B-crystallin complexes with 14-3-3 to induce epithelial-mesenchymal transition and resistance to sorafenib in hepatocellular carcinoma

The overall survival of patients with hepatocellular carcinoma (HCC) remains poor, and the molecular pathogenesis remains incompletely defined in HCC. Here we report that increased expression of B-Crystallin in human HCC predicts poor survival and disease recurrence after surgery. Multivariate analysis identifies B-Crystallin expression as an independent predictor for postoperative recurrence and overall survival. We show that elevated expression of B-Crystallin promotes HCC progression in vivo and in vitro. We demonstrate that B-Crystallin overexpression fosters HCC progression by inducing epithelial-mesenchymal transition (EMT) in HCC cells through activation of the extracellular-regulated protein kinase (ERK) cascade, which can counteract the effect of sorafenib. B-Crystallin complexes with and elevates 14-3-3 protein, leading to up-regulation of ERK1/2 activity. Moreover, overexpression of B-Crystallin in HCC cells induces EMT progression through an ERK1/2/Fra-1/slug signaling pathway. Clinically, our data reveal that overexpression of both B-Crystallin and 14-3-3 correlates with the HCC poorest survival outcomes, and sorafenib response is impaired in patients with B-Crystallin overexpression. Conclusion: These data suggest that the B-Crystallin-14-3-3 complex acts synergistically to promote HCC progression by constitutively activating ERK signaling. This study reveals B-Crystallin as a potential therapeutic target for HCC and a biomarker for predicting sorafenib treatment response. (HEPATOLOGY 2013)