PMID- 23308045 OWN - NLM STAT- MEDLINE DCOM- 20130710 LR - 20220330 IS - 1476-5586 (Electronic) IS - 1522-8002 (Print) IS - 1476-5586 (Linking) VI - 14 IP - 12 DP - 2012 Dec TI - Proprotein convertase subtilisin/kexin type 9 deficiency reduces melanoma metastasis in liver. PG - 1122-31 AB - High circulating cholesterol is associated with hypercholesterolemia, atherosclerosis, and stroke. However, the relation between cholesterol and tumorigenesis/metastasis is controversial. The proprotein convertase subtilisin/kexin type 9 (PCSK9) regulates low-density lipoprotein cholesterol homeostasis by targeting the low-density lipoprotein receptor (LDLR) for degradation. PCSK9 is mostly expressed in liver, which is one of the most common sites for metastatic disease. To reveal the function of PCSK9 and also evaluate the impact of cholesterol in liver metastasis development, B16F1 melanoma cells were injected into wild-type (WT) and Pcsk9(-/-) mice to induce liver metastasis. On chow diet, Pcsk9(-/-) mice harbored two-fold less liver metastases than WT mice. This decrease is related to low cholesterol levels in Pcsk9(-/-) mice, as the protection was lost after normalizing Pcsk9(-/-) cholesterol levels by a 2-week high cholesterol diet. Furthermore, a prolongation of this diet strongly increased metastasis in both genotypes, suggesting that high cholesterol levels promote metastatic progression. The protective effect of the PCSK9 deficiency is also associated with increased apoptosis in liver stroma and metastases. Tumor necrosis factor.alpha (TNFalpha) mRNA and protein were, respectively, higher in liver stroma and plasma of injected mice, likely increasing the apoptotic TNFalpha signaling. Furthermore, the anti-apoptotic factor B-cell lymphoma 2 was downregulated. TNFalpha regulation is LDLR-independent, as its mRNA level was similarly upregulated in mice lacking both PCSK9 and LDLR. Our findings show that PCSK9 deficiency reduces liver metastasis by its ability to lower cholesterol levels and by possibly enhancing TNFalpha-mediated apoptosis. FAU - Sun, Xiaowei AU - Sun X AD - Laboratory of Biochemical Neuroendocrinology, Clinical Research Institute of Montreal, University of Montreal, Montreal, QC, Canada. FAU - Essalmani, Rachid AU - Essalmani R FAU - Day, Robert AU - Day R FAU - Khatib, Abdel M AU - Khatib AM FAU - Seidah, Nabil G AU - Seidah NG FAU - Prat, Annik AU - Prat A LA - eng GR - CTP 82946/Canadian Institutes of Health Research/Canada GR - MOP 102741/Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Neoplasia JT - Neoplasia (New York, N.Y.) JID - 100886622 RN - 0 (Cholesterol, Dietary) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (RNA, Messenger) RN - 0 (Receptors, LDL) RN - 0 (Tumor Necrosis Factor-alpha) RN - 114100-40-2 (Bcl2 protein, mouse) RN - EC 3.4.21.- (Pcsk9 protein, mouse) RN - EC 3.4.21.- (Proprotein Convertase 9) RN - EC 3.4.21.- (Proprotein Convertases) RN - EC 3.4.21.- (Serine Endopeptidases) SB - IM MH - Animals MH - Apoptosis MH - Cell Adhesion MH - Cell Proliferation MH - Cholesterol, Dietary/administration & dosage/*adverse effects MH - Female MH - Gene Expression MH - Hep G2 Cells MH - Hepatocytes MH - Humans MH - Liver/*enzymology/metabolism MH - Liver Neoplasms/metabolism/*secondary MH - Melanoma, Experimental/metabolism/*secondary MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Proprotein Convertase 9 MH - Proprotein Convertases/*deficiency/genetics/metabolism MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - RNA, Messenger/metabolism MH - Receptors, LDL/metabolism MH - Serine Endopeptidases/*deficiency/genetics/metabolism MH - Signal Transduction MH - Tumor Necrosis Factor-alpha/genetics/metabolism MH - Up-Regulation PMC - PMC3540939 EDAT- 2013/01/12 06:00 MHDA- 2013/07/11 06:00 PMCR- 2012/12/01 CRDT- 2013/01/12 06:00 PHST- 2012/07/31 00:00 [received] PHST- 2012/10/25 00:00 [revised] PHST- 2012/10/26 00:00 [accepted] PHST- 2013/01/12 06:00 [entrez] PHST- 2013/01/12 06:00 [pubmed] PHST- 2013/07/11 06:00 [medline] PHST- 2012/12/01 00:00 [pmc-release] AID - 121252 [pii] AID - 10.1593/neo.121252 [doi] PST - ppublish SO - Neoplasia. 2012 Dec;14(12):1122-31. doi: 10.1593/neo.121252.