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Updated: Apr 30, 2026

A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
RalA signaling pathway as a therapeutic target in hepatocellular carcinoma (HCC)
Mohamad Ezzeldin1, Emma Borrego-Diaz1, Mohammad Taha1
1The University of Kansas Medical School, Divisions of Gastroenterology, Hepatology and Motility and Hematology/Oncology, Molecular Medicine Laboratory, Kansas City, KS, USA.
Abstract:
Ral (Ras like) leads an important proto-oncogenic signaling pathway down-stream of Ras. In this work, RalA was found to be significantly overactivated in hepatocellular carcinoma (HCC) cells and tissues as compared to non-malignant samples. Other elements of RalA pathway such as RalBP1 and RalGDS were also expressed at higher levels in malignant samples. Inhibition of RalA by gene-specific silencing caused a robust decrease in the viability and invasiveness of HCC cells. Additionally, the use of geranyl-geranyl transferase inhibitor (GGTI, an inhibitor of Ral activation) and Aurora kinase inhibitor II resulted in a significant decrease in the proliferation of HCC cells. Furthermore, RalA activation was found to be at a higher level of activation in HCC stem cells that express CD133. Transgenic mouse model for HCC (FXR-Knockout) also revealed an elevated level of RalA-GTP in the liver tumors as compared to background animals. Finally, subcutaneous mouse model for HCC confirmed effectiveness of inhibition of aurora kinase/RalA pathway in reducing the tumorigenesis of HCC cells in vivo. In conclusion, RalA overactivation is an important determinant of malignant phenotype in differentiated and stem cells of HCC and can be considered as a target for therapeutic intervention.
Insights
RalA overactivation drives hepatocellular carcinoma (HCC) progression. Inhibiting RalA or its related pathways significantly reduces HCC cell viability, invasiveness, and tumorigenesis, suggesting RalA as a therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- Ral (Ras like) proteins are key components of proto-oncogenic signaling pathways downstream of Ras.
- Aberrant signaling in these pathways contributes to cancer development and progression.
Purpose of the Study:
- To investigate the role of RalA signaling in hepatocellular carcinoma (HCC).
- To evaluate RalA as a potential therapeutic target for HCC treatment.
Main Methods:
- Analysis of RalA pathway component expression in HCC tissues and cells.
- Gene-specific silencing of RalA.
- Pharmacological inhibition of RalA activation (using GGTI) and Aurora kinase.
- Assessment of HCC stem cell markers (CD133).
- Evaluation in transgenic (FXR-Knockout) and subcutaneous mouse models of HCC.
Main Results:
- RalA was significantly overactivated in HCC cells and tissues compared to non-malignant samples.
- RalBP1 and RalGDS expression were elevated in malignant samples.
- Inhibition of RalA reduced HCC cell viability and invasiveness.
- Inhibitors of Ral activation (GGTI) and Aurora kinase decreased HCC cell proliferation.
- Elevated RalA activation was observed in CD133+ HCC stem cells.
- RalA-GTP levels were higher in liver tumors of a transgenic HCC mouse model.
- Inhibition of the aurora kinase/RalA pathway reduced HCC tumorigenesis in vivo.
Conclusions:
- RalA overactivation is a critical factor in the malignant phenotype of both differentiated and stem cells in HCC.
- Targeting the RalA pathway, including Aurora kinase, offers a promising therapeutic strategy for HCC.
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