The effect of radiofrequency ablation with sublethal temperature on the stem cells of hepatocellular carcinoma
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3969/j.issn.1008-794X.2017.07.014
   		
        
        	
        		- VernacularTitle:射频消融亚致死性温度对肝癌干细胞的影响
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Meijun HAO
			        		
			        		;
		        		
		        		
		        		
			        		Kai LIU
			        		
			        		;
		        		
		        		
		        		
			        		Xianghua GUO
			        		
			        		;
		        		
		        		
		        		
			        		Yabo OUYANG
			        		
			        		;
		        		
		        		
		        		
			        		Luxin QIAO
			        		
			        		;
		        		
		        		
		        		
			        		Ying SHI
			        		
			        		;
		        		
		        		
		        		
			        		Dexi CHEN
			        		
			        		;
		        		
		        		
		        		
			        		Jiasheng ZHENG
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		hepatocellular carcinoma;
			        		
			        		
			        		
				        		radiofrequency ablation;
			        		
			        		
			        		
				        		sublethal temperature;
			        		
			        		
			        		
				        		liver cancer stem cell
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Journal of Interventional Radiology
	            		
	            		 2017;26(7):636-640
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To study the effect of radiofrequency ablation (RFA) with sublethal temperature on the production of liver cancer stem cells (LCSCs) and on the expression of LCSCs-related transcriptional factors.Methods Mouse hepl-6 hepatoma cell line and clinical samples of patients with hepatocellular carcinoma (HCC) were used to test the expressions of LCSCs-related markers and transcriptional factors.Results Different temperatures were used to stimulate Hep1-6 cells,and it was proved that the temperature of 45℃ was a sublethal temperature that could not induce cell death.Flow cytometry testing showed that treatment with 45℃ could obviously increase CD13+,CD44+,CD90 and CD133+ Hep1-6 cells,suggesting that treatment with 45℃ could increase the production of above mentioned types of LCSCs in hep1-6 cells.Real-time quantitative polymerase chain reaction (RT-qPCR) assay indicated that the temperature of 45℃could cause significant increase in CD13,CD90 and CD133 mRNA.In all 5 HCC patients,CD13 mRNA in the recurrent HCC lesions was remarkably increased,CD133 mRNA was increased in 4 patients with recurrent HCC,and CD90 mRNA was increased in only one patient with recurrent HCC.Flow cytometry testing revealed that CD13+ LCSCs were strikingly increased in 4 recurrent HCC patients,while CD133+LCSC was increased in only one patient,suggesting that more close correlation existed between the increase of CD13+ LCSCs and the temperature of 45℃.RT-qPCR assay showed that in 4 recurrent HCC patients with increased CD13+ LCSC,the Sox2 and Stat2 among 13 LCSCs-related transcriptional factors were obviously increased.Flow cytometry testing showed that 45℃ treatment also increased the expression of Sox2 and Stat1 mRNA in Hep1-6 cells.Finally,Sox2 and Stat1 could be knockdown by siRNAs,indicating that both Sox2 and Stat1 transcriptional factors were involved in 45℃-induced production of CD13+ LCSCs in Hep1-6 cells.Conclusion In RFA therapy,the use of sublethal temperature of 45℃ can increase CD13+LCSCs,which is related to the promotion of Sox2 and Stat1 expression.The results of this study can be used for reference in the research of liver cancer recurrence.