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Published on: October 24, 2015
17-beta-hydroxysteroid dehydrogenase 13 inhibits the progression and recurrence of hepatocellular carcinoma
Jun Chen1, Jian-Yong Zhuo1, Fan Yang1
1Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China; Key Laboratory of Combined Multi-Organ Transplantation, Ministry of Public Health, Hangzhou 310003, China; Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Hangzhou 310003, China.
Background:
Our previous study showed that 17-beta-hydroxysteroid dehydrogenase 13 (HSD17B13) is down-regulated in hepatocellular carcinoma (HCC). But its function in HCC remains unknown. This study aimed to reveal the function of HSD17B13 and its clinical significance in HCC.
Methods:
mRNA levels of HSD17B13 were analyzed in cohort 1 (30 normal, 30 HBV cirrhosis, 60 HBV-related HCC and 60 peritumoral tissue) by real-time PCR. HSD17B13 protein was evaluated in cohort 2 (15 normal, 33 HBV-cirrhosis, 12 dysplastic nodules, 34 HBV-related HCC, and 9 metastatic HCC) using immunohistochemistry. The association between HSD17B13 and the survival of HCC patients was analyzed in cohort 3 (n = 88). The inhibitory mechanism of HSD17B13 on HCC was explored .
Results:
The mRNA of HSD17B13 and its protein expression were significantly down-regulated in HCC compared to non-tumor specimens (P < 0.001). The sensitivity, specificity and area under curve (AUC) values of HSD17B13 expression levels for HCC detection were 81.7%, 83.7% and 0.856, respectively (P < 0.001). Lower HSD17B13 in peritumoral tissue was an independent risk factor of worse recurrence free survival of HCC patients (HR: 0.41; 95% CI: 0.20-0.83; P = 0.014). The study in Huh 7 and SK-HEP-1 cells showed that HSD17B13 induced an accumulation of cells in G1 phase and reduction of cells in S and G2 phases via up-regulating the expression of P21, P27 and MMP2.
Conclusions:
Lower HSD17B13 in peritumoral tissues was associated with worse recurrence free survival and overall survival of HCC patients. HSD17B13 delayed G1/S progression of HCC cells. HSD17B13 may be a therapeutic target for the treatment of HCC.
Insights
Lower expression of 17-beta-hydroxysteroid dehydrogenase 13 (HSD17B13) in hepatocellular carcinoma (HCC) correlates with poorer patient survival. HSD17B13 inhibits HCC cell growth and may serve as a therapeutic target.
Area of Science:
- Hepatology
- Oncology
- Molecular Biology
Background:
- 17-beta-hydroxysteroid dehydrogenase 13 (HSD17B13) is downregulated in hepatocellular carcinoma (HCC).
- The precise function and clinical significance of HSD17B13 in HCC progression were previously unknown.
Purpose of the Study:
- To elucidate the functional role of HSD17B13 in HCC.
- To investigate the clinical significance of HSD17B13 expression in HCC patients.
Main Methods:
- Real-time PCR and immunohistochemistry were used to analyze HSD17B13 mRNA and protein levels in HCC tissues and adjacent non-tumor samples.
- Statistical analysis, including survival analysis, was performed on patient cohorts.
- In vitro studies explored the mechanism of HSD17B13's effect on HCC cell cycle progression.
Main Results:
- HSD17B13 mRNA and protein expression were significantly decreased in HCC tissues compared to non-tumor tissues.
- Lower HSD17B13 expression in peritumoral tissue was an independent predictor of worse recurrence-free survival in HCC patients.
- HSD17B13 induced G1 cell cycle arrest and suppressed HCC cell proliferation by upregulating P21, P27, and MMP2.
Conclusions:
- Reduced HSD17B13 expression is linked to unfavorable survival outcomes in HCC patients.
- HSD17B13 demonstrates tumor-suppressive properties by inhibiting HCC cell cycle progression.
- HSD17B13 represents a potential therapeutic target for HCC treatment.
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