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Cellular gp96 upregulates AFP expression by blocking NR5A2 SUMOylation and ubiquitination in hepatocellular carcinoma
Liyuan Qian1 , Zhentao Liang1,2 , Zihao Wang1,2 , Jiuru Wang1,2 , Xin Li1 , Jingmin Zhao3 , Zihai Li4 , Lizhao Chen1 , Yongai Liu1,2 , Ying Ju1 , Changfei Li1,* , Songdong Meng1,2,*
1Key Laboratory of Pathogen Microbiology and Immunology, Institute of Microbiology, Chinese Academy of Sciences, Beijing 100101, China
2University of Chinese Academy of Science, Beijing 100049, China
3Department of Pathology and Hepatology, The Fifth Medical Centre, Chinese PLA General Hospital, Beijing 100039, China
4Pelotonia Institute for Immuno-Oncology, The Ohio State University Comprehensive Cancer Center—The James, Columbus, OH 43210, USA
*Correspondence to:Songdong Meng , Email:mengsd@im.ac.cn Changfei Li , Email:lichangfei2006@163.com
J Mol Cell Biol, Volume 15, Issue 5, May 2023, mjad027,  https://doi.org/10.1093/jmcb/mjad027
Keyword: gp96, AFP, NR5A2, RanBP2, SUMOylation

Alpha-fetoprotein (AFP) is the most widely used biomarker for the diagnosis of hepatocellular carcinoma (HCC). However, a substantial proportion of HCC patients have either normal or marginally increased AFP levels in serum, and the underlying mechanisms are not fully understood. In the present study, we provided in vitro and in vivo evidence that heat shock protein gp96 promoted AFP expression at the transcriptional level in HCC. NR5A2 was identified as a key transcription factor for the AFP gene, and its stability was enhanced by gp96. A further mechanistic study by co-immunoprecipitation, GST pull-down, and molecular docking showed gp96 and the SUMO E3 ligase RanBP2 competitively binding to NR5A2 at the sites spanning from aa 507 to aa 539. The binding of gp96 inhibited SUMOylation, ubiquitination, and subsequent degradation of NR5A2. In addition, clinical analysis of HCC patients indicated that gp96 expression in tumors was positively correlated with serum AFP levels. Therefore, our study uncovered a novel mechanism that gp96 regulates the stability of its client proteins by directly affecting their SUMOylation and ubiquitination. These findings will help in designing more accurate AFP-based HCC diagnosis and progression monitoring approaches.