In recent decades, the use of electricity has expanded significantly and become one of the hallmarks of advanced societies. Therefore, researchers have focused on the biological effects of electromagnetic fields. Several studies have shown a relationship between electromagnetic fields and multiple types of cancer (
1,
2). Low-frequency electromagnetic fields can induce heat in tissues and cells. This increase in temperature can lead to cell death (
3). It has also been reported that short-term exposure of pregnant rats to the electromagnetic field causes teratogenicity effects in the developing fetus (
4). Some researchers believe that low-frequency electromagnetic radiation acts like ionizing waves and causes DNA damage by inducing mutations (
5). Increasing the concentration of free radicals and changes in cell behavior following electromagnetic fields irradiation can lead to DNA damage (
6). Low-frequency electromagnetic fields can affect cell growth (
7), morphology and cell shape (
8), carcinogenicity (
9), cell differentiation (
10), and programmed cell death (
11). Exposure to low-frequency electromagnetic fields could increase oxidative stress in chick embryos (
12), cultured mammalian cells (
13), and human erythrocytes (
14). Gastric cancer is a multifactorial disease in which bacterial contamination, environmental factors, and host genetic agents play an important role in its progression (
15). A review of statistics from the last 30 years shows that the incidence of gastric cancer in Iran is higher than the global average, and despite the decrease in the incidence of gastric cancer in the world, its incidence is increasing in Iran (
16). Studies show that the onset and progression of cancer depend on several factors, including genetic background (
17).
The hes1 gene is a target gene for the Notch1 signaling pathway and plays an important role in preserving neural stem cells and intestinal precursor cells and determining cell fate and apoptosis (
18). The Notch1 receptor is also one of the most frequent receptors in the Notch signaling pathway. The expression of Notch1-3 and hairy enhancer of split 1 (hes1) has been reported in the human gastric mucosa (
19). As known, Notch1 controls the number and fate of intestinal stem cells by increasing hes1 (
20). Studies have also shown that Notch receptors and their ligands play an important role in some cancers (
21). The expression of Notch1 and hes1 is associated with cancer cell proliferation and angiogenesis, as reported that the expression of these genes is very high in cancer stem cells (CSCs) (
22,
23).
A group of non-coding RNAs that have a circular structure is called circRNAs that have been identified for their role in regulating gene expression at the transcriptional level and, subsequently their sponge miRNA function (
24). In recent years, the association of circRNAs with a variety of cancers has attracted much attention and has been cited as a biomarker for cancer diagnosis (
25).