BACKGROUND: Stress-activated protein kinase (SAPK) interacting protein 1 (SIN1) is essential for early embryonic development and is the key regulator of Akt, which plays an important role in various pathological conditions such as cancer. However, the biological function and clinical significance of SIN1 in hepatocellular carcinoma (HCC) remains unknown. METHODS: Real-time quantitative reverse-transcriptase polymerase chain reaction analysis, western blot analysis, and immunohistochemical staining were used to test the expression level of SIN1, and its correlation with clinicopathologic parameters as well as the prognosis for patients with HCC were analyzed. In addition, the biological function and molecular mechanisms of SIN1 in HCC were investigated. RESULTS: SIN1 levels were elevated predominantly in HCC tissues, and its level in solitary large HCC was significantly lower than those in nodular HCC (P 5.016), but showed no significant differences between solitary large HCC and small HCC (P >.05). Levels of SIN1 were up-regulated in highly metastatic HCC cell lines (HCCLM3 and MHCC97-H), whereas their invasion and migration significantly decreased after depletion of SIN1. High expression of SIN1 was associated with tumor number (P 5.012), capsular formation (P 5.037), and venous invasion (P 5.023) and was an independent risk factor for overall survival (P 5.046). Finally, SIN1 was capable of promoting invasion and metastasis of HCC by facilitating epithelial-mesenchymal transition. CONCLUSIONS: The current findings suggest that SIN1 plays an important role in HCC invasion and metastasis by facilitating epithelial-mesenchymal transition. Cancer 2013;119:2247-57. V C 2013 American Cancer Society.KEYWORDS: SAPK interacting protein 1; hepatocellular carcinoma; invasion; metastasis; epithelial-mesenchymal transition.
INTRODUCTIONHepatocellular carcinoma (HCC) is one of the most common cancers and ranks as the second leading cause of cancerrelated death in men worldwide. 1,2 The overall survival of patients with HCC remains unsatisfactory because of a high incidence of recurrence and metastasis. 3,4 In recent decades, various molecules have been reported to play a role in invasion and migration of HCC, such as RhoC, Egfl7, FBI-1, and HSF1. 5-8 Although these findings represent significant progress in the field, the mechanisms underlying HCC metastasis are still largely unknown. Therefore, it is very important to identify the effective biomarkers to predict outcome and prevent postoperative recurrence and metastasis of HCC.Previous studies showed that SAPK interacting protein 1 (SIN1) is essential for early embryonic development and is the key regulator of Akt which play an important role in various pathological conditions such as cancer. 9-11 SIN1 was identified as a key TORC2 component and regulator of the Akt pathway that positively controls Akt-Ser473 phosphorylation and activation. However, the biological function and clinical significance of SIN1 in HCC remains unknown.Therefore, we carried out the current study...