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Updated: Jan 21, 2026

Induction and Analysis of Epithelial to Mesenchymal Transition
Published on: August 27, 2013
TLX3 repressed SNAI1-induced epithelial-mesenchymal transition by directly constraining STAT3 phosphorylation and
Cong Wang1, Changwei Dou1, Yufeng Wang1
1Department of Hepatobiliary Surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi 710061, China.
Abstract:
TLX3 has an established role as a sequence-specific transcription factor with vital functions in the nervous system. Although several studies have shown that TLX3 is aberrantly up-regulated in leukemia, its expression and function in hepatocellular carcinoma (HCC) remain unknown. We found that TLX3 expression was decreased in 68/100 (68%) HCC cases and negatively correlated with the expression of p-STAT3, SNAI1, and Vimentin, while it was positively associated with E-cadherin expression. ITRAQ proteomic profiling revealed significantly less TLX3 expression in primary HCC tumors than in portal vein tumor thrombi. Comparison of Kaplan-Meier curves showed that down-regulation of TLX3 in HCC was associated with poor post-surgical survival. TLX3 over-expression inhibited HCC cell viability, proliferation, migration, invasion and enhanced 5-FU treatment, whereas silencing TLX3 produced the opposite results. Further experiments showed that TLX3 attenuated the EMT phenotype. In vivo experiments showed that knockdown of TLX3 promoted the growth of HCC xenografts and attenuated the anti-tumor effects of 5-FU treatment. Gene expression microarray analysis revealed that TLX3 inhibited IL-6/STAT3 signaling. In additional mechanistic studies TLX3 reversed the EMT phenotype of HCC cells by binding to STAT3, inhibiting STAT3 phosphorylation, and down-regulating SNAI1 expression. Taken together, loss of expression of TLX3 induces EMT by enhancing IL-6/STAT3/SNAI1 signaling, and accelerates HCC progression while also attenuated the effect of 5-FU on HCCs.
Insights
Loss of TLX3 expression in hepatocellular carcinoma (HCC) promotes tumor progression and metastasis by enhancing EMT signaling. Restoring TLX3 may improve patient survival and enhance chemotherapy effectiveness.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- TLX3 is a transcription factor crucial for nervous system development.
- While known for its role in leukemia, TLX3's function in hepatocellular carcinoma (HCC) is unexplored.
- Aberrant TLX3 expression is implicated in various cancers.
Purpose of the Study:
- To investigate the expression and function of TLX3 in hepatocellular carcinoma (HCC).
- To determine the correlation between TLX3 expression and clinicopathological features, patient survival, and therapeutic response in HCC.
- To elucidate the underlying molecular mechanisms of TLX3's role in HCC progression and epithelial-mesenchymal transition (EMT).
Main Methods:
- Analysis of TLX3 expression in HCC patient samples.
- ITRAQ proteomic profiling and gene expression microarray analysis.
- In vitro cell viability, proliferation, migration, and invasion assays.
- In vivo xenograft studies.
- Western blot analysis to assess protein phosphorylation and expression.
Main Results:
- TLX3 expression was decreased in 68% of HCC cases and associated with poor survival.
- TLX3 downregulation correlated with increased p-STAT3, SNAI1, Vimentin, and decreased E-cadherin.
- TLX3 overexpression inhibited HCC cell growth, migration, invasion, and enhanced 5-FU sensitivity, while attenuating EMT.
- TLX3 suppressed IL-6/STAT3 signaling by inhibiting STAT3 phosphorylation and SNAI1 expression.
Conclusions:
- Loss of TLX3 expression promotes HCC progression and metastasis by activating the IL-6/STAT3/SNAI1 signaling pathway, leading to EMT.
- TLX3 downregulation contributes to poor patient prognosis and reduced sensitivity to 5-FU chemotherapy.
- TLX3 acts as a tumor suppressor in HCC, and its restoration holds therapeutic potential.
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