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Published on: April 18, 2025
Deregulation of the activin/follistatin system in hepatocarcinogenesis
Michael Grusch1, Claudia Drucker, Barbara Peter-Vörösmarty
1Department of Medicine I, Division: Institute of Cancer Research, Medical University of Vienna, Borschkegasse 8a, A-1090 Vienna, Austria. michael.grusch@meduniwien.ac.at
Background/Aims:
Activins A and E negatively regulate hepatic cell number by inhibiting cell replication and inducing apoptosis. Follistatin and follistatin-like 3 bind activins and antagonise their biological activities. Aim of our study was to investigate, whether activins and follistatins may play a role in hepatocarcinogenesis.
Methods:
Expression levels of follistatin, follistatin-like 3, and activin subunits beta(A) as well as beta(E) were investigated in chemically induced rat and human liver tumours by real-time PCR and immunohistochemistry. In addition, the effects of follistatin and activin A on DNA synthesis of normal as well as preneoplastic hepatocytes and hepatoma cells were analysed.
Results:
Follistatin was overexpressed while both activin subunits were downregulated in the majority of rat and human liver tumours. Follistatin-like 3 expression was low in normal but enhanced in malignant rat liver. In human normal liver, in contrast, it was abundantly expressed but downregulated in liver cancer. Administration of follistatin to normal and preneoplastic hepatocytes stimulated DNA synthesis preferentially in preneoplastic rat hepatocytes, whereas activin A repressed it.
Conclusions:
The balanced expression of follistatins and activins becomes deregulated during hepatocarcinogenesis. The sensitivity of preneoplastic hepatocytes to activin signals suggests the activin/follistatin system as promising target for therapeutic intervention.
Insights
Activins and follistatins regulate liver cell numbers. Their expression is disrupted in liver cancer, suggesting the activin/follistatin system as a therapeutic target for hepatocarcinogenesis.
Area of Science:
- Hepatology
- Molecular Biology
- Cancer Research
Background:
- Activins A and E inhibit liver cell replication and promote apoptosis.
- Follistatin and follistatin-like 3 are antagonists of activin activity.
- The role of activins and follistatins in liver cancer (hepatocarcinogenesis) is not well understood.
Purpose of the Study:
- To investigate the role of activins and follistatins in hepatocarcinogenesis.
- To analyze the expression of follistatin, follistatin-like 3, and activin subunits in liver tumors.
- To determine the effect of follistatin and activin A on hepatocyte DNA synthesis.
Main Methods:
- Real-time PCR and immunohistochemistry were used to assess gene and protein expression in rat and human liver tumors.
- DNA synthesis assays were performed on normal, preneoplastic, and cancerous hepatocytes.
- Animal models of chemically induced liver tumors were utilized.
Main Results:
- Follistatin was upregulated, while activin subunits beta(A) and beta(E) were downregulated in most liver tumors.
- Follistatin-like 3 expression increased in malignant rat liver but decreased in human liver cancer.
- Follistatin stimulated DNA synthesis in preneoplastic hepatocytes, whereas activin A inhibited it.
Conclusions:
- Deregulation of the activin/follistatin system occurs during hepatocarcinogenesis.
- Preneoplastic hepatocytes show sensitivity to activin signaling.
- The activin/follistatin pathway represents a potential therapeutic target for liver cancer.
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