Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.
State Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, China.
Cancer Med. 2019 Oct;8(14):6476-6484. doi: 10.1002/cam4.2487. Epub 2019 Sep 6.
The overexpression and knockdown of PLK4 were both reported to generate aneuploidy. Thus, we aimed to investigate whether genetic variants in PLK4 contribute to the development of hepatocellular carcinoma (HCC).
We evaluated associations of common variants in PLK4 and its promoter for the risk of HCC in our association study (1300 cases and 1344 controls). The genotype-tissue expression (GTEx) and The cancer genome atlas (TCGA) databases were used to quantify the expression of PLK4. Cell proliferation and migration affected by PLK4 in HCC were assessed in vitro. Drug susceptibility testing (DST) model was used to assess the sensibility of PLK4-activated HCC to CFI-400945, a small molecule inhibitor of PLK4.
Herein, we found a significant association between rs3811741, located in the PLK4 intron, and liver cancer risk (OR = 1.26, P = 9.81 × 10 ). Although PLK4 expressed at lower levels in somatic tissues compared to the testis, the risk allele A of rs3811741 was associated with increased PLK4 expression in liver cancer tissues. Additionally, PLK4 high expression was remarkably associated with shortened survival of HCC (HR = 1.97, P = .001). Furthermore, overexpression of PLK4 promoted, while knockdown of PLK4 suppressed cancer cell proliferation, migration, and invasion. DST model demonstrated that CFI-400945 can effectively suppress rampant proliferation of HCC with highly expressed PLK4.
Taken together, our study demonstrated that PLK4 is a susceptibility gene and plays an oncogenic role in HCC. Furthermore, we identified that PLK4 sensitives HCC to CFI-400945, which may be an ideal therapy target for HCC.
PLK4 的过表达和敲低均被报道会导致非整倍体。因此,我们旨在研究 PLK4 中的遗传变异是否会导致肝细胞癌 (HCC) 的发生。
我们在关联研究中评估了 PLK4 及其启动子中的常见变异与 HCC 风险的关联 (1300 例病例和 1344 例对照)。使用基因型组织表达 (GTEx) 和癌症基因组图谱 (TCGA) 数据库来量化 PLK4 的表达。在体外评估 PLK4 对 HCC 细胞增殖和迁移的影响。使用药物敏感性测试 (DST) 模型来评估 PLK4 激活的 HCC 对小分子 PLK4 抑制剂 CFI-400945 的敏感性。
在此,我们发现位于 PLK4 内含子中的 rs3811741 与肝癌风险之间存在显著关联 (OR=1.26,P=9.81×10)。尽管 PLK4 在体细胞组织中的表达水平低于睾丸,但 rs3811741 的风险等位基因 A 与肝癌组织中 PLK4 表达的增加相关。此外,PLK4 高表达与 HCC 患者的生存时间缩短显著相关 (HR=1.97,P=0.001)。此外,PLK4 的过表达促进了癌细胞的增殖、迁移和侵袭,而 PLK4 的敲低则抑制了这些过程。DST 模型表明,CFI-400945 可有效抑制高表达 PLK4 的 HCC 的过度增殖。
综上所述,我们的研究表明 PLK4 是 HCC 的易感基因,并发挥致癌作用。此外,我们发现 PLK4 使 HCC 对 CFI-400945 敏感,这可能是 HCC 的理想治疗靶点。