HCC is one of the most common cancers worldwide with high prevalence, recurrence, and lethality. The curative rate is not satisfactory. LAPTM4B is a novel driver gene of HCC first indentified by our group. It is over-expressed in 87.3% of HCC. The expression levels of the encoded LAPTM4B-35 protein in HCC is also over-expressed in 86.2% of HCC and shows a significant positive correlation with pathological grade, metastasis, and recurrence, and a negative correlation with postoperative overall-and cancer freesurvival of HCC patients. Moreover, HCC cells showing high expression of LAPTM4B-35 show a strong tendency to metastasize and enhanced drug resistance. Overexpression of this gene promotes tumorigenesis, faster growth of human HCC xenografts and metastasis in nude mice, and leads to anti-apoptosis, deregulation of proliferation, enhancement of migration and invasion, as well as multi-drug resistance. In addition, overexpression of LAPTM4B-35 leads to accumulation of a number of oncoproteins and to down-regulation of a number of tumor suppressing proteins. By contrary, knockdown of endogenous LAPTM4B-35 via RNAi results in remarkable inhibition of xenograft growth and metastasis of human HCC in nude mice. Also, RNAi knockdown of LAPTN4B-35 can reverse the cellular and molecular malignant phenotypes noted above.Therefore, it is suggested that to down-regulate over-expression of LAPTM4B gene and LAPTM4B-35 in HCC cells may provide novel strategy for HCC treatment. Moreover, the extensive effects caused by LAPTM4B-35 overexpression are based on its critical function in signaling network. Overexpression of LAPTM4B-35 activates at least 4 signaling pathways that are commonly known to be associated with tumorigenesis. Taken together, it is suggests that LAPTM4B is a HCC driver gene and LAPTM4B-35 is a key protein which functions in the upstream of cancer-associated signaling network and plays a critical role in tumorigenesis, progression, metastasis, multi-drug resistance and recurrence. Therefore, it may be worth considering the LAPTM4B gene and the LAPTM4B-35 protein a novel target in cancer therapy.In recent years, we identified small chemicals that target LAPTM4B-35 for inhibiting HCC growth and metastasis. We screened 1697 chemicals and found ethylglyoxal bisthio-© 2015 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
semicarbazon (ETS) has effective anti-HCC activity probably via targeting LAPTM4B-35.Bel-7402 and HepG2 cell lines that highly express LAPTM4B-35 and a primarily cell line from naturally abortioned human fetal liver were used as the cell models and a control, respectively. Cell survival curve and apoptosis examination in vitro, and HCC xenograft growth and metastases in nude mice were measured to confirm the anti-HCC efficacy in vivo. Western blot, Co-I...