Background and Objective:Understanding the regulatory mechanisms involving neuronatin
(NNAT) in non-small cell lung cancer (NSCLC) is an ongoing challenge. This study aimed
to elucidate the impact of NNAT knockdown on NSCLC by employing both in vitro and in vivo approaches.Methods:To investigate the role of NNAT, its expression was silenced in NSCLC cell lines A549
and H226. Subsequently, various parameters, including cell proliferation, invasion, migration, and
apoptosis, were assessed. Additionally, cell-derived xenograft models were established to evaluate
the effect of NNAT knockdown on tumor growth. The expression of key molecules, including cyclin
D1, B-cell leukemia/lymphoma 2 (Bcl-2), p65, matrix metalloproteinase (MMP) 2, and nerve
growth factor (NGF) were examined both in vitro and in vivo. Nerve fiber density within tumor tissues
was analyzed using silver staining.Results:Upon NNAT knockdown, a remarkable reduction in NSCLC cell proliferation, invasion,
and migration was observed, accompanied by elevated levels of apoptosis. Furthermore, the expression
of cyclin D1, Bcl-2, MMP2, and phosphorylated p65 (p-p65) showed significant downregulation.
In vivo, NNAT knockdown led to substantial inhibition of tumor growth and a concurrent
decrease in cyclinD1, Bcl-2, MMP2, and p-p65 expression within tumor tissues. Importantly,
NNAT knockdown also led to a decrease in nerve fiber density and downregulation of NGF expression
within the xenograft tumor tissues.Conclusion:Collectively, these findings suggest that neuronatin plays a pivotal role in driving NSCLC
progression, potentially through the activation of the nuclear factor-kappa B signaling cascade.
Additionally, neuronatin may contribute to the modulation of tumor microenvironment innervation
in NSCLC. Targeting neuronatin inhibition emerges as a promising strategy for potential
anti-NSCLC therapeutic intervention.