Abstract

BackgroundThe mechanisms and prevention of progression of hepatocellular carcinoma (HCC) after insufficient radiofrequency ablation (RFA) has been preliminarily investigated, therefore, new strategy needs to be investigated to prevent the process. Whether metformin could be used to inhibit the growth of HCC after insufficient RFA and further prevent the progression of residual HCC remains unclearly.MethodsMTT assay, colony formation assay and transwell assay were used to observe the cell viability, migration and invasion. Western blot and immunohistochemistry methods were used to observe the expression of proteins. Xenograft model was used to evaluate the growth of HCC cells in vivo.ResultsMetformin inhibited the enhanced proliferation, migration and invasion of HepG2 and SMMC7721 cells after insufficient RFA (named as HepG2-H and SMMC7721-H). Metformin deregulated the expression of p-Akt in HepG2 and SMMC7721 cells after insufficient RFA through AMPK/PTEN pathway. HepG2-H cells also exhibited larger tumor size in vivo. Higher expression of Ki-67 and CD31 and lower expression of E-cadherin were observed in HepG2-H tumors. Metformin blocked the enhanced growth of HepG2 cells in vivo after insufficient RFA. Metformin had no apparent toxicity on nude mice.ConclusionsMetfromin inhibited the growth of HCC cells after insufficient RFA, and may be used to prevent the progression of HCC after RFA.

Highlights

  • The mechanisms and prevention of progression of hepatocellular carcinoma (HCC) after insufficient radiofrequency ablation (RFA) has been preliminarily investigated, new strategy needs to be investigated to prevent the process

  • Metformin suppressed the insufficient RFA‐induced proliferation, migration and invasion of HCC cells in vitro Our previous study demonstrated that insufficient RFA promoted proliferation, migration and invasion of HepG2 cells, we explored whether metformin could abrogate the process

  • Our previous study showed that HCC cells after insufficient RFA exhibited higher expression of p-Akt, which may play a key role in the EMT, and sorafenib suppressed the activity of p-Akt [5, 23]

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Summary

Introduction

The mechanisms and prevention of progression of hepatocellular carcinoma (HCC) after insufficient radiofrequency ablation (RFA) has been preliminarily investigated, new strategy needs to be investigated to prevent the process. Whether metformin could be used to inhibit the growth of HCC after insufficient RFA and further prevent the progression of residual HCC remains unclearly. The treatment modalities for HCC include surgical resection, radiofrequency ablation (RFA), and liver transplantation [2]. Several researches have explored the mechanisms and prevention of progression of HCC after insufficient RFA [5, 6]. Our previous study demonstrated that sorafenib suppressed the epithelial-mesenchymal transition of HCC after insufficient RFA. New strategy needs to be investigated to prevent the process

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