Xu Meng, Liu Zhikui, Wang Cong, Yao Bowen, Zheng Xin
Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi 710061, China.
Oncotarget. 2017 Aug 2;8(39):66154-66168. doi: 10.18632/oncotarget.19825. eCollection 2017 Sep 12.
HCC is the leading type of the malignant liver tumors with the unsatisfied prognosis. Liver resection has been considered as the predominant curative therapy, however, the post-surgical prognostic evaluation remains an urgent problem and the mechanism of HCC metastases has not been understood completely. EDG2 has been found to accelerate tumor progression through mediating different cell pathways, however, it remains unclear about the role of EDG2 on hepatocarcinogenesis. Here, EDG2 expression was found increased notably in HCC tissues by immunohistochemistry compared with adjacent liver tissues and comparison of survival curves revealed that EDG2 upregulation in HCC tissues was associated with the worse prognosis after liver resection. The positive correlation between EDG2 up-regulation and EMT was observed in HCC samples. Furthermore, EDG2 over-expression in HCC cells brought the typical EMT characteristics including up-regulation of Vimentin, Fibronectin and N-cadherin, suppression of E-cadherin, and enhanced cell migration and invasion capacities. Knockdown of EDG2 reversed the EMT phenotype in HCC cells. The experiments also identified the oncogenic role of EDG2 on HCC growth. The mechanistic studies elucidated that EDG2 enhanced mTOR phosphorylation via PI3K/AKT signaling and consequently induced EMT of HCC cells. Moreover, EDG2 was found to promote cell viability and proliferation of HCC cell through PI3K/AKT/mTOR/Skp2/p27 signaling. Taken together, the data here demonstrated EDG2 was a potential predictor for HCC patients receiving liver resection and accelerated HCC progression via regulating EMT driven by PI3K/AKT/mTOR signaling.
肝癌是恶性肝肿瘤的主要类型,预后不理想。肝切除术一直被视为主要的根治性治疗方法,然而,术后预后评估仍然是一个紧迫的问题,并且肝癌转移的机制尚未完全明了。已发现EDG2通过介导不同的细胞途径加速肿瘤进展,然而,EDG2在肝癌发生中的作用仍不清楚。在此,通过免疫组织化学发现肝癌组织中EDG2表达与相邻肝组织相比显著增加,生存曲线比较显示肝癌组织中EDG2上调与肝切除术后较差的预后相关。在肝癌样本中观察到EDG2上调与上皮-间质转化(EMT)之间呈正相关。此外,肝癌细胞中EDG2过表达带来了典型的EMT特征,包括波形蛋白、纤连蛋白和N-钙黏蛋白上调,E-钙黏蛋白抑制,以及细胞迁移和侵袭能力增强。敲低EDG2可逆转肝癌细胞中的EMT表型。实验还确定了EDG2在肝癌生长中的致癌作用。机制研究阐明,EDG2通过PI3K/AKT信号增强mTOR磷酸化,从而诱导肝癌细胞的EMT。此外,发现EDG2通过PI3K/AKT/mTOR/Skp2/p27信号促进肝癌细胞的活力和增殖。综上所述,此处的数据表明EDG2是接受肝切除术的肝癌患者的潜在预测指标,并通过调节由PI3K/AKT/mTOR信号驱动的EMT加速肝癌进展。