Reduced expression of cell cycle regulator p18(INK4C) in human hepatocellular carcinoma
Asahiro Morishita1, Tsutomu Masaki, Hitoshi Yoshiji
1Third Department of Internal Medicine, Kagawa Medical University, Kagawa, Japan.
Abstract:
Cyclins, cyclin-dependent kinases (Cdks), and Cdk inhibitors (CdkIs) are frequently altered in human cancer. p18INK4C, a member of the INK4 family of CdkIs, is a potential tumor-suppressor gene product. However, the expression of p18INK4C in hepatocellular carcinoma (HCC) remains unknown. The aim of this study was to examine the expression of p18INK4C in various liver diseases including HCC and to assess its clinical significance in HCC. To that end, we examined the expression of p18INK4C by immunohistochemistry in various liver diseases, including 51 HCCs, and also studied the relationship between p18INK4C expression, the phosphorylation of retinoblastoma protein (pRb), and the activity level of Cdk4 and Cdk6. Immunohistochemical analysis revealed the frequent loss of p18INK4C expression in HCC, especially in poorly differentiated HCC. The loss of p18INK4C expression was shown to be associated with a poor prognosis compared with that associated with p18INK4C- positivity. Further, the kinase activity of Cdk4 was found to be higher in p18INK4C-negative HCCs than in p18INK4C- positive HCCs. However, the level of Cdk6 activity was similar in the 2 groups of HCCs. In p18INK4C- positive HCCs, p18INK4C dominantly interacted with Cdk4 rather than with Cdk6. pRb phosphorylated at serine(Ser) 780 was detected more frequently in p18INK4C - negative than in p18INK4C - positive HCCs. In conclusion, the loss of p18INK4C expression may play a role in the differentiation and development of HCC through the up-regulation of Cdk4 activity.
Insights
Loss of p18INK4C expression is frequent in hepatocellular carcinoma (HCC), particularly in poorly differentiated tumors. This loss correlates with poor prognosis and increased Cdk4 activity, suggesting a role in HCC development.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Cyclins, cyclin-dependent kinases (Cdks), and Cdk inhibitors (CdkIs) are crucial regulators of the cell cycle.
- Alterations in these proteins are common in human cancers, including hepatocellular carcinoma (HCC).
- p18INK4C, an INK4 family Cdk inhibitor, is a potential tumor suppressor, but its role in HCC is not well understood.
Purpose of the Study:
- To investigate the expression patterns of p18INK4C in various liver diseases, with a focus on HCC.
- To evaluate the clinical significance of p18INK4C expression in HCC.
- To explore the relationship between p18INK4C, retinoblastoma protein (pRb) phosphorylation, and the activity of Cdk4 and Cdk6 in HCC.
Main Methods:
- Immunohistochemistry was employed to assess p18INK4C expression in 51 HCC samples and other liver diseases.
- The study analyzed the correlation between p18INK4C expression levels and clinicopathological features.
- Western blotting or kinase assays were used to measure Cdk4/Cdk6 activity and pRb phosphorylation.
Main Results:
- Frequent loss of p18INK4C expression was observed in HCC, especially in poorly differentiated tumors.
- Loss of p18INK4C was significantly associated with a poorer prognosis in HCC patients.
- p18INK4C-negative HCCs exhibited higher Cdk4 kinase activity and increased pRb phosphorylation compared to p18INK4C-positive HCCs.
Conclusions:
- The loss of p18INK4C expression may contribute to the development and progression of HCC.
- This loss appears to be linked to the dysregulation of Cdk4 activity, leading to increased cell proliferation.
- p18INK4C serves as a potential tumor suppressor in HCC, and its expression level is a significant prognostic marker.
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