Chronic Disruption of the Late Cholesterol Synthesis Leads to Female-Prevalent Liver Cancer

Autor: Damjana Rozman, Martina Perše, Kaja Blagotinšek Cokan, Cene Skubic, Gregor Lorbek, Peter Juvan, Tadeja Režen, Madlen Matz-Soja, Žiga Urlep, Jera Jeruc
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Cancers, Vol 12, Iss 3302, p 3302 (2020)
Cancers
Cancers, vol. 12, no. 11, 3302, 2020.
Volume 12
Issue 11
ISSN: 2072-6694
Popis: While the role of cholesterol in liver carcinogenesis remains controversial, hepatocellular carcinoma generally prevails in males. Herein, we uncover pathways of female-prevalent progression to hepatocellular carcinoma due to chronic repression of cholesterogenic lanosterol 14&alpha
demethylase (CYP51) in hepatocytes. Tumors develop in knock-out mice after year one, with 2:1 prevalence in females. Metabolic and transcription factor networks were deduced from the liver transcriptome data, combined by sterol metabolite and blood parameter analyses, and interpreted with relevance to humans. Female knock-outs show increased plasma cholesterol and HDL, dampened lipid-related transcription factors FXR, LXR&alpha
RXR&alpha
and importantly, crosstalk between reduced LXR&alpha
and activated TGF-&beta
signalling, indicating a higher susceptibility to HCC in aging females. PI3K/Akt signalling and ECM-receptor interaction are common pathways that are disturbed by sex-specific altered genes. Additionally, transcription factors (SOX9)2 and PPAR&alpha
were recognized as important for female hepatocarcinogenesis, while overexpressed Cd36, a target of nuclear receptor RORC, is a new male-related regulator of ECM-receptor signalling in hepatocarcinogenesis. In conclusion, we uncover the sex-dependent metabolic reprogramming of cholesterol-related pathways that predispose for hepatocarcinogenesis in aging females. This is important in light of increased incidence of liver cancers in post-menopausal women.
Databáze: OpenAIRE