Abstract
Hepatocellular carcinoma (HCC) is a rapidly growing tumor associated with a high propensity for vascular invasion and metastasis. Epithelial-mesenchymal transition (EMT) is a key event in the tumor invasion process. Recently, Twist has been identified to play an important role in EMT-mediated metastasis through the regulation of E-cadherin expression. However, the actual role of Twist in tumor invasiveness remains unclear. The purpose of this study is to investigate the expression and possible role of Twist in HCC. We evaluated Twist and E-cadherin expression in HCC tissue microarray of paired primary and metastatic HCC by immunohistochemical staining. The role of Twist in EMT-mediated invasiveness was also evaluated in vitro in HCC cell lines. We first showed that overexpression of Twist was correlated with HCC metastasis (P=0.001) and its expression was negatively correlated with E-cadherin expression (P=0.001, r=-0.443) by tissue microarray. A significant increase of Twist at the mRNA level was also found in metastatic HCC cell lines MHCC-97H, MHCC-97L, and H2M when compared with nonmetastatic Huh-7, H2P, and PLC cell lines. The MHCC-97H cell line, which has a higher metastatic ability, was found to have a higher level of Twist than MHCC-97L. Accompanied with increased Twist expression in the metastatic HCC cell lines when compared with the nonmetastatic primary ones, we found decreased E-cadherin mRNA expression in the metastatic HCC cell lines. By ectopic transfection of Twist into PLC cells, Twist was able to suppress E-cadherin expression and induce EMT changes, which was correlated with increased HCC cell invasiveness. This study shows that Twist overexpression was correlated with HCC metastasis through induction of EMT changes and HCC cell invasiveness.
Highlights
Hepatocellular carcinoma (HCC) is a rapidly growing tumor associated with a high propensity for vascular invasion and metastasis
To determine the possible role of Twist in HCC metastasis, we evaluated Twist expression in tissue microarray (TMA) by immunostaining
A significant increase of Twist at the mRNA level was found in MHCC-97H, MHCC-97L, and H2M when compared with nonmetastatic Huh-7, H2P, and PLC cell lines (Fig. 1B)
Summary
Hepatocellular carcinoma (HCC) is a rapidly growing tumor associated with a high propensity for vascular invasion and metastasis. The role of Twist in EMT-mediated invasiveness was evaluated in vitro in HCC cell lines. Conclusion: This study shows that Twist overexpression was correlated with HCC metastasis through induction of EMTchanges and HCC cell invasiveness. Overexpression of Twist in two human epithelial cell lines caused both complete EMT and E-cadherin repression [6]. It is still unclear whether Twist interacts with these E-boxes directly via E2A protein or through indirect mechanisms. The aim of this study was to investigate the expression and possible role of Twist in HCC metastasis by tissue microarray (TMA) of paired primary and metastatic HCC. Our evidence suggests that Twist is correlated with HCC metastasis through repression of E-cadherin
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