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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">ERas Enhances Resistance to Cisplatin-Induced Apoptosis by Suppressing Autophagy in Gastric Cancer Cell</title>
<author><name sortKey="Tian, Huajian" sort="Tian, Huajian" uniqKey="Tian H" first="Huajian" last="Tian">Huajian Tian</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wang, Wenjun" sort="Wang, Wenjun" uniqKey="Wang W" first="Wenjun" last="Wang">Wenjun Wang</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meng, Xiao" sort="Meng, Xiao" uniqKey="Meng X" first="Xiao" last="Meng">Xiao Meng</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wang, Miaomiao" sort="Wang, Miaomiao" uniqKey="Wang M" first="Miaomiao" last="Wang">Miaomiao Wang</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tan, Junyang" sort="Tan, Junyang" uniqKey="Tan J" first="Junyang" last="Tan">Junyang Tan</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jia, Wenjuan" sort="Jia, Wenjuan" uniqKey="Jia W" first="Wenjuan" last="Jia">Wenjuan Jia</name>
<affiliation><nlm:aff id="aff2"><institution>Qingyuan People’s Hospital, The Sixth Affiliated Hospital of Guangzhou Medical University</institution>
,<addr-line>Qingyuan</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Li, Peining" sort="Li, Peining" uniqKey="Li P" first="Peining" last="Li">Peining Li</name>
<affiliation><nlm:aff id="aff3"><institution>Department of Genetics, Yale School of Medicine, Yale University</institution>
,<addr-line>New Haven, CT</addr-line>
,<country>United States</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Li, Jianshuang" sort="Li, Jianshuang" uniqKey="Li J" first="Jianshuang" last="Li">Jianshuang Li</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Zhou, Qinghua" sort="Zhou, Qinghua" uniqKey="Zhou Q" first="Qinghua" last="Zhou">Qinghua Zhou</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">32083074</idno>
<idno type="pmc">7005724</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7005724</idno>
<idno type="RBID">PMC:7005724</idno>
<idno type="doi">10.3389/fcell.2019.00375</idno>
<date when="2020">2020</date>
<idno type="wicri:Area/Pmc/Corpus">000528</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000528</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">ERas Enhances Resistance to Cisplatin-Induced Apoptosis by Suppressing Autophagy in Gastric Cancer Cell</title>
<author><name sortKey="Tian, Huajian" sort="Tian, Huajian" uniqKey="Tian H" first="Huajian" last="Tian">Huajian Tian</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wang, Wenjun" sort="Wang, Wenjun" uniqKey="Wang W" first="Wenjun" last="Wang">Wenjun Wang</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Meng, Xiao" sort="Meng, Xiao" uniqKey="Meng X" first="Xiao" last="Meng">Xiao Meng</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Wang, Miaomiao" sort="Wang, Miaomiao" uniqKey="Wang M" first="Miaomiao" last="Wang">Miaomiao Wang</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Tan, Junyang" sort="Tan, Junyang" uniqKey="Tan J" first="Junyang" last="Tan">Junyang Tan</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jia, Wenjuan" sort="Jia, Wenjuan" uniqKey="Jia W" first="Wenjuan" last="Jia">Wenjuan Jia</name>
<affiliation><nlm:aff id="aff2"><institution>Qingyuan People’s Hospital, The Sixth Affiliated Hospital of Guangzhou Medical University</institution>
,<addr-line>Qingyuan</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Li, Peining" sort="Li, Peining" uniqKey="Li P" first="Peining" last="Li">Peining Li</name>
<affiliation><nlm:aff id="aff3"><institution>Department of Genetics, Yale School of Medicine, Yale University</institution>
,<addr-line>New Haven, CT</addr-line>
,<country>United States</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Li, Jianshuang" sort="Li, Jianshuang" uniqKey="Li J" first="Jianshuang" last="Li">Jianshuang Li</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Zhou, Qinghua" sort="Zhou, Qinghua" uniqKey="Zhou Q" first="Qinghua" last="Zhou">Qinghua Zhou</name>
<affiliation><nlm:aff id="aff1"><institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Frontiers in Cell and Developmental Biology</title>
<idno type="eISSN">2296-634X</idno>
<imprint><date when="2020">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
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<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>Gastric cancer (GC), a common type of malignant cancer, remains the fifth most frequently diagnosed cancer and the third leading cause of cancer-related deaths worldwide. Despite developments in the treatment of GC, the prognosis remains poor. Embryonic stem cell-expressed Ras (ERas), a novel member of the Ras protein family, has recently been identified as an oncogene involved in the tumorigenic growth of embryonic stem cells. A recent study reported that ERas is expressed in most GC cell lines and GC specimens, and it promotes tumorigenicity in GC through induction of the epithelial mesenchymal transition (EMT) and activation of the PI3K/AKT pathway. Here, we found that ERas blocked autophagy flux in BGC-823 and AGS GC cells, which may occur through activation of the AKT/mTOR signaling pathway. Moreover, ERas overexpression suppressed cisplatin-induced apoptosis, and rapamycin treatment significantly attenuated ERas-mediated cisplatin resistance in GC cells. These data suggest that ERas may be a potential therapeutic target to improve the outcomes of GC patients by regulating the autophagy process.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Front Cell Dev Biol</journal-id>
<journal-id journal-id-type="iso-abbrev">Front Cell Dev Biol</journal-id>
<journal-id journal-id-type="publisher-id">Front. Cell Dev. Biol.</journal-id>
<journal-title-group><journal-title>Frontiers in Cell and Developmental Biology</journal-title>
</journal-title-group>
<issn pub-type="epub">2296-634X</issn>
<publisher><publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">32083074</article-id>
<article-id pub-id-type="pmc">7005724</article-id>
<article-id pub-id-type="doi">10.3389/fcell.2019.00375</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Cell and Developmental Biology</subject>
<subj-group><subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>ERas Enhances Resistance to Cisplatin-Induced Apoptosis by Suppressing Autophagy in Gastric Cancer Cell</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Tian</surname>
<given-names>Huajian</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wang</surname>
<given-names>Wenjun</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Meng</surname>
<given-names>Xiao</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wang</surname>
<given-names>Miaomiao</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tan</surname>
<given-names>Junyang</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jia</surname>
<given-names>Wenjuan</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Li</surname>
<given-names>Peining</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://loop.frontiersin.org/people/87778/overview"></uri>
</contrib>
<contrib contrib-type="author"><name><surname>Li</surname>
<given-names>Jianshuang</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001"><sup>*</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://loop.frontiersin.org/people/796728/overview"></uri>
</contrib>
<contrib contrib-type="author"><name><surname>Zhou</surname>
<given-names>Qinghua</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c002"><sup>*</sup>
</xref>
<uri xlink:type="simple" xlink:href="http://loop.frontiersin.org/people/793992/overview"></uri>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup>
<institution>The First Affiliated Hospital, Biomedical Translational Research Institute, Jinan University</institution>
,<addr-line>Guangzhou</addr-line>
,<country>China</country>
</aff>
<aff id="aff2"><sup>2</sup>
<institution>Qingyuan People’s Hospital, The Sixth Affiliated Hospital of Guangzhou Medical University</institution>
,<addr-line>Qingyuan</addr-line>
,<country>China</country>
</aff>
<aff id="aff3"><sup>3</sup>
<institution>Department of Genetics, Yale School of Medicine, Yale University</institution>
,<addr-line>New Haven, CT</addr-line>
,<country>United States</country>
</aff>
<author-notes><fn fn-type="edited-by"><p>Edited by: Mark A. LaBarge, Irell & Manella Graduate School of Biological Sciences, United States</p>
</fn>
<fn fn-type="edited-by"><p>Reviewed by: Deyin Xing, Johns Hopkins University, United States; Dong-Joo (Ellen) Cheon, Albany Medical College, United States</p>
</fn>
<corresp id="c001">*Correspondence: Jianshuang Li, <email>lijianshuan1314@jnu.edu.cn</email>
</corresp>
<corresp id="c002">Qinghua Zhou, <email>gene@email.jnu.edu.cn</email>
</corresp>
<fn fn-type="other" id="fn004"><p>This article was submitted to Molecular Medicine, a section of the journal Frontiers in Cell and Developmental Biology</p>
</fn>
</author-notes>
<pub-date pub-type="epub"><day>21</day>
<month>1</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="collection"><year>2019</year>
</pub-date>
<volume>7</volume>
<elocation-id>375</elocation-id>
<history><date date-type="received"><day>25</day>
<month>8</month>
<year>2019</year>
</date>
<date date-type="accepted"><day>16</day>
<month>12</month>
<year>2019</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2020 Tian, Wang, Meng, Wang, Tan, Jia, Li, Li and Zhou.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Tian, Wang, Meng, Wang, Tan, Jia, Li, Li and Zhou</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract><p>Gastric cancer (GC), a common type of malignant cancer, remains the fifth most frequently diagnosed cancer and the third leading cause of cancer-related deaths worldwide. Despite developments in the treatment of GC, the prognosis remains poor. Embryonic stem cell-expressed Ras (ERas), a novel member of the Ras protein family, has recently been identified as an oncogene involved in the tumorigenic growth of embryonic stem cells. A recent study reported that ERas is expressed in most GC cell lines and GC specimens, and it promotes tumorigenicity in GC through induction of the epithelial mesenchymal transition (EMT) and activation of the PI3K/AKT pathway. Here, we found that ERas blocked autophagy flux in BGC-823 and AGS GC cells, which may occur through activation of the AKT/mTOR signaling pathway. Moreover, ERas overexpression suppressed cisplatin-induced apoptosis, and rapamycin treatment significantly attenuated ERas-mediated cisplatin resistance in GC cells. These data suggest that ERas may be a potential therapeutic target to improve the outcomes of GC patients by regulating the autophagy process.</p>
</abstract>
<kwd-group><kwd>gastric cancer</kwd>
<kwd>ERas</kwd>
<kwd>autophagy</kwd>
<kwd>apoptosis</kwd>
<kwd>resistance</kwd>
</kwd-group>
<counts><fig-count count="5"></fig-count>
<table-count count="0"></table-count>
<equation-count count="0"></equation-count>
<ref-count count="35"></ref-count>
<page-count count="8"></page-count>
<word-count count="0"></word-count>
</counts>
</article-meta>
</front>
<body><sec id="S1"><title>Introduction</title>
<p>Gastric cancer (GC) is one of the most common types of malignant cancer; it remains the fifth most frequently diagnosed cancer (1033701 new cases in 2018) and the third leading cause of cancer-related deaths (8.2% in total) worldwide (<xref rid="B2" ref-type="bibr">Bray et al., 2018</xref>
). The incidence of GC is dramatically elevated in eastern Asia (e.g., in the Republic of Korea, which is the country with the highest rates worldwide in both men and women) (<xref rid="B2" ref-type="bibr">Bray et al., 2018</xref>
). <italic>Helicobacter pylori</italic>
is the main risk factor for stomach cancer, and dietary components (foods preserved by salting and low fruit intake), alcohol consumption and active tobacco use are also established risk factors (<xref rid="B11" ref-type="bibr">IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2012</xref>
). Surgery combined with chemotherapy is the primary treatment for GC. However, due to its high chemoresistance, traditional chemotherapeutic drugs, such as cisplatin and fluorouracil only have 10–20% efficacy in treating GC (<xref rid="B13" ref-type="bibr">Kamiyama et al., 2019</xref>
). The mechanism of high chemoresistance in GC is complex and multifactorial. It is important to explore the molecular mechanism underlying the chemoresistance of GC.</p>
<p>Autophagy is a highly regulated catabolic pathway responsible for the degradation and recycling of cellular components upon various cellular stresses (<xref rid="B3" ref-type="bibr">Cao et al., 2019</xref>
). Autophagy is a highly conserved process that involves the formation of double membrane vesicles called autophagosomes that engulf cellular proteins and organelles for delivery to the lysosome for degradation (<xref rid="B17" ref-type="bibr">Levy et al., 2017</xref>
). Autophagy is executed by ATG proteins (ULK1, BECN1, ATG3/5/7/12, and LC3 etc.) and is regulated by several signaling pathways, including PI3K/Akt/mTOR, AMPK, and P53 pathway (<xref rid="B3" ref-type="bibr">Cao et al., 2019</xref>
). Recently, various studies have shown that autophagy plays a dual role in GC. On one hand autophagy stimulation can act as a protective mechanism to prevent cancer initiation and cell growth (<xref rid="B18" ref-type="bibr">Liang and Jung, 2010</xref>
). On the other hand, autophagy can also protect some tumor cells against nutrient deprivation and low-oxygen conditions and play an oncogenic function that promotes tumor progression (<xref rid="B14" ref-type="bibr">Katheder et al., 2017</xref>
).</p>
<p>Embryonic stem cell-expressed Ras (ERas) is a novel member of the Ras protein family that is expressed by the Ras-like gene, which was first found in mouse embryonic stem (ES) cells (<xref rid="B28" ref-type="bibr">Takahashi et al., 2003</xref>
). ERas was reported to be an oncogene that maintains tumor-like properties in ES cells (<xref rid="B15" ref-type="bibr">Kubota et al., 2010</xref>
). Normally, ERas is not expressed in somatic cells because of epigenetic transcriptional silencing, but many studies have found that ERas expression exists in GC tissue and several cancer cell lines, including breast cancer, colorectal cancer, and pancreatic cancer (<xref rid="B33" ref-type="bibr">Yashiro et al., 2009</xref>
). Activating ERas might be associated with tumorigenic growth of somatic cells and might be the molecule responsible for maintaining stem cell-like characteristics in GC (<xref rid="B34" ref-type="bibr">Yasuda et al., 2007</xref>
). ERas was also shown to promote the activation of the PI3K/AKT pathway and the epithelial mesenchymal transition (EMT) in GC (<xref rid="B1" ref-type="bibr">Aoyama et al., 2010</xref>
). Furthermore, ERas enhances resistance to CPT-11 in GC via activation of the PI3K/mTOR pathway and NF-κB (<xref rid="B16" ref-type="bibr">Kubota et al., 2011</xref>
). Since the mTOR signaling pathway is a well-known negative regulator of autophagy, we hypothesized that ERas may also regulate autophagy in GC cells.</p>
<p>In this study, we investigated the role of ERas in regulating autophagy in GC cells. We reported here that ERas overexpression blocked autophagic flux through the AKT/mTOR signaling pathway. Moreover, ERas reduced cisplatin-induced apoptosis in gastric cells and activating autophagy blocks ERas-related resistance to cisplatin. Our findings suggested that ERas might enhance resistance to apoptosis through autophagy suppression in GC cells.</p>
</sec>
<sec sec-type="materials|methods" id="S2"><title>Materials and Methods</title>
<sec id="S2.SS1"><title>Cell Culture</title>
<p>The BGC-823 and AGS human GC cell lines, were purchased from Shanghai Cell Biology, Chinese Academy of Sciences (Shanghai, China). BGC-823 and AGS cells were cultured in DMEM supplemented with 10% fetal bovine serum (FBS; HyClone) and penicillin/streptomycin (100 U/ml). All cells were cultured at 37°C in a humidified incubator containing 5% CO<sub>2</sub>
.</p>
</sec>
<sec id="S2.SS2"><title>Transient Transfection</title>
<p>For the knockdown experiment, plasmids encoding a short hairpin RNAs (shRNAs) targeting ERas and an empty plasmid vector (pSuper) were constructed. We constructed two shRNAs and these interference vectors were named shERas-1 and shERas-2. The sequences of shERas-1 and shERas-2 were 5′-GATCCCCCCATCCAGGATTCCTACTGGTTCAAGAGACCA GTAGGAATCCTGGATGGTTTTTTA-3′ and 5′-GATCCCC GGATTCCTACTGGAAGGAGTTTTCAAGAGAAACTCCTTC CAGTAGGAATCCTTTTTA-3′, respectively, and shRNAs were synthesized by Tsingke, Co., Ltd. (Guangzhou, China). Cells were seeded in 6-well plates and grown to a density of 80% for transfection. The empty plasmid vector and shRNA plasmids were incubated with PEI for 30 min at room temperature. After changing to fresh medium without antibiotics, cells were transfected with 2 μg plasmid per well and incubated overnight. After that, the stable knockdown cell lines were selected with 2 μg/ml puromycin.</p>
</sec>
<sec id="S2.SS3"><title>Lentiviral Vector Construction, Lentivirus Packaging and Infection</title>
<p>The ERas amplified from the cDNA of AGS cells was cloned with BamH1 and Not1 restriction sites into a lentiviral pLVX3 vector (a gift from Dr. Changliang Shan, Jinan University), that contained Flag-tag, and was named pLVX3-Flag-ERas.</p>
<p>293T cells were seeded in 10 cm dishes and transfected with the lentiviral expression vector pLVX3-Flag-ERas and the two package vectors psPAX2 and pMD2.G. When the density reached 70 ∼ 80%, culture supernatants (lentivirus) were collected every 24 h for 2 days, filtered through a 0.45 μm pore-size filter and stored at −80°C until use.</p>
<p>Cells were seeded in 6-well plates and grown to a density of 80% for infection. One milliliter of collected culture supernatants (lentivirus) with 10 μg/ml polybrene was added to the wells for 24 h and replaced with fresh medium to culture for another 24 h. Cells were cultured by using fresh medium containing 2 μg/ml puromycin to select the stable cell line for 7 days.</p>
</sec>
<sec id="S2.SS4"><title>Real-Time Quantitative PCR</title>
<p>RNA was extracted from cells using RNAiso Plus (Takara Biotechnology, 9109) according to the manufacturer’s instructions. The ABScript II cDNA First Strand Synthesis Kit (ABclonal, RK20400) were used to reverse transcribed the total RNA into cDNA. Real-time PCR was performed using the CFX96 real-time system (Biorad) and SYBR Green select master mix (RK21203, ABclonal). The Actb gene was used as the internal control. Relative gene expression levels were calculated using the 2<sup>–ΔΔ<italic>CT</italic>
</sup>
method. The specific primer sequences used in the study are provided in <xref ref-type="supplementary-material" rid="TS1">Supplementary Table S1</xref>
.</p>
</sec>
<sec id="S2.SS5"><title>Western Blotting Analysis</title>
<p>Total proteins were extracted from cell cultures using the ice-cold RIPA lysis buffer (Beyotime, P0013B) with proteinase inhibitors. The protein concentrations were determined with a BCA protein kit (Thermo, Cat No. 23225). Samples containing equal amounts of protein were separated by SDS-PAGE, electrotransfer onto a PVDF membrane (Millipore, IPVH00010) and probed with primary antibodies (<xref ref-type="supplementary-material" rid="TS2">Supplementary Table S2</xref>
) at 4°C overnight. The membrane was incubated with secondary antibody at room temperature for 1 h. Protein bands detected by the antibodies were visualized by enhanced chemiluminescence (Beyotime, P0018) and evaluated using Quantity One 1-D Analysis Software (Bio-Rad, Hercules, CA, United States).</p>
</sec>
<sec id="S2.SS6"><title>Confocal Fluorescence Microscopy</title>
<p>For autophagy analysis, cells were transfected with GFP-LC3 or mCherry-GFP-LC3 plasmid for 48 h. Cells were fixed in 4% formaldehyde for 15 min subsequently stained with DAPI for 5 min at room temperature and images were captured by a Leica laser scanning confocal microscope (Leica, TCS SP8).</p>
</sec>
<sec id="S2.SS7"><title>Cell Apoptosis Assay by Flow Cytometry (FCM)</title>
<p>Embryonic stem cell-expressed Ras overexpressing and normal gastric cells were treated with cisplatin (100 ng/ml for BGC-823 and 50 μg/ml for AGS) or cisplatin plus rapamycin (1 μM) for 12 h before harvesting. Cells were stained with Annexin V and PI (Beyotime, Haimen, Jiangsu, China) and assayed for apoptosis by flow cytometry. In brief, cells were digested with trypsin and washed in PBS. The cells were resuspended with 200 μl Annexin-V binding buffer. Five microliters of Annexin V and 10 μl PI were added and incubated with cells for 10 min in the dark. Cell apoptosis was analyzed by using a FACS Calibur flow cytometer (BD Biosciences, FACSVerse).</p>
</sec>
<sec id="S2.SS8"><title>Statistical Analysis</title>
<p>All experiments were repeated at least three times. The data are expressed as the means ± SD. The differences between groups were analyzed by one-way ANOVA using SPSS 19.0 (SPSS Inc., Chicago, IL, United States). <italic>p</italic>
-values of less than 0.05 were regarded as statistically significant.</p>
</sec>
</sec>
<sec id="S3"><title>Results</title>
<sec id="S3.SS1"><title>ERas Blocks Autophagic Flux in Gastric Cancer Cells</title>
<p>To investigate the potential roles of ERas in autophagy, we performed gain-of-function and loss-of-function experiments to examine the role of ERas in regulating autophagy in gastric cells. We generated a stably overexpressed ERas gastric cell line and ERas knockdown cells (<xref ref-type="supplementary-material" rid="FS1">Supplementary Figure S1</xref>
). Overexpression of ERas significantly decreased the lipidation of LC3B (the ratio of LC3-II/LC3-I), but increased the autophagy substrate p62 under normal and starvation conditions in BGC-823 and AGS cells (<xref ref-type="fig" rid="F1">Figure 1A</xref>
and <xref ref-type="supplementary-material" rid="FS2">Supplementary Figure S2A</xref>
). Moreover, ERas overexpression dramatically decreased autophagosome formation (GFP-LC3 puncta) in both BGC-823 and AGS cells compared with that of the control cells (<xref ref-type="fig" rid="F1">Figures 1B</xref>
and <xref ref-type="supplementary-material" rid="FS2">Supplementary Figure S2B</xref>
). However, knockdown of ERas significantly promoted lipidation of LC3B and autophagosome formation (GFP-LC3 puncta) in BGC-823 and AGS cells (<xref ref-type="fig" rid="F1">Figures 1C,D</xref>
and <xref ref-type="supplementary-material" rid="FS2">Supplementary Figures S2C,D</xref>
). However, overexpression of ERas had no effect on the transcription levels of autophagy-related genes (<xref ref-type="supplementary-material" rid="FS3">Supplementary Figure S3</xref>
). Furthermore, we found that ERas overexpression also decreased lipidation of LC3B and autophagosome formation upon BafA1 [a inhibitor of vacuolar type H+-ATPase (V-ATPase) that prevent the acidification of lysosomes] or chloroquine (CQ, an inhibitor of autophagosome-lysosome fusion) treatment (<xref ref-type="fig" rid="F1">Figures 1A,B</xref>
). These data suggest that ERas may block autophagy.</p>
<fig id="F1" position="float"><label>FIGURE 1</label>
<caption><p>Embryonic stem cell-expressed Ras (ERas) blocks autophagy in gastric cancer cells. <bold>(A)</bold>
Representative western blots of Flag-ERas, p62, LC3B in ERas stable overexpressed and control BGC-823 cells, quantification on right panel (EV, empty vector; OE, ERas overexpression, Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05). <bold>(B)</bold>
Representative images and quantitative densitometric results of GFP-LC3 puncta in ERas stable overexpressed or control BGC-823 cells upon HBSS (Hank’s Balanced Salt Solution) or HBSS plus CQ treatment (chloroquine, 50 μM for 12 h, Scale bar = 10 μm; Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05). <bold>(C)</bold>
Representative western blots of LC3B in ERas knockdown and control BGC-823 cells, quantification on right panel (ERas knockdown: shERas-1 and shERas-2, Data represent as mean ± SD of three individual experiments, <sup>∗∗</sup>
<italic>p</italic>
< 0.01). <bold>(D)</bold>
Representative images and quantitative densitometric results of GFP-LC3 puncta in ERas knockdown or control BGC-823 cells upon HBSS or HBSS plus CQ treatment (chloroquine, 50 μM for 12 h, Scale bar = 10 μm; Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05).</p>
</caption>
<graphic xlink:href="fcell-07-00375-g001"></graphic>
</fig>
<p>Next, we examined whether ERas regulates autophagic flux by using the mCherry-GFP-LC3 reporter plasmid. Overexpression of ERas not only decreased autolysosomes (mCherry<sup>+</sup>
/GFP<sup>–</sup>
, red puncta) under both the normal and starvation conditions, but also decreased the accumulation of autophagosomes (mCherry<sup>+</sup>
/GFP<sup>+</sup>
, yellow puncta) under CQ treatment in BGC-823 cells (<xref ref-type="fig" rid="F2">Figure 2</xref>
). Together, these results demonstrated that ERas blocks autophagic flux in both normal and stress conditions.</p>
<fig id="F2" position="float"><label>FIGURE 2</label>
<caption><p>ERas blocks autophagic flux in BGC-823 cells. Detection and quantification of the autophagic flux with the mCherry-GFP-LC3 reporter in ERas stable overexpressed and control BGC-823 cells upon control or HBSS plus CQ treatment. Cells were treated with HBSS plus CQ (chloroquine, 50 μM for 12 h). autophagosomes (GFP<sup>+</sup>
/mCherry<sup>+</sup>
, yellow puncta), autolysosomes (GFP<sup>–</sup>
/mCherry<sup>+</sup>
, red puncta). (EV, empty vector; OE, ERas overexpression; Scale bar = 10 μm; <sup>∗</sup>
<italic>p</italic>
< 0.05).</p>
</caption>
<graphic xlink:href="fcell-07-00375-g002"></graphic>
</fig>
</sec>
<sec id="S3.SS2"><title>ERas Activates the AKT/mTOR Pathway in Gastric Cancer Cells</title>
<p>To explore the signaling pathway responsible for the suppression of autophagy by ERas, we examined the involvement of the mTOR signaling pathway, which is a well-known negative regulator of autophagy. As shown in <xref ref-type="fig" rid="F3">Figure 3</xref>
, ERas overexpression significantly increased phosphorylation levels of both mTOR (Ser2448) and its substrate (ULK1-Ser757) under both normal and starvation conditions in BGC-823 and AGS cells, compared to those of control cells. Moreover, ERas overexpression increased the phosphorylation of AKT-Ser473 (<xref ref-type="fig" rid="F3">Figure 3</xref>
). This is consistent with a previous study showing that ERas interacted with PI3K and activated its downstream signaling (<xref rid="B16" ref-type="bibr">Kubota et al., 2011</xref>
). Akt is an upstream positive regulator of the mTOR via direct phosphorylation and inhibition of TSC2, which is a negative regulator of mTOR, as well as through regulating cellular ATP level and AMPK activity (<xref rid="B10" ref-type="bibr">Hahn-Windgassen et al., 2005</xref>
). These data suggested that ERas activates the AKT/mTOR pathway, which may contribute to the ERas-mediated autophagy inhibition in GC cell.</p>
<fig id="F3" position="float"><label>FIGURE 3</label>
<caption><p>ERas activates AKT/mTOR pathway in gastric cancer cells. <bold>(A,B)</bold>
Representative western blots of p-Akt (Ser-473), Akt, p-mTOR (Ser-2448), mTOR, p-ULK1 (Ser-757), ULK1 in ERas stable overexpressed and control BGC-823 <bold>(A)</bold>
or AGS <bold>(B)</bold>
cells, quantification on right panel. Cells were treated with HBSS or HBSS plus CQ (50 μM) for 12 h. Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05, <sup>∗∗</sup>
<italic>p</italic>
< 0.01, compared with the control.</p>
</caption>
<graphic xlink:href="fcell-07-00375-g003"></graphic>
</fig>
</sec>
<sec id="S3.SS3"><title>ERas Blocks Cisplatin-Induced Apoptosis in Gastric Cancer Cells</title>
<p>Subsequently, we asked if ERas regulates apoptosis in GC cells, and we found that overexpression of ERas dramatically repressed cisplatin-induced caspase-3 cleavage in both BGC-823 and AGS cell lines compared with that of control cells (<xref ref-type="fig" rid="F4">Figure 4A</xref>
and <xref ref-type="supplementary-material" rid="FS4">Supplementary Figure S4A</xref>
). Consistently, the flow cytometry results also showed that overexpression of ERas significantly repressed apoptosis (Annexin V positive cells) in BGC-823 (from 35 to 26%) and AGS (from 62 to 34%) cells (<xref ref-type="fig" rid="F4">Figure 4B</xref>
and <xref ref-type="supplementary-material" rid="FS4">Supplementary Figure S4B</xref>
). However, ERas knockdown significantly promoted cisplatin-induced caspase-3 cleavage as well as apoptosis in both BGC-823 and AGS cells (<xref ref-type="fig" rid="F4">Figures 4C,D</xref>
and <xref ref-type="supplementary-material" rid="FS4">Supplementary Figures S4C,D</xref>
). These data suggest that ERas repressed cisplatin-induced apoptosis in GC cell lines.</p>
<fig id="F4" position="float"><label>FIGURE 4</label>
<caption><p>ERas blocks cisplatin-induced apoptosis in gastric cells. <bold>(A)</bold>
Representative western blots of full length caspase-3 and cleaved-caspase 3 in ERas stable overexpressed and control BGC-823 cells, quantification of cleaved-caspase 3 on right panel (cisplatin 100 ng/ml for 12 h, Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05). <bold>(B)</bold>
Cell apoptotic ratio of ERas stable overexpressed and control BGC-823 cell was determined by flow cytometry (FACS) with Annexin V – FITC and PI double staining, quantification of apoptotic ratio on right panel (cisplatin 100 ng/ml for 12 h, <sup>∗</sup>
<italic>p</italic>
< 0.05). <bold>(C)</bold>
Representative western blots of full length caspase3 and cleaved-caspase 3 in ERas knockdown and control BGC-823 cells, quantification of cleaved-caspase 3 on right panel (cisplatin 100 ng/ml for 12 h, Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05 compared with shCT group). <bold>(D)</bold>
Cell apoptotic ratio of ERas knockdown and control BGC-823 cell was determined by flow cytometry (FACS) with Annexin V – FITC and PI double staining, quantification of apoptotic ratio on right panel (cisplatin 100 ng/ml for 12 h, <sup>∗</sup>
<italic>p</italic>
< 0.05).</p>
</caption>
<graphic xlink:href="fcell-07-00375-g004"></graphic>
</fig>
</sec>
<sec id="S3.SS4"><title>ERas Blocks Cisplatin-Induced Apoptosis by Suppressing Autophagy</title>
<p>There is complex connection between apoptosis and autophagy (<xref rid="B9" ref-type="bibr">Gump and Thorburn, 2011</xref>
). Thus, we examined whether ERas blocks apoptosis through autophagy. As shown in <xref ref-type="fig" rid="F5">Figure 5A</xref>
, Rapamycin only treatment have no effect on caspase-3 cleavage and apoptosis (<xref ref-type="fig" rid="F5">Figures 5A,B</xref>
), but ERas overexpressing cells exhibited decreased cisplatin-induced caspase-3 cleavage compared with control cells (<xref ref-type="fig" rid="F5">Figure 5A</xref>
). However, when treated with cisplatin and rapamycin together, the protein levels of cleaved-caspase-3 were increased in both control and ERas-overexpressing cells compared with those of the control group. Further addition of rapamycin promoted cisplatin-induced caspase-3 cleavage in ERas-overexpressing cells similar to that of control BGC-823 cells (<xref ref-type="fig" rid="F5">Figure 5A</xref>
). Surprisingly, cisplatin treatment decreased lipidation of LC3B, and blocked ERas-mediated autophagy suppression (<xref ref-type="fig" rid="F5">Figure 5A</xref>
). Furthermore, flow cytometry analysis results showed that the number of apoptotic cells significantly decreased in ERas-overexpressing cells upon cisplatin treatment compared to that of the control group. However, there were no differences between ERas-overexpressing and control BGC cells with cisplatin and rapamycin cotreatment (<xref ref-type="fig" rid="F5">Figure 5B</xref>
). These experimental data suggest that activation of autophagy by rapamycin can increase cisplatin-induced apoptosis in ERas-overexpressing BGC-823 cells.</p>
<fig id="F5" position="float"><label>FIGURE 5</label>
<caption><p>ERas blocks cisplatin-induced apoptosis through suppressing autophagy in BGC-823 cells. <bold>(A)</bold>
Representative western blots of LC3B and cleaved-caspase 3 in ERas stable overexpressed and control BGC-823 cells upon cisplatin or rapamycin treatments, quantification of cleaved-caspase 3 and LC3B on right panel (cisplatin 100 ng/ml, rapamycin 1 μM for 12 h, Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05, <sup>∗∗</sup>
<italic>p</italic>
< 0.01). <bold>(B)</bold>
Cell apoptotic ratio of ERas stable overexpressed and control BGC-823 cell was determined by flow cytometry (FACS) with Annexin V – FITC and PI double staining, quantification on right panel (cisplatin 100 ng/ml, rapamycin 1 μM for 12 h, Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05).</p>
</caption>
<graphic xlink:href="fcell-07-00375-g005"></graphic>
</fig>
</sec>
</sec>
<sec id="S4"><title>Discussion</title>
<p>Gastric cancer is one of the most common cancers worldwide, especially in Asia, with only a 5 year survival rate of diagnosis (<xref rid="B20" ref-type="bibr">Liu et al., 2019</xref>
; <xref rid="B25" ref-type="bibr">Rugge et al., 2019</xref>
). Despite developments in the treatment of GC, the prognosis remains poor. Therefore, there is a need to develop novel and effective therapeutic targets to improve the outcomes of patients with GC.</p>
<p>Embryonic stem cell-expressed Ras is a recently identified oncogene involved in the tumorigenic growth of embryonic stem cells (<xref rid="B28" ref-type="bibr">Takahashi et al., 2003</xref>
). ERas mRNA is expressed in several cancer cell lines, including colorectal carcinomas, pancreatic carcinomas, and breast carcinomas, but not in normal cell lines (<xref rid="B34" ref-type="bibr">Yasuda et al., 2007</xref>
; <xref rid="B27" ref-type="bibr">Suarez-Cabrera et al., 2018</xref>
). In addition, ERas mRNA is expressed in most GC cell lines to different degrees, and ERas was also detected in most clinical GC specimens, but not in adjacent tissues (<xref rid="B15" ref-type="bibr">Kubota et al., 2010</xref>
). Immunohistochemistry also showed that ERas is expressed in 38.7% (55/142) of human GC tissues but not in adjacent tissues (<xref rid="B28" ref-type="bibr">Takahashi et al., 2003</xref>
). ERas upregulates transcription regulatory factors, including ZFHX1A, ZFHX1B, and TCF3, which repress E-cadherin expression in GC (<xref rid="B15" ref-type="bibr">Kubota et al., 2010</xref>
). A recent study reported that ERas promotes tumorigenicity of GC through activation of the PI3K/AKT pathway and is associated with GC metastasis (<xref rid="B1" ref-type="bibr">Aoyama et al., 2010</xref>
). Raf/MAPK is another best characterized Ras effector, which regulates cell proliferation, differentiation and cell death (<xref rid="B21" ref-type="bibr">Molina and Adjei, 2006</xref>
). However, consistent with previous studies showing that ERas cannot activate MAPK/ERK pathway (<xref rid="B22" ref-type="bibr">Nakhaei-Rad et al., 2016</xref>
; <xref rid="B27" ref-type="bibr">Suarez-Cabrera et al., 2018</xref>
), we also found that ERas overexpression have no effect on the phosphorylation of p38 and JNK (<xref ref-type="supplementary-material" rid="FS5">Supplementary Figure S5</xref>
). These results suggested that ERas activates PI3K/AKT but not MAPK signaling pathway in GC cells. Our results demonstrated that ERas blocks autophagy flux in both BGC-823 and AGS cells. Moreover, ERas activates the AKT/mTOR pathway, which may contribute to the ERas-mediated autophagy inhibition in GC cells (<xref ref-type="fig" rid="F1">Figures 1</xref>
<xref ref-type="fig" rid="F3">–3</xref>
).</p>
<p>Aberrant or excessive autophagic activity may produce cytotoxicity, resulting in autophagic cell death and suppressing tumor development in GC cells (<xref rid="B24" ref-type="bibr">Qian and Yang, 2016</xref>
). Fluorouracil (5-FU) may induce cell proliferation arrest and autophagic cell death in GC cells by suppressing miR-30, resulting in upregulating Beclin1 (<xref rid="B32" ref-type="bibr">Yang and Pan, 2015</xref>
). On the other hand, autophagy promotes tumor progression and prevents cancer cells from undergoing drug-induced apoptosis. Oxaliplatin-induced autophagy can partially antagonize apoptotic cell death in GC cells (<xref rid="B30" ref-type="bibr">Xu et al., 2011</xref>
). In addition, autophagy facilitates Aquaporin 3 -mediated chemoresistance to cisplatin in GC cells, whereas inhibition of autophagy by chloroquine significantly enhances cisplatin chemosensitivity in GC cells (<xref rid="B8" ref-type="bibr">Dong et al., 2016</xref>
). In addition to apoptosis, cisplatin has been reported to induce autophagy in lung, esophageal, and ovarian cancer cells (<xref rid="B31" ref-type="bibr">Xu et al., 2012</xref>
; <xref rid="B35" ref-type="bibr">Yu et al., 2014</xref>
; <xref rid="B29" ref-type="bibr">Wu et al., 2015</xref>
). Moreover, low dose of cisplatin also could induce autophagy in lung-cancer cells (5 μM) and bladder cancer cells (6.25 μM) (<xref rid="B6" ref-type="bibr">Cho et al., 2014</xref>
; <xref rid="B19" ref-type="bibr">Lin et al., 2017</xref>
). However, inhibitor of autophagy promotes cisplatin-induced apoptosis (<xref rid="B31" ref-type="bibr">Xu et al., 2012</xref>
; <xref rid="B5" ref-type="bibr">Chen et al., 2018</xref>
). In our study, we found that ERas blocked cisplatin-induced apoptosis in GC cells (BGC-823 and AGS), rapamycin treatment significantly attenuated ERas-mediated cisplatin resistance in GC cells (<xref ref-type="fig" rid="F4">Figures 4</xref>
, <xref ref-type="fig" rid="F5">5</xref>
). Surprisingly, cisplatin treatment decreased lipidation of LC3B, and blocked ERas-mediated autophagy suppression (<xref ref-type="fig" rid="F5">Figure 5A</xref>
). This suggest that very low concentration of cisplatin (100 ng/ml = 0.33 μM) may block autophagy instead of inducing autophagy in GC cells.</p>
<p>Autophagy and apoptosis are both physiological processes essential for organismal homeostasis. The relationship between autophagy and apoptosis is complex, and many stimuli can induce both processes (<xref rid="B26" ref-type="bibr">Su et al., 2013</xref>
). In most cases, autophagy functions as a survival mechanism through which the cells adapt to such conditions, escaping cell death induced by apoptosis. However, in other situations, both autophagy and apoptosis can promote cell death (<xref rid="B23" ref-type="bibr">Nikoletopoulou et al., 2013</xref>
). In addition, autophagy can also promote apoptosis, and autophagy promotes apoptosis of mesenchymal stem cells under an inflammatory microenvironment (<xref rid="B7" ref-type="bibr">Dang et al., 2015</xref>
). Oleifolioside B-mediated autophagy functions as a death mechanism by promoting apoptosis and autophagic cell death in A549 cells (<xref rid="B12" ref-type="bibr">Jin et al., 2013</xref>
). Luteolin induces apoptosis in human liver cancer SMMC-7721 cells, partially via autophagy (<xref rid="B4" ref-type="bibr">Cao et al., 2017</xref>
).</p>
<p>In conclusion, our results demonstrate that ERas expression enhanced resistance to cisplatin-induced apoptosis and that ERas suppressed autophagic flux through the Akt/mTOR pathway. Moreover, we found that rapamycin treatment significantly attenuated ERas-mediated cisplatin resistance in GC cells. These data suggest that ERas may be a potential therapeutic target to improve the outcomes of GC patients by regulating the autophagy process.</p>
</sec>
<sec sec-type="data-availability" id="S5"><title>Data Availability Statement</title>
<p>The raw data supporting the conclusion of this article will be made available by the authors, without undue reservation, to any qualified researcher.</p>
</sec>
<sec id="S6"><title>Author Contributions</title>
<p>QZ and JL supervised the project and designed the experiments. HT, WW, XM, JT, MW, and WJ performed the experiments. HT, WW, JL, and PL analyzed the experiments and provided technical support and discussions. HT, JL, and QZ wrote the manuscript. All the authors reviewed the manuscript.</p>
</sec>
<sec id="conf1"><title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back><fn-group><fn fn-type="financial-disclosure"><p><bold>Funding.</bold>
This work was financially supported by the National Natural Science Foundation of China (Grants 81601299, 81800833, and 81802189), the National Key R&D Program of China (2018YFC2002000), the 111 Project (B16021), the China Postdoctoral Science Foundation (Grant 2018M631054), and the Natural Science Foundation of Guangdong Province (Grant 2018A0303131002).</p>
</fn>
</fn-group>
<ack><p>We would like to thank Dr. Changliang Shan (Jinan University) for the pLVX3-Flag vector plasmid, Dr. Guang Yang (Jinan University) for the mCherry-GFP-LC3 and GFP-LC3 plasmids, and Dr. Xuhui Lai for technical help on our qPCR procedure.</p>
</ack>
<sec id="S9" sec-type="supplementary material"><title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcell.2019.00375/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcell.2019.00375/full#supplementary-material</ext-link>
</p>
<supplementary-material content-type="local-data" id="FS1"><label>FIGURE S1</label>
<caption><p>ShRNA mediates ERas knockdown in BGC-823 and AGS cells. <bold>(A)</bold>
mRNA expression of ERas in BGC-823 and AGS cells (ERas knockdown: shERas-1 and shERas-2, Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05, <sup>∗∗</sup>
<italic>p</italic>
< 0.01). <bold>(B)</bold>
Representative western blots of ERas expression after shRNA transfection 48 h in BGC-823 cells.</p>
</caption>
<media xlink:href="Data_Sheet_2.pdf"><caption><p>Click here for additional data file.</p>
</caption>
</media>
</supplementary-material>
<supplementary-material content-type="local-data" id="FS2"><label>FIGURE S2</label>
<caption><p>ERas blocks autophagy in AGS cells. <bold>(A)</bold>
Representative western blots of Flag-ERas, p62, LC3B in ERas stable overexpressed and control AGS cells, quantification on right panel (EV: empty vector, OE: ERas overexpression, Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05). <bold>(B)</bold>
Representative images and quantitative densitometric results of GFP-LC3 puncta in control, ERas stable overexpressed AGS cells upon HBSS or HBSS plus CQ treatment (chloroquine, 50 μM for 12 h, Scale bar =10 μm; Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05). <bold>(C)</bold>
Representative western blots of, LC3B in ERas knockdown and control BGC-823 cells, quantification on right panel (ERas knockdown: shERas-1 and shERas-2, Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05, <sup>∗∗</sup>
<italic>p</italic>
< 0.01). <bold>(D)</bold>
Representative images and quantitative densitometric results of GFP-LC3 puncta in control or ERas knockdown AGS cells upon HBSS or HBSS plus CQ treatment (chloroquine, 50 μM for 12 h, Scale bar = 10 μm; Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05).</p>
</caption>
<media xlink:href="Data_Sheet_2.pdf"><caption><p>Click here for additional data file.</p>
</caption>
</media>
</supplementary-material>
<supplementary-material content-type="local-data" id="FS3"><label>FIGURE S3</label>
<caption><p>mRNA expression of autophagy related genes in ERas stable overexpressed (OE) or control (EV) BGC-823 cells. (Data represent as mean ± SD of three individual experiments, <sup>∗∗∗</sup>
<italic>p</italic>
< 0.001, compared with the control).</p>
</caption>
<media xlink:href="Data_Sheet_2.pdf"><caption><p>Click here for additional data file.</p>
</caption>
</media>
</supplementary-material>
<supplementary-material content-type="local-data" id="FS4"><label>FIGURE S4</label>
<caption><p>ERas blocks cisplatin-induced apoptosis in AGS cells. <bold>(A)</bold>
Representative western blots of full length caspase3 and cleaved-caspase 3 in ERas stable overexpressed and control AGS cells, quantification of cleaved-caspase 3 on right panel (cisplatin 50 μg/ml for 12 h, Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05). <bold>(B)</bold>
Cell apoptotic ratio of ERas stable overexpressed and control AGS cells were determined by flow cytometry (FACS) with Annexin V-FITC and PI double staining, quantification of apoptotic ratio on right panel (cisplatin 50 μg/ml for 12 h, <sup>∗</sup>
<italic>p</italic>
< 0.05). <bold>(C)</bold>
Representative western blots of full length caspase3 and cleaved-caspase 3 in ERas knockdown and control AGS cells, quantification of cleaved-caspase 3 on right panel (cisplatin 50 μg/ml for 12 h, Data represent as mean ± SD of three individual experiments, <sup>∗</sup>
<italic>p</italic>
< 0.05). <bold>(D)</bold>
Cell apoptotic ratio of ERas knockdown and control AGS cells were determined by flow cytometry (FACS) with Annexin V-FITC and PI double staining, quantification of apoptotic ratio on right panel (cisplatin 50 μg/ml for 12 h, <sup>∗</sup>
<italic>p</italic>
< 0.05).</p>
</caption>
<media xlink:href="Data_Sheet_2.pdf"><caption><p>Click here for additional data file.</p>
</caption>
</media>
</supplementary-material>
<supplementary-material content-type="local-data" id="FS5"><label>FIGURE S5</label>
<caption><p>ERas does not activate MAPK signaling pathway in BGC-823 cells. Representative western blots of p-p38 and p-JNK in ERas stable overexpressed and control BGC-823 cells, quantification of p-p38 and p-JNK on right panel (Data represent as mean ± SD of three individual experiments, ns = not significant).</p>
</caption>
<media xlink:href="Data_Sheet_2.pdf"><caption><p>Click here for additional data file.</p>
</caption>
</media>
</supplementary-material>
<supplementary-material content-type="local-data" id="TS1"><label>TABLE S1</label>
<caption><p>Sequences of primers used in the present study.</p>
</caption>
<media xlink:href="Data_Sheet_2.pdf"><caption><p>Click here for additional data file.</p>
</caption>
</media>
</supplementary-material>
<supplementary-material content-type="local-data" id="TS2"><label>TABLE S2</label>
<caption><p>Primary antibodies used in the present study.</p>
</caption>
<media xlink:href="Data_Sheet_2.pdf"><caption><p>Click here for additional data file.</p>
</caption>
</media>
</supplementary-material>
<supplementary-material content-type="local-data" id="SD1"><label>DATA SHEET S1</label>
<caption><p>Raw data.</p>
</caption>
<media xlink:href="Data_Sheet_1.PDF"><caption><p>Click here for additional data file.</p>
</caption>
</media>
</supplementary-material>
</sec>
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