Li Chao-Jen, Tsai Hung-Wen, Chen Yi-Li, Wang Chun-I, Lin Yang-Hsiang, Chu Pei-Ming, Chi Hsiang-Cheng, Huang Yi-Ching, Chen Cheng-Yi
Department of General & Gastroenterological Surgery, An Nan Hospital, China Medical University, Tainan, Taiwan.
Department of Pathology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
J Hepatocell Carcinoma. 2023 Jan 30;10:123-138. doi: 10.2147/JHC.S385238. eCollection 2023.
Hepatocellular carcinoma (HCC) accounts for 80% of all liver cancers and is the 2nd leading cause of cancer-related death in Taiwan. Various factors, including rapid cell growth, a high recurrence rate and drug resistance, make HCC difficult to cure. Moreover, the survival rate of advanced HCC patients treated with systemic chemotherapy remains unsatisfactory. Hence, the identification of novel molecular targets and the underlying mechanisms of chemoresistance in HCC and the development more effective therapeutic regimens are desperately needed.
An MTT assay was used to determine the cell viability after cisplatin or doxorubicin treatment. Western blotting, qRT‒PCR and immunohistochemistry were utilized to examine the protein tyrosine phosphatase IVA3 (PTP4A3) level and associated signaling pathways. ELISA was utilized to analyze the levels of the inflammatory cytokine IL-6 influenced by cisplatin, doxorubicin and PTP4A3 silencing.
In this study, we found that PTP4A3 in the cisplatin/doxorubicin-resistant microarray was closely associated with the overall and recurrence-free survival rates of HCC patients. Cisplatin or doxorubicin significantly reduced cell viability and decreased PTP4A3 expression in hepatoma cells. IL-6 secretion increased with cisplatin or doxorubicin treatment and after PTP4A3 silencing. Furthermore, PTP4A3 was highly expressed in tumor tissues versus adjacent normal tissues from HCC patients. In addition, we evaluated the IL-6-associated signaling pathway involving STAT3 and JAK2, and the levels of p-STAT3, p-JAK2, STAT3 and JAK2 were obviously reduced with cisplatin or doxorubicin treatment in HCC cells using Western blotting and were also decreased after silencing PTP4A3. Collectively, we suggest that cisplatin or doxorubicin decreases HCC cell viability via downregulation of PTP4A3 expression through the IL-6R-JAK2-STAT3 cascade.
Therefore, emerging evidence provides a deep understanding of the roles of PTP4A3 in HCC cisplatin/doxorubicin chemoresistance, which can be applied to develop early diagnosis strategies and reveal prognostic factors to establish novel targeted therapeutics to specifically treat HCC.
肝细胞癌(HCC)占所有肝癌的80%,是台湾癌症相关死亡的第二大主要原因。包括细胞快速生长、高复发率和耐药性在内的多种因素使得HCC难以治愈。此外,接受全身化疗的晚期HCC患者的生存率仍不尽人意。因此,迫切需要确定HCC中新型分子靶点和化疗耐药的潜在机制,并开发更有效的治疗方案。
采用MTT法测定顺铂或阿霉素处理后的细胞活力。利用蛋白质印迹法、qRT-PCR和免疫组织化学检测蛋白酪氨酸磷酸酶IVA3(PTP4A3)水平及相关信号通路。采用ELISA法分析顺铂、阿霉素和PTP4A3沉默对炎性细胞因子IL-6水平的影响。
在本研究中,我们发现顺铂/阿霉素耐药微阵列中的PTP4A3与HCC患者的总生存率和无复发生存率密切相关。顺铂或阿霉素显著降低肝癌细胞的活力并降低PTP4A3表达。顺铂或阿霉素处理后以及PTP4A3沉默后,IL-6分泌增加。此外,与HCC患者的癌旁正常组织相比,肿瘤组织中PTP4A3高表达。另外,我们评估了涉及STAT3和JAK2的IL-6相关信号通路,使用蛋白质印迹法检测发现,顺铂或阿霉素处理HCC细胞后,p-STAT3、p-JAK2、STAT3和JAK2水平明显降低,PTP4A3沉默后也降低。总体而言,我们认为顺铂或阿霉素通过IL-6R-JAK2-STAT3级联反应下调PTP4A3表达,从而降低HCC细胞活力。
因此,新出现的证据为深入了解PTP4A3在HCC顺铂/阿霉素化疗耐药中的作用提供了依据,这可用于制定早期诊断策略和揭示预后因素,以建立特异性治疗HCC的新型靶向疗法。