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NQO1 promotes an aggressive phenotype in hepatocellular carcinoma via amplifying ERK‐NRF2 signaling
Authors:Yun Yang  Jie Zheng  Mengchao Wang  Jin Zhang  Tao Tian  Zhiheng Wang  Shengxian Yuan  Lei Liu  Peng Zhu  Fangming Gu  Siyuan Fu  Yunfeng Shan  Zeya Pan  Weiping Zhou
Affiliation:1. The Third Department of Hepatic Surgery, Eastern Hepatobiliary Surgery Hospital, Shanghai, China;2. Department of Intervention, First Affiliated Hospital, Wenzhou Medical University, Zhejiang, China;3. Department of Hepatobiliary Surgery, First Affiliated Hospital, Wenzhou Medical University, Zhejiang, China
Abstract:Patients with hepatocellular carcinoma (HCC) are usually diagnosed at the later stages and have poor survival outcomes. New molecules are urgently needed for the prognostic predication and individual treatment. Our study showed that high levels of NQO1 expression frequently exist in HCC with an obvious cancer‐specific pattern. Patients with NQO1‐high tumors are significantly associated with poor survival outcomes and serve as independent predictors. Functional experiments showed that NQO1 promotes the growth and aggressiveness of HCC in both in vitro and in vivo models, and the underlying mechanism involved NQO1‐derived amplification of ERK/p38‐NRF2 signaling. Combined block of ERK and NRF2 signaling generated stronger growth inhibition compared with any single block, especially for HCC with high‐NQO1. Therefore, NQO1 is a potential biomarker for HCC early diagnosis and prognosis prediction, and also attractive for cancer‐specific targets for HCC treatment.
Keywords:hepatocellular carcinoma   NQO1   NRF2   prognosis   tumorigenesis
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