, and SW480(i) Induced 5-FU resistance[69]
(ii) Inhibition of miR-204-5p and upregulated its target genes (e.g., bcl2, rab22a, and creb1)
60 CRC patientsNCM460, SW620, HT29, CACO2, SW480, and HCT116(i) Overexpressed lncRNA UCA1 in CRC tissues and cell lines[70]
(ii) LncRNA UCA1 repressed miR‐28‐5p level, which subsequently increased HOXB3 axis
(iii) LncRNA UCA1 elevated MMP2 and MMP9
CCD-18Co, HIEC-6, SW620, and HT29(i) Overexpressed lncRNA UCA1 in CRC cell lines[71]
(ii) LncRNA UCA1 sponged miR-185-5p, leading to elevation of WNT1 and WISP2 that activated WISP2/b-catenin signaling pathway, which affected autophagy and survival of CRC
SW480, SW620, HT-29, CCD-18Co, and HIEC-6(i) Overexpressed lncRNA UCA1 in CRC cell lines[72]
(ii) LncRNA UCA1 elevated the expression of MAPK14 to activate MAPKAPK2/HSP27 signaling pathway
SW480 and NF(i) Overexpressed lncRNA UCA1 in CRC cell lines[73]
(ii) CAFs induced lncRNA UCA1 to increase the expression of mTOR
(iii) LncRNA UCA1/mTOR axis repressed p27 and miR-143 and significantly elevated cyclin D1 and KRAS expression
Tissue from 32 CRC patients collected immediately after surgical resectionHCT116, CCL244, SW480, LoVo, and FHC(i) LncRNA UCA1 significantly expressed higher in CRC tissue after chemoradiotherapy[74]
(ii) Downregulation of LncRNA UCA1 enhanced radiotherapy sensitivity
(iii) LncRNA UCA1 inhibited EMT by reducing MMP2, MMP9, ZEB1, and vimentin
25 CRC patients with 5-fluorouracil resistance and 25 CRC patients with 5-fluorouracil sensitivitySW480, SW620, and 293T(i) 5-fluorouracil resistance of CRC was associated with lncRNA UCA1 abundance that promoted autophagy and inhibited apoptosis[75]
(ii) LncRNA UCA1 sponged miR-23b-3p and consequently elevated ZNF281 expression
53 CRC patients treated with cetuximabCaco2-CR and Caco2-CS(i) LncRNA UCA1 levels upregulated in cetuximab-resistant cells and their exosomes[76]
(ii) Exosomal lncRNA UCA1 was detectable and stable in the serum of CRC patients
(ii) Exosomes originated from cetuximab-resistant cells could alter lncRNA UCA1 expression
(iv) LncRNA UCA1 can be transferred from resistant cells to sensitive cells through exosomes