Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Endoscopy Center, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
Cancer Med. 2019 Jun;8(6):3152-3166. doi: 10.1002/cam4.2144. Epub 2019 Apr 11.
Epidermal growth factor-containing fibulin-like extracellular matrix protein 1(EFEMP1) has been found to be involved in the occurrence and development of many cancers. The relationship between EFEMP1 and the development of hepatocellular carcinoma (HCC) and the molecular mechanism are not fully understood.
Real-time polymerase chain reaction (PCR) and tissue microarray were used to detect the expression of EFEMP1 in HCC cell lines and tissue. Methylation-specific PCR assay was used to measure the methylation level of EFEMP1 in HCC cell lines and tissue. To study the function of EFEMP1 on cell function, Huh7 and HepG2 were infected with lentiviral particles expressing EFEMP1. MTT assay and colony formation assay were used to examine the effect of EFEMP1 on cell proliferation. Annexin-VAPC/7-AAD double were used to detect the effect of EFEMP1 on cell apoptosis. To further detect the effect of EFEMP1 on the development of HCC in vivo, we performed the tumor formation experiment in nude mice. Gene chip was used to detect the expression profile of Huh7 and HepG2 overexpressing EFEMP1. To further screen out the differences, GO analysis and pathway analysis were performed. To study the effects of SEMA3B, specific siRNA was used to inhibit the expression of SEMA3B. Chi-squared test and rank sum test were used to analyze the relationship between EFEMP1 expression and HCC clinical characteristic.
The study found that the expression of EFEMP1 was significantly decreased in HCC cell lines and HCC tissues. The expression level of EFEMP1 was related to the TNM (the extent of the tumor, the extent of spread to the lymph nodes, the presence of metastasis) stage and the prognosis of patients with HCC. The decrease of protein expression suggested that the patient prognosis was worse, and the protein level of EFEMP1 may be an independent factor in the prognosis of HCC patients. Promoter methylation may be one of the reasons for EFEMP1 inhibition. EFEMP1 could inhibit the proliferation of HCC cells and promoted the apoptosis of HCC cells to regulate the development of HCC. And EFEMP1 promoted the apoptosis of HCC cells mainly through the mitochondrial apoptosis pathway. EFEMP1 may inhibit the proliferation of HCC cells through the SEMA3B gene in the Axon guidance pathway.
In summary, our research revealed the regulation of EFEMP1 on cell proliferation and apoptosis in HCC. EFEMP1 may suppress the growth of HCC cells by promoting SEMA3B.
表皮生长因子富含纤维连接蛋白样细胞外基质蛋白 1(EFEMP1)已被发现参与许多癌症的发生和发展。EFEMP1 与肝细胞癌(HCC)的发生发展及其分子机制的关系尚不完全清楚。
采用实时聚合酶链反应(PCR)和组织微阵列检测 HCC 细胞系和组织中 EFEMP1 的表达。采用甲基化特异性 PCR 检测 HCC 细胞系和组织中 EFEMP1 的甲基化水平。为了研究 EFEMP1 对细胞功能的影响,用表达 EFEMP1 的慢病毒颗粒感染 Huh7 和 HepG2。采用 MTT 法和集落形成实验检测 EFEMP1 对细胞增殖的影响。采用 Annexin-VAPC/7-AAD 双染检测 EFEMP1 对细胞凋亡的影响。为了进一步检测 EFEMP1 对 HCC 体内发生发展的影响,我们在裸鼠中进行了肿瘤形成实验。采用基因芯片检测 EFEMP1 过表达的 Huh7 和 HepG2 的表达谱。进一步筛选差异,进行 GO 分析和通路分析。为了研究 SEMA3B 的作用,采用特异性 siRNA 抑制 SEMA3B 的表达。采用卡方检验和秩和检验分析 EFEMP1 表达与 HCC 临床特征的关系。
研究发现 EFEMP1 在 HCC 细胞系和 HCC 组织中的表达明显降低。EFEMP1 的表达水平与 HCC 患者的 TNM(肿瘤程度、淋巴结扩散程度、转移存在)分期和预后相关。蛋白表达水平降低提示患者预后较差,EFEMP1 蛋白水平可能是 HCC 患者预后的独立因素。启动子甲基化可能是 EFEMP1 抑制的原因之一。EFEMP1 可抑制 HCC 细胞的增殖并促进 HCC 细胞的凋亡,从而调节 HCC 的发生发展。EFEMP1 可能通过线粒体凋亡途径促进 HCC 细胞的凋亡。EFEMP1 可能通过轴突导向通路中的 SEMA3B 基因抑制 HCC 细胞的增殖。
综上所述,本研究揭示了 EFEMP1 对 HCC 细胞增殖和凋亡的调控作用。EFEMP1 可能通过促进 SEMA3B 来抑制 HCC 细胞的生长。