背景和目的:已经报道了血管活性肠多肽I型受体(VIPR1)在许多类型的恶性肿瘤中的过表达,并用于开发新的靶向疗法和基于放射性标记的VIP类似物的肿瘤成像技术。但其在肝癌发生中的作用尚未被探索。在目前的研究中,我们研究了VIP/VIPR1信号在控制肝细胞癌(HCC)进展中的作用。方法和结果:通过分析临床样本,我们发现VIPR1的表达水平在人肝癌组织中下调,这与晚期临床阶段相关,肿瘤生长,复发,和肝癌的临床不良结果。体外和体内研究表明,VIP激活VIPR1可显着抑制HCC的生长和转移。有趣的是,转录组测序分析表明,VIP对VIPR1的激活调节了精氨酸的生物合成。培养的肝癌细胞的力学研究表明,VIP治疗部分恢复精氨酸合成代谢关键酶精氨酸琥珀酸合酶(ASS1)的表达,在某种程度上,通过下调CAD(氨基甲酰磷酸合成酶2,天冬氨酸转碳淀粉酶,和二氢乳清酶)。VIP治疗上调ASS1并随后以mTOR/p70S6K信号依赖性方式抑制CAD磷酸化。临床上,我们发现人类肝癌样本与ASS1下调相关,但CAD磷酸化上调,VIPR1水平与ASS1水平和血清尿素水平呈正相关,肝癌中尿素循环和精氨酸代谢的最终产物。结论:HCC中VIPR1表达的缺失促进CAD磷酸化和肿瘤进展,VIPR1的恢复和VIPR1激动剂的治疗可能是肝癌治疗的一种有希望的方法。
Background and aims: Vasoactive intestinal polypeptide type-I receptor (
VIPR1) overexpression has been reported in numerous types of malignancies and utilized to develop novel target therapeutics and radiolabeled VIP analogue-based tumor imaging technology, but its role in liver carcinogenesis has not been explored. In the current study, we investigated the role of the VIP/
VIPR1 signaling in controlling hepatocellular carcinoma (HCC) progression. Approach and results: By analyzing clinical samples, we found the expression level of VIPR1 was downregulated in human HCC tissues, which was correlated with advanced clinical stages, tumor growth, recurrence, and poor outcomes of HCC clinically. In vitro and in vivo studies revealed that activation of
VIPR1 by VIP markedly inhibited HCC growth and metastasis. Intriguingly, transcriptome sequencing analyses revealed that activation of VIPR1 by VIP regulated arginine biosynthesis. Mechanistical studies in cultured HCC cells demonstrated that VIP treatment partially restored the expression of arginine anabolic key enzyme argininosuccinate synthase (ASS1), and to some extent, inhibited de novo pyrimidine synthetic pathway by downregulating the activation of CAD (carbamoyl-phosphate synthetase 2, aspartate transcarbamylase, and dihydroorotase). VIP treatment upregulated ASS1 and subsequently suppressed CAD phosphorylation in an mTOR/p70S6K signaling dependent manner. Clinically, we found human HCC samples were associated with downregulation of ASS1 but upregulation of CAD phosphorylation, and that VIPR1 levels positively correlated with ASS1 levels and serum levels of urea, the end product of the urea cycle and arginine metabolism in HCC. Conclusions: Loss of
VIPR1 expression in HCC facilitates CAD phosphorylation and tumor progression, and restoration of
VIPR1 and treatment with the
VIPR1 agonist may be a promising approach for HCC treatment.