Department of Medical Oncology, Sapporo Medical University School of Medicine, South-1, West-16, Chuo-ku, Sapporo, 060-8543, Japan.
Division of Neurofunctional Genomics, Department of Immunobiology and Neuroscience, Medical Institute of Bioregulation, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan.
Sci Rep. 2021 Feb 11;11(1):3599. doi: 10.1038/s41598-021-83138-8.
Non-alcoholic steatohepatitis (NASH)-related HCC is associated with oxidative stress. However, the mechanisms underlying the development of NASH-related HCC is unclear. MUTYH is one of the enzymes that is involved in repair of oxidative DNA damage. The aim of this study was to investigate the association between MUTYH and NASH-related hepatocarcinogenesis. MUTYH wild-type (Mutyh), heterozygous (Mutyh), and MUTYH-null (Mutyh) mice were fed a high-fat high-cholesterol (HFHC) diet or HFHC + high iron diet (20 mice per group) for 9 months. Five of 20 Mutyh mice fed an HFHC + high iron diet developed liver tumors, and they developed more liver tumors than other groups (especially vs. Mutyh fed an HFHC diet, P = 0.0168). Immunohistochemical analysis revealed significantly higher accumulation of oxidative stress markers in mice fed an HFHC + high iron diet. The gene expression profiles in the non-tumorous hepatic tissues were compared between wild-type mice that developed no liver tumors and MUTYH-null mice that developed liver tumors. Gene Set Enrichment Analysis identified the involvement of the Wnt/β-catenin signaling pathway and increased expression of c-Myc in MUTYH-null liver. These findings suggest that MUTYH deficiency is associated with hepatocarcinogenesis in patients with NASH with hepatic iron accumulation.
非酒精性脂肪性肝炎(NASH)相关 HCC 与氧化应激有关。然而,NASH 相关 HCC 的发展机制尚不清楚。MUTYH 是参与修复氧化 DNA 损伤的酶之一。本研究旨在探讨 MUTYH 与 NASH 相关肝癌发生的关系。MUTYH 野生型(Mutyh)、杂合型(Mutyh)和 MUTYH 缺失型(Mutyh)小鼠分别用高脂肪高胆固醇(HFHC)饮食或 HFHC+高铁饮食(每组 20 只)喂养 9 个月。20 只 Mutyh 喂养 HFHC+高铁饮食的小鼠中有 5 只发生了肝肿瘤,其肿瘤发生率高于其他组(尤其是与 HFHC 饮食喂养的 Mutyh 相比,P=0.0168)。免疫组化分析显示,HFHC+高铁饮食喂养的小鼠中氧化应激标志物的积累明显更高。在未发生肝肿瘤的野生型小鼠和发生肝肿瘤的 MUTYH 缺失型小鼠的非肿瘤性肝组织中比较基因表达谱。基因集富集分析鉴定了 Wnt/β-catenin 信号通路的参与和 MUTYH 缺失型肝中 c-Myc 的表达增加。这些发现表明,MUTYH 缺失与伴有肝铁蓄积的 NASH 患者的肝癌发生有关。
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