GSDME has prognostic and immunotherapeutic significance in residual hepatocellular carcinoma after insufficient radiofrequency ablation

Background: Heat stress can induce programmed cell death (PCD). Pyroptosis is a gasdermin-mediated PCD. This study hypothesized that insufficient radiofrequency ablation (IRFA) induced pyroptosis in hepatocellular carcinoma (HCC) and investigated its underlying mechanism and clinical significance. M...

Full description

Bibliographic Details
Main Authors: Xuexia Liang, Qiaodan Liu, Shuqin Zhu, Zizi Li, Hui Chen, Zhongzhen Su
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Translational Oncology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1936523323001821
_version_ 1797422662379634688
author Xuexia Liang
Qiaodan Liu
Shuqin Zhu
Zizi Li
Hui Chen
Zhongzhen Su
author_facet Xuexia Liang
Qiaodan Liu
Shuqin Zhu
Zizi Li
Hui Chen
Zhongzhen Su
author_sort Xuexia Liang
collection DOAJ
description Background: Heat stress can induce programmed cell death (PCD). Pyroptosis is a gasdermin-mediated PCD. This study hypothesized that insufficient radiofrequency ablation (IRFA) induced pyroptosis in hepatocellular carcinoma (HCC) and investigated its underlying mechanism and clinical significance. Methods: Thermostatic water bath was used to stimulate IRFA in vitro. Cell viability was assessed by MTT assay. IL-1β and HMGB1 were measured by ELISA assay. LDH level was measured by LDH cytotoxicity detection kit. Permeability of cell membrane was assessed by Hoechst33342/PI fluorescence staining. RNA expression was evaluated by qRT-PCR, and protein was assessed by Western Blotting or immunofluorescence or immunohistochemistry. Gene expression with clinicopathological characteristics from HCC patients treated by RFA were analyzed for associations between GSDME expression and prognosis. Results: Our study revealed that IRFA induced pyroptosis in HCCLM3 and HepG2 cells. GSDME, rather than GSDMD, was cleaved in heat stress-induced pyroptosis in HCCLM3 and HepG2 cells due to caspase-3 activation. However, GSDME overexpression promoted HCC growth in vivo and predicted poor PFS and OS in HCC patients treated by RFA. Heat stress modulated gene expression related to PD-L1 signaling and caspase inhibitors inhibited heat-induced PD-L1 expression in residual HCC after IRFA. Gsdme overexpression caused resistance to PD-L1 inhibitor in residual HCC after IRFA by increasing infiltrating of CD3+PD-1+ or CD3+CTLA-4+ exhausted T cells. Conclusions: This study indicated that GSDME could serve as a potential prognostic biomarker and help to prescribe personalized sequential immunotherapy for HCC patients receiving RFA.
first_indexed 2024-03-09T07:35:39Z
format Article
id doaj.art-ca02c5006f8a4c86b157f0b5e6d09204
institution Directory Open Access Journal
issn 1936-5233
language English
last_indexed 2024-03-09T07:35:39Z
publishDate 2024-01-01
publisher Elsevier
record_format Article
series Translational Oncology
spelling doaj.art-ca02c5006f8a4c86b157f0b5e6d092042023-12-03T05:40:24ZengElsevierTranslational Oncology1936-52332024-01-0139101796GSDME has prognostic and immunotherapeutic significance in residual hepatocellular carcinoma after insufficient radiofrequency ablationXuexia Liang0Qiaodan Liu1Shuqin Zhu2Zizi Li3Hui Chen4Zhongzhen Su5Department of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, China; Cancer Center, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, China; Guangdong Provincial Key Laboratory of Biomedical Imaging and Guangdong Provincial Engineering Research Center of Molecular Imaging, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, ChinaDepartment of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, China; Cancer Center, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, ChinaDepartment of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, China; Department of Pathology, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, ChinaDepartment of Pathology, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, ChinaDepartment of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, China; Guangdong Provincial Key Laboratory of Biomedical Imaging and Guangdong Provincial Engineering Research Center of Molecular Imaging, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, ChinaDepartment of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, China; Guangdong Provincial Key Laboratory of Biomedical Imaging and Guangdong Provincial Engineering Research Center of Molecular Imaging, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong 519000, China; Corresponding author at: Department of Ultrasound, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, 519000, Guangdong, China.Background: Heat stress can induce programmed cell death (PCD). Pyroptosis is a gasdermin-mediated PCD. This study hypothesized that insufficient radiofrequency ablation (IRFA) induced pyroptosis in hepatocellular carcinoma (HCC) and investigated its underlying mechanism and clinical significance. Methods: Thermostatic water bath was used to stimulate IRFA in vitro. Cell viability was assessed by MTT assay. IL-1β and HMGB1 were measured by ELISA assay. LDH level was measured by LDH cytotoxicity detection kit. Permeability of cell membrane was assessed by Hoechst33342/PI fluorescence staining. RNA expression was evaluated by qRT-PCR, and protein was assessed by Western Blotting or immunofluorescence or immunohistochemistry. Gene expression with clinicopathological characteristics from HCC patients treated by RFA were analyzed for associations between GSDME expression and prognosis. Results: Our study revealed that IRFA induced pyroptosis in HCCLM3 and HepG2 cells. GSDME, rather than GSDMD, was cleaved in heat stress-induced pyroptosis in HCCLM3 and HepG2 cells due to caspase-3 activation. However, GSDME overexpression promoted HCC growth in vivo and predicted poor PFS and OS in HCC patients treated by RFA. Heat stress modulated gene expression related to PD-L1 signaling and caspase inhibitors inhibited heat-induced PD-L1 expression in residual HCC after IRFA. Gsdme overexpression caused resistance to PD-L1 inhibitor in residual HCC after IRFA by increasing infiltrating of CD3+PD-1+ or CD3+CTLA-4+ exhausted T cells. Conclusions: This study indicated that GSDME could serve as a potential prognostic biomarker and help to prescribe personalized sequential immunotherapy for HCC patients receiving RFA.http://www.sciencedirect.com/science/article/pii/S1936523323001821Hepatocellular carcinomaInsufficient radiofrequency ablationGSDMEExhausted T cellPD-L1 inhibitor
spellingShingle Xuexia Liang
Qiaodan Liu
Shuqin Zhu
Zizi Li
Hui Chen
Zhongzhen Su
GSDME has prognostic and immunotherapeutic significance in residual hepatocellular carcinoma after insufficient radiofrequency ablation
Translational Oncology
Hepatocellular carcinoma
Insufficient radiofrequency ablation
GSDME
Exhausted T cell
PD-L1 inhibitor
title GSDME has prognostic and immunotherapeutic significance in residual hepatocellular carcinoma after insufficient radiofrequency ablation
title_full GSDME has prognostic and immunotherapeutic significance in residual hepatocellular carcinoma after insufficient radiofrequency ablation
title_fullStr GSDME has prognostic and immunotherapeutic significance in residual hepatocellular carcinoma after insufficient radiofrequency ablation
title_full_unstemmed GSDME has prognostic and immunotherapeutic significance in residual hepatocellular carcinoma after insufficient radiofrequency ablation
title_short GSDME has prognostic and immunotherapeutic significance in residual hepatocellular carcinoma after insufficient radiofrequency ablation
title_sort gsdme has prognostic and immunotherapeutic significance in residual hepatocellular carcinoma after insufficient radiofrequency ablation
topic Hepatocellular carcinoma
Insufficient radiofrequency ablation
GSDME
Exhausted T cell
PD-L1 inhibitor
url http://www.sciencedirect.com/science/article/pii/S1936523323001821
work_keys_str_mv AT xuexialiang gsdmehasprognosticandimmunotherapeuticsignificanceinresidualhepatocellularcarcinomaafterinsufficientradiofrequencyablation
AT qiaodanliu gsdmehasprognosticandimmunotherapeuticsignificanceinresidualhepatocellularcarcinomaafterinsufficientradiofrequencyablation
AT shuqinzhu gsdmehasprognosticandimmunotherapeuticsignificanceinresidualhepatocellularcarcinomaafterinsufficientradiofrequencyablation
AT zizili gsdmehasprognosticandimmunotherapeuticsignificanceinresidualhepatocellularcarcinomaafterinsufficientradiofrequencyablation
AT huichen gsdmehasprognosticandimmunotherapeuticsignificanceinresidualhepatocellularcarcinomaafterinsufficientradiofrequencyablation
AT zhongzhensu gsdmehasprognosticandimmunotherapeuticsignificanceinresidualhepatocellularcarcinomaafterinsufficientradiofrequencyablation