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Type III TGF-β Receptor Down-Regulation Promoted Tumor Progression via Complement Component C5a Induction in
Oscar Wai Ho Yeung1, Xiang Qi1, Li Pang1
1Department of Surgery, HKU-SZH & The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Abstract:
Background and Aims-Transforming growth factor-beta (TGF-β) signaling orchestrates tumorigenesis and one of the family members, TGF-β receptor type III (TGFβR3), are distinctively under-expressed in numerous malignancies. Currently, the clinical impact of TGFβR3 down-regulation and the underlying mechanism remains unclear in hepatocellular carcinoma (HCC). Here, we aimed to identify the tumor-promoting roles of decreased TGFβR3 expression in HCC progression. Materials and Methods-For clinical analysis, plasma and liver specimens were collected from 100 HCC patients who underwent curative resection for the quantification of TGFβR3 by q-PCR and ELISA. To study the tumor-promoting mechanism of TGFβR3 downregulation, HCC mouse models and TGFβR3 knockout cell lines were applied. Results-Significant downregulation of TGFβR3 and its soluble form (sTGFβR3) were found in HCC tissues and plasma compared to healthy individuals (p < 0.01). Patients with <9.4 ng/mL sTGFβR3 exhibited advanced tumor stage, higher recurrence rate and shorter disease-free survival (p < 0.05). The tumor-suppressive function of sTGFβR3 was further revealed in an orthotopic mouse HCC model, resulting in 2-fold tumor volume reduction. In TGFβR3 knockout hepatocyte and HCC cells, increased complement component C5a was observed and strongly correlated with shorter survival and advanced tumor stage (p < 0.01). Interestingly, C5a activated the tumor-promoting Th-17 response in tumor associated macrophages. Conclusion-TGFβR3 suppressed tumor progression, and decreased expression resulted in poor prognosis in HCC patients through upregulation of tumor-promoting complement C5a.
Insights
Transforming growth factor-beta receptor type III (TGFβR3) downregulation promotes hepatocellular carcinoma (HCC) progression. Reduced TGFβR3 levels correlate with poor HCC prognosis by increasing complement C5a, which fuels tumor growth.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Transforming growth factor-beta (TGF-β) signaling is crucial in tumorigenesis.
- TGF-β receptor type III (TGFβR3) is notably underexpressed in many cancers.
- The role of TGFβR3 in hepatocellular carcinoma (HCC) remains poorly understood.
Purpose of the Study:
- To investigate the clinical impact of TGFβR3 downregulation in HCC.
- To elucidate the underlying mechanisms by which reduced TGFβR3 expression promotes HCC progression.
Main Methods:
- Quantified TGFβR3 and soluble TGFβR3 (sTGFβR3) in 100 HCC patients' plasma and liver tissues using qPCR and ELISA.
- Utilized HCC mouse models and TGFβR3 knockout cell lines to study molecular mechanisms.
- Assessed complement component C5a levels and Th-17 immune responses.
Main Results:
- Significantly lower TGFβR3 and sTGFβR3 levels were observed in HCC patients compared to healthy controls (p < 0.01).
- Low sTGFβR3 (<9.4 ng/mL) correlated with advanced tumor stage, higher recurrence, and shorter disease-free survival (p < 0.05).
- TGFβR3 deficiency led to increased complement C5a, which activated pro-tumorigenic Th-17 responses in macrophages, correlating with poor prognosis (p < 0.01).
Conclusions:
- TGFβR3 acts as a tumor suppressor in HCC progression.
- Decreased TGFβR3 expression is linked to poor HCC prognosis.
- Upregulation of complement C5a by reduced TGFβR3 drives HCC tumor growth and adverse outcomes.
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