Abstract
OBJECTIVE: Choriocarcinoma has a high propensity for distant metastasis, imposing a substantial psychological burden on patients. Unveiling the molecular mechanisms underlying tumor invasion and metastasis holds great clinical significance. METHODS: Immunohistochemistry was employed to detect WNT6 expression in normal early pregnancy villi, regressive hydatidiform moles, malignant hydatidiform moles and gestational trophoblastic neoplasia. Quantitation of mRNA expression by real-time PCR and Western blotting were utilized to quantify WNT6 expression in human chorionic trophoblastic cells and choriocarcinoma cells. Lentiviruses were used to construct stable cell models with either overexpressed or knocked-down WNT6, aiming to explore the impact of WNT6 expression on cell proliferation, migration, and invasion. RESULTS: The expression of WNT6 was significantly higher in malignant tissues and cells compared to normal counterparts. In the malignant hydatidiform mole group, WNT6 expression was correlated with tumor metastasis and the FIGO anatomical stage. Kaplan-Meier survival curve analysis indicated that the disease progression time of the high-WNT6-expression subgroup in the malignant hydatidiform mole group was notably shorter than that of the low-expression subgroup. CCK-8 assay, wound healing assay, and Transwell assays demonstrated that overexpression of WNT6 could enhance the proliferation, migration, and invasion of HTR-8 cells. Conversely, interfering with WNT6 expression led to opposite outcomes. CONCLUSION: High WNT6 expression is associated with tumor progression and poor prognosis. WNT6 is involved in the development of gestational trophoblastic diseases and can serve as a reference biomarker for disease progression and prognosis assessment.