Department of Liver Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
Department of Hepatobiliary Surgery, Guizhou Provincial People's Hospital, Guiyang 550000, Guizhou Province, China.
Clin Sci (Lond). 2019 Oct 30;133(20):2085-2105. doi: 10.1042/CS20190666.
A previous study reported that histone methyltransferase SETD3 is up-regulated in tumor tissues of hepatocellular carcinoma (HCC) and is associated with the growth of HCC. However, the clinical significance and the effect of SETD3 on HCC metastasis remain unclear. In the present study, both the protein and mRNA expression levels of SETD3 were measured in a larger cohort of HCC patients. The results showed that the protein level of SETD3 in HCC tissues was significantly higher than that in non-tumorous tissues, which was inconsistent with the mRNA expression level of SETD3. The high protein level of SETD3 in HCC tissues was significantly associated with male gender, poor pathological differentiation, liver cirrhosis and unfavorable prognosis of HCC patients. Subsequently, we demonstrated that SETD3 could be regulated at post-transcriptional step by a couple of miRNAs (miR-16, miR-195 and miR-497). Additionally, in vitro and in vivo experiments revealed that SETD3 played opposing roles in proliferation and metastasis of HCC: promoting proliferation but inhibiting metastasis. Mechanistic experiments revealed that doublecortin-like kinase 1 (DCLK1) was a downstream target of SETD3. SETD3 could increase the DNA methylation level of DCLK1 promoter to inhibit the transcription of DCLK1. Further study revealed that DCLK1/PI3K/matrix metalloproteinase (MMP) 2 (MMP-2) was an important pathway that mediated the effect of SETD3 on HCC metastasis. In conclusion, the present study revealed that SETD3 is associated with tumorigenesis and is a promising biomarker for predicting the prognosis of HCC patients after surgical resection. In addition, SETD3 plays inhibitory role in HCC metastasis partly through DCLK1/PI3K/MMP-2 pathway.
先前的研究表明,组蛋白甲基转移酶 SETD3 在肝癌(HCC)的肿瘤组织中上调,并与 HCC 的生长相关。然而,SETD3 对 HCC 转移的临床意义和影响仍不清楚。在本研究中,我们在更大的 HCC 患者队列中测量了 SETD3 的蛋白和 mRNA 表达水平。结果表明,HCC 组织中 SETD3 的蛋白水平明显高于非肿瘤组织,这与 SETD3 的 mRNA 表达水平不一致。HCC 组织中 SETD3 的高蛋白水平与男性、低病理分化、肝硬化和 HCC 患者预后不良显著相关。随后,我们证明 SETD3 可以通过几个 miRNA(miR-16、miR-195 和 miR-497)在转录后水平进行调节。此外,体外和体内实验表明,SETD3 在 HCC 的增殖和转移中发挥相反的作用:促进增殖但抑制转移。机制实验表明,双皮质激酶 1(DCLK1)是 SETD3 的下游靶标。SETD3 可以增加 DCLK1 启动子的 DNA 甲基化水平,从而抑制 DCLK1 的转录。进一步的研究表明,DCLK1/PI3K/基质金属蛋白酶(MMP)2(MMP-2)是介导 SETD3 对 HCC 转移作用的重要途径。总之,本研究揭示了 SETD3 与肿瘤发生有关,是预测 HCC 患者手术后预后的有前途的生物标志物。此外,SETD3 通过 DCLK1/PI3K/MMP-2 途径部分发挥抑制 HCC 转移的作用。