Department of Hepatobiliary Oncology, Liver Cancer Center, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer, Tianjin Medical University, Tianjin 300060, PR China; Department of Pathology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Department of Blood Transfusion, Tianjin Medical University General Hospital, Tianjin, PR China.
Drug Resist Updat. 2023 Jul;69:100976. doi: 10.1016/j.drup.2023.100976. Epub 2023 May 16.
Acylphosphatase 1 (ACYP1), a protein located in the mammalian cell cytoplasm, has been shown to be associated with tumor initiation and progression by functioning as a metabolism-related gene. Here we explored the potential mechanisms by which ACYP1 regulates the development of HCC and participates in the resistance to lenvatinib. ACYP1 can promote the proliferation, invasion, and migration capacities of HCC cells in vitro and in vivo. RNA sequencing reveals that ACYP1 markedly enhances the expression of genes related to aerobic glycolysis, and LDHA is identified as the downstream gene of ACYP1. Overexpression of ACYP1 upregulates LDHA levels, which then increases the malignancy potential of HCC cells. GSEA data analysis reveals the enrichment of differentially expressed genes in the MYC pathway, indicating a positive correlation between MYC and ACYP1 levels. Mechanistically, ACYP1 exerts its tumor-promoting roles by regulating the Warburg effect through activating the MYC/LDHA axis. Mass spectrometry analysis and Co-IP assays confirm that ACYP1 can bind to HSP90. The regulation of c-Myc protein expression and stability by ACYP1 is HSP90 dependent. Importantly, lenvatinib resistance is associated with ACYP1, and targeting ACYP1 remarkably decreases lenvatinib resistance and inhibits progression of HCC tumors with high ACYP1 expression when combined with lenvatinib in vitro and in vivo. These results illustrate that ACYP1 has a direct regulatory role in glycolysis and drives lenvatinib resistance and HCC progression via the ACYP1/HSP90/MYC/LDHA axis. Targeting ACYP1 could synergize with lenvatinib to treat HCC more effectively.
酰基磷酸酶 1(ACYP1)是一种位于哺乳动物细胞质中的蛋白质,已被证明通过作为代谢相关基因与肿瘤的发生和进展有关。在这里,我们探讨了 ACYP1 调节 HCC 发展和参与 lenvatinib 耐药的潜在机制。ACYP1 可以促进 HCC 细胞在体外和体内的增殖、侵袭和迁移能力。RNA 测序表明,ACYP1 显著增强了与有氧糖酵解相关的基因的表达,并且鉴定出 LDHA 是 ACYP1 的下游基因。ACYP1 的过表达上调了 LDHA 水平,从而增加了 HCC 细胞的恶性潜能。GSEA 数据分析揭示了差异表达基因在 MYC 途径中的富集,表明 MYC 和 ACYP1 水平之间存在正相关。从机制上讲,ACYP1 通过激活 MYC/LDHA 轴来调节瓦博格效应来发挥其促肿瘤作用。质谱分析和 Co-IP 测定证实 ACYP1 可以与 HSP90 结合。ACYP1 对 c-Myc 蛋白表达和稳定性的调节依赖于 HSP90。重要的是,lenvatinib 耐药与 ACYP1 有关,并且当与 lenvatinib 联合使用时,ACYP1 的靶向显著降低了 lenvatinib 耐药性并抑制了高表达 ACYP1 的 HCC 肿瘤的进展,无论是在体外还是在体内。这些结果表明,ACYP1 对糖酵解具有直接的调节作用,并通过 ACYP1/HSP90/MYC/LDHA 轴驱动 lenvatinib 耐药和 HCC 进展。靶向 ACYP1 可能与 lenvatinib 联合使用,更有效地治疗 HCC。