Background
Targeting cancer stem cells (CSCs) in hepatocellular carcinoma (HCC) is difficult because of their similarities with normal stem cells (NSCs). EpCAM can identify CSCs from EpCAM+AFP+HCC cases, but is also expressed on NSCs. We aimed to distinguish the two using integrated protein, mRNA and miRNA profiling.
Methods
iTRAQ based protein profiling and Next Generation Sequencing (NGS) was performed on EpCAM+/EpCAMâ cells isolated from HCC (Ep+CSC, EpâHCC) and EpCAM+ cells from nonâcancerous/nonâcirrhotic control liver tissues (Ep+NSC). Validations were done using qRTâPCR, flowcytometry and western blotting followed by in vitro and in vivo functional studies.
Results
11 proteins were overexpressed (>3 fold) in Ep+CSCs compared to EpâHCC and Ep+NSC cells. However, RNAâsequencing confirmed the Ep+CSC specific upâregulation of only HSPA8, HNRNPC, MPST and GAPDH mRNAs among these. Database search combined with miRNA profiling revealed Ep+CSC specific downâregulation of 29 miRNAs targeting these four genes. Of these, only miRâ26bâ5p was found to target both HSPA8 and EpCAM. Validation of HSPA8 overexpression and miRâ26bâ5p downâregulation followed by linear regression analysis established a negative correlation between the two. Functional studies demonstrated that reduced miRâ26bâ5p expression increased the spheroid formation, migration, invasion and tumourigenicity of Ep+CSCs. Furthermore, antiâmiRâ26bâ5p increased the number of Ep+CSCs with a concomitant overexpression of stemness genes and reduction of proapoptotic protein BBC3, which is a known substrate of HSPA8.
Conclusion
miRâ26bâ5p imparts metastatic properties and helps in maintenance of Ep+CSCs via HSPA8. Thus, miRâ26bâ5p and HSPA8 could serve as molecular targets for selectively eliminating the Ep+CSC population in human HCCs.