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HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 543A<br />

673<br />

Effects of Targeting Wnt/β-Catenin and RAS/RAF/<br />

MAPK Pathway on Hepatocellular Carcinoma Cell<br />

Growth and Metabolism: Potential for a New Combination<br />

Therapy<br />

Lilia Turcios 1 , Valery Vilchez 1 , David Butterfield 2 , Mihail I. Mitov 3 ,<br />

Francesc Marti 1 , Roberto Gedaly 1 ; 1 Surgery, Univ of Kentucky,<br />

Lexington, KY; 2 Chemistry, University of Kentucky, Lexington, KY;<br />

3 Markey Cancer Center - Core Support, University of Kentucky,<br />

Lexington, KY<br />

Background: Treatment of advanced hepatocellular carcinoma<br />

(HCC) remains a challenge. We aim to evaluate the impact<br />

of a β-catenin inhibitor, FH535, alone or in combination with<br />

a RAS/RAF/MAPK inhibitor, sorafenib, in liver cancer cells.<br />

Methods: Proliferation of liver cancer cell lines (Huh7, PLC,<br />

Hep3B) with or without addition of FH535 (10mM, 5mM,<br />

2.5mM) and sorafenib (2mM, 1 mM) alone or in combination<br />

was assayed by 3 H-thymidine incorporation at different time<br />

points (12h, 24h and 48h). The effect of drug treatment in mitochondrial<br />

function was determined by monitoring changes in<br />

mitochondrial transmembrane potential (ΔΨm) and mitochondrial<br />

respiratory activity. ΔΨm was assessed by tetramethylrhodamine<br />

ethyl ester (TMRE)-labeling and analyzed by flow<br />

cytometry. Mitochondrial respiration (OXPHOS) and glycolysis<br />

were measured by real-time analysis of oxygen consumption<br />

(OCR) and extra-cellular acidification (ECAR) rates, respectively,<br />

in a XF96 Flux Analyzer. Expression of β-catenin and<br />

apoptosis-related proteins were analyzed by Western Blot.<br />

Results: FH535 and sorafenib inhibited HCC cell proliferation<br />

in all three different cell lines tested (Huh7, PLC and Hep3B).<br />

We observed a significant dose-response inhibition with single<br />

treatments, although the effect of combined drugs was<br />

more potent. Our results also indicated the decreased levels of<br />

ΔΨm in cells exposed to the simultaneous exposure to FH535<br />

and sorafenib, which may reflect the efficient mitochondrial<br />

drug-targeting of the combined treatment. Mitochondrial dysfunction<br />

was confirmed by lower oxygen consumption rates<br />

and increased levels of apoptosis in cells treated with FH535<br />

plus sorafenib. Similar ECAR levels in treated and non-treated<br />

cells ruled out a broad cellular metabolic failure and rather<br />

confirmed the predominant mitochondrial effect of the drugs.<br />

Conclusions: The combination of FH535 and sorafenib inhibits<br />

HCC cell proliferation. Mechanistically, our results suggest that<br />

the combined therapeutic targeting of β-catenin and RAS/RAF/<br />

MAPK pathways may alter tumor cell growth by promoting<br />

mitochondrial dysfunction.<br />

Disclosures:<br />

The following authors have nothing to disclose: Lilia Turcios, Valery Vilchez,<br />

David Butterfield, Mihail I. Mitov, Francesc Marti, Roberto Gedaly<br />

674<br />

RA and butyrate induce liver and colon cancer cell<br />

apoptosis through miR-22 silencing of histone deacetylases<br />

Ying Hu, Hui-Xin Liu, Yu-Jui Yvonne Wan; Department of Medical<br />

Pathology and Laboratory Medicine, University of California,<br />

Davis Health Systems, Sacramento, CA<br />

Due to the signicant tumor suppressive role of microRNA-22<br />

(miR-22), it is important to establish the mechanism by which<br />

miR-22 expression is regulated. Our published data showed<br />

that bile acid-activated farnesoid x receptor (FXR) induces miR-<br />

22. In this report, we showed that all-trans retinoic acid (RA)<br />

and butyrate, normally present in digestive tract, also up-regulate<br />

miR-22. RA is a biologically active metabolite of vitamin<br />

A and a natural agonist for tumor suppressor retinoic acid<br />

receptor β (RARβ). Butyrate is a short chain fatty acid and<br />

histone deacetylase inhibitor (HDACi), produced by fiber-fed<br />

Gram-positive bacteria. Both agents can induce apoptosis in<br />

cancer cells. We tested the hypothesis that RA and butyrate<br />

act through miR-22 to inhibit HDACs and induce apoptosis in<br />

liver and colon cancer cells. Our data showed that RA/butyrate<br />

treatment synergistically promoted apoptosis and potently<br />

induced RARβ expression compared to single compound treatment<br />

in liver Huh7 and colon HCT116 cancer cells. miR-22<br />

induction by RA and butyrate was transcriptionally regulated<br />

by RARβ/RXRα and FXR/RXRα direct binding to a DR-5 motif<br />

located at -1568 to -1585 bp upstream of miR-22 based on<br />

transient transfection assays. Using 3’UTR luciferase assay,<br />

histone deacetylase 1 (HDAC1) was uncovered as a novel<br />

miR-22 target. Furthermore, miR-22 mimics also reduced the<br />

protein levels of HDAC4 and SIRT1, which are identified miR-<br />

22 targets in rat cardiomyocytes. Consistently, RA and butyrate<br />

reduced HDAC1, HDAC4, and SIRT1 protein levels in HCT116<br />

cells. In addition, the reduction in protein deacetylases was<br />

accompanied by increased histone acetylation in the RARβ<br />

regulatory region harboring a RA response element (DR-5).<br />

Histone modification of the RARβ gene could account for<br />

enhanced RARβ expression by RA/butyrate treatment. Moreover,<br />

miR-22 inhibitors abolished reduction of protein deacetylase<br />

levels and prevented apoptosis in HCT116 and Huh7 cells<br />

induced by RA/butyrate. Conclusion: RA and butyrate induce<br />

miR-22 to promote apoptosis of gastrointestinal cancer cells.<br />

miR-22 inhibition of HDACs is a novel pathway to explain the<br />

anti-carcinogenic effect of RARβ and FXR.<br />

Disclosures:<br />

The following authors have nothing to disclose: Ying Hu, Hui-Xin Liu, Yu-Jui<br />

Yvonne Wan<br />

675<br />

IRAKM-Mincle axis contributes to alcohol-induced liver<br />

injury via inflammasome activation<br />

Hao Zhou 1 , Laura E. Nagy 2 , Xiaoxia Li 1 ; 1 Immunology, Lerner<br />

Research Institute, Cleveland Clinic Foundation, Cleveland, OH;<br />

2 Pathobiology, Lerner Research Institute, Cleveland Clinic Foundation,<br />

Cleveland, OH<br />

Alcohol-induced liver injury is driven by hepatocyte necrosis<br />

and increased endotoxin translocation into the hepatic portal<br />

system, which together trigger chronic inflammatory liver<br />

damage. In this study, we found that mice deficient in IRAKM,<br />

a proximal Toll-like receptor pathway molecule, are protected<br />

from alcohol-induced liver injury. In response to low doses<br />

of LPS, which better reflect physiologically relevant levels of<br />

endotoxemia, IRAKM mediates the up-regulation of Mincle, a<br />

receptor for danger signals released by damaged cells. Biochemical<br />

analysis revealed that low-dose LPS preferentially<br />

induces the formation of an IRAKM Myddosome, which in turn<br />

promotes MEKK3-dependent NFκB activation. Mincle-deficient<br />

mice are also protected from alcohol-induced liver injury. Ex<br />

vivo <strong>studies</strong> demonstrated that both IRAKM and Mincle are<br />

required for inflammasome activation by the endogenous Mincle<br />

ligand SAP130, which is a danger signal release by damaged<br />

hepatocytes. Taken together, this study reveals a novel<br />

IRAKM-Mincle axis that critically mediates the pathogenesis of<br />

alcohol-induced liver disease through inflammasome activation.<br />

Disclosures:<br />

The following authors have nothing to disclose: Hao Zhou, Laura E. Nagy, Xiaoxia<br />

Li

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