Rohr-Udilova Nataliya, Klinglmüller Florian, Seif Martha, Hayden Hubert, Bilban Martin, Pinter Matthias, Stolze Klaus, Sieghart Wolfgang, Peck-Radosavljevic Markus, Trauner Michael
Division of Gastroenterology and Hepatology, Department of Internal Medicine III, Medical University of Vienna, A-1090 Vienna, Austria.
Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, A-1090 Vienna, Austria.
Oncotarget. 2017 Jul 6;8(34):57109-57120. doi: 10.18632/oncotarget.19055. eCollection 2017 Aug 22.
The tyrosine kinase inhibitor erlotinib targets the receptor of epidermal growth factor (EGFR) involved in development of hepatocellular carcinoma (HCC). Although inefficient in established HCC, erlotinib has been recently proposed for HCC chemoprevention. Since Cyp3A4 and Cyp1A2 enzymes metabolize erlotinib in the liver, the insights into the mechanisms of erlotinib effects on liver cells with maintained drug metabolizing activity are needed. We applied erlotinib to both commercially available (SNU398, Huh7) and established in Austria HCC cell lines (HCC-1.2, HCC-3). Cyp3A4 and Cyp1A2, microarray gene expression, cell viability, LDH release, DHFC fluorescence were assessed. VEGF expression was analysed by real-time RT-PCR and ELISA. Higher cumulative expression of erlotinib metabolizing enzymes was observed in HCC-1.2 and HCC-3 cells. Gene expression microarray analysis showed upregulation of VEGF signalling by erlotinib. VEGF was increased up to 134 ± 14% ( = 5, = 0.002) in HCC-1.2, HCC-3 and Huh7 cells. Interventions by Cyp1A2 and Mek2siRNA, MEK inhibitor UO126, diphenylene iodonium, as well as a combination of N-acetylcysteine with selenium all inhibited VEGF upregulation caused by erlotinib. Thus, erlotinib increases VEGF production by mechanisms involving Cyp1A2, oxidative stress and MEK1/2. VEGF may favour angiogenesis and growth of early HCC tumours limiting the therapeutic and chemopreventive effects of erlotinib.
酪氨酸激酶抑制剂厄洛替尼作用于参与肝细胞癌(HCC)发生发展的表皮生长因子(EGFR)受体。尽管厄洛替尼对已形成的HCC疗效不佳,但最近已被提议用于HCC的化学预防。由于Cyp3A4和Cyp1A2酶在肝脏中代谢厄洛替尼,因此需要深入了解厄洛替尼对具有维持药物代谢活性的肝细胞的作用机制。我们将厄洛替尼应用于市售的(SNU398、Huh7)以及在奥地利建立的HCC细胞系(HCC-1.2、HCC-3)。评估了Cyp3A4和Cyp1A2、基因芯片基因表达、细胞活力、乳酸脱氢酶释放、二氢荧光素二乙酸酯(DHFC)荧光。通过实时逆转录聚合酶链反应(RT-PCR)和酶联免疫吸附测定(ELISA)分析血管内皮生长因子(VEGF)表达。在HCC-1.2和HCC-3细胞中观察到厄洛替尼代谢酶的累积表达较高。基因芯片分析显示厄洛替尼上调VEGF信号通路。在HCC-1.2、HCC-3和Huh7细胞中,VEGF增加了134±14%(n = 5,P = 0.002)。Cyp1A2和Mek2小干扰RNA(siRNA)、MEK抑制剂UO126、二苯碘鎓以及N-乙酰半胱氨酸与硒的组合干预均抑制了厄洛替尼引起的VEGF上调。因此,厄洛替尼通过涉及Cyp1A2、氧化应激和MEK1/2的机制增加VEGF的产生。VEGF可能有利于早期HCC肿瘤的血管生成和生长,从而限制了厄洛替尼的治疗和化学预防效果。