PMID- 35729702 OWN - NLM STAT- MEDLINE DCOM- 20221006 LR - 20230124 IS - 1600-6143 (Electronic) IS - 1600-6135 (Linking) VI - 22 IP - 10 DP - 2022 Oct TI - E2F7 promotes mammalian target of rapamycin inhibitor resistance in hepatocellular carcinoma after liver transplantation. PG - 2323-2336 LID - 10.1111/ajt.17124 [doi] AB - The mammalian target of rapamycin (mTOR) pathway is frequently deregulated and has critical roles in cancer progression. mTOR inhibitor has been widely used in several kinds of cancers and is strongly recommended in patients with hepatocellular carcinoma (HCC) after liver transplantation (LT). However, the poor response to mTOR inhibitors due to resistance remains a challenge. Hypoxia-associated resistance limits the therapeutic efficacy of targeted drugs. The present study established models of HCC clinical samples and cell lines resistance to mTOR inhibitor sirolimus and screened out E2F7 as a candidate gene induced by hypoxia and promoting sirolimus resistance. E2F7 suppressed mTOR complex 1 via directly binding to the promoter of the TSC1 gene and stabilizes hypoxia-inducible factor-1alpha activating its downstream genes, which are responsible for E2F7-dependent mTOR inhibitor resistance. Clinically, low E2F7 expression could be an effective biomarker for recommending patients with HCC for anti-mTOR-based therapies after LT. Targeting E2F7 synergistically inhibited HCC growth with sirolimus in vivo. E2F7 is a promising target to reverse mTOR inhibition resistance. Collectively, our study points to a role for E2F7 in promoting mTOR inhibitor resistance in HCC and emphasizes its potential clinical significance in patients with HCC after LT. CI - (c) 2022 The American Society of Transplantation and the American Society of Transplant Surgeons. FAU - Ling, Sunbin AU - Ling S AUID- ORCID: 0000-0003-0846-5489 AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Zhejaing University, School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. AD - Institute of Organ Transplantation, Zhejiang University, Hangzhou, China. FAU - Zhan, Qifan AU - Zhan Q AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Jiang, Guangjiang AU - Jiang G AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Shan, Qiaonan AU - Shan Q AD - Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Yin, Lu AU - Yin L AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Wang, Rui AU - Wang R AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Que, Qingyang AU - Que Q AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Wei, Xuyong AU - Wei X AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Xu, Shengjun AU - Xu S AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Yu, Jiongjie AU - Yu J AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Zhou, Wei AU - Zhou W AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Zhang, Lincheng AU - Zhang L AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Bao, Jiaqi AU - Bao J AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Ye, Qianwei AU - Ye Q AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Su, Renyi AU - Su R AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Wei, Rongli AU - Wei R AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. FAU - Liu, Jimin AU - Liu J AD - Department of Pathology and Molecular Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada. FAU - Chen, Kangchen AU - Chen K AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Wang, Jingrui AU - Wang J AD - Department of Hepatobiliary and Pancreatic Surgery, The Center for Integrated Oncology and Precision Medicine, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Xie, Haiyang AU - Xie H AD - Institute of Organ Transplantation, Zhejiang University, Hangzhou, China. AD - Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Zheng, Shusen AU - Zheng S AUID- ORCID: 0000-0003-1459-8261 AD - Institute of Organ Transplantation, Zhejiang University, Hangzhou, China. AD - Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. AD - Department of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital, Hangzhou, China. FAU - He, Xin AU - He X AD - Key Laboratory of Tropical Disease Control of Ministry of Education, Guangdong Engineering Research Center for Antimicrobial Agent and Immunotechnology, Institute of Human Virology, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, China. FAU - Xiang, Jiajia AU - Xiang J AD - ZJU-Hangzhou Global Scientific and Technological Innovation Center, Hangzhou, China. FAU - Xu, Xiao AU - Xu X AUID- ORCID: 0000-0002-2761-2811 AD - Zhejaing University, School of Medicine, Hangzhou, China. AD - Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Hangzhou, China. AD - Institute of Organ Transplantation, Zhejiang University, Hangzhou, China. AD - Westlake Laboratory, Life Sciences and Biomedicine, Hangzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220701 PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (E2F7 Transcription Factor) RN - 0 (E2F7 protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (MTOR Inhibitors) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - *Carcinoma, Hepatocellular/drug therapy/surgery MH - Cell Line, Tumor MH - Cell Proliferation MH - E2F7 Transcription Factor MH - Humans MH - Hypoxia/drug therapy MH - Hypoxia-Inducible Factor 1, alpha Subunit/pharmacology/therapeutic use MH - *Liver Neoplasms/drug therapy/surgery MH - *Liver Transplantation MH - MTOR Inhibitors MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases OTO - NOTNLM OT - E2F7 OT - drug resistance OT - hepatocellular carcinoma OT - mTOR inhibitor EDAT- 2022/06/22 06:00 MHDA- 2022/10/07 06:00 CRDT- 2022/06/21 23:48 PHST- 2022/06/13 00:00 [revised] PHST- 2022/03/16 00:00 [received] PHST- 2022/06/13 00:00 [accepted] PHST- 2022/06/22 06:00 [pubmed] PHST- 2022/10/07 06:00 [medline] PHST- 2022/06/21 23:48 [entrez] AID - S1600-6135(22)29937-7 [pii] AID - 10.1111/ajt.17124 [doi] PST - ppublish SO - Am J Transplant. 2022 Oct;22(10):2323-2336. doi: 10.1111/ajt.17124. Epub 2022 Jul 1.