Department of Medicine, Gastroenterology/Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
Hepatology. 2013 Jan;57(1):205-16. doi: 10.1002/hep.25989.
Liver cancer is associated with chronic inflammation, which is linked to immune dysregulation, disordered metabolism, and aberrant cell proliferation. Nucleoside triphosphate diphosphohydrolase-1; (CD39/ENTPD1) is an ectonucleotidase that regulates extracellular nucleotide/nucleoside concentrations by scavenging nucleotides to ultimately generate adenosine. These properties inhibit antitumor immune responses and promote angiogenesis, being permissive for the growth of transplanted tumors. Here we show that Cd39 deletion promotes development of both induced and spontaneous autochthonous liver cancer in mice. Loss of Cd39 results in higher concentrations of extracellular nucleotides, which stimulate proliferation of hepatocytes, abrogate autophagy, and disrupt glycolytic metabolism. Constitutive activation of Ras-mitogen-activated protein kinase (MAPK) and mammalian target of rapamycin (mTOR)-S6K1 pathways occurs in both quiescent Cd39 null hepatocytes in vitro and liver tissues in vivo. Exogenous adenosine 5'-triphosphate (ATP) boosts these signaling pathways, whereas rapamycin inhibits such aberrant responses in hepatocytes.
Deletion of Cd39 and resulting changes in disordered purinergic signaling perturb hepatocellular metabolic/proliferative responses, paradoxically resulting in malignant transformation. These findings might impact adjunctive therapies for cancer. Our studies indicate that the biology of autochthonous and transplanted tumors is quite distinct.
肝癌与慢性炎症有关,而慢性炎症与免疫失调、代谢紊乱和异常细胞增殖有关。核苷三磷酸二磷酸水解酶-1(CD39/ENTPD1)是一种外核苷酸酶,通过清除核苷酸来调节细胞外核苷酸/核苷浓度,最终产生腺苷。这些特性抑制抗肿瘤免疫反应,促进血管生成,有利于移植瘤的生长。在这里,我们表明 Cd39 的缺失会促进小鼠诱导和自发的同源性肝癌的发展。Cd39 的缺失导致细胞外核苷酸浓度升高,刺激肝细胞增殖,阻断自噬,并破坏糖酵解代谢。在体外静止的 Cd39 缺失肝细胞和体内肝组织中,持续激活 Ras-丝裂原活化蛋白激酶(MAPK)和哺乳动物雷帕霉素靶蛋白(mTOR)-S6K1 通路。外源性腺苷 5'-三磷酸(ATP)可增强这些信号通路,而雷帕霉素可抑制肝细胞中的这种异常反应。
Cd39 的缺失和由此产生的紊乱的嘌呤能信号改变扰乱了肝细胞的代谢/增殖反应,反而导致恶性转化。这些发现可能会影响癌症的辅助治疗。我们的研究表明,同源性和移植性肿瘤的生物学特性非常不同。