Abstract:Objective To investigate the expression of ferroptosis suppressor protein 1(FSP1) in breast cancer tissues and its effects on breast cancer proliferation.Methods Using the CCLE database, the gene expression level of FSP1was analyzed in various breast cancer cell lines. The FSP1 silencing or overexpressing breast cancer cellular models were constructed. Then the expression of FSP1 and cell proliferation marker proliferating cell nuclear antigen(PCNA) was detected in the breast cancer cellular models by using Western blot assay, quantitative real-time polymerase chain reaction(qRT-PCR) assay, and cell immunofluorescence staining assay. The proliferation ability of FSP1 silenced or overexpressed breast cancer cells was examined via conducting colony-forming and EdU cell proliferation assays. Further, it was explored if FSP1 mediates the proliferation ability of breast cancer cells through the regulation of PCNA. The difference in FSP1 expression between breast cancer tissues and normal adjacent tissues was checked. The expression of FSP1 protein in cancer tissues and adjacent normal tissues of 92 cases of triple negative breast cancer was detected by immunohistochemical staining, and the relationship between FSP1 and PCNA, a marker of cell proliferation, was analyzed. The progression-free survival in breast cancer patients was analyzed with the K-M plotter online database. Results The CCLE database revealed a high level of FSP1 expression in MDA-MB-231 cells as compared to T47D cells.The proliferation ability of T47D cells was enhanced when the FSP1 was over-expressed(P<0.001), while the FSP1 silencing inhibited the proliferation ability of MDA-MB-231 cells(P<0.001). FSP1 promoted the expression of PCNA in breast cancer cells. In breast cancer cells with overexpressed FSP1, when the expression level of PCNA was silenced, cell proliferation was inhibited(P<0.001). The protein expressions of FSP1 and PCNA were elevated in 92 triple-negative breast cancer patients’ tumor tissues when compared with those in normal adjacent tissues(P<0.001), and the expression of FSP1 and PCNA in the tumor tissues showed a positive correlation(r=0.887, P<0.001). Breast cancer patients with elevated FSP1 and PCNA expressions had a shorter progression-free survival time according to the K-M plotter website(FSP1: P=0.003 9; PCNA: P<0.001). Conclusion FSP1 enhances the proliferation capacity of breast cancer cells by positively regulating PCNA expression. In triple-negative breast cancer, high expression of FSP1 is positively correlated with PCNA expression, and the progression-free survival of breast cancer patients with high expression of FSP1 is shorter.