Hepatocellular carcinoma (HCC) is the sixth most common malignancy and fourth leading cause of cancer-associated death worldwide[1]. Liver transplantation, surgical resection, and local radiofrequency ablation are the main curative treatments for early staging HCC, however, the early recurrence and metastasis of HCC still make the post-operative survival unsatisfactory[2]; furthermore, the vast majority of newly diagnosed patients are always with intra- or extra- hepatic metastasis. Therefore, it is urgent to illuminating the underlying mechanisms of HCC metastasis.
It has been widely accepted that epithelial-mesenchymal transition(EMT) devoted to tumor metastasis and recurrence[3–5].Epithelial cancer cells lose epithelial characteristics and gain the mesenchymal properties during EMT.EMT-related transcriptional factors (TFs), such as Snail/Slug, ZEB1/2, TWIST1, and signaling pathways, for instance, TGF-β/SMAD, Wnt, VEGF, IGF, and Notch are crucial triggers and regulators for EMT[6].Cancer stem cells (CSCs), a subgroup cancer cells with self-renewal and proliferative properties, were recently thought to be the seeds of tumor metastasis and recurrence[7]. By undergoing EMT, cancer cells could acquire the “stemness”, which establishes a close relationship between EMT, CSCs, and metastasis [8].
Liver CSCs have been reported to be enriched by several surface markers, including CD13, CD133,CD24, EpCAM, CD44 and CD90[9–12].However, the exact mechanism that liver CSCs maintain self-renewal characteristics has been rarely reported. Interestingly, pathways, such as TGF-β pathway, Wnt/β-catenin pathway, Notch pathway and Hedgehog pathway, and EMT-related TFs are increasingly shown to regulate the CSCs characteristics[13–15]. TGF-β signaling plays a dual role during the progression of HCC, it prevents the progression of HCC in the early stage, while promoting carcinogenesis in the late stage[16].In HCC,TGF-βinduced a partial EMT to maintain stemness characteristics, during which liver cancer cells acquire increased mobility and invasiveness[17].However, the exact mechanism that TGF-β signaling regulates EMT and stemness needs further investigation.
Accumulating evidences indicated that long non-coding RNAs (lncRNAs) play a significant role in regulating EMT process in cancer cells[18].Linc00261, also known as DEANR1, has been found dysregulated in numerous cancers, such as lung cancer [19], gastric cancer[20], endometrial cancer[21], and HCC [22]. Its downregulation could be associated with transcriptional inhibition by neighbor gene FOXA2,DNMT1-derived CpG islands methylation, and EZH2 catalyzed trimethylation of H3K27at lys27 (H3K27Me3)[23]. It inhibits cellular proliferation by promoting apoptosis, DNA damage, or G2/M cell cycle arrest, restrains cellular mobility and invasion by restricting the activation of Notch signaling[24] or accelerating the degradation of Slug[25]. Interestingly, as an endoderm differentiation specific lincRNA, linc00261 also specifically expressed in adult endoderm-derived tissues and liver shares the highest level; besides, our previous study and others revealed an inhibitory effect of linc00261 on EMT process and metastasis in HCC and gastric cancer. However, whether linc00261 deficiency modulated EMT induced acquisition of stemness, is still undefined.
In this study, we investigated the influence of linc00261 on regulating EMT and cancer stem cell-liked characteristics in HCC, and the exact role of linc00261 in modulating SMAD3, the key factor of TGF-β1 signaling. These findings may provide new strategies for the prevention and therapy for HCC metastasis.