ORIGINAL RESEARCH article

Front. Oncol.

Sec. Gastrointestinal Cancers: Gastric and Esophageal Cancers

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1512177

IGF2BP2 Regulates Gastric Cancer Radiotherapy Resistance Through HIF1α-Mediated Glycolysis

Provisionally accepted
Qi  ZhangQi Zhang1Ruilin  WangRuilin Wang1Yuting  TianYuting Tian1Yukan  ChenYukan Chen1爽彦  Zhao爽彦 Zhao1Guoyin  WangGuoyin Wang1XJ  LiuXJ Liu2*Shuping  LiShuping Li2*
  • 1The First Clinical Medical College, Gansu University of Chinese Medicine, Lanzhou, Gansu Province, China
  • 2Gansu Provincial Hospital, Lanzhou, Gansu Province, China

The final, formatted version of the article will be published soon.

This study reveals the core mechanism by which insulin-like growth factor 2 mRNA-binding protein 2 (IGF2BP2) drives tumor progression and radiotherapy resistance in gastric cancer (GC) through m6A-dependent regulation of hypoxia-inducible factor 1α (HIF1α). Clinical analyses show that IGF2BP2 is significantly overexpressed in gastric cancer tissues, and its expression level is closely associated with tumor size and poor patient prognosis. Functional studies demonstrate that elevated expression of IGF2BP2 accelerates the transition of gastric cancer cells from the G1 phase to the G2/M phase of the cell cycle and markedly enhances cell proliferation and migration through anti-apoptotic effects. Mechanistically, IGF2BP2 specifically binds to the m6A-modified "GGACU" motif within the coding region of HIF1α mRNA, positively regulating HIF1α mRNA stability and protein expression in an m6A-dependent manner. High IGF2BP2 expression significantly enhances glycolytic activity in gastric cancer cells, while overexpression of HIF1α partially rescues the suppression of malignant phenotypes caused by IGF2BP2 knockdown, indicating that HIF1α serves as a key downstream effector mediating the oncogenic role of IGF2BP2 in gastric cancer. Furthermore, knockdown of IGF2BP2 significantly increases radiosensitivity by exacerbating DNA damage and enhancing oxidative stress.

Keywords: IGF2BP2, HIF1α, Glycolysis, radioresistance, gastric cancer

Received: 16 Oct 2024; Accepted: 07 Apr 2025.

Copyright: © 2025 Zhang, Wang, Tian, Chen, Zhao, Wang, Liu and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
XJ Liu, Gansu Provincial Hospital, Lanzhou, 730000, Gansu Province, China
Shuping Li, Gansu Provincial Hospital, Lanzhou, 730000, Gansu Province, China

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