Abstract. Protein reversionless 3-like (REV3L), the catalytic subunit of DNA polymerase (pol) ζ, is well known to participate in error-prone translesion synthesis (TLS) with less stringent and lower processivity. Recent evidence has demonstrated that REV3L is involved in carcinogenesis and tumor progression. However, the function of REV3L remains unclear in esophageal squamous cell carcinoma (ESCC). In the present study, we examined REV3L expression in ESCC tissues and its association with clinicopathological parameters. REV3L was found to be significantly upregulated and correlated with lymph node metastasis and clinical stage in the ESCC tissues. To further investigate the potential role of REV3L in esophageal cancer, stable ESCC cell lines with suppression of REV3L expression were established. Downregulation of REV3L expression led to a decrease in cell proliferation and invasive capacity partly through suppression of cyclin D1 and survivin expression, and an increase in cellular sensitivity to 5-fluorouracil (5-FU) by induction of G1 phase arrest and apoptosis. Therefore, REV3L plays an important role in ESCC progression and chemoresistance, and is a potential diagnostic marker and therapeutic target for ESCC.
IntroductionEsophageal squamous cell carcinoma (ESCC) is one of the most fatal malignancies with a relatively high incidence worldwide (1,2). Clinical evidence indicates that the etiology of ESCC includes multiple factors containing both environmental and genetic determinants (3). Although a high number of genetic and epigenetic alterations has been reported in ESCC, molecular markers for early diagnosis and prognosis remain to be discovered. The majority of ESCC deaths are due to invasive disease; therefore, identification of novel genes involved in the tumorigenesis and development of ESCC could contribute to improving the outcome of this disease.Translesion DNA synthesis (TLS) is one type of DNA damage tolerance mechanisms that allows continuing DNA synthesis even in the presence of DNA damage (4,5). Protein reversionless 3-like (Rev3L), the catalytic subunit of the DNA polymerase (pol) ζ, is well known to participate in errorprone TLS with less stringent and lower processivity (4). Rev3L maintains genomic integrity by inserting a substitute nucleotide in the opposite DNA adducts, which increases the mutation rate and contributes to carcinogenesis (6). Rev3L gene polymorphisms have been correlated with the risk of lung and breast cancer (7,8). Pol ζ was reported to promote tumor formation and is significantly associated with poor progression in cervical cancer (9,10). Thus, Rev3L may play an important role in carcinogenesis and tumor progression.The REV3L gene appears to be ubiquitously expressed in normal and tumor tissues, while its expression pattern remains contentious in different cancer tissues (11,12). REV3L expression was found to be downregulated in colon, lung, gastric and renal cancer tissues as compared to adjacent tissues (13), whereas it was found to be upregulated in human glioma tiss...