Abstract

<div>Abstract<p>Chronic inflammation is a known hallmark of cancer and is central to the onset and progression of hepatocellular carcinoma (HCC). Hepatic macrophages play a critical role in the inflammatory process leading to HCC. The oncogene Astrocyte elevated gene-1 (<i>AEG-1</i>) regulates NFκB activation, and germline knockout of <i>AEG-1</i> in mice (AEG-1<sup>−/−</sup>) results in resistance to inflammation and experimental HCC. In this study, we developed conditional hepatocyte- and myeloid cell–specific AEG-1<sup>−/−</sup> mice (AEG-1<sup>ΔHEP</sup> and AEG-1<sup>ΔMAC</sup>, respectively) and induced HCC by treatment with N-nitrosodiethylamine (DEN) and phenobarbital (PB). AEG-1<sup>ΔHEP</sup> mice exhibited a significant reduction in disease severity compared with control littermates, while AEG-1<sup>ΔMAC</sup> mice were profoundly resistant. <i>In vitro</i>, AEG-1<sup>−/−</sup> hepatocytes exhibited increased sensitivity to stress and senescence. Notably, AEG-1<sup>−/−</sup> macrophages were resistant to either M1 or M2 differentiation with significant inhibition in migration, endothelial adhesion, and efferocytosis activity, indicating that AEG-1 ablation renders macrophages functionally anergic. These results unravel a central role of AEG-1 in regulating macrophage activation and indicate that AEG-1 is required in both tumor cells and tumor microenvironment to stimulate hepatocarcinogenesis.</p><p><b>Significance:</b> These findings distinguish a novel role of macrophage-derived oncogene AEG-1 from hepatocellular AEG-1 in promoting inflammation and driving tumorigenesis. <i>Cancer Res; 78(22); 6436–46. ©2018 AACR</i>.</p></div>

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