Zhao Lei, Si Ke, Luo Shenjian, Zhang Lantian, Mao Shuai, Zhang Wenliang
The Key Laboratory of Advanced Interdisciplinary Studies, The First Affiliated Hospital of Guangzhou Medical University, GMU-GIBH Joint School of Life Sciences, The Guangdong-Hong Kong-Macao Joint Laboratory for Cell Fate Regulation and Diseases, Guangzhou Medical University, Guangzhou, 510182, People's Republic of China.
Department of Endocrinology and Metabolism, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, People's Republic of China.
J Exp Clin Cancer Res. 2025 Jul 11;44(1):200. doi: 10.1186/s13046-025-03465-w.
BACKGROUND: MAPK/ERK1/2 signaling is often activated in hepatocellular carcinoma (HCC), yet classical RAS-RAF-MEK mutations are rare, indicating the involvement of non-canonical regulatory mechanisms. Long non-coding RNAs (lncRNAs) can encode microproteins that play key roles in cancer. LncRNA ASH1L-AS1 has coding potential, but its role in HCC remains unclear. Clarifying its role in MAPK signaling may uncover novel therapeutic targets for HCC. METHODS: Translatable lncRNAs associated with HCC were identified by integrating data from the TCGA-LIHC cohort and the TransLnc database. The functional role of ASH1L-AS1 and its encoded microprotein APPLE was explored through in vitro and in vivo assays, such as CCK-8, EdU incorporation, wound healing, Transwell migration and invasion, and xenograft tumor models. Mechanistic investigations were conducted to elucidate molecular mechanisms and identify potential therapeutic strategies, including co-immunoprecipitation, mass spectrometry, ChIP-qPCR, luciferase reporter assays, truncation mutation analysis, immunofluorescence, Western blot, RNA sequencing, drug sensitivity analysis etc. RESULTS: A total of 696 translatable lncRNAs associated with HCC were identified, with their encoded products exhibiting specific subcellular localization. Among them, ASH1L-AS1 stood out due to strong translational evidence and its significant association with disease progression, poor prognosis, immunosuppressive tumor microenvironment, and estrogen signaling. We confirmed that ASH1L-AS1 encodes a microprotein, APPLE, which is stably expressed in HCC cells and consistently upregulated in tumor tissues regardless of RAS mutation status. Functionally, APPLE promotes ERK1/2 phosphorylation, activates MAPK signaling, and enhances HCC cell proliferation, migration, invasion, and tumor growth-effects reversed by APPLE knockdown or ERK1/2 inhibition. Mechanistically, APPLE binds to ERK1/2 and phosphatases PP1/PP2A, preventing ERK1/2 dephosphorylation and sustaining MAPK pathway activation. Additionally, the transcription factor E2F1 directly binds to the ASH1L-AS1 promoter (- 300 to - 290 bp), upregulating APPLE expression and further amplifying ERK1/2 signaling. Drug sensitivity analysis identified 220 treatment combinations potentially effective against HCC subtypes driven by hyperactivation of the E2F1-ASH1L-AS1/APPLE-ERK1/2 axis. CONCLUSIONS: This study characterized APPLE as a novel oncogenic microprotein encoded by lncRNA ASH1L-AS1, uncovering a non-canonical mechanism of MAPK activation in HCC. The identified E2F1-ASH1L-AS1/APPLE-ERK1/2 signaling axis provides new insights into HCC pathogenesis and represents a promising target for precision therapy, though further validation in clinical cohorts and preclinical studies is needed.
背景:丝裂原活化蛋白激酶/细胞外信号调节激酶1/2(MAPK/ERK1/2)信号通路在肝细胞癌(HCC)中常被激活,然而经典的RAS-RAF-MEK突变却很少见,这表明存在非经典调节机制的参与。长链非编码RNA(lncRNA)可编码在癌症中起关键作用的微蛋白。LncRNA ASH1L-AS1具有编码潜力,但其在HCC中的作用仍不清楚。阐明其在MAPK信号通路中的作用可能会揭示HCC的新治疗靶点。 方法:通过整合来自TCGA-LIHC队列和TransLnc数据库的数据,鉴定与HCC相关的可翻译lncRNA。通过体外和体内实验,如CCK-8、EdU掺入、伤口愈合、Transwell迁移和侵袭以及异种移植肿瘤模型,探索ASH1L-AS1及其编码的微蛋白APPLE的功能作用。进行机制研究以阐明分子机制并确定潜在的治疗策略,包括免疫共沉淀、质谱分析、染色质免疫沉淀-定量聚合酶链反应(ChIP-qPCR)、荧光素酶报告基因检测、截短突变分析、免疫荧光、蛋白质免疫印迹、RNA测序、药物敏感性分析等。 结果:共鉴定出696个与HCC相关的可翻译lncRNA,其编码产物表现出特定的亚细胞定位。其中,ASH1L-AS1因其有力的翻译证据以及与疾病进展、不良预后、免疫抑制性肿瘤微环境和雌激素信号的显著关联而脱颖而出。我们证实ASH1L-AS1编码一种微蛋白APPLE,其在HCC细胞中稳定表达,且无论RAS突变状态如何,在肿瘤组织中均持续上调。在功能上,APPLE促进ERK1/2磷酸化,激活MAPK信号通路,并增强HCC细胞的增殖、迁移、侵袭和肿瘤生长,APPLE敲低或ERK1/2抑制可逆转这些作用。机制上,APPLE与ERK1/2和磷酸酶PP1/PP2A结合,阻止ERK1/2去磷酸化并维持MAPK通路激活。此外,转录因子E2F1直接结合到ASH1L-AS1启动子(-300至-290bp),上调APPLE表达并进一步放大ERK1/2信号。药物敏感性分析确定了220种可能对由E2F1-ASH1L-AS1/APPLE-ERK1/2轴过度激活驱动的HCC亚型有效的治疗组合。 结论:本研究将APPLE表征为一种由lncRNA ASH1L-AS1编码的新型致癌微蛋白,揭示了HCC中MAPK激活的非经典机制。所鉴定的E2F1-ASH1L-AS1/APPLE-ERK1/2信号轴为HCC发病机制提供了新见解,并代表了精准治疗的一个有前景的靶点,不过仍需要在临床队列和临床前研究中进一步验证。
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