Department of General Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210000, China.
Hepatobiliary Center, The First Affiliated Hospital of Nanjing Medical University, Key Laboratory of Liver Transplantation, Chinese Academy of Medical Sciences, NHC Key laboratory of Hepatobiliary cancers, Nanjing Medical University, Nanjing, 210000, China.
Adv Sci (Weinh). 2024 Oct;11(39):e2402115. doi: 10.1002/advs.202402115. Epub 2024 Aug 20.
Despite substantial breakthroughs in the treatment of hepatocellular carcinoma (HCC) in recent years, many patients are diagnosed in the middle or late stages, denying them the option for surgical excision. Therefore, it is of great importance to find effective therapeutic targets of HCC. In this study, it is found that Gap junction protein beta-2 (GJB2) is highly enriched in malignant cells based on single-cell RNA sequencing and higher expression of GJB2 indicates a worse prognosis. The localization of GJB2 in HCC cancer cells is changed compared with normal liver tissue. In cancer cells, GJB2 tends to be located in the cytoplasm and nucleus, while in normal tissues, GJB2 is mainly located on the cell membrane. GJB2 is related to glycolysis, promoting NF-κB pathway via inducing the ubiquitination degradation of IκBa, and activating HIF-1α/GLUT-1/PD-L1 pathway. In addition, GJB2 knockdown reshapes tumor immune microenvironment and Salvianolic acid B inhibits the activity of GJB2. In conclusion, GJB2 promotes HCC progression by activating glycolysis through cytoplasmic translocation and generating a suppressive tumor microenvironment. Salvianolic acid B inhibits the expression of GJB2 and enhances the sensitivity of anti-PD1 therapy, which may provide insights into the development of novel combination therapeutic strategies for HCC.
尽管近年来肝细胞癌 (HCC) 的治疗取得了重大突破,但许多患者在中期或晚期被诊断出来,使他们无法选择手术切除。因此,找到 HCC 的有效治疗靶点非常重要。在这项研究中,基于单细胞 RNA 测序发现间隙连接蛋白β-2 (GJB2) 在恶性细胞中高度富集,并且 GJB2 表达水平越高,预后越差。GJB2 在 HCC 癌细胞中的定位与正常肝组织相比发生了变化。在癌细胞中,GJB2 倾向于位于细胞质和细胞核中,而在正常组织中,GJB2 主要位于细胞膜上。GJB2 与糖酵解有关,通过诱导 IκBa 的泛素化降解来促进 NF-κB 通路,并激活 HIF-1α/GLUT-1/PD-L1 通路。此外,GJB2 敲低重塑肿瘤免疫微环境,丹酚酸 B 抑制 GJB2 的活性。总之,GJB2 通过细胞质易位激活糖酵解,产生抑制性肿瘤微环境,促进 HCC 的进展。丹酚酸 B 抑制 GJB2 的表达并增强抗 PD-1 治疗的敏感性,这可能为开发 HCC 的新型联合治疗策略提供思路。
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