BACKGROUND
BRAF
V600E
mutated colorectal cancer (CRC) is prone to peritoneal and distant lymph node metastasis and this correlates with a poor prognosis. The BRAF
V600E
mutation is closely related to the formation of an immunosuppressive microenvironment. However, the correlation between BRAF
V600E
mutation and changes in local immune microenvironment of CRC is not clear.
AIM
To explore the effect and mechanism of BRAF
V600E
mutant on the immune microenvironment of CRC.
METHODS
Thirty patients with CRC were included in this study: 20 in a control group and 10 in a treatment group. The density of microvessels and microlymphatic vessels, and M2 subtype macrophages in tumor tissues were detected by immunohistochemistry. Screening and functional analysis of exosomal long noncoding RNAs (lncRNAs) were performed by transcriptomics. The proliferation and migration of human umbilical vein endothelial cells (HUVECs) and human lymphatic endothelial cells (HLECs) were detected by CCK-8 assay and scratch test, respectively. The tube-forming ability of endothelial cells was detected by tube formation assay. The macrophage subtypes were obtained by flow cytometry. The expression of vascular endothelial growth factor (VEGF)-A, basic fibroblast growth factor (bFGF), transforming growth factor (TGF)-β1, VEGF-C, claudin-5, occludin, zonula occludens (ZO)-1, fibroblast activation protein, and α-smooth muscle actin was assessed by western blot analysis. The levels of cytokines interleukin (IL)-6, TGF-β1, and VEGF were assessed by enzyme-linked immunosorbent assay.
RESULTS
BRAF
V600E
mutation was positively correlated with the increase of preoperative serum carbohydrate antigen 19-9 (
P
< 0.05), and with poor tumor tissue differentiation in CRC (
P
< 0.01). Microvascular density and microlymphatic vessel density in BRAF
V600E
mutant CRC tissues were higher than those in BRAF wild-type CRC (
P
< 0.05). The number of CD163
+
M2 macrophages in BRAF
V600E
mutant CRC tumor tissue was markedly increased (
P
< 0.05). Compared with exosomes from CRC cells with BRAF gene silencing, the expression of 13 lncRNAs and 192 mRNAs in the exosomes from BRAF
V600E
mutant CRC cells was upregulated, and the expression of 22 lncRNAs and 236 mRNAs was downregulated (
P
< 0.05). The biological functions and signaling pathways predicted by differential lncRNA target genes and differential mRNAs were closely related to angiogenesis, tumor cell proliferation, differentiation, metabolism, and changes in the microenvironment. The proliferation, migration, and tube formation ability of HU...