Liver Cancer Institute & Zhongshan Hospital, Institutes of Biomedical Science, Fudan University, Shanghai, China. Key Laboratory of Carcinogenesis & Cancer Invasion, Ministry of Education, China.
Hepatology. 2014 May;59(5):1874-85. doi: 10.1002/hep.26941. Epub 2014 Apr 1.
MicroRNA (miR)-26a can suppress tumor growth and metastasis of hepatocellular carcinoma (HCC). Since angiogenesis is important for tumor growth and metastasis, we investigated the possible roles of miR-26a in tumor angiogenesis. Down-regulation of miR-26a was found to correlate with an increased angiogenic potential of HCC. Through gain- and loss-of-function studies, miR-26a was demonstrated to significantly inhibit vascular endothelial growth factor A (VEGFA) expression in HCC cells and then suppress the promoting effects of HCC cells on in vitro proliferation, migration, and capillary tube formation of endothelial cells, as well as in vivo tumor angiogenesis of HCC. Hepatocyte growth factor (HGF) was identified as a target of miR-26a. HGF simulation antagonized the effects induced by miR-26a up-regulation. In contrast, silencing HGF induced similar effects to miR-26a. We further found that miR-26a exerted its antiangiogenesis function, at least in part, by inhibiting HGF-hepatocyte growth factor receptor (cMet) and its downstream signaling pathway, in turn, suppressing VEGFA production in HCC cells and impairing VEGFR2-signaling in endothelial cells. HCC patients who had high miR-26a, low HGF, low VEGFA, or low microvessel density (MVD) in tumor tissues had a better prognosis with longer overall survival (OS) and time to recurrence (TTR). In multivariate analysis, miR-26a, or in combination with HGF, was demonstrated to be an independent prognostic indicator for OS and TTR of HCC patients.
miR-26a could suppress tumor angiogenesis of HCC through HGF-cMet signaling, and it is a new hopeful therapeutic target and prognostic marker for HCC.
微小 RNA(miR)-26a 可以抑制肝细胞癌(HCC)的肿瘤生长和转移。由于血管生成对于肿瘤生长和转移很重要,因此我们研究了 miR-26a 在肿瘤血管生成中的可能作用。下调 miR-26a 与 HCC 的血管生成潜力增加相关。通过增益和失能研究,miR-26a 被证明可显着抑制 HCC 细胞中血管内皮生长因子 A(VEGFA)的表达,从而抑制 HCC 细胞对体外增殖、迁移和内皮细胞毛细血管形成的促进作用,以及体内 HCC 的肿瘤血管生成。肝细胞生长因子(HGF)被鉴定为 miR-26a 的靶标。HGF 模拟拮抗了 miR-26a 上调引起的作用。相反,沉默 HGF 诱导了与 miR-26a 相似的作用。我们进一步发现,miR-26a 通过抑制 HGF-肝细胞生长因子受体(cMet)及其下游信号通路发挥其抗血管生成功能,从而抑制 HCC 细胞中 VEGFA 的产生并损害内皮细胞中 VEGFR2 信号。在 HCC 患者中,肿瘤组织中具有高 miR-26a、低 HGF、低 VEGFA 或低微血管密度(MVD)的患者具有更好的预后,总生存期(OS)和复发时间(TTR)更长。在多变量分析中,miR-26a 或与 HGF 联合使用,被证明是 HCC 患者 OS 和 TTR 的独立预后指标。
miR-26a 可通过 HGF-cMet 信号抑制 HCC 的肿瘤血管生成,是 HCC 的新有希望的治疗靶标和预后标志物。