ROR? hijacks HIF-1a to promote peritoneal metastasis of gastric cancer.

Peritoneal metastasis (PM) is diagnosed in almost half of patients with advanced gastric cancer (GCa) and has a very poor prognosis. However, the molecular mechanisms of PM in GCa remain poorly understood. Here, we show that the elevated expression of RAR-related orphan receptor gamma (ROR?) in GCa tumors is a key driver of PM. ROR? drives GCa progression and metastasis by assembling a transcriptional complex with HIF-1a that regulates the expression of HIF-1a targets via recruitment of RNA polymerase II and p300. Mechanistically, ROR? hijacks HIF-1a to disrupt the interaction between HIF-1a and PHD3, leading to decreased HIF-1a hydroxylation, ubiquitylation and increased HIF-1a accumulation, nuclear translocation, and transactivation. ROR? antagonists block tumor growth and PM in multiple xenograft GCa models, and they effectively sensitize GCa tumors to chemotherapy in mice. Thus, our study uncovers a mechanism of ROR?-driven PM and offers a potential therapeutic option against advanced GCa. Overall design: A total of 4 samples were analyzed in this study. Gastric cancer cell line AGS cells were transfected with siCont, siRORC, siHIF1A or siHIF1B for 24 h and cultured under hypoxia for additional 24 h. After treatment, all cells were collected for RNA-seq assay.