Androgen receptor promotes hepatitis B virus-induced hepatocarcinogenesis through modulation of hepatitis B virus RNA transcription.

Androgen receptor promotes hepatitis B virus-induced hepatocarcinogenesis through modulation of hepatitis B virus RNA transcription.
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DOI:
10.1126/scitranslmed.3001143
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发表时间:
2010-05-19
影响因子:
17.1
通讯作者:
Chang C
Chang C
中科院分区:
医学1区
文献类型:
--
作者:
Wu MH;Ma WL;Hsu CL;Chen YL;Ou JH;Ryan CK;Hung YC;Yeh S;Chang C

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B型肝炎病毒(HBV)诱导的肝炎和致癌物诱导的肝细胞癌(HCC)与血清雄激素浓度相关。然而,雄激素或雄激素受体(AR)如何促进HBV诱导的肝癌发生仍不清楚。我们发现,肝AR促进HBV诱导的肝癌发生在HBV转基因小鼠中,这些小鼠仅在肝细胞中缺乏AR(HBV-L-AR−/y)。接受低剂量致癌物N′-N′-二乙基亚硝胺(DEN)的HBV-L-AR−/y小鼠与野生型HBV-AR+/y同窝小鼠相比,HCC的发生率较低,肿瘤大小较小,病灶形成较少,甲胎蛋白HCC标志物较少。我们发现肝AR通过直接结合到病毒核心启动子附近的雄激素反应元件来增强HBV RNA转录,从而增加HBV病毒滴度。该活性与其下游靶基因HBx蛋白协同作用形成正反馈机制,促进肝癌发生。施用选择性降解AR的化合物ASC-J 9能够抑制DEN-HBV-AR+/y小鼠中的HCC肿瘤大小。这些结果表明,靶向AR,而不是雄激素,可以作为一种新的治疗方法来对抗HBV诱导的HCC。
Hepatitis B virus (HBV)–induced hepatitis and carcinogen-induced hepatocellular carcinoma (HCC) are associated with serum androgen concentration. However, how androgen or the androgen receptor (AR) contributes to HBV-induced hepatocarcinogenesis remains unclear. We found that hepatic AR promotes HBV-induced hepatocarcinogenesis in HBV transgenic mice that lack AR only in the liver hepatocytes (HBV-L-AR−/y). HBV-L-AR−/y mice that received a low dose of the carcinogen N′-N′-diethylnitrosamine (DEN) have a lower incidence of HCC and present with smaller tumor sizes, fewer foci formations, and less α-fetoprotein HCC marker than do their wild-type HBV-AR+/y littermates. We found that hepatic AR increases the HBV viral titer by enhancing HBV RNA transcription through direct binding to the androgen response element near the viral core promoter. This activity forms a positive feedback mechanism with cooperation with its downstream target gene HBx protein to promote hepatocarcinogenesis. Administration of a chemical compound that selectively degrades AR, ASC-J9, was able to suppress HCC tumor size in DEN-HBV-AR+/y mice. These results demonstrate that targeting the AR, rather than the androgen, could be developed as a new therapy to battle HBV-induced HCC.
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