乙酰肝素酶 2(Hpa2)在胃癌中的作用。
Role of heparanase 2 (Hpa2) in gastric cancer.
机构信息
Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Rappaport Faculty of Medicine, Technion Integrated Cancer Center, Technion, Haifa, Israel.
出版信息
Neoplasia. 2021 Sep;23(9):966-978. doi: 10.1016/j.neo.2021.07.010. Epub 2021 Jul 31.
Heparanase is highly implicated in tumor metastasis due to its capacity to cleave heparan sulfate and, consequently, remodel the extracellular matrix underlying epithelial and endothelial cells. In striking contrast, only little attention was given to its close homolog, heparanase 2 (Hpa2), possibly because it lacks heparan sulfate-degrading activity typical of heparanase. We subjected sections of gastric carcinoma to immunostaining and correlated Hpa2 immunoreactivity with clinical records, including tumor grade, stage and patients' status. We over-expressed Hpa2 in gastric carcinoma cell lines and examined their tumorigenic properties in vitro and in vivo. We also evaluated the expression of Hpa2 by gastric carcinoma cells following inhibition of the proteasome, leading to proteotoxic stress, and the resulting signaling responsible for Hpa2 gene regulation. Here, we report that gastric cancer patients exhibiting high levels of Hpa2 survive longer. Similarly, mice administrated with gastric carcinoma cells engineered to over-express Hpa2 produced smaller tumors and survived longer than mice administrated with control cells. This was associated with increased phosphorylation of AMP-activated protein kinase (AMPK), a kinase that is situated at the center of a tumor suppressor network. We also found that MG132, an inhibitor of the proteasome that results in proteotoxic stress, prominently enhances Hpa2 expression. Notably, Hpa2 induction by MG132 appeared to be mediated by AMPK, and AMPK was found to induce the expression of Hpa2, thus establishing a loop that feeds itself where Hpa2 enhances AMPK phosphorylation that, in turn, induces Hpa2 expression, leading to attenuation of gastric tumorigenesis. These results indicate that high levels of Hpa2 in some tumors are due to stress conditions that tumors often experience due to their high rates of cell proliferation and high metabolic demands. This increase in Hpa2 levels by the stressed tumors appears critically important for patient outcomes.
肝素酶在肿瘤转移中高度参与,因为它能够切割肝素硫酸酯,并因此重塑上皮细胞和内皮细胞下的细胞外基质。与此形成鲜明对比的是,它的密切同源物肝素酶 2(Hpa2)几乎没有得到关注,可能是因为它缺乏肝素酶典型的肝素硫酸酯降解活性。我们对胃癌组织进行了免疫染色,并将 Hpa2 免疫反应性与临床记录相关联,包括肿瘤分级、分期和患者状况。我们在胃癌细胞系中过表达 Hpa2,并在体外和体内研究它们的致瘤特性。我们还评估了蛋白酶体抑制导致蛋白毒性应激后胃癌细胞中 Hpa2 的表达,以及导致 Hpa2 基因调节的信号。在这里,我们报告说胃癌患者中 Hpa2 水平较高的患者存活时间更长。同样,给予过表达 Hpa2 的胃癌细胞工程化的小鼠产生的肿瘤更小,存活时间更长,而给予对照细胞的小鼠则存活时间更短。这与 AMP 激活蛋白激酶(AMPK)的磷酸化增加有关,AMPK 位于肿瘤抑制网络的中心。我们还发现,蛋白酶体抑制剂 MG132 会导致蛋白毒性应激,显著增强 Hpa2 的表达。值得注意的是,MG132 诱导的 Hpa2 诱导似乎是由 AMPK 介导的,并且 AMPK 被发现诱导 Hpa2 的表达,从而建立了一个自我增强的循环,其中 Hpa2 增强 AMPK 磷酸化,反过来又诱导 Hpa2 表达,从而导致胃肿瘤发生的减弱。这些结果表明,一些肿瘤中 Hpa2 水平升高是由于肿瘤经常因高细胞增殖率和高代谢需求而经历的应激条件所致。应激肿瘤中 Hpa2 水平的增加似乎对患者的预后至关重要。