Abstract

There are currently no effective molecular targeted therapies for hepatocellular carcinoma (HCC), the third leading cause of cancer-related death worldwide. Enhancer of zeste homolog 2 (EZH2), a histone H3 lysine 27 (H3K27)-specific methyltransferase, has been emerged as novel anticancer target. Our previous study has demonstrated that GSK343, an S-adenosyl-L-methionine (SAM)-competitive inhibitor of EZH2, induces autophagy and enhances drug sensitivity in cancer cells including HCC. In this study, an in silico study was performed and found that EZH2 was overexpressed in cancerous tissues of HCC patients at both gene and protein levels. Microarray analysis and in vitro experiments indicated that the anti-HCC activity of GSK343 was associated with the induction of metallothionein (MT) genes. In addition, the negative association of EZH2 and MT1/MT2A genes in cancer cell lines and tissues was found in public gene expression database. Taken together, our findings suggest that EZH2 inhibitors could be a good therapeutic option for HCC, and induction of MT genes was associated with the anti-HCC activity of EZH2 inhibitors.

Highlights

  • Surgical resection and liver transplantation are the main curative treatments for hepatocellular carcinoma (HCC); only 15 to 25% of patients are suitable for these treatments [1]

  • Our findings suggest that Enhancer of zeste homolog 2 (EZH2) inhibitors could be a good therapeutic option for HCC, and induction of MT genes was associated with the anti-HCC activity of EZH2 inhibitors

  • Overexpression of EZH2 is frequently detected in HCC tissues, which was correlated with the aggressiveness and poor prognosis [36,37,38]

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Summary

Introduction

Surgical resection and liver transplantation are the main curative treatments for hepatocellular carcinoma (HCC); only 15 to 25% of patients are suitable for these treatments [1]. HCC is relatively chemo-resistant and highly refractory to cytotoxic chemotherapy, and there is currently no reliable and effective therapy for patients with advanced or metastatic disease [1]. The multi-kinase inhibitor, sorafenib, has been approved for treating advanced HCC in 2007 [3]. Sorafenib monotherapy seems insufficient to reach satisfactory results in HCC patients because it confers less than 3 months of actual survival gain in both Western and Asian populations [3, 4]. It is still urgent to develop an effective therapeutic strategy for HCC

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