Ethanol inhibition of insulin signaling in hepatocellular carcinoma cells

K Banerjee1, L Mohr, J R Wands

  • 1MGH East Cancer Center, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, USA.

Insights

Chronic ethanol toxicity inhibits insulin signaling and growth-associated gene expression in liver cancer cells overexpressing insulin receptor substrate-1 (IRS-1). These cells show resistance to epidermal growth factor (EGF) signaling, suggesting a complex response to alcohol.

Area of Science:

  • Hepatology
  • Molecular Biology
  • Cancer Research

Background:

  • Chronic ethanol toxicity is known to impair liver regeneration and DNA synthesis.
  • Ethanol's adverse effects are linked to the inhibition of insulin receptor and insulin receptor substrate-1 (IRS-1) tyrosyl phosphorylation.
  • Overexpression of IRS-1 can lead to increased DNA synthesis and cellular transformation via mitogen-activated protein (MAP) kinase activation.

Purpose of the Study:

  • To investigate the effects of ethanol on insulin signaling pathways in FOCUS hepatocellular carcinoma cells, which overexpress IRS-1.
  • To determine if IRS-1-overexpressing liver cancer cells are resistant to the inhibitory effects of ethanol on insulin signaling.

Main Methods:

  • Treatment of FOCUS hepatocellular carcinoma cells with ethanol (100 mM).
  • Assessment of insulin-stimulated tyrosyl phosphorylation of the insulin receptor beta-subunit and IRS-1.
  • Measurement of MAP kinase and phosphatidylinositol-3 kinase activities and their association with IRS-1.
  • Analysis of epidermal growth factor (EGF)-stimulated Shc phosphorylation.
  • Quantification of glyceraldehyde-3-phosphate dehydrogenase (GAPDH) and proliferating cell nuclear antigen (PCNA) gene expression.

Main Results:

  • Ethanol treatment reduced insulin-stimulated tyrosyl phosphorylation of the insulin receptor and IRS-1 by 30-50%.
  • Ethanol inhibited MAP kinase and phosphatidylinositol-3 kinase activities and their association with IRS-1.
  • Ethanol did not affect EGF-stimulated Shc phosphorylation, indicating an IRS-1 independent pathway.
  • Ethanol treatment decreased the expression of insulin-responsive genes GAPDH and PCNA by 30-50%.

Conclusions:

  • In FOCUS hepatocellular carcinoma cells overexpressing IRS-1, ethanol substantially inhibits IRS-1 and MAP kinase signaling.
  • Ethanol also reduces growth-associated gene expression in these cells.
  • The findings suggest that while ethanol impacts insulin signaling, EGF-mediated p21ras activation through Shc phosphorylation remains unaffected, highlighting a potential pathway for cellular transformation independent of IRS-1.