Jia Y X, Tang H, Chang Z W, Fan H J, Guan X Y, Qin Y R
Department of Oncology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China.
Department of Oncology, Cancer Hospital Affiliated Zhengzhou University, Zhengzhou 450003, China.
Zhonghua Zhong Liu Za Zhi. 2021 Nov 23;43(11):1164-1169. doi: 10.3760/cma.j.cn112152-20190725-00467.
To explore the role and molecular mechanism of hepatocyte nuclear factor 4γ (HNF4γ) in proliferation and stemness of gastric cancer. A total of 102 cases of paraffin-embedded gastric cancer tissues and matched adjacent gastric tissues and 42 cases of fresh-frozen tissues derived from gastric patients who received radical gastrectomy were collected from the First Affiliated Hospital of Zhengzhou University between 2012 to 2015. The expression of HNF4γ was tested by immunohistochemical staining, quantitative real-time polymerase chain reaction (qRT-PCR). HNF4γ overexpressed (AGS-HNF4γ) and shRNA silenced (HGC27-shHNF4γ) gastric cell lines were established. The effects of HNF4γ on cell proliferation and stemness were verified by XTT, clone formation and sphere formation assay. The expression of CD44 was detected by western blot. The mRNA expression level of HNF4γ in fresh-frozen gastric cancer tissue was (12.43±2.702), which was significantly higher than (3.639±1.109) in normal tissue (<0.001). The high protein expression rate of HNF4γ in paraffin-embedded gastric cancer tissues was 41.2% (42/102), which was significantly higher than 8.8% (9/102) in normal gastric mucosa tissue (< 0.001). The protein expression of HNF4γ was closely related to the tumor differentiation, infiltration depth, lymph node metastasis and tumor stage (<0.05). The median survival interval of patients with HNF4γ high expression was 25 months, the 3-year survival rate was 4.8% (2/42), significantly lower than 38 months and 51.7% (31/60) of patients with normal HNF4γ expression (<0.001). The proliferation and CD44 protein expression of AGS-HNF4γ cells were significantly higher than those of the AGS-Vector cells. The number of clone formation, sphere formation rate of AGS-HNF4γ cells were 243.5±24.5 and (83.5±3.9)%, significantly higher than 81.0±16.0 and (21.8±5.6)% of AGS-Vector cells (=0.030 and =0.010, respectively). The proliferation and CD44 protein expression of HGC27-shHNF4 cells were significantly lower than those of the HGC27-vector cells. The number of clone formation, sphere formation rate of HGC27-shHNF4 cells were 26.0±1.0 and (20.8±8.4)%, significantly higher than 83.5±4.5 and (72.5±4.8)% of HGC27-vector cells (=0.006 and =0.030, respectively). HNF4γ is upregulated in the gastric cancer tissues and related with the poor prognosis of patients with gastric cancer. Overexpression of HNF4γ promotes the proliferation and remains the stemness of gastric cancer cells by upregulating the expression of CD44.
探讨肝细胞核因子4γ(HNF4γ)在胃癌增殖和干性中的作用及分子机制。2012年至2015年期间,从郑州大学第一附属医院收集了102例石蜡包埋的胃癌组织及配对的癌旁胃组织,以及42例接受根治性胃切除术的胃癌患者的新鲜冰冻组织。采用免疫组织化学染色、定量实时聚合酶链反应(qRT-PCR)检测HNF4γ的表达。构建HNF4γ过表达(AGS-HNF4γ)和shRNA沉默(HGC27-shHNF4γ)的胃癌细胞系。通过XTT法、克隆形成实验和球形成实验验证HNF4γ对细胞增殖和干性的影响。采用蛋白质印迹法检测CD44的表达。新鲜冰冻胃癌组织中HNF4γ的mRNA表达水平为(12.43±2.702),显著高于正常组织中的(3.639±1.109)(<0.001)。石蜡包埋胃癌组织中HNF4γ的高蛋白表达率为41.2%(42/102),显著高于正常胃黏膜组织中的8.8%(9/102)(<0.001)。HNF4γ的蛋白表达与肿瘤分化、浸润深度、淋巴结转移及肿瘤分期密切相关(<0.05)。HNF4γ高表达患者的中位生存时间为25个月,3年生存率为4.8%(2/42),显著低于HNF4γ表达正常患者的38个月和51.7%(31/60)(<0.001)。AGS-HNF4γ细胞的增殖及CD44蛋白表达显著高于AGS-Vector细胞。AGS-HNF4γ细胞的克隆形成数、球形成率分别为243.5±24.5和(83.5±3.9)%,显著高于AGS-Vector细胞的81.0±16.0和(21.8±5.6)%(分别为P =0.030和P =0.010)。HGC27-shHNF4细胞的增殖及CD44蛋白表达显著低于HGC27-vector细胞。HGC27-shHNF4细胞的克隆形成数、球形成率分别为26.0±1.0和(20.8±8.4)%,显著高于HGC27-vector细胞的83.5±4.5和(72.5±4.8)%(分别为P =0.006和P =0.030)。HNF4γ在胃癌组织中上调,与胃癌患者的不良预后相关。HNF4γ过表达通过上调CD44的表达促进胃癌细胞的增殖并维持其干性。