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Updated: Aug 13, 2025

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Published on: March 27, 2020
TRIM15 forms a regulatory loop with the AKT/FOXO1 axis and LASP1 to modulate the sensitivity of HCC cells to TKIs
Chong Yang1, Xin Jin2,3,4, Xingchao Liu1
1Clinical Immunology Translational Medicine Key Laboratory of Sichuan Province & Organ Transplantation Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 611731, Sichuan, China.
Abstract:
For patients with advanced or metastatic Hepatocellular carcinoma (HCC) who are not suitable for surgical resection, systemic therapy has been considered to be the standard treatment. In recent years, a small subset of patients with unresectable HCC have been benefit from tyrosine kinase inhibitors (TKIs), and the overall survival time of these patients is significantly increased. However, all responders ultimately develop resistance to TKI treatment. The tripartite motif (TRIM) family member TRIM15 acts as an E3 ligase to mediate the polyubiquitination of substrates in cells. However, the biological role of TRIM15 in HCC is still an enigma. In our study, our results demonstrated that TRIM15 was abnormally upregulated in liver cancer cells after treated with TKIs and that this upregulation of TRIM15 contributed to TKI resistance in liver cancer cells. Then, we demonstrated that the upregulation of TRIM15 after TKI treatment was mediated by the AKT/FOXO1 axis. Moreover, we demonstrated that TRIM15 induced the nuclear translocation of LASP1 by mediating its K63-linked polyubiquitination, which modulated sensitivity to TKIs by increasing the phosphorylation of AKT and the expression of Snail in liver cancer cells. Collectively, we identified a novel AKT/FOXO1/TRIM15/LASP1 loop in cells, which provided potential candidates for overcoming TKI resistance in HCC.
Insights
This study reveals TRIM15 upregulation drives tyrosine kinase inhibitor (TKI) resistance in Hepatocellular carcinoma (HCC). Targeting the AKT/FOXO1/TRIM15/LASP1 pathway may overcome TKI resistance in liver cancer.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Systemic therapy, including tyrosine kinase inhibitors (TKIs), is standard for unresectable Hepatocellular carcinoma (HCC).
- While TKIs improve survival, TKI resistance remains a significant clinical challenge.
- The role of tripartite motif (TRIM) family member TRIM15 in HCC and TKI resistance is largely unknown.
Purpose of the Study:
- To investigate the biological role of TRIM15 in Hepatocellular carcinoma (HCC) and its contribution to TKI resistance.
- To elucidate the molecular mechanisms underlying TRIM15 upregulation and its downstream effects in TKI-treated HCC cells.
Main Methods:
- Quantitative analysis of TRIM15 expression in TKI-treated HCC cells.
- Investigation of the AKT/FOXO1 signaling pathway's role in regulating TRIM15.
- Assessment of TRIM15's effect on LASP1 ubiquitination and nuclear translocation.
- Evaluation of downstream signaling alterations, including AKT phosphorylation and Snail expression.
Main Results:
- TRIM15 is significantly upregulated in HCC cells following TKI treatment, contributing to TKI resistance.
- TRIM15 upregulation is mediated by the AKT/FOXO1 signaling axis.
- TRIM15 promotes K63-linked polyubiquitination of LASP1, inducing its nuclear translocation.
- This process modulates TKI sensitivity by increasing AKT phosphorylation and Snail expression.
Conclusions:
- A novel AKT/FOXO1/TRIM15/LASP1 signaling loop is identified in HCC.
- This loop plays a critical role in the development of TKI resistance.
- Targeting this pathway presents a potential strategy for overcoming TKI resistance in Hepatocellular carcinoma.
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