The role of APE/Ref-1 signaling pathway in hepatocellular carcinoma progression

Int J Oncol. 2014 Nov;45(5):1820-8. doi: 10.3892/ijo.2014.2589. Epub 2014 Aug 8.

Abstract

Hepatocellular carcinoma (HCC) is responsible for a third of the estimated cancer-caused deaths worldwide. To deeply understand the mechanisms controlling HCC progression is of primary importance to develop new approaches for treatment. Apurinic/apyrimidinic endonuclease-1/redox effector factor 1 (APE/Ref-1) has been uncovered elevated in various types of cancer, including HCC. Additionally, HCC progression is always correlated with elevated copper (Cu). Our previous data demonstrated that Cu treatment initiated APE/Ref-1 expression and its downstream targets. Therefore, we hypothesized that APE/Ref-1 may be involved in HCC progression through mediating the effect of Cu to its signaling cascades. Following different treatments, human HCC cell line (Hep3B) and immortalized non-malignant hepatocyte cell line (THLE3) were analyzed to explore the role of APE/Ref-1 signaling pathway. Unstained human tissue microarrays (TMA) were subjected to IHC analysis to study the relationship between APE/Ref-1 expression and clinic features. APE/Ref-1 was upregulated in HCC cells consistent with the strong expression of APE/Ref-1 in HCC tissue microarray. Greater cytoplasmic accumulation of APE/Ref-1 was found in poorly differentiated and more aggressive tumors. Also we provide evidence to show that APE/Ref-1 signaling pathway stimulates cellular proliferation, enhances anti-apoptosis, and facilitates metastasis through experimental knockdown of APE/Ref-1 using siRNA in Hep3B cells or overexpressing APE/Ref-1 in THLE3 cells. These results define a novel role of APE/Ref-1 in HCC progression as being an important mediating and potentiating molecule, and also provide a basis for further investigations utilizing appropriate APE/Ref-1 inhibitors in combination with chemo-drugs for HCC treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apoptosis / drug effects
  • Apoptosis / genetics
  • Carcinogenesis / drug effects*
  • Carcinoma, Hepatocellular / genetics*
  • Carcinoma, Hepatocellular / pathology
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Copper / administration & dosage
  • DNA Repair / drug effects
  • DNA Repair / genetics
  • Gene Expression Regulation, Neoplastic / drug effects
  • Humans
  • Liver Neoplasms / genetics*
  • Liver Neoplasms / pathology
  • Microfilament Proteins / antagonists & inhibitors
  • Microfilament Proteins / biosynthesis*
  • Microfilament Proteins / genetics
  • RNA, Small Interfering / genetics
  • Signal Transduction / genetics
  • Vesicular Transport Proteins / antagonists & inhibitors
  • Vesicular Transport Proteins / biosynthesis*
  • Vesicular Transport Proteins / genetics

Substances

  • CCDC88A protein, human
  • Microfilament Proteins
  • RNA, Small Interfering
  • Vesicular Transport Proteins
  • Copper