Service de Biochimie, Centre de Biologie Humaine (CBH), CHU Amiens Sud, Amiens, France.
Service de Biochimie, Centre de Biologie Humaine (CBH), CHU Amiens Sud, Amiens, France; EA4666, Université de Picardie Jules Verne (UPJV), Amiens, France.
Cancer Lett. 2016 Jan 28;370(2):242-9. doi: 10.1016/j.canlet.2015.10.032. Epub 2015 Nov 3.
Sorafenib is the treatment of reference for advanced hepatocellular carcinoma (HCC). A decrease in the serum levels of Alpha-fetoprotein (AFP) is reported to be the biological parameter that is best associated with disease control by sorafenib. In order to provide a biological rationale for the variations of AFP, we analyzed the various steps of AFP production in human HCC cell lines exposed to sorafenib. Sorafenib dramatically reduced the levels of AFP produced by HCC cells independently of its effect on cell viability. The mRNA levels of AFP decreased upon sorafenib treatment, while the AFP protein remained localized in the Golgi apparatus. Sorafenib activated the Regulated Inositol-Requiring Enzyme-1α (IRE-1α) and the PKR-like ER Kinase (PERK)-dependent arms of the Unfolded Protein Response (UPR). The inhibition of IRE-1α partially restored the mRNA levels of AFP upon treatment with sorafenib. The inhibition of both pathways partially prevented the drop in the production of AFP induced by sorafenib. The findings provide new insights on the regulation of AFP, and identify it as a biomarker suitable for the exploration of HCC cell proteostasis in the context of therapeutic targeting.
索拉非尼是治疗晚期肝细胞癌(HCC)的标准药物。据报道,血清甲胎蛋白(AFP)水平下降是与索拉非尼对疾病控制最相关的生物学参数。为了为 AFP 的变化提供生物学依据,我们分析了暴露于索拉非尼的人 HCC 细胞系中 AFP 产生的各个步骤。索拉非尼可显著降低 HCC 细胞产生的 AFP 水平,而不影响细胞活力。索拉非尼处理后 AFP 的 mRNA 水平下降,而 AFP 蛋白仍定位于高尔基体。索拉非尼激活了内质网应激反应(UPR)的调节性肌醇需求酶 1α(IRE-1α)和 PKR 样内质网激酶(PERK)依赖性途径。IRE-1α 的抑制部分恢复了索拉非尼治疗后 AFP 的 mRNA 水平。两种途径的抑制均可部分阻止索拉非尼诱导的 AFP 产生下降。这些发现为 AFP 的调控提供了新的见解,并将其确定为合适的生物标志物,可用于在治疗靶点的背景下探索 HCC 细胞的蛋白质稳定性。
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