mTOR/P70S6K信号通路在肝细胞肝癌中的表达及临床意义

目的:研究mTOR/P70S6K信号通路在肝细胞肝癌(HCC)中的表达,探讨其在HCC发生发展中的作用及意义.方法:用逆转录聚合酶链反应(RT-PCR)技术检测120例HCC患者癌组织、癌旁肝组织以及10例正常肝组织中mTOR及P70S6K mRNA表达情况;并分析mTOR及P70S6K mRNA的表达与相关临床参数的关系.结果:mTOR及P70S6K mRNA在HCC组织中的表达水平显著高于在癌旁肝组织和正常肝组织中的表达水平(mTOR mRNA:0.594±0.218 vs 0.437±0.156.0.594±0.218 vs 0.383±0.081,均P＜0.05;P70S6K mRNA:0.610±0.147 vs 0.486±0.162.0.610±0.147 vs 0.440±0.141,均P＜0.05).mTOR mRNA和P70S6KmRNA在HCC组织中的表达呈正相关(r=0.548,P=0.012),且两者在癌旁肝组织及正常肝组织中的表达亦正相关性(r=0.607,0.737,P=0.005,0.015).mTOR及P70S6K mRNA在HCC组织中的表达水平与病理分期、门静脉癌栓等明显相关,而与肿瘤直径、血清AFP水平、性别等无明显关系.结论:mTOR/P70S6K信号通路在HCC中特异性激活.mTOR/P70S6K信号通路可能在肝细胞肝癌的发生、发展中起重要作用.     

氧化型低密度脂蛋白通过Akt/mTOR/p70S6K通路诱导血管内皮细胞自噬

目的 探讨氧化型低密度脂蛋白(oxidized low-density lipoprotein, oxLDL)对人脐静脉内皮细胞(human umbilical vein endothelial cells, HUVECs)自噬和Akt/mTOR/p70S6K信号通路的影响.方法 将培养的HUVECs分为oxLDL组和对照组,分别用100 μg/ml oxLDL和等体积磷酸盐缓冲液处理.在培养6 h和12 h后收集细胞.应用透射电子显微镜观察自噬小体,实时荧光定量聚合酶链反应检测微管相关蛋白1轻链3(microtubule-associated protein 1 light chain 3, LC3)和p62 mRNA表达,应用蛋白质印迹法检测LC3、p62、p-Akt/Akt、p-mTOR/mTOR和p-p70S6K/p70S6K蛋白表达.结果 与对照组相比,oxLDL处理组细胞内的自噬小体数量明显增多(P<0.05),LC3 mRNA及蛋白表达水平均显著增高(P均<0.05),而p62 mRNA和蛋白表达水平均显著降低(P均<0.05).此外,oxLDL处理组Akt、mTOR、p70S6K磷酸化蛋白表达水平均较对照组显著降低(P均<0.01),但Akt、mTOR和p70S6K总蛋白表达水平与对照组无显著差异.结论 oxLDL可通过抑制Akt/mTOR/p70S6K信号通路诱导HUVECs自噬.     

中药肝复康对肝星状细胞mTOR/P70S6K信号通路的干预作用

目的观察中药肝复康含药血清对乙醛刺激的肝星状细胞mTOR/P70S6K信号通路的影响,以探讨肝复康抗纤维化的分子生物学机制。方法体外培养大鼠HSC-T6细胞,用肝复康对乙醛刺激的HSCs进行干预,采用RT-PCR法测定HSCs中Ⅰ、Ⅲ型胶原、mTOR、P70S6K的表达。结果空白对照组肝星状细胞各指标表达量呈相对较低水平,乙醛刺激组细胞Ⅰ型胶原、mTOR、P70S6K和Ⅲ型胶原表达量明显升高(P<0.05),而肝复康干预对于细胞Ⅰ型胶原、mTOR和P70S6K的升高有明显的抑制作用(P<0.01)。结论 mTOR/P70S6K信号通路在HSCs活化过程中起到重要作用,肝复康发挥抗纤维化的作用机制与阻断mTOR/P70S6K信号通路有关。     

Preclinical validation of a novel compound targeting p70S6 kinase in breast cancer

Breast cancer is a frequent and treatable disease. However, when recurrent, breast cancer often becomes refractory to therapy and progresses into metastatic forms that are typically incurable. Thus, understanding and targeting the critical pathways underlying breast cancer recurrence is urgently needed to eradicate primary disease and achieve better prognosis. Recently, we have demonstrated that the ribosomal protein p70S6K is activated in residual breast cancer cells as a result of post-surgical inflammation and that interfering with its activity in the peri-operative setting strongly suppresses recurrence in a mouse model. In order to develop clinically-exploitable treatments targeting p70S6K, we have tested a newly generated compound, called FS-115. FS-115 potently inhibited p70S6K1 (IC₅₀ 35nM) with high selectivity over other AGC kinases or PI3K pathway kinases. In vitro, treatment with FS-115 efficiently blocked p70S6K activity in breast cancer cell lines and impaired colony formation and anchorage independent growth. Pharmacokinetic profiling showed that FS-115 exhibited high oral bioavailability, optimal plasma distribution and high brain penetrance. In nude mice, FS-115 strongly suppressed tumor take-rate and primary tumor growth. Oral dosing with FS-115 in a peri-operative schedule was effective in decreasing local recurrence of breast cancer and a long-term treatment schedule was well tolerated and efficiently suppressed distant metastasis formation. Altogether, we propose that FS-115 might be a good candidate for the treatment of breast cancer patients at high risk to relapse.

Summary Statement

Our results confirm that inhibition of p70S6K represents a valuable opportunity for restraining loco-regional relapse and metastasis in breast cancer and identify in FS-115 a promising candidate-inhibitor to move from preclinical to clinical treatments.     

NECA at reperfusion limits infarction and inhibits formation of the mitochondrial permeability transition pore by activating p70S6 kinase

The A₁/A₂ adenosine agonist 5′-(N-ethylcarboxamido) adenosine (NECA) limits infarction when administered at reperfusion. The present study investigated whether p70S6 kinase is involved in this anti-infarct effect. Adult rat ventricular myocytes were isolated and incubated in tetramethylrhodamine ethyl ester (TMRE, 100 nM), which causes cells to fluoresce in proportion to their mitochondrial membrane potential. A reduction in TMRE fluorescence serves as an indicator of collapse of the mitochondrial transmembrane potential. Cells were subjected to H₂O₂ (200 μM), which like ischemia induces loss of mitochondrial membrane potential. Fluorescence was measured every 3 min and to facilitate quantification membrane potential was arbitrarily considered as collapsed when fluorescence reached less than 60% of the starting value. Adding NECA (1 mM) to the cells prolonged the time to fluorescence loss (48.0 ± 3.2 min in the NECA group versus 29.5 ± 2.2 min in untreated cells, P < 0.001) and the mTOR/p70S6 kinase inhibitor rapamycin (5 nM) abolished this protection (31.3 ± 3.4 min). Since cyclosporine A offered similar protection, mitochondrial permeability transition pore formation is a likely cause of the H₂O₂-induced loss of potential. The direct GSK-3β inhibitor SB216763 (3 μM) also prolonged the time to fluorescence loss (49.2 ± 2.1 min, P < 0.001 versus control), and its protection could not be blocked by rapamycin (42.2 ± 2.3 min, P < 0.001 versus control). NECA treatment (100 nM) of intact isolated rabbit hearts at reperfusion after 30 min of regional ischemia decreased infarct size from 33.0 ± 3.8% of the risk zone in control hearts to 11.8 ± 2.0% (P < 0.001), and rapamycin blocked this NECA-induced protection (38.3 ± 3.7%). A comparable protective effect was seen for SB216763 (1 μM) with infarct size reduction to 13.5 ± 2.3% (P < 0.001). NECA treatment (200 nM) of intact rabbit hearts at reperfusion also resulted in phosphorylation of p70S6 kinase more than that seen in untreated hearts. This NECA-induced phosphorylation was blocked by rapamycin. These experiments reveal a critical role for p70S6 kinase in the signaling pathway of NECA’s cardioprotection at reperfusion. Returned for 1st revision: 3 November 2005 1st revision received: 3 February 2006 Returned for 2nd revision: 23 February 2006 2nd revision received: 1 March 2006     

Melatonin represses oxidative stress-induced activation of the MAP kinase and mTOR signaling pathways in H4IIE hepatoma cells through inhibition of Ras

Abstract:  Reactive oxygen species (ROS) have been implicated in the pathogenesis of a variety of diseases, and antioxidant treatment is currently being investigated as a potential therapy to attenuate the detrimental effects of ROS-mediated oxidative stress. Melatonin is a potent naturally produced antioxidant, which acts through various mechanisms to ameliorate the toxic effects of ROS. However, little is known about the mechanisms of signaling pathways through which melatonin acts to reverse the effects of ROS. In the present study, the effect of melatonin treatment on the hydrogen peroxide (H₂O₂)-induced activation of the mitogen-activated protein kinase (MAPK) and mammalian target of rapamycin (mTOR) signaling pathways was assessed in H4IIE hepatoma cells. It was found that melatonin strongly attenuated H₂O₂-induced activation of the ERK1/2 and p38 MAP kinases, as well as several of their downstream targets. Melatonin also attenuated the H₂O₂-induced phosphorylation of Akt and the Akt substrate mTOR, as well as a downstream target of mTOR action, 4E-BP1. Upregulation of ERK1/2, p38, and Akt signaling by H₂O₂ was accompanied by activation of Ras, an effect that was blocked by melatonin. Overall, the results suggest that melatonin acts to prevent many of the H₂O₂-induced alterations in the MAPK and mTOR signaling pathways through inhibition of Ras, at least in H4IIE hepatoma cells.     

PAX6通过MEK/ERK信号通路抑制肝星状细胞活化和增殖实验研究

目的 探讨PAX6通过丝裂原活化蛋白激酶(MEK)/细胞外调节蛋白激酶(ERK)信号通路抑制肝星状细胞活化和增殖的效果。方法 取LX2肝星状细胞,分为对照组、PAX6 inhibitor组和PAX6 mimics组。采用CCK-8试剂盒测定细胞增殖,采用油红O染色测定细胞分化水平,使用流式细胞仪分析细胞凋亡,采用RT-PCR法和蛋白印迹法测定细胞PAX6、MEK和ERK mRNA和蛋白表达水平。结果 PAX6 inhibitor组细胞PAX6 mRNA水平、凋亡率和G1期分别为(1.49±0.23)、(2.70±0.85)%和(59.02±1.25)%,显著低于LX2肝星状细胞组【分别为(1.85±0.19)、(3.40±0.47)%和(64.66±1.41)%,P<0.05】,而细胞增殖、存活率、分化率、MEK和ERK mRNA和蛋白水平分别为(0.79±0.03)、(73.35±9.74)%、(49.37±4.24)%、(2.55±0.43)、(3.90±0.49)、(0.89±0.15)和(1.17±0.17),显著高于LX2肝星状细胞组【分别为(0.58±0.05)、(6...     

Involvement of phosphoinositide-3-kinase and p70 S6 kinase in regulation of proliferation of rat lactotrophs in culture

Phosphoinositide-3-kinase (PI-3K) and p70 S6 kinase (p70^56k) are suggested as important molecules for mediating mitogenic actions of growth factors and cytokines in variety of cell types. The purpose of the present study was to investigate whether these kinases were involved in mediation of the mitogenic actions of not only the growth factor insulin but also cyclic adenosine monophosphate (cAMP) and estrogen on rat cultured lactotrophs. Treatment with wortmannin or LY294002, a PI-3K inhibtor, or rapamycin, a p70^S6k inhibitor, decreased basal levels of 5-bromo-2-deoxyuridine (BrdU)-labeling indices of lactotrophs in a dose-dependent manner. These inhibitors were effective in blocking an increase in BrdU-labeling indices induced by insulin. LY294002 and rapamycin also suppressed an increase in BrdU-labeling indices induced by forskolin, an adenylate cyclase activator, or dibutyryl cAMP, a membrane-permeable cAMP analog, as well as that induced by estradiol, a physiologic extracellular activator of lactotroph proliferation. However, the dibutyryl cAMP-, but not insulin-induced proliferation, acquired a resistance to LY294002 and rapamycin by pretreatment with bromocriptine, a dopaminergic agonist that is able to suppress lactotroph proliferation. These results suggest that the mitogenic actions of cAMP and estradiol on rat lactotrophs are mediated by PI-3K and p70^S6k, and that dopaminergic inhibition modifies the PI-3K and p70^S6k dependence of the regulation of lactotroph proliferation.     

Differential p70S6k and 4E-BP1 regulation by insulin and amino acids in vascular endothelial and smooth muscle cells

Abstract Differential stimulation of vascular endothelial and smooth muscle cells proliferation is responsible for atherosclerotic lesions. Amino acids and insulin modulate p70S6k and 4E-BP1 activity, regulating cell growth and proliferation. We hypothesised that nutritional (amino acids) and hormonal (insulin) signals differently modulate protein anabolism in human vascular endothelial (HUVEC) and smooth muscle (HVSMC) cells. We evaluated p70S6kinase and 4E-BP1 phosphorylation in the two cell types, grown in amino acid-free medium with or without insulin (INS, 100 nM) or/and amino acids mixture (AA, 3 mM) and with the selective addition or deprivation of branched chain amino acids (BCAA, 0.5 mM). INS stimulated p70S6k and 4E-BP1 phosphorylation transiently in HUVEC and persistently in HVSMC. AA and INS+AA stimulated p70S6k and 4E-BP1 phosphorylation persistently in HUVEC and HVSMC. AA, but not BCAA alone or BCAA-deprived AA, induced p70S6k phosphorylation in HUVEC. BCAA deprivation decreased the p70S6k phosphorylation induced by AA with or without insulin in HVSMC. These results show that anabolic stimuli modulate p70S6k and 4E-BP1 activity differently in the two vascular cell types, suggesting that insulin stimulates protein synthesis for a longer time in HUSMC than in HUVEC. We speculate that hyperinsulinaemia frequently associated with atherosclerosis could induce a selective HVSMC proliferation.     

Focal adhesion kinase mediates atrial fibrosis via the AKT/S6K signaling pathway in chronic atrial fibrillation patients with rheumatic mitral valve disease

Background

Atrial fibrosis, as a hallmark of atrial structural remodeling, plays a critical role in the maintenance of chronic atrial fibrillation (AF), but the mechanisms responsible for atrial fibrosis are still uncertain. Fibrogenesis represents a complex process in which focal adhesion kinase (FAK) plays an important role. Therefore, we investigated the role of FAK-mediated signaling in atrial fibrosis in patients with chronic AF related to rheumatic mitral valve disease (RMVD).

Methods

Atrial appendages were excised from 45 patients with RMVD and either chronic AF (n = 25, AF > 6 months) or sinus rhythm (n = 20). Fibrosis was assessed by histology, and FAK and its two downstream pathways (AKT/S6K and ERK1/2) were evaluated by western blotting. We further evaluated the role of FAK in fibrogenesis by culturing neonatal rat cardiac fibroblasts to determine the importance of FAK-regulated signaling in cardiac myofibroblast differentiation induced by transforming growth factor-β1 (TGFβ1).

Results

Our study revealed that FAK can regulate its downstream signaling to cause fibrosis in atrial tissue and activate isolated fibroblasts. Histology revealed a significant increase in atrial fibrosis in AF patients. The phosphorylation of FAK and its downstream AKT/S6K signaling was increased secondary to TGFβ1-induced high expression of α-SMA, a marker of myofibroblast activity. FAK and AKT inhibitors suppressed α-SMA expression in TGFβ1-induced fibroblasts. However, ERK1/2 signaling seemed to be unrelated to the fibrotic process in AF patients.

Conclusion

The FAK-mediated AKT/S6K signaling pathway participated in atrial fibrogenesis and this finding may contribute to the prevention of atrial fibrosis associated with chronic AF in patients with underlying cardiac disease.     

Second window of protection following myocardial preconditioning: an essential role for PI3 kinase and p70S6 kinase

Ischaemic preconditioning (IPC) protects the heart against myocardial infarction acutely as well as several hours later (e.g. 24-48 h). The mechanism of the profound cardioprotection is not completely explored. We hypothesized that PI3K/PDK1/Akt/mTOR/p70S6K-mediated pro-survival pathway is involved in delayed cardioprotection induced by IPC. Under Hypnorm-Diazepam anaesthesia, male New Zealand White rabbits were either sham-operated (SC) or preconditioned by four cycles of 5-min ischaemia and 10-min reperfusion on day 1. Twenty-four hours after recovery, the animals were anaesthetized with sodium pentobarbitone and subjected to 30-min ischaemia followed by 180-min reperfusion. Wortmannin (0.6 mg/kg, i.v.), an irreversible PI3 kinase (PI3K) inhibitor, rapamycin (0.25 mg/kg, i.v.), which prevents the phosphorylation of p70S6 kinase (p70S6K), or DMSO (control vehicle) was given 15 min prior to IPC. IPC significantly reduced infarct size compared to the control group (SC) (31.9 +/- 5.8% (n = 7) vs. 54.9 +/- 2.9% (n = 6), P < 0.05). Wortmannin and rapamycin alone had no effect on infarct size (56.3 +/- 1.6% (n = 6) and 54.7 +/- 3.8% (n = 6), respectively). However, when wortmannin or rapamycin were given prior to IPC the protection was completely abolished (49.9 +/- 2.8% (n = 6), 45.1 +/- 4.6% (n = 7), P < 0.05 vs. IPC). Western blot analysis showed that wortmannin, at a dose of 0.6 mg/kg, and rapamycin, at a dose of 0.25 mg/kg, were sufficient to prevent phosphorylation of Akt and p70S6K, respectively, when the inhibitors were given prior to IPC. We conclude that PI3K/PDK1/Akt/mTOR/p70S6K-signalling pathway plays an essential role in the development of the cardioprotection against infarction in rabbits.     

lncRNA PCAT19靶向miR-143-3p通过信号通路PI3K/Akt对甲状腺癌细胞增殖和凋亡的影响及机制

目的探讨lncRNA PCAT19对甲状腺癌细胞增殖和凋亡的影响及作用机制。方法实验分为miR-con组、miR-143-3p组、si-con组、si-PCAT19组、pcDNA组、pcDNA-PCAT19组、si-PCAT19+anti-miR-con组、si-PCAT19+anti-miR-143-3p组、miR-con+WT-PCAT19组、miR-con+MUT-PCAT19组、miR-143-3p+WT-PCAT19组、miR-143-3p+MUT-PCAT19组。qRT-PCR检测miR-143-3p和PCAT19的表达水平;Western印迹检测蛋白表达;MTT法检测细胞存活率;流式细胞术检测细胞凋亡;双荧光素酶报告实验检测PCAT19和miR-143-3p的靶向关系。结果相较于正常甲状腺细胞HT-ori3,甲状腺癌细胞BCPAP、TPC-1、SW1736中PCAT19的表达水平显著升高,miR-143-3p的表达水平显著降低(P<0.05)。敲低PCAT19和高表达miR-143-3p抑制甲状腺癌细胞BCPAP增殖,促进细胞凋亡;促进裂解的半胱氨酸天冬氨酸蛋白酶(Cleaved-caspase)-3蛋白的表达,抑制细胞周期蛋白(Cyclin)D1的表达。PCAT19靶向负调控miR-143-3p,miR-143-3p低表达可以部分逆转PCAT19低表达对BCPAP细胞增殖抑制和凋亡促进的作用。敲低PCAT19抑制p-AKT和磷脂酰肌醇3-激酶的p1102催化亚基(PI3Kp110α)的表达,miR-143-3p低表达可逆转PCAT19低表达对p-AKT和PI3Kp110α的抑制作用。结论lncRNA PCAT19可抑制甲状腺癌细胞增殖,促进其凋亡,其机制可能与miR-143-3p及PI3K/AKT信号通路有关。     

左西孟旦对缺氧复氧诱导的H9c2细胞凋亡、PTEN和PI3K/Akt信号通路的影响

[目的]研究左西孟旦对缺氧复氧(H/R)条件下H9c2细胞凋亡的影响及相关机制。[方法]体外培养H9c2细胞,将细胞分为空白对照组、H/R组、左西孟旦低剂量组、左西孟旦中剂量组、左西孟旦高剂量组。采用四甲基偶氮噻唑蓝法检测H9c2细胞增殖;流式细胞仪检测H9c2细胞凋亡;超氧化物歧化酶(SOD)试剂盒、丙二醛(MDA)试剂盒分别检测SOD活性及MDA含量;荧光探针法检测活性氧(ROS)水平;Western blot检测增殖细胞核抗原(PCNA)、B淋巴细胞瘤2蛋白(Bcl-2)、Bcl-2相关X蛋白(Bax)、磷酸酶及张力蛋白同源物(PTEN)及磷脂酰肌醇3激酶(PI3K)/丝氨酸苏氨酸蛋白激酶(Akt)信号通路蛋白表达。[结果]与空白对照组比较,H/R组H9c2细胞增殖抑制率、凋亡率、MDA含量、ROS水平、PTEN蛋白表达均显著升高(P<0.05),PCNA、Bcl-2、p-PI3K/PI3K、p-Akt/Akt均显著降低,Bax显著升高(P<0.05)。与H/R组比较,左西孟旦低剂量组、左西孟旦中剂量组、左西孟旦高剂量组H9c2细胞增殖抑制率、凋亡率、MDA含量、RO...     

Deleted in liver cancer 2 suppresses cell growth via the regulation of the Raf‐1–ERK1/2–p70S6K signalling pathway

Background: Deleted in liver cancer 2 (DLC2) gene, a putative tumour suppressor gene, encodes a Rho GTPase‐activating protein (RhoGAP) with GAP activity specific for RhoA. It exhibits tumour suppressor functions and inhibits tumour cell proliferation, migration as well as transformation. Aims: In this study, we aimed to investigate the underlying mechanisms of the DLC2 gene in suppressing cell migration and cell growth. HepG2 hepatoma cells were stably transfected with the DLC2γ isoform, which contains the RhoGAP domain. Methods and results: On performing immunofluorescence staining and Western blot analysis, the expression of the focal adhesion protein paxillin was found to be much reduced in DLC2γ‐stable clones. Upon flow cytometric analysis of the cell cycle profiles, the DLC2γ‐stable clones were shown to have a higher population of cells arrested at the G1 phase than the EGFP vector‐stable clone, suggesting that downregulation of RhoA activity in DLC2γ‐stable clones inhibited cell cycle progression. In the DLC2γ‐stable clone, the levels of Raf‐1 and extracellular signal‐regulated kinase (ERK) 1/2 were decreased as compared with those of the parental HepG2, EGFP vector and DLC2γ–GAP defective mutant‐stable clones. Furthermore, the ribosomal kinase p70S6K, a downstream target of ERK1/2, was suppressed in the DLC2‐stable clones. On the contrary, when DLC2 was knocked down by siRNA in HepG2 cells, the expression levels of phospho‐p70S6K and phospho‐ERK1/2 were upregulated. Conclusion: Our data show that DLC2 inhibits the activity of Raf‐1–ERK1/2–p70S6K via its RhoGAP function, resulting in the suppression of cell growth. Further studies on the molecular signalling between DLC2 and p70S6K may provide an insight into its growth suppressor function.     

miR-138-5p通过靶向SETD6基因调控Raf/MEK/ERK通路抑制肝癌细胞迁移、侵袭的分子机制

目的探究miR-138-5p通过靶向赖氨酸甲基转移酶(SETD6)基因调控Raf/MEK/细胞外信号调节激酶(ERK)通路抑制肝癌细胞迁移、侵袭的分子机制。方法qRT-PCR、Western印迹检测正常肝细胞L02、肝癌细胞HepG2、Hep3b、HuH-7细胞中miR-138-5p、SETD6的表达水平,噻唑蓝(MTT)法检测细胞增殖情况,Transwell实验检测细胞侵袭、迁移能力,Western印迹检测转染后Hep3b细胞中CyclinD1、基质金属蛋白酶(MMP)-2蛋白表达水平,双荧光素酶报告实验及Western印迹检测miR-138-5p与SETD6的联系。结果与人正常肝细胞L02比较,肝癌细胞HepG2、Hep3b、HuH-7中miR-138-5p的表达水平显著降低,SETD6水平显著升高(P<0.05),选择Hep3b细胞进行后续实验;与NC、miR-con组比较,miR-138-5p mimics组miR-138-5p的表达水平显著升高,细胞存活率、侵袭和迁移细胞数目、SETD6、CyclinD1、MMP-2水平显著降低(P<0.05);与NC、si-con组比较,si-SETD6组中SETD6蛋白水平显著降低,细胞存活率、侵袭和迁移细胞数目、CyclinD1、MMP-2水平显著减少(P<0.05);TargetScan生物信息学软件预测显示,miR-138-5p与SETD63'UTR存在结合位点,双荧光素酶报告实验显示,miR-138-5p与SETD63'UTR区域特异性结合,Western印迹进一步检测显示miR-138-5p与SETD6直接结合负向调控SETD6的表达;与miR-138-5p+pcDNA组比较,过表达SETD6后,miR-138-5p+pcDNA-SETD6组细胞存活率、侵袭和迁移细胞数目、SETD6、CyclinD1、MMP-2蛋白水平显著升高(P<0.05);与miR-con组比较,过表达miR-138-5p后,miR-138-5p组Raf、p-MEK、p-ERK蛋白水平显著降低,与miR-138-5p+pcDNA组比较,过表达SETD6后,miR-138-5p+pcDNA-SETD6组Raf、p-MEK、p-ERK蛋白水平显著升高(P<0.05)。结论肝癌细胞的增殖、侵袭和迁移受到miR-138-5p及SETD6的双重调控,miR-138-5p可能通过调节SETD6的表达调控Raf/MEK/ERK通路进而调节肝癌细胞的增殖、侵袭和迁移,可为肝癌患者分子靶向治疗研究提供思路。