Abstract
Hepatitis B virus (HBV) pre-S2 mutant can induce hepatocellular carcinoma (HCC) via the induction of endoplasmic reticulum stress to activate mammalian target of rapamycin (MTOR) signaling. The association of metabolic syndrome with HBV-related HCC raises the possibility that pre-S2 mutant-induced MTOR activation may drive the development of metabolic disorders to promote tumorigenesis in chronic HBV infection. To address this issue, glucose metabolism and gene expression profiles were analyzed in transgenic mice livers harboring pre-S2 mutant and in an in vitro culture system. The pre-S2 mutant transgenic HCCs showed glycogen depletion. The pre-S2 mutant initiated an MTOR-dependent glycolytic pathway, involving the eukaryotic translation initiation factor 4E binding protein 1 (EIF4EBP1), Yin Yang 1 (YY1), and myelocytomatosis oncogene (MYC) to activate the solute carrier family 2 (facilitated glucose transporter), member 1 (SLC2A1), contributing to aberrant glucose uptake and lactate production at the advanced stage of pre-S2 mutant transgenic tumorigenesis. Such a glycolysis-associated MTOR signal cascade was validated in human HBV-related HCC tissues and shown to mediate the inhibitory effect of a model of combined resveratrol and silymarin product on tumor growth. Our results provide the mechanism of pre-S2 mutant-induced MTOR activation in the metabolic switch in HBV tumorigenesis. Chemoprevention can be designed along this line to prevent HCC development in high-risk HBV carriers.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Adaptor Proteins, Signal Transducing / metabolism
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Animals
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Carcinoma, Hepatocellular / etiology
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Carcinoma, Hepatocellular / metabolism
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Carcinoma, Hepatocellular / pathology
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Cell Cycle Proteins
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Cell Line
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Glucose Transporter Type 1 / metabolism
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Glycogen / metabolism
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Glycolysis
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Hepatitis B / metabolism*
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Hepatitis B / virology*
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Hepatitis B Surface Antigens / genetics
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Hepatitis B Surface Antigens / metabolism*
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Hepatitis B virus / genetics
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Hepatitis B virus / metabolism*
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Humans
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Immunohistochemistry
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Liver Neoplasms / etiology
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Liver Neoplasms / metabolism
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Liver Neoplasms / pathology
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Mice
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Mice, Transgenic
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Mutant Proteins*
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Phosphoproteins / metabolism
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Protein Precursors / genetics
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Protein Precursors / metabolism*
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Proto-Oncogene Proteins c-myc / metabolism
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Signal Transduction*
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TOR Serine-Threonine Kinases / metabolism*
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YY1 Transcription Factor / metabolism
Substances
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Adaptor Proteins, Signal Transducing
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Cell Cycle Proteins
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EIF4EBP1 protein, human
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Glucose Transporter Type 1
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Hepatitis B Surface Antigens
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Mutant Proteins
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Phosphoproteins
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Protein Precursors
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Proto-Oncogene Proteins c-myc
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YY1 Transcription Factor
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presurface protein 2, hepatitis B surface antigen
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Glycogen
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TOR Serine-Threonine Kinases
Grants and funding
The authors received a grant from National Health Research Institutes (grant number: 03A1-IVPP20-014;
http://www.nhri.org.tw/NHRI_WEB/nhriw001Action.do). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.