Roles of E-cadherin in Hepatocarcinogenesis

Review
In: Innovative Medicine: Basic Research and Development [Internet]. Tokyo: Springer; 2015.

Excerpt

Loss of E-cadherin function has been reported to be associated with progression and poor prognosis of liver cancer. However, the precise role of E-cadherin in liver cancer development has not been elucidated. Thus, we generated liver-specific E-cadherin (Cdh1) knockout mice (Cdh1 Liv ) by crossing Cdh1 flox/flox mice with albumin-Cre transgenic mice. Interestingly, Cdh1 Liv mice developed spontaneous inflammation in the portal areas, and then developed periductal onion skin–like fibrosis, which resembled primary sclerosing cholangitis. Microarray analysis showed that expression of stem cell markers such as CD44 and Sox9, and inflammatory cytokines such as IL-6 and TNF-α, are increased in Cdh1 Liv liver compared with Cdh1 flox/flox liver. To investigate the role of E-cadherin in the liver tumorigenesis, we crossed Cdh1 Liv mice with lox-stop-lox Kras G12D mice (Kras + Cdh1 Liv ). Kras + Cdh1 Liv mice developed liver tumors at age 28 weeks (8/8, 100 %), whereas Kras + Cdh1 flox/+ mice did not develop any tumors. Histologically, these tumors were hepatocellular carcinomas with a small proportion of ductal lesions and strongly positive for progenitor cell markers such as CD44 and Sox9. Interestingly, epithelial to mesenchymal transition (EMT) was found in the tumors of Kras + Cdh1 Liv mice. We also found that diethylnitrosamine-induced tumorigenesis was significantly accelerated in Cdh1 Liv mice. In summary, loss of E-cadherin in the liver leads to sclerosing cholangitis and promotes tumorigenesis. Its tumor-promoting function seemed to be caused by gain of stem cell properties as well as induction of EMT.

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