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Evaluating the Effect of SPTBN1 Knockout on Pyruvate Kinase Molecule 2 Expression and Hepatocellular Carcinoma Development

March 16, 2023

Abstract: Hepatocellular carcinoma (HCC) accounted for an estimated 660,000 deaths in 2020, and the prevalence of HCC is expected to increase by over 55% between 2020 and 2040. Due to the lack of an effective treatment for late-stage HCC, the five-year survival rate is less than 20%. Pyruvate kinase molecule 2 (PKM2) is a rate-limiting enzyme that mediates the last step of glycolysis, catalyzing the breakdown of phosphoenolpyruvate into pyruvate. Upon PKM2 upregulation, cancer cells reprogram their host’s metabolic pathways, increasing glucose uptake and evoking fermentation of glucose to lactate. This altered metabolism allows rapid production of ATP, promoting cancer cell proliferation. This study found that liver-specific knockout of the SPTBN1 gene significantly decreases PKM2 levels and prevents inflammation, cell proliferation, and abnormal vascular development. Immunohistochemical (IHC) staining with the PKM2 antibody was performed on paraffin-embedded liver tissue slides from wild-type (WT) mice, WT mice chemically induced with HCC, and HCC mice that had the SPTBN1 gene knocked out in the liver. After IHC staining, the tissue slides were photographed under a light microscope and analyzed in ImageJ, where PKM2 expression was calculated. Results of the IHC staining were also used to assess the severity of symptoms in each group of mice. This study found evidence suggesting SPTBN1 targeted gene knockout therapy may ameliorate HCC-induced symptoms and inhibit HCC development.


References

1. Sung, H. et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA. Cancer J. Clin. 71, 209–249

2. Rahib, L. et al. Projecting Cancer Incidence and Deaths to 2030: The Unexpected Burden of Thyroid, Liver, and Pancreas Cancers in the United States. Cancer Res. 74, 2913–2921 (2014).


3. Bray, F. et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA. Cancer J. Clin. 68, 394–424 (2018).


4. McGlynn, K. A., Petrick, J. L. & London, W. T. Global epidemiology of hepatocellular carcinoma: an emphasis on demographic and regional variability. Clin. Liver Dis. 19, 223–238 (2015).


5. Simonetti, R. G. et al. Hepatocellular carcinoma. A worldwide problem and the major risk factors. Dig. Dis. Sci. 36, 962–972 (1991).


6. Gupta, A. et al. Obesity is Independently Associated with Increased Risk of
Hepatocellular Cancer-related Mortality: A Systematic Review and Meta-analysis. Am. J. Clin. Oncol. 41, 874–881 (2018).


7. Management of advanced hepatocellular carcinoma: review of current and potential therapies. https://hrjournal.net/article/view/1901.
8. Siegel, R. L., Miller, K. D. & Jemal, A. Cancer statistics, 2018. CA. Cancer J. Clin. 68, 7–30 (2018).


9. Viel, A. & Branton, D. Spectrin: on the path from structure to function. Curr. Opin. Cell Biol. 8, 49–55 (1996).


10.De Matteis, M. A. & Morrow, J. S. Spectrin tethers and mesh in the biosynthetic pathway. J. Cell Sci. 113 ( Pt 13), 2331–2343 (2000).


11. Bennett, V. & Lorenzo, D. N. Spectrin- and ankyrin-based membrane domains and the evolution of vertebrates. Curr. Top. Membr. 72, 1–37 (2013).


12. Liem, R. K. H. Cytoskeletal Integrators: The Spectrin Superfamily. Cold Spring Harb. Perspect. Biol. 8, a018259 (2016).


13. Derbala, M. H., Guo, A. S., Mohler, P. J. & Smith, S. A. The role of βII spectrin in cardiac health and disease. Life Sci. 192, 278–285 (2018).


14. Davis, L. et al. Localization and Structure of the Ankyrin-binding Site on  β2-Spectrin. J. Biol. Chem. 284, 6982–6987 (2009).


15. Rao, S. et al. β2-Spectrin (SPTBN1) as a Therapeutic Target for Diet-Induced Liver Disease and Preventing Cancer Development. Sci. Transl. Med. 13, eabk2267 (2021).