Canopy Homolog 2 as a Novel Molecular Target in Hepatocarcinogenesis

Simple Summary Protein canopy homolog 2 (CNPY2) controls the outgrowth of neurites through positive regulation of their outgrowth in neuroblastoma and pheochromocytoma due to stabilizing the myosin regulatory light chain (MRLC). Given the important role in endoplasmic reticulum (ER) stress and proteolysis, we focused on investigation of CNPY2 expression in mouse and human hepatocarcinogenesis and its clinical relevance in virus-associated liver cancer. CNPY2 elevation and coordinated accumulation of numerous cytoskeletal proteins and those involved in ER and mitochondrial stresses was found in mouse altered foci and tumors by proteome analysis of microdissected lesions. In Huh7 and HepG2 human liver cancer cells, CNPY2 increase was significantly associated with cell cycle progression, activated cell proliferation and invasion. CNPY2 expression was high in HCV-associated HCC patients, being positively associated with survival. To the best of our knowledge, this is the first report to demonstrate that CNPY2 may become a useful prognostic biomarker in HCV-associated HCC. In the present study, the role of a novel protein involved in neurite development and endoplasmic reticulum (ER) stress, canopy homolog 2 (CNPY2), was investigated in mouse and human hepatocarcinogenesis. Firstly, a sensitive quantitative and qualitative detection of protein expression using QSTAR Elite LC-Ms/Ms was performed for the analysis of lysates of microdissected hepatocellular altered foci (AF), adenomas (HCAs), carcinomas (HCCs) and peri-tumoral livers from C57Bl/6J mice treated with diethylnitrosamine (DEN) and then maintained for 27 or 38 weeks on basal diet. Significant overexpression of 18.5 kDa CNPY2 processed form was demonstrated in AF, HCAs and HCCs, while low expression was observed in the livers of DEN-treated and control mice. Furthermore, CNPY2 elevation in AF and tumors was coordinated with accumulation of numerous cytoskeletal proteins, including cytokeratins 8 and 18, actin, non-muscle myosin and septin 9 and those involved in ER and mitochondrial stresses such as calreticulin, prohibitins 1 and 2 and YME1-like-1. Knockdown of CNPY2 in Huh7 and HepG2 human liver cancer cells resulted in significant suppression of cell survival and invasive potential, inhibition of cyclin D1, induction of p21(Waf1/Cip1) and suppression of the apoptosis inhibitor Bcl2. In contrast, transfection of a mouse CNPY2 (mCNPY2-Ds-Red) vector plasmid in Huh7 and HepG2 cancer cells, with subsequent accumulation of CNPY2 in the ER, resulted in significant increase in cancer cells survival. Clinicopathological analysis in 90 HCV-positive HCC patients, revealed significant association of CNPY2 overexpression with poor overall (p = 0.041) survival. Furthermore, CNPY2 increase was associated with vessel invasion (p = 0.038), poor histological differentiation (p = 0.035) and advanced clinical stage (p = 0.016). In conclusion, CNPY2 is a promising molecular target elevated early in hepatocarcinogenesis and prognostic marker for human HCV-associated HCC. CNPY2 is involved in the processes of ER stress, cell cycle progression, proliferation, survival and invasion of liver tumor cells.

Automated summary

Protein canopy homolog 2 (CNPY2) plays a crucial role in controlling neurite outgrowth and is significantly associated with cell cycle progression, proliferation, survival, and invasion in liver cancer cells. Its elevation in HCV-associated HCC patients is positively correlated with survival, suggesting it as a potential prognostic marker for liver cancer.