Abstract

Metabolic reprogramming is a new hallmark of cancer but it remains poorly defined in hepatocellular carcinogenesis (HCC). The fatty acid receptor CD36 is associated with both lipid and glucose metabolism in the liver. However, the role of CD36 in metabolic reprogramming in the progression of HCC still remains to be elucidated. In the present study, we found that CD36 is highly expressed in human HCC as compared with non-tumor hepatic tissue. CD36 overexpression promoted the proliferation, migration, invasion, and in vivo tumor growth of HCC cells, whereas silencing CD36 had the opposite effects. By analysis of cell metabolic phenotype, CD36 expression showed a positive association with extracellular acidification rate, a measure of glycolysis, instead of oxygen consumption rate. Further experiments verified that overexpression of CD36 resulted in increased glycolysis flux and lactic acid production. Mechanistically, CD36 induced mTOR-mediated oncogenic glycolysis via activation of Src/PI3K/AKT signaling axis. Pretreatment of HCC cells with PI3K/AKT/mTOR inhibitors largely blocked the tumor-promoting effect of CD36. Our findings suggest that CD36 exerts a stimulatory effect on HCC growth and metastasis, through mediating aerobic glycolysis by the Src/PI3K/AKT/mTOR signaling pathway.

Highlights

  • Hepatocellular carcinoma (HCC) is the most popular cancer and the third leading cause of cancer-related deaths worldwide[1,2]

  • Elevated free fatty acid and Cluster of differentiation 36 (CD36) levels associated with epithelial–mesenchymal transition in HCC patients have been reported, suggesting a potential but unrevealed role of CD36 in HCC32

  • We found that the expression of CD36 is significantly elevated in HCC tissues and HCC cell lines

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Summary

Introduction

Hepatocellular carcinoma (HCC) is the most popular cancer and the third leading cause of cancer-related deaths worldwide[1,2]. Metabolic reprogramming is a key feature of cancer, including HCC, which allows tumor cells to obtain the biological macromolecules needed for rapid proliferation, while meeting its own energy requirements[3]. Increasing metabolic demands make HCC tumor exhibits a high level of glucose metabolism. Glycolytic enzymes, including the hexokinase-II, glucose transporters, and pyruvate kinase M2, are highly expressed in HCC and correlated with the pathological stage of HCC tumor[5,6,7,8]. Changes in the expression of enzymes related to fatty acid synthesis and oxidation, such as acetyl-CoA carboxylase, fatty acid synthase, and carnitine palmitoyltransferase[1], are found in HCC tumors[10,11].

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