Abstract

C-terminal-truncated hepatitis B virus (HBV) X (HBx) (ctHBX) is frequently detected in hepatocellular carcinoma (HCC) through HBV integration into the host genome. However, the molecular mechanisms underlying ctHBx-associated oncogenic signaling have not yet been clarified. To elucidate the biological role of ctHBx in hepato-oncogenesis, we functionally analyzed ctHBx-mediated regulation of the activin membrane-bound inhibitor bone morphogenetic protein and activin membrane-bound inhibitor (BAMBI) through transforming growth factor-β (TGF-β) or β-catenin (CTNNB1) in HCC cells and in an animal model, and we compared its role to that of the full-length HBx protein. Ectopic ctHBx expression generated more colonies in anchorage-dependent and -independent growth assays than did HBx expression alone. ctHBx downregulated BAMBI to a greater degree than did HBx in HCC cells. HBx activated the Wnt/β-catenin pathway, which positively regulated the BAMBI expression through T-cell factor 1 signaling, whereas ctHBx negatively regulated the Wnt/β-catenin pathway. BAMBI downregulated the β-catenin and TGF-β1 signaling pathways. TGF-β1 positively regulated BAMBI expression thorough Smad3 signaling. Furthermore, knockdown of BAMBI was more tumorigenic in HCC cells. Therefore, downregulation of both β-catenin and TGF-β1 signaling by BAMBI might contribute to tumor suppression in mice xenotransplanted with HepG2 or SH-J1 cells. Taken together, ctHBx may have a more oncogenic role than HBx through its inhibition of tumor-suppressive β-catenin/BAMBI signaling.

Highlights

  • Hepatocellular carcinoma (HCC) is a highly malignant tumor type and is the third most frequent cause of cancer-related death in the United States and Europe.[1]

  • Northern blotting analysis revealed that hepatitis B virus X (HBx) and the middle of hepatitis B surface (HBs) mRNA were expressed in HCC tissue but were only minimally observed in the non-tumor tissue in Case 1, in which an integrated stage of chronic hepatitis B virus (HBV) infection was observed

  • We were interested in the bone morphogenetic protein and activin membrane-bound inhibitor (BAMBI) expressed at a low frequency in HCC because it is a negative regulator of TGF-β1.13,14

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Summary

Introduction

Hepatocellular carcinoma (HCC) is a highly malignant tumor type and is the third most frequent cause of cancer-related death in the United States and Europe.[1]. Among the four proteins translated by HBV, the hepatitis B virus X (HBx) oncoprotein has been implicated in HBV-mediated hepato-carcinogenesis.[3,4] During hepatocarcinogenesis, cancer cells gain an advantage through the selective reduction of the tumor-suppressive activity of transforming growth factor-β (TGF-β), together with augmentation of its oncogenic activity.[5] HBx has been reported to shift human TGF-β signaling from tumor suppression to oncogenesis in early chronic hepatitis B.6. HBx mutants, C-terminaltruncated mutants (ctHBx), are frequently detected in the tumor tissues of HCC patients but are rarely observed in surrounding non-tumor tissues.[7,8] these mutant forms of HBx can enhance the transformation abilities of ras and myc.[9] little is known regarding whether or how ctHBx might be involved in carcinogenesis and tumor progression, especially in association with bone morphogenetic protein (BMP) and activin membrane-bound inhibitor (BAMBI)/TGF-β signaling in hepato-carcinogenesis. The assumption that ctHBx is oncogenic through altered BAMBI/TGF-β signaling was the basis for this study

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