Sonntag Roland, Penners Christian, Kohlhepp Marlene, Haas Ute, Lambertz Daniela, Kroh Andreas, Cramer Thorsten, Ticconi Fabio, Costa Ivan G, Tacke Frank, Gassler Nikolaus, Trautwein Christian, Liedtke Christian
Department of Internal Medicine III, University Hospital RWTH, 52074 Aachen, Germany.
Department of Hepatology and Gastroenterology, Campus Virchow-Klinikum and Campus Charité Mitte, Charité University Medicine Berlin, 13353 Berlin, Germany.
Cancers (Basel). 2021 Nov 13;13(22):5680. doi: 10.3390/cancers13225680.
Cyclin E1 (CCNE1) is a regulatory subunit of Cyclin-dependent kinase 2 (CDK2) and is thought to control the transition of quiescent cells into cell cycle progression. Recently, we identified CCNE1 and CDK2 as key factors for the initiation of hepatocellular carcinoma (HCC). In the present study, we dissected the contributions of CCNE1 and CDK2 for HCC progression in mice and patients. Therefore, we generated genetically modified mice allowing inducible deletion of or . After initiation of HCC, using the hepatocarcinogen diethylnitrosamine (DEN), we deleted or and subsequently analysed HCC progression. The relevance of CCNE1 or CDK2 for human HCC progression was investigated by in silico database analysis. Interventional deletion of , but not of , substantially reduced the HCC burden in mice. -deficient HCCs were characterised by attenuated proliferation, impaired DNA damage response and downregulation of markers for stemness and microinvasion. Additionally, the tumour microenvironment of -deficient mice showed a reduction in immune mediators, myeloid cells and cancer-associated fibroblasts. In sharp contrast, was dispensable for HCC progression in mice. In agreement with our mouse data, was overexpressed in HCC patients independent of risk factors, and associated with reduced disease-free survival, a common signature for enhanced chromosomal instability, proliferation, dedifferentiation and invasion. However, lacked diagnostic or prognostic value in HCC patients. In summary, CCNE1 drives HCC progression in a CDK2-independent manner in mice and man. Therefore, interventional inactivation of CCNE1 represents a promising strategy the treatment of liver cancer.
细胞周期蛋白E1(CCNE1)是细胞周期蛋白依赖性激酶2(CDK2)的调节亚基,被认为可控制静止细胞向细胞周期进程的转变。最近,我们确定CCNE1和CDK2是肝细胞癌(HCC)起始的关键因素。在本研究中,我们剖析了CCNE1和CDK2对小鼠和患者HCC进展的作用。因此,我们构建了基因修饰小鼠,可诱导缺失CCNE1或CDK2。在使用肝癌致癌物二乙基亚硝胺(DEN)引发HCC后,我们删除CCNE1或CDK2,随后分析HCC进展情况。通过计算机数据库分析研究CCNE1或CDK2对人类HCC进展的相关性。干预性删除CCNE1而非CDK2可显著减轻小鼠的HCC负担。CCNE1缺陷型HCC的特征是增殖减弱、DNA损伤反应受损以及干性和微侵袭标志物下调。此外,CCNE1缺陷型小鼠的肿瘤微环境显示免疫介质、髓样细胞和癌症相关成纤维细胞减少。形成鲜明对比的是,CDK2对小鼠HCC进展是可有可无的。与我们的小鼠数据一致,CCNE1在HCC患者中独立于风险因素而过度表达,并与无病生存期缩短相关,这是染色体不稳定性增强、增殖、去分化和侵袭的常见特征。然而,CCNE1在HCC患者中缺乏诊断或预后价值。总之,CCNE1以不依赖CDK2的方式驱动小鼠和人类的HCC进展。因此,CCNE1的干预性失活代表了一种有前景的肝癌治疗策略。