Annexin A2 promotion of hepatocellular carcinoma tumorigenesis via the immune microenvironment

World J Gastroenterol. 2020 May 14;26(18):2126-2137. doi: 10.3748/wjg.v26.i18.2126.

Abstract

Hepatocellular carcinoma (HCC) is the most common primary liver cancer with a dismal prognosis, especially when diagnosed at advanced stages. Annexin A2 (ANXA2), is found to promote cancer progression and therapeutic resistance. However, the underlining mechanisms of ANXA2 in immune escape of HCC remain poorly understood up to now. Herein, we summarized the molecular function of ANXA2 in HCC and its relationship with prognosis. Furthermore, we tentatively elucidated the underlying mechanism of ANXA2 immune escape of HCC by upregulating the proportion of regulatory T cells and the expression of several inhibitory molecules, and by downregulating the proportion of natural killer cells and dendritic cells and the expression of several inhibitory molecules or effector molecules. We expect a lot of in-depth studies to further reveal the underlying mechanism of ANXA2 in immune escape of HCC in the future.

Keywords: Annexin A2; Checkpoint; Chemotherapy resistance; Hepatocellular carcinoma; Immune microenvironment; Overall survival.

Publication types

  • Review

MeSH terms

  • Animals
  • Annexin A2 / metabolism*
  • Biomarkers, Tumor / metabolism*
  • Carcinogenesis / immunology*
  • Carcinoma, Hepatocellular / genetics
  • Carcinoma, Hepatocellular / immunology*
  • Carcinoma, Hepatocellular / mortality
  • Carcinoma, Hepatocellular / pathology
  • Disease Models, Animal
  • Disease Progression
  • Gene Expression Regulation, Neoplastic / immunology
  • Humans
  • Liver / immunology
  • Liver / pathology
  • Liver Neoplasms / genetics
  • Liver Neoplasms / immunology*
  • Liver Neoplasms / mortality
  • Liver Neoplasms / pathology
  • Prognosis
  • Rats
  • T-Lymphocytes, Regulatory / immunology
  • Tumor Escape*
  • Tumor Microenvironment / immunology
  • Up-Regulation

Substances

  • Annexin A2
  • Biomarkers, Tumor