Characterization of the GNMT-HectH9-PREX2 tripartite relationship in the pathogenesis of hepatocellular carcinoma

Chung-Hsien Li1, Chia-Hung Yen1,2, Yen-Fu Chen1

  • 1Center for Infectious Disease and Cancer Research (CICAR), Kaohsiung Medical University, Kaohsiung, 80708, Taiwan.

Insights

Glycine N-methyltransferase (GNMT) loss in liver cancer promotes tumor growth by stabilizing PREX2, a PTEN inhibitor. This pathway involves HectH9-mediated degradation, impacting AKT signaling and patient survival.

Area of Science:

  • Hepatocellular carcinoma (HCC) pathogenesis
  • Molecular oncology
  • Signal transduction pathways

Background:

  • Glycine N-methyltransferase (GNMT) is frequently downregulated in hepatocellular carcinoma (HCC).
  • GNMT gene knockout mice exhibit high penetrance of HCC.
  • PREX2, a PTEN inhibitor, is implicated in cancer development.

Purpose of the Study:

  • To elucidate the role of GNMT in HCC pathogenesis.
  • To identify proteins interacting with GNMT.
  • To investigate the mechanism by which GNMT influences AKT signaling and cell proliferation in HCC.

Main Methods:

  • Protein-protein interaction studies to identify GNMT interactors.
  • Ubiquitination assays to study protein degradation pathways.
  • Western blotting and immunohistochemistry to assess protein expression in mouse models and human HCC samples.
  • Analysis of AKT signaling pathway activation.
  • Correlation analysis between PREX2 expression and patient survival.

Main Results:

  • PREX2 was identified as a GNMT-interacting protein.
  • GNMT promotes HectH9-mediated proteasomal degradation of PREX2.
  • Depletion of GNMT or HectH9 leads to PREX2 accumulation, AKT activation, and enhanced cell proliferation.
  • Elevated PREX2 protein levels and AKT activation were observed in Gnmt knockout mice livers.
  • PREX2 protein upregulation, independent of mRNA levels, was found in human HCC tissues and correlated with poorer survival.

Conclusions:

  • GNMT plays a crucial role in HCC tumorigenesis by regulating PREX2 stability.
  • The GNMT-HectH9-PREX2 axis controls AKT signaling, impacting cell proliferation and HCC progression.
  • Post-translational regulation of PREX2 by GNMT represents a novel mechanism in HCC development.

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