Hashimoto Masakazu, Kobayashi Tsuyoshi, Tashiro Hirotaka, Arihiro Koji, Kikuchi Akira, Ohdan Hideki
Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Department of Anatomical Pathology, Hiroshima University Hospital, Hiroshima, Japan.
Int J Cancer. 2016 Aug 15;139(4):812-23. doi: 10.1002/ijc.30118. Epub 2016 Apr 21.
The prognosis of patients with colorectal liver metastases (CRLM) remains low despite advances in chemotherapy and surgery. The expression of h-prune (human homolog of Drosophila prune protein; HGNC13420), an exopolyphosphatase, is correlated with progression and aggressiveness in several cancers and promotes migration and invasion. We investigated the role of h-prune in CRLM. To investigate the role of h-prune, immunohistochemical analysis for h-prune was performed in 87 surgically resected specimens of CRLM obtained between 2001 and 2009 at the Hiroshima University Hospital. Immunohistochemical analysis revealed positive staining for h-prune in 24 (28%) cases. The overall survival rate was significantly lower in h-prune-positive cases than in h-prune-negative cases (p = 0.003). Multivariate analysis showed that h-prune positivity was the only independent factor related to poor overall survival of patients after curative hepatectomy of CRLM. In vitro and in vivo, h-prune-knocked-down and h-prune-overexpressing cells were analyzed. In vitro, h-prune was associated with increased cell motility and upregulation of epithelial-mesenchymal transition (EMT) markers. In a mouse model, h-prune was associated with invasion of the tumor and distant metastases. In summary, h-prune expression is a useful marker to identify high-risk patients for resectable colorectal liver metastasis. h-Prune expression is necessary for cancer cell motility and EMT and is associated with liver and lung metastasis in colorectal cancer cells. h-Prune could be a new prognostic marker and molecular target for CRLM.
尽管化疗和手术取得了进展,但结直肠癌肝转移(CRLM)患者的预后仍然很差。外多磷酸酶h-prune(果蝇prune蛋白的人类同源物;HGNC13420)的表达与几种癌症的进展和侵袭性相关,并促进迁移和侵袭。我们研究了h-prune在CRLM中的作用。为了研究h-prune的作用,对2001年至2009年期间在广岛大学医院获得的87例手术切除的CRLM标本进行了h-prune的免疫组织化学分析。免疫组织化学分析显示,24例(28%)病例中h-prune呈阳性染色。h-prune阳性病例的总生存率显著低于h-prune阴性病例(p = 0.003)。多变量分析表明,h-prune阳性是CRLM根治性肝切除术后患者总生存不良的唯一独立因素。在体外和体内,对h-prune敲低和h-prune过表达的细胞进行了分析。在体外,h-prune与细胞运动性增加和上皮-间质转化(EMT)标志物的上调相关。在小鼠模型中,h-prune与肿瘤侵袭和远处转移相关。总之,h-prune表达是识别可切除结直肠癌肝转移高危患者的有用标志物。h-Prune表达是癌细胞运动性和EMT所必需的,并且与结直肠癌细胞的肝转移和肺转移相关。h-Prune可能是CRLM的一种新的预后标志物和分子靶点。