NCX1 coupled with TRPC1 to promote gastric cancer via Ca2+/AKT/β-catenin pathway

Plasma membrane Na + /Ca 2+ exchanger 1 (NCX1) is a bidirectional ion transporter to operate in Ca 2+ entry and exit modes, and TRPC1 is Ca 2+ -permeable membrane channels. Both play critical roles in maintaining cytosolic free Ca 2+ ([Ca 2+ ] cyt ) homeostasis in mammalian cells. Although either TRPC1 channels or Ca 2+ entry mode of NCX1 is implicated in several human tumorigenesis, it has not been explored for a coordination of NCX1 and TRPC1 to involve in the pathogenesis of H. pylori- associated gastric cancer (GC). The protein expression of NCX1 was significantly enhanced in human GC specimens, which correlated with tumor progression and poor survival in GC patients. TRPC1 and NCX1 proteins were parallelly enhanced，co-localized and bound in human GC cells. By a functional coupling, TRPC1 drives NCX1 to its Ca 2+ entry mode to raise [Ca 2+ ] cyt in GC cells. Moreover, CaCl 2 , H. pylori and their virulence factors all enhanced expressions and activities of NCX1 and TRPC1, and evoked aberrant Ca 2+ entry to promote proliferation, migration, and invasion of GC cells through AKT/b-catenin pathway. Tumor growth and metastasis also depended on the enhanced expression of NCX1 in subcutaneously xenografted GC model of nude mice. Overall, our findings indicate that TRPC1/NCX1 coupling may promote H. pylori- associated GC through the Ca 2+ /AKT/b-catenin pathway. Since Ca 2+ exit mode and Ca 2+ entry mode of NCX1 play different roles under mostly physiological and pathological conditions respectively, we propose that targeting TRPC1/NCX1 coupling could be a novel strategy for selectively blocking Ca 2+ entry mode to potentially treat digestive cancer.