Abstract:Objective To investigate the role of prostaglandin E2 (PGE2) in the pathogenesis of papillary thyroid carcinoma and its underlying mechanisms.Methods Human thyroid follicular cells (Nthy-ori 3-1) and papillary thyroid carcinoma cells (TPC-1) were cultured. The concentration of PGE2 in the cell culture supernatant was measured by ELISA. The expression of prostaglandin E2 receptor 4 (EP4) in both cell lines was detected by Western Blotting and qRT-PCR. TPC-1 cells were treated with 0 μmol/L, 1 μmol/L, 2 μmol/L, or 5 μmol/L PGE2, cell viability was assessed using the CCK-8 assay, and EP4 protein expression was detected by Western Blotting. TPC-1 cells were treated with 0 μmol/L or 5 μmol/L PGE2, and cell proliferation and invasion capabilities were evaluated using the CCK-8 assay and Transwell assay, respectively. Furthermore, TPC-1 cells were treated with 0 μmol/L PGE2, 5 μmol/L PGE2, 5 μmol/L PGE2 combined with 5 μmol/L EP4 receptor agonist (receptor agonist 2), or 5 μmol/L PGE2 combined with 5 μmol/L EP4 receptor inhibitor (L-161982), and cell proliferation and invasion capabilities were subsequently measured using the CCK-8 assay and Transwell assay.Results The PGE2 content in the culture supernatant of TPC-1 cells was higher than that of Nthy-ori 3-1 cells (P < 0.05). The mRNA expression level of the EP4 receptor in TPC-1 cells was higher than that in Nthy-ori 3-1 cells (P < 0.05). The protein expression level of the EP4 receptor in TPC-1 cells was higher than that in Nthy-ori 3-1 cells (P < 0.05). The cell viability in the 5 μmol/L PGE2 group was higher than that in the 0 μmol/L PGE2 group (P < 0.05). A repeated-measures ANOVA was conducted to compare the relative proliferation rates of cells in the 0 μmol/L and 5 μmol/L PGE2 groups at 24, 48, 72, and 96 h, and the results showed that the differences in relative proliferation rates among different time points were statistically significant (P < 0.05) and that the differences in relative proliferation rates between the two groups were statistically significant (P < 0.05). The differences in the change trends of relative proliferation rates between the two groups were also statistically significant (P < 0.05). The number of cells passing through the membrane in the 5 μmol/L PGE2 group at 24 h was higher than that in the 0 μmol/L PGE2 group (P < 0.05). The relative expression levels of EP4 protein in the 2 μmol/L and 5 μmol/L PGE2 groups were higher than those in the 0 μmol/L PGE2 group (P < 0.05). A repeated-measures ANOVA was performed to compare the relative proliferation rates of cells in the 0 μmol/L PGE2 group, 5 μmol/L PGE2 group, 5 μmol/L PGE2 + 5 μmol/L EP4 receptor agonist 2 group, and 5 μmol/L PGE2 + 5 μmol/L EP4 L-161982 group at 24, 48, 72, and 96 h, and the results showed that the differences in relative proliferation rates among different time points were statistically significant (P < 0.05) and that the differences in relative proliferation rates among the groups were statistically significant (P < 0.05). The differences in the change trends of relative proliferation rates among the groups were also statistically significant (P < 0.05). The number of cells passing through the membrane in the 5 μmol/L PGE2 + EP4 receptor agonist 2 group was higher than that in the 5 μmol/L PGE2 group (P < 0.05), while the number of cells passing through the membrane in the 5 μmol/L PGE2 + EP4 L-161982 group was lower than that in the 5 μmol/L PGE2 group (P < 0.05).Conclusion PGE2 promotes proliferation and invasion of TPC-1 cells via the EP4 receptor.