# FEZF1-AS1 drives autophagy-mediated progression of colon cancer and reduces chemosensitivity through inhabiting the PI3K/AKT/mTOR signaling pathway

**Authors:** Xiaoping Yang, Zuohui Yuan, Lingzhu Gou, Long Cheng, Zirui Wang, Pingfan Wu, Xiaochun Wang, Xueni Ma, Tiantian Ma, Yi Yu, Zhiping Wu, Dekui Zhang

PMC · DOI: 10.3389/fgene.2025.1514205 · Frontiers in Genetics · 2025-07-24

## TL;DR

This paper shows that FEZF1-AS1, a non-coding RNA, promotes colon cancer growth and resistance to chemotherapy by affecting a key signaling pathway.

## Contribution

The study identifies FEZF1-AS1 as a novel driver of colon cancer progression and chemoresistance via autophagy and the PI3K/AKT/mTOR pathway.

## Key findings

- FEZF1-AS1 is highly expressed in colon cancer and may serve as a diagnostic biomarker.
- FEZF1-AS1 promotes cancer cell proliferation, invasion, and chemoresistance to oxaliplatin.
- FEZF1-AS1 reduces chemosensitivity by inhibiting the PI3K/AKT/mTOR signaling pathway.

## Abstract

The pathogenesis and chemoresistance mechanisms of colon cancer (CC) are still unclear. Here, we find that a long non-coding RNA (lncRNA), FEZ family zinc finger 1-antisense RNA 1 (FEZF1-AS1), is highly expressed in CC, which may be caused by the amplification mutation of FEZF1-AS1 at the gene level through bioinformatic analysis. FEZF1-AS1 has the potential to be a biomarker in the diagnosis of CC. Functionally, FEZF1-AS1 promotes the proliferation, invasion, metastasis, and survival of CC cells and reduces the sensitivity of CC cells to oxaliplatin. Mechanistically, FEZF1-AS1 drives autophagy-mediated development of CC and reduces chemosensitivity to oxaliplatin through inhabiting the PI3K/AKT/mTOR signaling pathway. In summary, our data suggest that FEZF1-AS1 may be a key driver of CC progression and chemotherapy resistance, and targeting FEZF1-AS1 may be a potential strategy for the diagnosis and treatment of CC.

## Linked entities

- **Genes:** FEZF1-AS1 (FEZF1 antisense RNA 1) [NCBI Gene 154860]
- **Chemicals:** oxaliplatin (PubChem CID 9887053)
- **Diseases:** colon cancer (MONDO:0002032)

## Full-text entities

- **Genes:** AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, MTOR (mechanistic target of rapamycin kinase) [NCBI Gene 2475] {aka FRAP, FRAP1, FRAP2, RAFT1, RAPT1, SKS}, FEZF1-AS1 (FEZF1 antisense RNA 1) [NCBI Gene 154860], PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}
- **Diseases:** metastasis (MESH:D009362), CC (MESH:D015179)
- **Chemicals:** oxaliplatin (MESH:D000077150)

## Full text

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## Figures

13 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12328158/full.md

## References

87 references — full list in the complete paper: https://tomesphere.com/paper/PMC12328158/full.md

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Source: https://tomesphere.com/paper/PMC12328158