Abstract

<div>Abstract<p><b>Purpose:</b> Hepatocellular carcinoma (HCC) is a highly virulent malignancy with no effective treatment, thus requiring innovative and effective targeted therapies. The oncogene astrocyte-elevated gene-1 (<i>AEG</i>-<i>1</i>) plays a seminal role in hepatocarcinogenesis and profoundly downregulates insulin-like growth factor–binding protein-7 (IGFBP7). The present study focuses on analyzing potential tumor suppressor functions of <i>IGFBP7</i> in HCC and the relevance of IGFBP7 downregulation in mediating AEG-1 function.</p><p><b>Experimental Design:</b> IGFBP7 expression was detected by immunohistochemistry in HCC tissue microarray and real-time PCR and ELISA in human HCC cell lines. Dual FISH was done to detect LOH at <i>IGFBP7</i> locus. Stable IGFBP7-overexpressing clones were established in the background of AEG-1–overexpressing human HCC cells and were analyzed for <i>in vitro</i> proliferation and senescence and <i>in vivo</i> tumorigenesis and angiogenesis.</p><p><b>Results:</b> IGFBP7 expression is significantly downregulated in human HCC samples and cell lines compared with normal liver and hepatocytes, respectively, and inversely correlates with the stages and grades of HCC. Genomic deletion of IGFBP7 was identified in 26% of patients with HCC. Forced overexpression of IGFBP7 in AEG-1–overexpressing HCC cells inhibited <i>in vitro</i> growth and induced senescence, and profoundly suppressed <i>in vivo</i> growth in nude mice that might be an end result of inhibition of angiogenesis by IGFBP7.</p><p><b>Conclusion:</b> The present findings provide evidence that <i>IGFBP7</i> functions as a novel putative tumor suppressor for HCC and establish the corollary that IGFBP7 downregulation can effectively modify AEG-1 function. Accordingly, targeted overexpression of IGFBP7 might be a potential novel therapy for HCC. <i>Clin Cancer Res; 17(21); 6693–701. ©2011 AACR</i>.</p></div>

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