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Low-dose metformin suppresses hepatocellular carcinoma metastasis via the AMPK/JNK/IL-8 pathway
Chengwen Zhao1, Lu Zheng1, Yuting Ma1
1Department of Clinical Laboratory, Xuzhou Institute of Medical Science, Xuzhou Central Hospital, Xuzhou, China.
Background And Objectives:
Metformin, an oral hypoglycemic drug, has been suggested to possess antitumour activity in several types of cancers. Additionally, interleukin-8 (IL-8) has been reported to be involved in the development and metastasis of many cancers. However, the effect of metformin on IL-8 expression in hepatocellular carcinoma (HCC) remains unclear. Therefore, this study aimed to investigate whether metformin could inhibit IL-8 expression to exert an inhibitory effect on HCC progression.
Materials And Methods:
The IL-8 levels were measured in the plasma of 159 HCC patients (86 men, 73 women; average age 56 years) and in the culture supernatant of HCC cells (Hep3B and HuH7) using flow cytometry. In addition, the protein expression levels of IL-8 were also validated by the Human Protein Atlas (HPA) database. The prognostic value of IL-8 was evaluated using the Kaplan-Meier Plotter database. The association between IL-8 expression and immune checkpoints was estimated using the TIMER and The Cancer Genome Atlas (TCGA) databases. What's more, bioinformatics analysis, western blotting, and transwell assays were conducted to illustrate the molecular mechanism of metformin (≤1 mM) on IL-8 in HCC.
Results:
IL-8 expression was found to be increased in the plasma of HCC patients, which is consistent with the expression of IL-8 in HCC cells and tissues. High expression of IL-8 was significantly related to poor prognosis. In addition, IL-8 was positively correlated with immune checkpoints in HCC. Notably, we found that low-dose metformin could inhibit the secretion of IL-8 by HCC cells and the migration of HCC cells. Mechanistically, low-dose metformin significantly suppresses HCC metastasis mainly through the AMPK/JNK/IL-8/MMP9 pathway.
Conclusion:
The results indicate that low-dose metformin can inhibit HCC metastasis by suppressing IL-8 expression. Targeting the AMPK/JNK/IL-8 axis may be a promising treatment strategy for patients with HCC metastasis.
Insights
Low-dose metformin inhibits hepatocellular carcinoma (HCC) metastasis by suppressing interleukin-8 (IL-8) expression. Targeting the AMPK/JNK/IL-8 pathway offers a potential treatment strategy for advanced HCC.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Interleukin-8 (IL-8) is implicated in cancer development and metastasis.
- Metformin, an oral hypoglycemic drug, shows potential antitumour activity.
- The effect of metformin on IL-8 in hepatocellular carcinoma (HCC) is not well understood.
Purpose of the Study:
- To investigate the effect of metformin on IL-8 expression in HCC.
- To determine if metformin can inhibit IL-8 to impede HCC progression.
Main Methods:
- Measured IL-8 levels in HCC patient plasma and cell lines via flow cytometry.
- Validated IL-8 expression using the Human Protein Atlas database.
- Analyzed IL-8 prognostic value and immune checkpoint correlations using Kaplan-Meier Plotter, TIMER, and TCGA databases.
- Investigated metformin's molecular mechanism via bioinformatics, western blotting, and transwell assays.
Main Results:
- Elevated IL-8 expression in HCC patients and cells correlated with poor prognosis and immune checkpoints.
- Low-dose metformin inhibited IL-8 secretion and HCC cell migration.
- Metformin suppressed HCC metastasis via the AMPK/JNK/IL-8/MMP9 pathway.
Conclusions:
- Low-dose metformin inhibits HCC metastasis by reducing IL-8 expression.
- The AMPK/JNK/IL-8 axis presents a potential therapeutic target for HCC metastasis.
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