Autotaxin expression and its connection with the TNF-alpha-NF-κB axis in human hepatocellular carcinoma
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Autotaxin expression and its connection with the TNF-alpha-NF-κB axis in human hepatocellular carcinoma

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14 pages
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Description

Autotaxin (ATX) is an extracellular lysophospholipase D that generates lysophosphatidic acid (LPA) from lysophosphatidylcholine (LPC). Both ATX and LPA have been shown to be involved in many cancers. However, the functional role of ATX and the regulation of ATX expression in human hepatocellular carcinoma (HCC) remain elusive. Results In this study, ATX expression was evaluated in tissues from 38 human HCC and 10 normal control subjects. ATX was detected mainly in tumor cells within tissue sections and its over-expression in HCC was specifically correlated with inflammation and liver cirrhosis. In addition, ATX expression was examined in normal human hepatocytes and liver cancer cell lines. Hepatoma Hep3B and Huh7 cells displayed stronger ATX expression than hepatoblastoma HepG2 cells and normal hepatocytes did. Proinflammtory cytokine tumor necrosis factor alpha (TNF-α) promoted ATX expression and secretion selectively in Hep3B and Huh7 cells, which led to a corresponding increase in lysophospholipase-D activity. Moreover, we explored the mechanism governing the expression of ATX in hepatoma cells and established a critical role of nuclear factor-kappa B (NF-κB) in basal and TNF-α induced ATX expression. Further study showed that secreted enzymatically active ATX stimulated Hep3B cell invasion. Conclusions This report highlights for the first time the clinical and biological evidence for the involvement of ATX in human HCC. Our observation that links the TNF-α/NF-κB axis and the ATX-LPA signaling pathway suggests that ATX is likely playing an important role in inflammation related liver tumorigenesis.

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Publié par
Publié le 01 janvier 2010
Nombre de lectures 14
Langue English
Poids de l'ouvrage 1 Mo

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Wu et al. Molecular Cancer 2010, 9:71
http://www.molecular-cancer.com/content/9/1/71
RESEARCH Open Access
ResearchAutotaxin expression and its connection with the
TNF-alpha-NF-κB axis in human hepatocellular
carcinoma
1 2 1 1 2 3 4Jian-Min Wu* , Yan Xu , Nicholas J Skill , Hongmiao Sheng , Zhenwen Zhao , Menggang Yu , Romil Saxena and
1Mary A Maluccio*
Abstract
Background: Autotaxin (ATX) is an extracellular lysophospholipase D that generates lysophosphatidic acid (LPA) from
lysophosphatidylcholine (LPC). Both ATX and LPA have been shown to be involved in many cancers. However, the
functional role of ATX and the regulation of ATX expression in human hepatocellular carcinoma (HCC) remain elusive.
Results: In this study, ATX expression was evaluated in tissues from 38 human HCC and 10 normal control subjects. ATX
was detected mainly in tumor cells within tissue sections and its over-expression in HCC was specifically correlated
with inflammation and liver cirrhosis. In addition, ATX expression was examined in normal human hepatocytes and
liver cancer cell lines. Hepatoma Hep3B and Huh7 cells displayed stronger ATX expression than hepatoblastoma
HepG2 cells and normal hepatocytes did. Proinflammtory cytokine tumor necrosis factor alpha (TNF-α) promoted ATX
expression and secretion selectively in Hep3B and Huh7 cells, which led to a corresponding increase in
lysophospholipase-D activity. Moreover, we explored the mechanism governing the expression of ATX in hepatoma
cells and established a critical role of nuclear factor-kappa B (NF-κB) in basal and TNF-α induced ATX expression. Further
study showed that secreted enzymatically active ATX stimulated Hep3B cell invasion.
Conclusions: This report highlights for the first time the clinical and biological evidence for the involvement of ATX in
human HCC. Our observation that links the TNF-α/NF-κB axis and the ATX-LPA signaling pathway suggests that ATX is
likely playing an important role in inflammation related liver tumorigenesis.
Background cancer development and progression within its complex
Hepatocellular carcinoma/cancer (HCC) is one of the microenvironment. Therefore, studies elucidating the
most common malignant tumors worldwide [1]. It most mechanism and signaling pathways involved in HCC
often develops in the background of underlying liver dis- development and progression are imperative.
ease, such as hepatitis. Historically a challenge for Asian Previous microarray analysis from our laboratory
idencountries, the increasing incidence of hepatitis C has tified autotaxin (ATX) as one a gene with enhanced
made HCC a major health problem within the United mRNA expression in human hepatitis associated HCC
States in recent years [2]. Early stage HCC is potentially [3]. Reports from other labs showed that serum ATX
curable with liver transplant or resection. However, most activity and plasma lysophosphatidic acid (LPA) level are
patients present with more advanced disease and for increased in various liver injuries in rats in relation to
these patients' treatment options are limited. Inroads into their severity [4]. ATX was initially characterized as an
effective therapies have been thwarted by a gap in our autocrine motility factor from A2058 melanoma cell
conunderstanding of the molecular mechanisms involved in ditioned medium [5]. It has been subsequently shown
that ATX acts as an important mediator of tumorigenesis
* Correspondence: jw17@iupui.edu by stimulating angiogenesis, as well as survival, growth,
, mmalucci@iupui.edu
migration, and invasion of tumor cells [6-8]. In particular,
Department of Surgery, Indiana University School of Medicine, Indianapolis, IN
recent studies using ATX knockout mice suggest that46202, USA
Full list of author information is available at the end of the article
© 2010 Wu et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons
Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in anyBioMed Central
medium, provided the original work is properly cited.Wu et al. Molecular Cancer 2010, 9:71 Page 2 of 14
http://www.molecular-cancer.com/content/9/1/71
ATX contributes to tumor progression by stabilizing cases 1+, and 4 (10.5%) cases 0. Fisher exact test was
blood vessels in the vicinity of tumors [9,10]. Although applied to assess the correlations between ATX
expresATX has been showed to affect adhesion through integ- sion and clinic pathologic variables of HCC. High
expresrin-dependent focal adhesion assembly [11,12], the main sion of ATX was more frequent in HCC with risk factors
impact of ATX on cancer biology is mostly due to its such as hepatitis compared to the HCCs which were
intrinsic lysophospholipase D (lyso-PLD) activity. developed from normal liver background with neither
Through the conversion of lysophosphatidylcholine inflammatory lesions nor identified risk factors
(Normal(LPC) into LPA and to a less degree, sphingosylphospho- HCC) (P = 0.0053). A statistical difference in expression
rylcholine (SPC) into sphingosine-1-phosphate (S1P) of the ATX protein between HCC associated with an
[13,14], ATX regulates cell activation by changing signal- inflammatory background and those without
inflammaing induced by LPC versus LPA. tory changes in the adjacent liver was also evident (P =
LPA is an important lipid mediator that elicits a broad 0.0003). In addition, HCC without cirrhosis displayed
spectrum of biological effects by activating G protein- lower level of ATX expression than those with cirrhosis
coupled receptors (GPCRs). The biological functions of (P = 0.00031). These data have not only confirmed our
LPA included, but not limited to cell proliferation, migra- previous observation at the protein level, but also
tion, platelet aggregation, smooth muscle contraction, revealed its association with inflammation, which
supand cytoskeletal reorganization. In the context of cancer, port the potential role of ATX in the pathogenesis of
LPA could induce stress fiber formation, membrane ruf- human HCC.
fling, and lamellipodia formation [15-17]. The aberrant
Differential expression of ATX in human liver cell linesATX expression may lead to altered LPC/LPA balance
To gain a better insight into the expression and functionand their receptor-mediated functions, resulting in
of ATX in HCC, we examined the expression of ATX inenhanced tumor progression. Hence, the molecular
three human liver cancer cell lines (Hep3B, Huh7 andevents that lead to the aberrant ATX expression and the
HepG2), a human normal embryonic liver cell line CL-48,subsequent abnormal LPA production are significant for
and human normal primary hepatocytes. As shown inunderstanding the mechanisms involved in cancer
proFigure 2A, quantitative real time RT-PCR (qRT-PCR)gression. In this study, we examined the expression of
revealed that ATX expression in Hep3B and Huh7 cellsATX antigen in HCC tissue using
immunohistochemiswas 42- and 14-folds higher than that of HepG2 cells,try. The regulatory mechanism of ATX by the key
inflamrespectively, while the expression of ATX mRNA in CL-matory component TNF-α/NF-κB axis was studied in
48 was negligible when compared with that of Hep3Bhuman hepatoma cell lines. We also demonstrated that
cells (AvgCt ~37.5 vs. AvgCt ~21.0). Human normal pri-ATX is involved in the invasive potential of HCC cells.
mary hepatocytes also displayed very low level of ATX
mRNA (AvgCt ~32.4). ATX mRNA expression levels inResults
these cells were well-correlated to its protein expressionATX antigen expression in human HCC
levels determined by immunoblot analysis. ATX proteinWe have previously examined ATX mRNA expression in
expressed at higher levels in Hep3B and Huh7 cells thanhuman HCC tissues [3]. Here we investigated the ATX
in HepG2 cells. The ATX protein levels in CL-48 cells andprotein expression by immunohistochemical approach in
normal primary hepatocytes were even lower than that intissues form 38 HCC cases and 10 normal controls. The
HepG2 cells (Figure 2B, the top panel). Since ATX proteinoverall positive staining of ATX in normal samples was
can be secreted from cells, and the soluble ATX has been20%, with a small portion of stromal cells showed weak
considered to be mainly responsible for extracellular LPAATX immunoreactivity, but not normal hepatocytes
(Figproduction (12), we measured secreted ATX levels in cul-ure 1A and 1B). In contrast, the overall positive rate of
tural media from these cells. Only Hep3B and Huh7 pro-ATX protein expression in HCC was 89% (34 of 38). ATX
duced measurable amounts of secreted ATX in theirexpression was varied from weak to strong, and the
conditioned media (Figure 2B, the bottom panel). Thesemajority of immunoreactivity was heterogeneously
disresults are consistent with our immunohistologic studiestributed in the cytoplasm of tumor cells (Figure 1C-J).
shown in Figure 1, suggesting aberrant ATX expressionThus, ATX protein expression was significantly increased
and regulation in human HCC.in HCC tissues when compared with normal liver
specimens.
ATX expression and secretion were selectively promoted by
proinflammatory cytokine TNF-αCorrelation between ATX overexpression and
The expression of ATX is regulated by growth factors andclinicopathological parameters in human HCC
cytokines. For example,

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