Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy.
Centre of Molecular Medicine and Biobanking, University of Malta, Msida, Malta.
Am J Pathol. 2018 Nov;188(11):2497-2507. doi: 10.1016/j.ajpath.2018.07.022. Epub 2018 Sep 8.
Activation of Wnt/β-catenin signaling is frequent in human and rodent hepatocarcinogenesis. Although in mice the tumor-promoting activity of agonists of constitutive androstane receptor (CAR) occurs by selection of carcinogen-initiated cells harboring β-catenin mutations, the molecular alterations leading to hepatocellular carcinoma (HCC) development by the CAR agonist 1,4-bis[2-(3,5-dichloropyridyloxy)]benzene (TCP) in the absence of genotoxic injury are unknown. Here, we show that CAR activation per se induced HCC in mice and that 91% of them carried β-catenin point mutations or large in-frame deletions/exon skipping targeting Ctnnb1 exon 3. Point mutations in HCCs induced by TCP alone displayed different nucleotide substitutions compared with those found in HCCs from mice pretreated with diethylnitrosamine. Moreover, unlike those occurring in HCCs from diethylnitrosamine + TCP mice, they did not result in increased expression of β-catenin target genes, such as Glul, Lgr5, Rgn, Lect2, Tbx3, Axin2, and Ccnd1, or nuclear translocation of β-catenin compared with the control liver. Remarkably, in the nontumoral liver tissue, chronic CAR activation led to down-regulation of these genes and to a partial loss of glutamine synthetase-positive hepatocytes. These results show that, although chronic CAR activation per se induces HCCs carrying β-catenin mutations, it concurrently down-regulates the Wnt/β-catenin pathway in nontumoral liver. They also indicate that the relationship between CAR and β-catenin may be profoundly different between normal and neoplastic hepatocytes.
Wnt/β-catenin 信号通路的激活在人类和啮齿动物肝癌发生中很常见。虽然在小鼠中,组成型雄烷受体 (CAR) 的激动剂的促肿瘤活性是通过选择携带β-catenin 突变的致癌物起始细胞来发生的,但在没有遗传毒性损伤的情况下,CAR 激动剂 1,4-双[2-(3,5-二氯吡啶氧基)]苯(TCP)导致肝细胞癌(HCC)发展的分子改变尚不清楚。在这里,我们表明 CAR 激活本身可在小鼠中诱导 HCC,并且其中 91%携带β-catenin 点突变或靶向 Ctnnb1 外显子 3 的大片段缺失/外显子跳跃。与用二乙基亚硝胺预处理的小鼠 HCC 中发现的突变相比,仅由 TCP 诱导的 HCC 中发生的点突变显示出不同的核苷酸取代。此外,与发生在二乙基亚硝胺+TCP 小鼠 HCC 中的突变不同,它们不会导致β-catenin 靶基因如 Glul、Lgr5、Rgn、Lect2、Tbx3、Axin2 和 Ccnd1 的表达增加,或β-catenin 的核易位与对照肝脏相比。值得注意的是,在非肿瘤性肝组织中,慢性 CAR 激活导致这些基因下调,并导致部分谷氨酰胺合成酶阳性肝细胞丢失。这些结果表明,尽管慢性 CAR 激活本身可诱导携带β-catenin 突变的 HCC,但同时也下调了非肿瘤性肝中的 Wnt/β-catenin 通路。它们还表明,CAR 和β-catenin 之间的关系在正常和肿瘤肝细胞中可能存在很大差异。