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Published on: September 12, 2019
NUPR1, a new target in liver cancer: implication in controlling cell growth, migration, invasion and sorafenib
M R Emma1,2, J L Iovanna3, D Bachvarov4,5
1Institute of Biomedicine and Molecular Immunology "Alberto Monroy", National Research Council (CNR), Palermo, Italy.
Abstract:
Sorafenib, an oral multikinase inhibitor, is the only approved agent for the treatment of advanced hepatocellular carcinoma (HCC). However, its benefits are modest, and as its mechanisms of action remain elusive, a better understanding of its anticancer effects is needed. Based on our previous study results, we investigated here the implication of the nuclear protein 1 (NUPR1) in HCC and its role in sorafenib treatment. NUPR1 is a stress-inducible protein that is overexpressed in various malignancies, but its role in HCC is not yet fully understood. We found that NUPR1 expression was significantly higher in primary human HCC samples than in the normal liver. Knockdown of NUPR1 significantly increased cell sensitivity to sorafenib and inhibited the cell growth, migration and invasion of HCC cells, both in vitro and in vivo. Moreover, NUPR1 silencing influenced the expression of RELB and IER3 genes. Unsurprisingly, RELB and IER3 knockdown also inhibited HCC cell viability, growth and migration. Using gene expression profiling of HCC cells following stable NUPR1 knockdown, we found that genes functionally involved in cell death and survival, cellular response to therapies, lipid metabolism, cell growth and proliferation, molecular transport and cellular movement were mostly suppressed. Network analysis of dynamic gene expression identified NF-κB and ERK as downregulated gene nodes, and several HCC-related oncogenes were also suppressed. We identified Runt-related transcription factor 2 (RUNX2) gene as a NUPR1-regulated gene and demonstrated that RUNX2 gene silencing inhibits HCC cell viability, growth, migration and increased cell sensitivity to sorafenib. We propose that the NUPR1/RELB/IER3/RUNX2 pathway has a pivotal role in hepatocarcinogenesis. The identification of the NUPR1/RELB/IER3/RUNX2 pathway as a potential therapeutic target may contribute to the development of new treatment strategies for HCC management.
Insights
Nuclear protein 1 (NUPR1) promotes hepatocellular carcinoma (HCC) growth and sorafenib resistance. Targeting the NUPR1/RELB/IER3/RUNX2 pathway may offer new HCC treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Hepatology
Background:
- Sorafenib is the sole approved treatment for advanced hepatocellular carcinoma (HCC), yet its efficacy is limited.
- The precise mechanisms underlying sorafenib's action and resistance in HCC remain incompletely understood.
- Nuclear protein 1 (NUPR1), a stress-inducible protein overexpressed in cancers, has an unclear role in HCC.
Purpose of the Study:
- To investigate the role of NUPR1 in HCC development and progression.
- To determine the involvement of NUPR1 in sorafenib treatment response in HCC.
- To elucidate the molecular pathways regulated by NUPR1 in HCC.
Main Methods:
- NUPR1 expression analysis in human HCC samples.
- In vitro and in vivo studies involving NUPR1 knockdown in HCC cells.
- Gene expression profiling and network analysis following NUPR1 silencing.
- Assessment of the impact of RELB, IER3, and RUNX2 gene silencing on HCC cells.
Main Results:
- NUPR1 expression is significantly elevated in HCC tissues compared to normal liver.
- NUPR1 knockdown enhances HCC cell sensitivity to sorafenib and inhibits proliferation, migration, and invasion.
- NUPR1 silencing downregulates key genes including RELB, IER3, and RUNX2, impacting pathways like NF-κB and ERK.
- Silencing of RELB, IER3, or RUNX2 individually inhibits HCC cell viability and growth.
Conclusions:
- The NUPR1/RELB/IER3/RUNX2 pathway plays a critical role in hepatocarcinogenesis.
- NUPR1 promotes HCC progression and contributes to sorafenib resistance.
- Targeting the NUPR1 pathway presents a promising therapeutic strategy for managing HCC.
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