Department of Pathology, School of Medicine, Keio University, Tokyo, Japan.
Lab Invest. 2010 Sep;90(9):1339-45. doi: 10.1038/labinvest.2010.105. Epub 2010 Jun 7.
Hepatocellular carcinoma (HCC) occurs mainly in the liver associated with chronic hepatitis and hepatic cirrhosis as a result of prolonged viral infection. Transforming growth factor-beta (TGF-beta) induces the fibrosis in hepatic cirrhosis, although it is also an inhibitor of hepatocyte proliferation. To understand the role of TGF-beta signaling in HCC progression, we analyzed gene expression in HCC cells in relation to TGF-beta signaling using a two-way clustering algorithm. By the analysis, five HCC cell lines were classified into two groups according to their metastatic capacity. TGF-beta receptor II (TGFBR2) was downregulated in metastatic cells, which did not show a response to TGF-beta. Immunohistochemistry demonstrated clear membrane distribution of TGFBR2 in noncancerous hepatocytes, whereas reduced TGFBR2 expression was observed in 34 of 136 HCCs. In clinical cases, reduced TGFBR2 expression correlated with larger tumor size (P<0.001), poor differentiation (P<0.001), portal vein invasion (P=0.002), intrahepatic metastasis (IM) (P<0.001), and shorter recurrence-free survival (P=0.022). In conclusion, reduced TGFBR2 expression was associated with aggressive features of HCC such as IM, and may represent an immunohistochemical biomarker to detect aggressive HCC.
肝细胞癌 (HCC) 主要发生在肝脏,与慢性肝炎和肝硬化有关,是由于长期病毒感染所致。转化生长因子-β (TGF-β) 可诱导肝硬化纤维化,尽管它也是肝细胞增殖的抑制剂。为了了解 TGF-β信号在 HCC 进展中的作用,我们使用双向聚类算法分析了与 TGF-β信号相关的 HCC 细胞中的基因表达。通过分析,根据其转移能力,将 5 种 HCC 细胞系分为两组。在转移性细胞中,TGF-β 受体 II (TGFBR2) 下调,对 TGF-β没有反应。免疫组织化学显示 TGFBR2 在非癌性肝细胞中呈清晰的膜分布,而在 136 例 HCC 中,有 34 例 TGFBR2 表达减少。在临床病例中,TGFBR2 表达减少与肿瘤体积较大(P<0.001)、分化不良(P<0.001)、门静脉侵犯(P=0.002)、肝内转移(IM)(P<0.001)和无复发生存时间较短(P=0.022)相关。总之,TGFBR2 表达减少与 HCC 的侵袭性特征如 IM 相关,可能代表一种免疫组织化学生物标志物,用于检测侵袭性 HCC。
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