Abstract

Glypican-3 (GPC3), a membrane-associated heparan sulfate proteoglycan, is frequently upregulated in hepatocellular carcinoma (HCC). However, how GPC3 contributes to the progress of HCC is largely unclear. The present study investigated the association between GPC3 expression and HCC clinicopathological characteristics, and particularly focused on the role and underlying mechanisms of GPC3 in HCC epithelial-mesenchymal transition (EMT). Remarkably elevated expression of GPC3 was demonstrated in HCC tumor tissues compared with paired non-tumor tissues in 45 patients with HCC by quantitative real-time PCR, immunohistochemistry, and western blotting, respectively. Furthermore, the tissue expression of GPC3 was increased during HCC progression from Barcelona Clinic Liver Cancer stage A or B to stage C. The enhanced levels of GPC3 in HCC tumor tissues were tightly correlated to the expression of the EMT-associated proteins and tumor vascular invasion. Patients with GPC3-high expression in tumor tissues displayed significantly shorter survival time than those with GPC3-low expression (P=0.001). Consistent with the findings in patients, HepG2 cells, which expressed high levels of GPC3, showed stronger capacity of migration and significant EMT-like changes when compared to those HCC cells with low levels of GPC3, e.g., Hep3B and Huh7 in scratch, Transwell assays and western blotting. Furthermore, administration with exogenous GPC3 in HCC cells activated extracellular signal-regulated kinase (ERK) and significantly enhanced cell migration and invasion. The behavior was significantly inhibited by the ERK inhibitor PD98059. Together, our studies show that GPC3 contributes to HCC progression and metastasis through impacting EMT of cancer cells, and the effects of GPC3 are associated with ERK activation.

Highlights

  • Hepatocellular carcinoma (HCC) is one of the most common cancers, and the third leading cause of cancer-related mortality worldwide [1]

  • Our studies show that GPC3 contributes to HCC progression and metastasis through impacting epithelial-mesenchymal transition (EMT) of cancer cells, and the effects of GPC3 are associated with extracellular signal-regulated kinase (ERK) activation

  • We showed that GPC3 expression was correlated with the clinical features of HCC, including

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Summary

Introduction

Hepatocellular carcinoma (HCC) is one of the most common cancers, and the third leading cause of cancer-related mortality worldwide [1]. The main risk factors of HCC in humans include infection with hepatitis B and/or hepatitis C virus, and alcoholic liver disease [2]. The outcome of HCC treatment is dependent on the tumor stage at the time of diagnosis. A good curability can be achieved if HCC were detected in an early stage. Most HCC patients with symptoms have progress to advanced stage when they are diagnosed. The poor prognostic outcomes are mainly due to cancer metastasis and tumor recurrence after surgery. Various factors are involved in the regulation of cancer metastasis, including the epithelial-mesenchymal transition (EMT) [3]. The molecular mechanisms underlying EMT in HCC tumor metastasis are poorly characterized

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