Oncofetal HLF transactivates c-Jun to promote hepatocellular carcinoma development and sorafenib resistance

Background and aimsThe unique expression pattern makes oncofetal proteins ideal diagnostic biomarkers and therapeutic targets in cancer. However, few oncofetal proteins have been identified and entered clinical practice.MethodsFetal liver, adult liver and hepatocellular carcinoma (HCC) tissues were...

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Veröffentlicht in:Gut 2019-10, Vol.68 (10), p.1858-1871
Hauptverfasser: Xiang, Dai-Min, Sun, Wen, Zhou, Tengfei, Zhang, Cheng, Cheng, Zhuo, Li, Shi-Chao, Jiang, Weiqi, Wang, Ruoyu, Fu, Gongbo, Cui, Xiuliang, Hou, Guojun, Jin, Guang-Zhi, Li, Hengyu, Hou, Caiying, Liu, Hui, Wang, Hongyang, Ding, Jin
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container_end_page 1871
container_issue 10
container_start_page 1858
container_title Gut
container_volume 68
creator Xiang, Dai-Min
Sun, Wen
Zhou, Tengfei
Zhang, Cheng
Cheng, Zhuo
Li, Shi-Chao
Jiang, Weiqi
Wang, Ruoyu
Fu, Gongbo
Cui, Xiuliang
Hou, Guojun
Jin, Guang-Zhi
Li, Hengyu
Hou, Caiying
Liu, Hui
Wang, Hongyang
Ding, Jin
description Background and aimsThe unique expression pattern makes oncofetal proteins ideal diagnostic biomarkers and therapeutic targets in cancer. However, few oncofetal proteins have been identified and entered clinical practice.MethodsFetal liver, adult liver and hepatocellular carcinoma (HCC) tissues were employed to assess the expression of hepatic leukaemia factor (HLF). The impact of HLF on HCC onset and progression was investigated both in vivo and in vitro. The association between HLF and patient prognosis was determined in patient cohorts. The correlation between HLF expression and sorafenib benefits in HCC was further evaluated in patient cohorts and patient-derived xenografts (PDXs).ResultsHLF is a novel oncofetal protein which is reactivated in HCC by SOX2 and OCT4. Functional studies revealed that HLF transactivates c-Jun to promote tumour initiating cell (TIC) generation and enhances TIC-like properties of hepatoma cells, thus driving HCC initiation and progression. Consistently, our clinical investigations elucidated the association between HLF and patient prognosis and unravelled the close correlation between HLF levels and c-Jun expression in patient HCCs. Importantly, HLF/c-Jun axis determines the responses of hepatoma cells to sorafenib treatment, and interference of HLF abrogated c-Jun activation and enhanced sorafenib response. Analysis of patient cohorts and PDXs further suggests that HLF/c-Jun axis might serve as a biomarker for sorafenib benefits in HCC patients.ConclusionsOur findings uncovered HLF as a novel oncofetal protein and revealed the crucial role of the HLF/c-Jun axis in HCC development and sorafenib response, rendering HLF as an optimal target for the prevention and intervention of HCC.
doi_str_mv 10.1136/gutjnl-2018-317440
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However, few oncofetal proteins have been identified and entered clinical practice.MethodsFetal liver, adult liver and hepatocellular carcinoma (HCC) tissues were employed to assess the expression of hepatic leukaemia factor (HLF). The impact of HLF on HCC onset and progression was investigated both in vivo and in vitro. The association between HLF and patient prognosis was determined in patient cohorts. The correlation between HLF expression and sorafenib benefits in HCC was further evaluated in patient cohorts and patient-derived xenografts (PDXs).ResultsHLF is a novel oncofetal protein which is reactivated in HCC by SOX2 and OCT4. Functional studies revealed that HLF transactivates c-Jun to promote tumour initiating cell (TIC) generation and enhances TIC-like properties of hepatoma cells, thus driving HCC initiation and progression. Consistently, our clinical investigations elucidated the association between HLF and patient prognosis and unravelled the close correlation between HLF levels and c-Jun expression in patient HCCs. Importantly, HLF/c-Jun axis determines the responses of hepatoma cells to sorafenib treatment, and interference of HLF abrogated c-Jun activation and enhanced sorafenib response. Analysis of patient cohorts and PDXs further suggests that HLF/c-Jun axis might serve as a biomarker for sorafenib benefits in HCC patients.ConclusionsOur findings uncovered HLF as a novel oncofetal protein and revealed the crucial role of the HLF/c-Jun axis in HCC development and sorafenib response, rendering HLF as an optimal target for the prevention and intervention of HCC.</description><identifier>ISSN: 0017-5749</identifier><identifier>EISSN: 1468-3288</identifier><identifier>DOI: 10.1136/gutjnl-2018-317440</identifier><identifier>PMID: 31118247</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Society of Gastroenterology</publisher><subject>Adult ; Antineoplastic Agents - pharmacology ; Apoptosis ; Basic-Leucine Zipper Transcription Factors - biosynthesis ; Basic-Leucine Zipper Transcription Factors - genetics ; Biomarkers ; c-Jun protein ; Cancer therapies ; carcinogenesis ; Carcinoma, Hepatocellular - drug therapy ; Carcinoma, Hepatocellular - genetics ; Carcinoma, Hepatocellular - pathology ; Cell Line, Tumor ; Clinical medicine ; Disease Progression ; DNA, Neoplasm - genetics ; drug resistance ; Drug Resistance, Neoplasm ; Female ; Fetuses ; Gene expression ; Genes, jun - genetics ; Hepatocellular carcinoma ; Hepatology ; Hepatoma ; Hospitals ; Humans ; Immunoprecipitation ; Inhibitor drugs ; Kinases ; Leucine Zippers ; Leukemia ; Liver cancer ; Liver Neoplasms - drug therapy ; Liver Neoplasms - genetics ; Liver Neoplasms - pathology ; Male ; Medical diagnosis ; Medical prognosis ; Oct-4 protein ; oncogenes ; Patients ; Prognosis ; Proteins ; Signal transduction ; Sorafenib - pharmacology ; Stem cells ; Surgery ; Targeted cancer therapy ; Therapeutic applications ; Transcription factors ; Tumors ; tumour markers ; Xenografts</subject><ispartof>Gut, 2019-10, Vol.68 (10), p.1858-1871</ispartof><rights>Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b474t-fe9e3870781e5f9983c4845fb8350b42a33c4315cec098fb603eda64fc4ab4c43</citedby><cites>FETCH-LOGICAL-b474t-fe9e3870781e5f9983c4845fb8350b42a33c4315cec098fb603eda64fc4ab4c43</cites><orcidid>0000-0002-4709-3334</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31118247$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xiang, Dai-Min</creatorcontrib><creatorcontrib>Sun, Wen</creatorcontrib><creatorcontrib>Zhou, Tengfei</creatorcontrib><creatorcontrib>Zhang, Cheng</creatorcontrib><creatorcontrib>Cheng, Zhuo</creatorcontrib><creatorcontrib>Li, Shi-Chao</creatorcontrib><creatorcontrib>Jiang, Weiqi</creatorcontrib><creatorcontrib>Wang, Ruoyu</creatorcontrib><creatorcontrib>Fu, Gongbo</creatorcontrib><creatorcontrib>Cui, Xiuliang</creatorcontrib><creatorcontrib>Hou, Guojun</creatorcontrib><creatorcontrib>Jin, Guang-Zhi</creatorcontrib><creatorcontrib>Li, Hengyu</creatorcontrib><creatorcontrib>Hou, Caiying</creatorcontrib><creatorcontrib>Liu, Hui</creatorcontrib><creatorcontrib>Wang, Hongyang</creatorcontrib><creatorcontrib>Ding, Jin</creatorcontrib><title>Oncofetal HLF transactivates c-Jun to promote hepatocellular carcinoma development and sorafenib resistance</title><title>Gut</title><addtitle>Gut</addtitle><addtitle>Gut</addtitle><description>Background and aimsThe unique expression pattern makes oncofetal proteins ideal diagnostic biomarkers and therapeutic targets in cancer. However, few oncofetal proteins have been identified and entered clinical practice.MethodsFetal liver, adult liver and hepatocellular carcinoma (HCC) tissues were employed to assess the expression of hepatic leukaemia factor (HLF). The impact of HLF on HCC onset and progression was investigated both in vivo and in vitro. The association between HLF and patient prognosis was determined in patient cohorts. The correlation between HLF expression and sorafenib benefits in HCC was further evaluated in patient cohorts and patient-derived xenografts (PDXs).ResultsHLF is a novel oncofetal protein which is reactivated in HCC by SOX2 and OCT4. Functional studies revealed that HLF transactivates c-Jun to promote tumour initiating cell (TIC) generation and enhances TIC-like properties of hepatoma cells, thus driving HCC initiation and progression. Consistently, our clinical investigations elucidated the association between HLF and patient prognosis and unravelled the close correlation between HLF levels and c-Jun expression in patient HCCs. Importantly, HLF/c-Jun axis determines the responses of hepatoma cells to sorafenib treatment, and interference of HLF abrogated c-Jun activation and enhanced sorafenib response. Analysis of patient cohorts and PDXs further suggests that HLF/c-Jun axis might serve as a biomarker for sorafenib benefits in HCC patients.ConclusionsOur findings uncovered HLF as a novel oncofetal protein and revealed the crucial role of the HLF/c-Jun axis in HCC development and sorafenib response, rendering HLF as an optimal target for the prevention and intervention of HCC.</description><subject>Adult</subject><subject>Antineoplastic Agents - pharmacology</subject><subject>Apoptosis</subject><subject>Basic-Leucine Zipper Transcription Factors - biosynthesis</subject><subject>Basic-Leucine Zipper Transcription Factors - genetics</subject><subject>Biomarkers</subject><subject>c-Jun protein</subject><subject>Cancer therapies</subject><subject>carcinogenesis</subject><subject>Carcinoma, Hepatocellular - drug therapy</subject><subject>Carcinoma, Hepatocellular - genetics</subject><subject>Carcinoma, Hepatocellular - pathology</subject><subject>Cell Line, Tumor</subject><subject>Clinical medicine</subject><subject>Disease Progression</subject><subject>DNA, Neoplasm - genetics</subject><subject>drug resistance</subject><subject>Drug Resistance, Neoplasm</subject><subject>Female</subject><subject>Fetuses</subject><subject>Gene expression</subject><subject>Genes, jun - genetics</subject><subject>Hepatocellular carcinoma</subject><subject>Hepatology</subject><subject>Hepatoma</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Immunoprecipitation</subject><subject>Inhibitor drugs</subject><subject>Kinases</subject><subject>Leucine Zippers</subject><subject>Leukemia</subject><subject>Liver cancer</subject><subject>Liver Neoplasms - drug therapy</subject><subject>Liver Neoplasms - genetics</subject><subject>Liver Neoplasms - pathology</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical prognosis</subject><subject>Oct-4 protein</subject><subject>oncogenes</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Proteins</subject><subject>Signal transduction</subject><subject>Sorafenib - pharmacology</subject><subject>Stem cells</subject><subject>Surgery</subject><subject>Targeted cancer therapy</subject><subject>Therapeutic applications</subject><subject>Transcription factors</subject><subject>Tumors</subject><subject>tumour markers</subject><subject>Xenografts</subject><issn>0017-5749</issn><issn>1468-3288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEFPwyAYhonRuDn9Ax4MiedOKLSlR7M4p1myi54byj60s4UJdIn_XpbOeTOeCPC87_flQeiakimlLL9768PGtElKqEgYLTgnJ2hMeR5vqRCnaEwILZKs4OUIXXi_IYQIUdJzNGKUUpHyYow-VkZZDUG2eLGc4-Ck8VKFZicDeKyS597gYPHW2c4GwO-wlcEqaNu-lQ4r6VRjbCfxGnbQ2m0HJmBp1thbJzWYpsYOfOODNAou0ZmWrYerwzlBr_OHl9kiWa4en2b3y6TmBQ-JhhKYKEghKGS6LAVTXPBM14JlpOapZPGB0UyBIqXQdU4YrGXOteKy5vFrgm6H3rj1Zw8-VBvbOxNHVmkUU5RZnqeRSgdKOeu9A11tXdNJ91VRUu39VoPfau-3GvzG0M2huq87WB8jP0IjkAxA3W3-Vzj95Y9r_hH4Bg_Clmw</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Xiang, Dai-Min</creator><creator>Sun, Wen</creator><creator>Zhou, Tengfei</creator><creator>Zhang, Cheng</creator><creator>Cheng, Zhuo</creator><creator>Li, Shi-Chao</creator><creator>Jiang, Weiqi</creator><creator>Wang, Ruoyu</creator><creator>Fu, Gongbo</creator><creator>Cui, Xiuliang</creator><creator>Hou, Guojun</creator><creator>Jin, Guang-Zhi</creator><creator>Li, Hengyu</creator><creator>Hou, Caiying</creator><creator>Liu, Hui</creator><creator>Wang, Hongyang</creator><creator>Ding, Jin</creator><general>BMJ Publishing Group Ltd and British Society of Gastroenterology</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0002-4709-3334</orcidid></search><sort><creationdate>20191001</creationdate><title>Oncofetal HLF transactivates c-Jun to promote hepatocellular carcinoma development and sorafenib resistance</title><author>Xiang, Dai-Min ; Sun, Wen ; Zhou, Tengfei ; Zhang, Cheng ; Cheng, Zhuo ; Li, Shi-Chao ; Jiang, Weiqi ; Wang, Ruoyu ; Fu, Gongbo ; Cui, Xiuliang ; Hou, Guojun ; Jin, Guang-Zhi ; Li, Hengyu ; Hou, Caiying ; Liu, Hui ; Wang, Hongyang ; Ding, Jin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b474t-fe9e3870781e5f9983c4845fb8350b42a33c4315cec098fb603eda64fc4ab4c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Antineoplastic Agents - pharmacology</topic><topic>Apoptosis</topic><topic>Basic-Leucine Zipper Transcription Factors - biosynthesis</topic><topic>Basic-Leucine Zipper Transcription Factors - genetics</topic><topic>Biomarkers</topic><topic>c-Jun protein</topic><topic>Cancer therapies</topic><topic>carcinogenesis</topic><topic>Carcinoma, Hepatocellular - drug therapy</topic><topic>Carcinoma, Hepatocellular - genetics</topic><topic>Carcinoma, Hepatocellular - pathology</topic><topic>Cell Line, Tumor</topic><topic>Clinical medicine</topic><topic>Disease Progression</topic><topic>DNA, Neoplasm - genetics</topic><topic>drug resistance</topic><topic>Drug Resistance, Neoplasm</topic><topic>Female</topic><topic>Fetuses</topic><topic>Gene expression</topic><topic>Genes, jun - genetics</topic><topic>Hepatocellular carcinoma</topic><topic>Hepatology</topic><topic>Hepatoma</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Immunoprecipitation</topic><topic>Inhibitor drugs</topic><topic>Kinases</topic><topic>Leucine Zippers</topic><topic>Leukemia</topic><topic>Liver cancer</topic><topic>Liver Neoplasms - drug therapy</topic><topic>Liver Neoplasms - genetics</topic><topic>Liver Neoplasms - pathology</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical prognosis</topic><topic>Oct-4 protein</topic><topic>oncogenes</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Proteins</topic><topic>Signal transduction</topic><topic>Sorafenib - pharmacology</topic><topic>Stem cells</topic><topic>Surgery</topic><topic>Targeted cancer therapy</topic><topic>Therapeutic applications</topic><topic>Transcription factors</topic><topic>Tumors</topic><topic>tumour markers</topic><topic>Xenografts</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xiang, Dai-Min</creatorcontrib><creatorcontrib>Sun, Wen</creatorcontrib><creatorcontrib>Zhou, Tengfei</creatorcontrib><creatorcontrib>Zhang, Cheng</creatorcontrib><creatorcontrib>Cheng, Zhuo</creatorcontrib><creatorcontrib>Li, Shi-Chao</creatorcontrib><creatorcontrib>Jiang, Weiqi</creatorcontrib><creatorcontrib>Wang, Ruoyu</creatorcontrib><creatorcontrib>Fu, Gongbo</creatorcontrib><creatorcontrib>Cui, Xiuliang</creatorcontrib><creatorcontrib>Hou, Guojun</creatorcontrib><creatorcontrib>Jin, Guang-Zhi</creatorcontrib><creatorcontrib>Li, Hengyu</creatorcontrib><creatorcontrib>Hou, Caiying</creatorcontrib><creatorcontrib>Liu, Hui</creatorcontrib><creatorcontrib>Wang, Hongyang</creatorcontrib><creatorcontrib>Ding, Jin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><jtitle>Gut</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xiang, Dai-Min</au><au>Sun, Wen</au><au>Zhou, Tengfei</au><au>Zhang, Cheng</au><au>Cheng, Zhuo</au><au>Li, Shi-Chao</au><au>Jiang, Weiqi</au><au>Wang, Ruoyu</au><au>Fu, Gongbo</au><au>Cui, Xiuliang</au><au>Hou, Guojun</au><au>Jin, Guang-Zhi</au><au>Li, Hengyu</au><au>Hou, Caiying</au><au>Liu, Hui</au><au>Wang, Hongyang</au><au>Ding, Jin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oncofetal HLF transactivates c-Jun to promote hepatocellular carcinoma development and sorafenib resistance</atitle><jtitle>Gut</jtitle><stitle>Gut</stitle><addtitle>Gut</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>68</volume><issue>10</issue><spage>1858</spage><epage>1871</epage><pages>1858-1871</pages><issn>0017-5749</issn><eissn>1468-3288</eissn><abstract>Background and aimsThe unique expression pattern makes oncofetal proteins ideal diagnostic biomarkers and therapeutic targets in cancer. However, few oncofetal proteins have been identified and entered clinical practice.MethodsFetal liver, adult liver and hepatocellular carcinoma (HCC) tissues were employed to assess the expression of hepatic leukaemia factor (HLF). The impact of HLF on HCC onset and progression was investigated both in vivo and in vitro. The association between HLF and patient prognosis was determined in patient cohorts. The correlation between HLF expression and sorafenib benefits in HCC was further evaluated in patient cohorts and patient-derived xenografts (PDXs).ResultsHLF is a novel oncofetal protein which is reactivated in HCC by SOX2 and OCT4. Functional studies revealed that HLF transactivates c-Jun to promote tumour initiating cell (TIC) generation and enhances TIC-like properties of hepatoma cells, thus driving HCC initiation and progression. Consistently, our clinical investigations elucidated the association between HLF and patient prognosis and unravelled the close correlation between HLF levels and c-Jun expression in patient HCCs. Importantly, HLF/c-Jun axis determines the responses of hepatoma cells to sorafenib treatment, and interference of HLF abrogated c-Jun activation and enhanced sorafenib response. Analysis of patient cohorts and PDXs further suggests that HLF/c-Jun axis might serve as a biomarker for sorafenib benefits in HCC patients.ConclusionsOur findings uncovered HLF as a novel oncofetal protein and revealed the crucial role of the HLF/c-Jun axis in HCC development and sorafenib response, rendering HLF as an optimal target for the prevention and intervention of HCC.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Society of Gastroenterology</pub><pmid>31118247</pmid><doi>10.1136/gutjnl-2018-317440</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-4709-3334</orcidid></addata></record>
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subjects Adult
Antineoplastic Agents - pharmacology
Apoptosis
Basic-Leucine Zipper Transcription Factors - biosynthesis
Basic-Leucine Zipper Transcription Factors - genetics
Biomarkers
c-Jun protein
Cancer therapies
carcinogenesis
Carcinoma, Hepatocellular - drug therapy
Carcinoma, Hepatocellular - genetics
Carcinoma, Hepatocellular - pathology
Cell Line, Tumor
Clinical medicine
Disease Progression
DNA, Neoplasm - genetics
drug resistance
Drug Resistance, Neoplasm
Female
Fetuses
Gene expression
Genes, jun - genetics
Hepatocellular carcinoma
Hepatology
Hepatoma
Hospitals
Humans
Immunoprecipitation
Inhibitor drugs
Kinases
Leucine Zippers
Leukemia
Liver cancer
Liver Neoplasms - drug therapy
Liver Neoplasms - genetics
Liver Neoplasms - pathology
Male
Medical diagnosis
Medical prognosis
Oct-4 protein
oncogenes
Patients
Prognosis
Proteins
Signal transduction
Sorafenib - pharmacology
Stem cells
Surgery
Targeted cancer therapy
Therapeutic applications
Transcription factors
Tumors
tumour markers
Xenografts
title Oncofetal HLF transactivates c-Jun to promote hepatocellular carcinoma development and sorafenib resistance
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