Abstract:
Objective To explore the mechanism by which Sirtuin4 (SIRT4) regulates tumor glutamine metabolism, and to clarify the effect of SIRT4 on hepatocellular carcinoma (HCC) cell stemness and sensitivity to sorafenib therapy.
Methods SIRT4 mRNA and protein expression levels in HCC were detected using real-time quantitative reverse transcription PCR (qRT-PCR) and immunohistochemistry, respectively. Tumor cell stemness was assessed by Western blot and sphere formation. HCC cell sensitivity to sorafenib was quantitated using cell counting Kit-8 (CCK-8) and plate colony formation. Deacetylation of glutamine synthase 2 (GLS2) protein by SIRT4 was detected via co-immunoprecipitation.
Results SIRT4 expression was significantly lower in clinical samples and human HCC cell lines than in para-cancerous tissues and normal human hepatocytes. In vitro, SIRT4 overexpression not only reduced the spheroid formation number (P<0.01) and stemness marker expression of HCC cells, but also decreased the number of colony formation and OD450 (P<0.01) in sorafenib-treated HCC cells. A mechanistic study revealed that SIRT4 reduced GLS2 expression through deacetylation, in turn inhibiting glutamine catabolism in HCC cells, thereby modulating their stemness and sensitivity to sorafenib.
Conclusions SIRT4 expression was significantly reduced in HCC, inhibiting HCC cell stemness and enhancing HCC cellsensitivity to sorafenib by decreasing glutamine catabolism.