Affiliation:
1. School of Laboratory Medicine and Biotechnology, Southern Medical University
2. Wenzhou Medical University Eye Hospital and School of Biomedical Engineering
3. General Hospital of Southern Theatre Command of PLA
4. Institute of Antibody Engineering
5. University of Plymouth Faculty of Medicine and Dentristry
Abstract
Abstract
Vesicle amine transport-1 (VAT-1) was implicated in regulation of vesicular transport, mitochondrial fusion, axonal growth, phospholipid transport and cell migration. However, the role of VAT-1 in tumour biology and disease progression of hepatocellular carcinoma (HCC) remains unknown. Here, we first investigated the expression of VAT-1 in clinical HCC samples by immunohistochemistry and in various transcriptomic datasets by bioinformatics. The biological functions of VAT-1 in HCC were then explored by using a variety of techniques including in vitro cell-based assays, in vivo xenograft models, high throughput mRNA-Seq, KEGG pathway enrichment, flow-cytometry analysis, immunoassays and bioinformatics. Underlying mechanisms were further verified in clinical tumour specimens. We demonstrated that VAT-1 is significantly upregulated in tumour tissues and associated with tumour size, invasion, clinical stage and overall survival of patients. Multivariate Cox analysis indicated VAT-1 is an independent unfavourable prognostic factor. VAT-1 downregulation significantly inhibited cell growth and colony formation in vitro and xenograft growth by decreasing proliferation and increasing apoptosis. Mechanistic studies revealed VAT-1 downregulation inhibits tumour growth through induction of the cell cycle arrest at G1-G0 by regulating the expression of cyclin D1, cyclin D3, CDK6, c-Myc and MCL-1. Strikingly, VAT-1 regulates STAT3 phosphorylation at Y705, nuclear translocation of pSTAT3-Y705, EGF-induced STAT3 signalling and consequently the expression of downstream c-Myc and cyclin D1. In both established HCC cell lines and clinical tumour samples, VAT-1 regulates numerous pathways including cell cycle, ErbB pathway, EGFR tyrosine kinase inhibitor resistance and JAK-STAT pathway; VAT-1 expression is significantly correlated with core components of EGF-EGFR-STAT3-cell cycle axis, highlighting the role of VAT-1 in regulation of EGF-STAT3-c-Myc-cyclin D/CDK6 signalling. Our results provide new insights into the carcinogenesis and disease progression of HCC and rationales for the development of novel intervention strategies against HCC. VAT-1 could serve as an independent prognostic biomarker for predicting clinical outcome of HCC patients.
Publisher
Research Square Platform LLC
Reference48 articles.
1. Cancer statistics, 2020;Siegel RL;CA Cancer J Clin,2020
2. Cancer statistics in China, 2015;Chen W;CA Cancer J Clin,2016
3. Cabozantinib in Patients with Advanced and Progressing Hepatocellular Carcinoma;Abou-Alfa GK;N Engl J Med,2018
4. Regorafenib for patients with hepatocellular carcinoma who progressed on sorafenib treatment (RESORCE): a randomised, double-blind, placebo-controlled, phase 3 trial;Bruix J;Lancet,2017
5. Lenvatinib versus sorafenib in first-line treatment of patients with unresectable hepatocellular carcinoma: a randomised phase 3 non-inferiority trial;Kudo M;Lancet,2018