Abstract

Hepatocellular carcinoma (HCC) is a deadly malignancy with limited treatment options. Activation of the AKT/mTOR cascade is one of the most frequent events along hepatocarcinogenesis. mTOR is a serine/threonine kinase and presents in two distinct complexes: mTORC1 and mTORC2. While mTORC1 has been extensively studied in HCC, the functional contribution of mTORC2 during hepatocarcinogenesis has not been well characterized, especially in vivo. Pten expression is one of the major mechanisms leading to the aberrant activation of the AKT/mTOR signaling. Here, we show that concomitant downregulation of Pten and upregulation of c-Met occurs in a subset of human HCC, mainly characterized by poor prognosis. Using CRISPR-based gene editing in combination with hydrodynamic injection, Pten was deleted in a subset of mouse hepatocytes (sgPten). We found that loss of Pten synergizes with overexpression of c-Met to promote HCC development in mice (sgPten/c-Met). At the molecular level, sgPten/c-Met liver tumor tissues display increased AKT and mTOR signaling. Using Rictor conditional knockout mice, we demonstrate that sgPten/c-Met-driven HCC development strictly depends on an intact mTORC2 complex. Our findings therefore support the critical role of mTORC2 in hepatocarcinogenesis. sgPten/c-Met mouse model represents a novel valuable system that can be used for the development of targeted therapy against this deadly malignancy.

Highlights

  • Hepatocellular carcinoma (HCC) is one of the major causes of morbidity and mortality worldwide, especially in less developed countries.[1]

  • Downregulation of phosphatase and tensin homolog (Pten) was most frequently detected in HCC with shorter survival/poorer prognosis (HCCP) (23/34, 67.6%) than in HCC with longer survival/better prognosis (HCCB; patient’s survival longer than 3 years following partial liver resection)

  • Concomitant upregulation of c-Met and downregulation of Pten was detected in 20 HCC specimens, 15 of which belonged to the HCCP subset

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Summary

Introduction

Hepatocellular carcinoma (HCC) is one of the major causes of morbidity and mortality worldwide, especially in less developed countries.[1]. It is well established that the Phosphoinositide-3-Kinase (PI3K)/v-AKT Murine Thymoma Viral Oncogene Homolog 1 (AKT) pathway is frequently dysregulated in cancer.[4,5,6] By activation of AKT and other downstream effectors, the PI3K pathway regulates a broad spectrum of processes essential for cancer, including cell survival, proliferation, growth, metabolism and angiogenesis.[6,7,8] The PI3K pathway can be activated by genetic alterations in PIK3CA, TSC1/2, LKB1 and

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