Abstract

Simple SummaryLiver cancer develops mostly in a chronically inflamed liver. The inflammation process can enhance or suppress the development of liver cancer. H19 is a noncoding RNA that is upregulated in inflamed livers. The role of H19 in liver cancer was intensely investigated, but the reported findings are conflicting. Some reported that H19 is a tumor suppressor and others that it has oncogenic properties. To understand the contribution of H19 to liver cancer development, we investigated miR-675, which is generated from the first exon of the H19 RNA message. Interestingly, we found that miR-675 suppresses liver cancer cell growth by inducing cell death. Following our investigation of the mechanism of this killing effect, we established that miR-675 represses the protein called Fas-associated protein with death domain (FADD) and that this repression leads to the development of a specific type of necrosis named necroptosis. These findings can have future therapeutic implications.The H19-derived microRNA-675 (miR-675) has been implicated as both tumor promoter and tumor suppressor and also plays a role in liver inflammation. We found that miR-675 promotes cell death in human hepatocellular carcinoma (HCC) cell lines. We show that Fas-associated protein with death domain (FADD), a mediator of apoptotic cell death signaling, is downregulated by miR-675 and a negative correlation exists between miR-675 and FADD expression in mouse models of HCC (p = 0.014) as well as in human samples (p = 0.017). We demonstrate in a mouse model of liver inflammation that overexpression of miR-675 promotes necroptosis, which can be inhibited by the necroptosis-specific inhibitor Nec-1/Nec-1s. miR-675 induces the level of both p-MLKL (Mixed Lineage Kinase Domain-Like Pseudokinase) and RIP3 (receptor-interacting protein 3), which are key signaling molecules in necroptosis, and enhances MLKL binding to RIP3. miR-675 also inhibits the levels of cleaved caspases 8 and 3, suggesting that miR-675 induces a shift from apoptosis to a necroptotic cellular pathway. In conclusion, downregulation of FADD by miR-675 promotes liver necroptosis in response to inflammatory signals. We propose that this regulation cascade can stimulate and enhance the inflammatory response in the liver, making miR-675 an important regulator in liver inflammation and potentially also in HCC.

Highlights

  • Cell death has been shown to be involved in liver diseases, including inflammatory, infectious, metabolic, and hepatocellular carcinoma (HCC) [1,2]

  • We tested the levels of H19 and miR-675 expression in human cirrhotic livers and compared it with non-alcoholic fatty liver disease (NAFLD) livers

  • We found that transfection of miR-675 inhibited the growth of HCC-derived cell lines and promoted cell death

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Summary

Introduction

Cell death has been shown to be involved in liver diseases, including inflammatory, infectious, metabolic, and hepatocellular carcinoma (HCC) [1,2] In recent years, another distinct form of cell death has been characterized, namely necroptosis, referred to as programmed necrosis. Another distinct form of cell death has been characterized, namely necroptosis, referred to as programmed necrosis This newly described mechanism of cell death occurs in a regulated manner in response to specific stresses, causing specific signaling, but shares many of the cellular attributes of necrosis. While both apoptosis and necroptosis lead to cell death, the effect of the two on the surrounding tissue microenvironment and subsequent immune response is markedly different [3,4]. Phosphorylation leads to the oligomerization of MLKL, which disrupts membrane integrity and subsequently results in cell death [8]

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