Abstract

Human tissue factor pathway inhibitor-2 (TFPI-2) is an extracellular matrix-associated Kunitz-type serine proteinase inhibitor that inhibits the plasmin- and trypsin-mediated activation of matrix metalloproteinases and inhibits tumor progression, invasion and metastasis. Previous studies have shown that TFPI-2 is downregulated in the progression of various tumors. The purpose of this study was to investigate the expression and function of TFPI-2 in hepatocellular carcinoma (HCC). In situ hybridization was used to detect human TFPI-2 mRNA and immunohistochemistry was performed to examine the role of TFPI-2 expression in hepatocarcinoma tissues. Cell proliferation was assessed using MTT assay. Insitu hybridization and immunohistochemical analyses revealed that the expression of TFPI-2 in hepatocarcinoma tissues was markedly lower than that in tumor-adjacent normal hepatic tissues. Restored expression of TFPI-2 in HepG(2) cells inhibits cell proliferation and invasion. Taken together, the results suggest that TFPI-2 has a tumor-suppression action and its inactivation may contribute to HCC.

Highlights

  • Hepatocellular carcinoma (HCC) is one of the most common primary tumors worldwide [1], and is prevalent in China

  • In situ hybridization with Tissue factor pathway inhibitor‐2 (TFPI-2) probe detected little or no TFPI-2 mRNA in hepatocarcinoma tissue sections, whereas a high level of TFPI-2 mRNA was detected in tumoradjacent normal hepatic tissue sections (Fig. 1A and B)

  • Further immunohistochemical analysis confirmed that TFPI-2 protein was stained strongly positive in normal hepatic tissues but was weakly stained in hepatocarcinoma tissues (Fig. 1C and D)

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Summary

Introduction

Hepatocellular carcinoma (HCC) is one of the most common primary tumors worldwide [1], and is prevalent in China. It is a major complication of liver cirrhosis. TFPI-2 is abundantly expressed in full-term placenta and is widely expressed in a variety of adult human tissues such as liver, skeletal, muscle, heart, kidney and pancreas [11,12,13]. It is mainly synthesized and secreted into the ECM by a wide variety of cells. TFPI-2 is thought to regulate the plasmin- and trypsin-mediated activation of matrix pro-metalloproteinases and play a significant role in the regulation of ECM degradation, which is an essential step for cell remodeling, as well as tumor cell invasion and metastasis [14]

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