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Zhu et al.                                                                                                                                                  Function of Mcl-1 and its regulative relations with HCC

           cells with exposure to ursolic acid (UA), western blot   effect of XN. In brief, XN mediated growth suppression
           results showed decreased expression of the Mcl-1 and   of HCC through inhibition  of the Notch signaling
           that treatment with UA induces apoptosis by inhibition   pathway. [63]
           of  PI3K/Akt  and  P38/MAPK  signaling  pathway. [54]
           Yu  et  al. [55]   found that  Mcl-1  protein expression was   Translational regulation
           downregulated  via  inhibition  PI3K  by  LY294002  in   The same as Mcl-1 protein, Mcl-1 mRNA have very
           HepG2 cells, which indicates that PI3K/Akt signaling   short  half-lives.  Translationally,  mir-29b binding to
           pathway regulates  Mcl-1 expression. Data from  two   the 3’-untranslated region  of Mcl-1 mRNA inhibits
           human HCC cell lines, SMMC7721  and HepG2,         expression  of Mcl-1. [64]  Northern blot and  real-time
           indicated  that exogenous  rhHPPCn  (Hepatopoietin   quantitative reverse transcription polymerase chain
           Cn) suppressed trichostatin  A-induced  apoptosis of   reaction  showed  that downregulation  of mir-29
           HCC cells and up-regulated Mcl-1 expression in HCC-  was a  frequent event  in HCC tissues.  Further  study
           derived cells via the MAPK or sphingosine kinase-1.    implicated  that mir-29 may promote apoptosis  of
                                                         [56]
           Real-time  polymerase  chain  reaction  analysis  and   HCC cells through directly targeting Bcl-2 and Mcl-1.
           western blot results demonstrated that aspirin induced   Besides, the ability of HCC cells to form tumor in nude
           Mcl-1 expression at mRNA level  as well  as protein   mice was dramatically repressed by induction of mir-
           level through Akt/extracellular regulated kinase (ERK)   29. These results indicated that Bcl-2 and Mcl-1 were
           1/2  and  stimulates  AMPK-Akt/ERK1/2-Mcl-1  axis  in   predominant mediators of mir-29 promoted apoptosis
           HepG2 cells. [57]  P53 as a tumor suppressor protein also   in HCC cells. [65]  The mammalian target of rapamycin
           involves the regulation of Mcl-1. It has been reported   complex 1 (mTORC1) is a protein complex whose role
           that mutation in the P53 frequently occurred in HCC   is to activate translation of proteins just like a nutrient
           and contributed to hepatocarcinogenesis  as well as   sensor controlling protein synthesis and a downstream
           apoptosis resistance. [58]  Additionally,  Leu  et  al. [59]   target of PI3K/Akt. [66]  There was a report that described
           demonstrated that  P53 antagonized  the interactions   that activation of mTORC1 was of vital importance to
           between  Mcl-1 and Bak. Once mutation happens      be a potent antiapoptotic signal through Mcl-1 which
           in HCC, Mcl-1 couldn’t be dissociated from Bak and   is a  translationally regulated genetic determinant of
           the  final  result  is  apoptosis  resistance  of  hepatoma   mTORC1-dependent  survival. [67]   And a recent study
           cells.  Data from human  samples  showed  that P53   demonstrated that  metformin-induced  apoptosis in
           protein  was also overexpressed  in HCC  tissues and   HCC was mediated  by the downstream  mTORC1
           its expression was significantly correlated with Mcl-1   effectors  eukaryotic initiation  factor  4E (eIF4E)  and
           expression. Further research indicated that silencing   eIF4E-binding  proteins who were required  to induce
           Mcl-1 sensitizes hepatoma cells towards chemotherapy   apoptosis by metformin in HCC and to repress Mcl-1
           may be attributed to the dysfunction of P53 through   expression. [68]
           Mcl-1/P53 interaction. [55]  According to combination of
           ICG-001, a small molecule which blocks the interaction   Post-translational regulation
           of β-catenin with its transcriptional coactivator CREB-
           binding protein, and sorafenib to treat several HCC cell   There is variety of modes regulating  Mcl-1 at post-
           lines, the effect was a significant downregulation of Mcl-  translational level. In the preceding part of this review,
           1 which was the most consistent change across tested   we have mentioned  that the PEST region of Mcl-1
           HCC cell lines. The author concluded that the sorafenib-  was rich in putative phosphorylation sites which made
           sensitizing  effect  of  Wnt/β-catenin  pathway  inhibition   Mcl-1 different from  other Bcl-2 family members.
           was closely associated with Mcl-1 downregulation in   Here, we detail those phosphoresidues of Mcl-1 and
           HCC cells. [60]  In addition, recent reports described that   the influence of phosphorylation in HCC. Both of the
           Wnt/β-catenin signaling could regulate Mcl-1 expression   phosphoresidues  Threonine 92 and  Threonine 163
           indirectly,  involving  genes  regulated  by  Wnt/β-catenin   of Mcl-1 were identified by Ding et al. [69]  using ERK-
           pathway or other transcriptional factors. [61,62]  Moreover,   1 kinase assay. ERK-1 phosphorylation of Thr 92 and
           a panel of HCC cell lines has been on treatment with   Thr 163 stabilizes Mcl-1 and then promotes Mcl-1’s
           Xanthohumol  (XN), a prenylated  chalcone  having   anti-apoptosis. It  has been demonstrated that  heat
           anti-proliferative  effects in various cancers types  in   shock protein 90 inhibitor 17-allylaminogeldanamycin
           vitro, and growth suppression due to apoptosis was   (17-AAG) partially inversed (-)-gossypol-induced Mcl-
           evidenced  by reduced  expression  of anti-apoptotic   1  accumulation  by  inhibiting  ERK  phosphorylation  in
           proteins including Mcl-1. Importantly,  XN treatment   HCC cells. [70]  Of note, Inoshita et al. [71]  concluded that
           decreased  the expression  of Notch1  and  hairy  and   phosphorylation of Thr 163 by JNK destabilized Mcl-
           enhancer of split-1 proteins while ectopic expression   1,  whereas  the  results  showed  by  Kodama  et al. [72]
           of Notch1 in HCC cells abolished the anti-proliferative   suggested that C-Jun N-terminal kinase (JNK) as the

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