Abstract:Objective To investigate the regulatory role of Zinc-α2-glycoprotein 1 (AZGP1) in proliferation, apoptosis, and chemotherapy sensitivity of esophageal squamous cell carcinoma (ESCC) cells, and explore its possible mechanism of action.Methods The expression of AZGP1 in human normal esophageal epithelial cells (Het-1A) and ESCC cells (TE11, EC9706, HCE7, EC109, KYSE150) was detected by real-time quantitative polymerase chain reaction (qRT-PCR) and Western blotting. An AZGP1 overexpression plasmid was constructed and transfected into EC9706 cells, which were divided into control group, overexpression negative control group (Ov-NC), and AZGP1 overexpression group (Ov-AZGP1 group). The AZGP1 overexpression plasmid was transfected alone or in combination with a fatty acid synthase (FASN) overexpression plasmid into EC9706 cells treated with Wnt pathway activator Wnt agonist 1, divided into control group, Ov-AZGP1 group, Ov-FASN group, Ov-AZGP1+Ov-FASN group, and Ov-AZGP1+Wnt agonist 1 group. Cell proliferation was detected by CCK-8 assay and colony formation assay. Cell apoptosis was detected by TUNEL assay. Chemotherapy sensitivity to cisplatin and 5-fluorouracil was evaluated by CCK-8 assay and TUNEL assay. The expression of apoptosis-related proteins and FASN/Wnt/β-catenin pathway-related proteins was detected by Western blotting.Results AZGP1 expression was downregulated in ESCC cells (P < 0.05). Overexpression of AZGP1 inhibited cell proliferation (P < 0.05), promoted apoptosis (P < 0.05), and increased sensitivity to cisplatin and 5-fluorouracil chemotherapy (P < 0.05). Overexpression of AZGP1 inhibited the FASN/Wnt/β-catenin signaling pathway (P < 0.05), and overexpression of FASN or Wnt agonist 1 reversed the effects of AZGP1 on cell proliferation (P < 0.05), apoptosis (P < 0.05), and chemotherapy sensitivity (P < 0.05) in EC9706 cells.Conclusion AZGP1 can inhibit the proliferation, induce apoptosis, and increase chemotherapy sensitivity of ESCC cells by suppressing the FASN/Wnt/β-catenin pathway.