State Key Laboratory of Proteomics, Beijing Proteome Research Center, National Center for Protein Sciences (Beijing), Beijing Institute of Lifeomics, Beijing 102206, China.
Research Unit of Proteomics-driven Cancer Precision Medicine, Chinese Academy of Medical Sciences, Beijing 102206, China.
Proc Natl Acad Sci U S A. 2023 Jul 18;120(29):e2215744120. doi: 10.1073/pnas.2215744120. Epub 2023 Jul 10.
Hepatocellular carcinoma (HCC) takes the predominant malignancy of hepatocytes with bleak outcomes owing to high heterogeneity among patients. Personalized treatments based on molecular profiles will better improve patients' prognosis. Lysozyme (LYZ), a secretory protein with antibacterial function generally expressed in monocytes/macrophages, has been observed for the prognostic implications in different types of tumors. However, studies about the explicit applicative scenarios and mechanisms for tumor progression are still quite limited, especially for HCC. Here, based on the proteomic molecular classification data of early-stage HCC, we revealed that the LYZ level was elevated significantly in the most malignant HCC subtype and could serve as an independent prognostic predictor for HCC patients. Molecular profiles of LYZ-high HCCs were typical of those for the most malignant HCC subtype, with impaired metabolism, along with promoted proliferation and metastasis characteristics. Further studies demonstrated that LYZ tended to be aberrantly expressed in poorly differentiated HCC cells, which was regulated by STAT3 activation. LYZ promoted HCC proliferation and migration in both autocrine and paracrine manners independent of the muramidase activity through the activation of downstream protumoral signaling pathways via cell surface GRP78. Subcutaneous and orthotopic xenograft tumor models indicated that targeting LYZ inhibited HCC growth markedly in NOD/SCID mice. These results propose LYZ as a prognostic biomarker and therapeutic target for the subclass of HCC with an aggressive phenotype.
肝细胞癌(HCC)是一种主要发生于肝细胞的恶性肿瘤,由于患者之间存在高度异质性,其预后较差。基于分子谱的个体化治疗将更好地改善患者的预后。溶菌酶(LYZ)是一种具有抗菌功能的分泌蛋白,通常在单核细胞/巨噬细胞中表达,其在不同类型肿瘤中的预后意义已被观察到。然而,关于其在肿瘤进展中的明确应用场景和机制的研究仍然相当有限,特别是对于 HCC。在这里,我们基于早期 HCC 的蛋白质组分子分类数据,揭示了 LYZ 水平在最恶性的 HCC 亚型中显著升高,可作为 HCC 患者的独立预后预测因子。LYZ 高 HCC 的分子谱特征典型地表现为最恶性的 HCC 亚型,表现为代谢受损,同时具有促进增殖和转移的特征。进一步的研究表明,LYZ 倾向于在分化不良的 HCC 细胞中异常表达,这是由 STAT3 激活调节的。LYZ 通过细胞表面 GRP78 激活下游促肿瘤信号通路,以自分泌和旁分泌的方式独立于溶菌酶活性促进 HCC 增殖和迁移。皮下和原位异种移植肿瘤模型表明,在 NOD/SCID 小鼠中靶向 LYZ 可显著抑制 HCC 的生长。这些结果表明 LYZ 可作为具有侵袭性表型的 HCC 亚类的预后生物标志物和治疗靶点。