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Gene & Protein in Disease                                  m1A-mediated ESCCAL-1 promotes ESCA stemness




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            Figure 4. ESCCAL-1 is regulated by ALKBH3 in an m A-dependent manner. (A) The expression levels of ALKBH3 and ESCCAL-1 in 13 normal tissues
            and 182 ESCA tissues were analyzed by the GEPIA database. *P < 0.05. (B) The GEPIA database was used to investigate the expression correlation between
            ALKBH3 and ESCCAL-1 in 182 ESCA samples. (C) The mRNA levels of ALKBH3 in Het-1A, TE1, KYSE70, and EC1 cells were tested by qRT-PCR, n = 4.
            ***P < 0.001. (D and E) The effect of ALKBH3 silencing on the expression of ALKBH3 and ESCCAL-1 in ESCA cells was evaluated by qRT-PCR, n = 3.
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            *P < 0.05, **P < 0.01, ***P < 0.001. (F) The putative presence of m A-modified regions on ESCCAL-1 transcripts. (G) MeRIP-PCR assay was used to detect
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            m A modification on ESCCAL-1 transcripts, n = 3. **P < 0.01. (H) MeRIP-PCR combined with agarose gel electrophoresis was used to evaluate the effect
            of ALKBH3 knockdown on m A modification of ESCCAL-1 transcript, n = 2.
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            ESCCAL-1: Esophageal squamous cell carcinoma associated long non-coding RNA 1; ESCA: Esophageal cancer; m A: N -methyladenosine.
              Stem cell-like property refers to the self-renewing   contrast, overexpression of ESCCAL-1 caused the opposite
            ability of malignant tumor cells to maintain continuous   biological effects. Although we have not clarified the
            proliferation and metastasis [22,23] . The stemness nature of   exact mechanisms by which ESCCAL-1 is involved in the
            tumors allows them to adapt to extreme growth conditions   maintenance of ESCA stemness, our results preliminarily
            and to combat multiple risk factors [22,23] . Therefore, reducing   suggest that ESCCAL-1 may exert its function by regulating
            tumor stemness is critical in eliminating tumor therapeutic   the expression of CD44, KLF4, and other stemness
            resistance [24,25] . In the previous studies, ESCCAL-1 has the   markers. This study provides new insights into targeting the
            carcinogenic effect of promoting ESCA proliferation and   ESCCAL-1/stemness axis for ESCA treatment.
            metastasis [9,10] , two basic intrinsic properties of malignant   In addition to the high expression of ESCCAL-1 in
            tumors, and depend on a high degree of self-renewal   ESCA, we also found that ESCCAL-1 is closely related to
            ability. Therefore, ESCCAL-1 might be associated with   tumor stage and patient survival, further supporting the
            the stemness of ESCA. Through a series of functional and   view that ESCCAL-1 is a potential biomarker of ESCA.
            molecular expression experiments, we demonstrated that   In addition, we noted that this lncRNA had a special
            the knockdown of ESCCAL-1 significantly weakened the   relationship with the gender and race of ESCA patients. Its
            stemness of ESCA cells and reduced the mRNA and protein   expression level in male tumor samples was higher than
            levels of two stemness-related genes, CD44 and KLF4. In   that in female tumor samples, and its expression level in


            Volume 2 Issue 1 (2023)                         7                         https://doi.org/10.36922/gpd.305
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