Peptides 88 (2017) 62–66
Contents lists available at ScienceDirect
Peptides
j ourna l ho me pa g e: www.elsevier.com/locate/peptides
Increased FNDC5/Irisin expression in human hepatocellular carcinoma
Melania Gaggini
a,1
, Manuela Cabiati
a,1
, Serena Del Turco
a
, Teresa Navarra
a
,
Paolo De Simone
b
, Franco Filipponi
b
, Silvia Del Ry
a
, Amalia Gastaldelli
a
,
Giuseppina Basta
a,∗
a
Institute of Clinical Physiology, CNR, Pisa, Italy
b
Hepatobiliary surgery and Liver Transplantation, University of Pisa Medical School Hospital, Pisa, Italy
a r t i c l e i n f o
Article history:
Received 8 September 2016
Received in revised form
20 December 2016
Accepted 20 December 2016
Available online 21 December 2016
Keywords:
Hepatocellular carcinoma
Fibronectin type III domain containing 5
Irisin
De novo lipogenesis
Cancer
a b s t r a c t
The fibronectin type III domain containing 5 (FNDC5)/Irisin, a novel energy-regulating hormone, is asso-
ciated with lipid and carbohydrate metabolism. It is produced in low amounts by normal hepatic tissue,
while in human hepatocellular carcinoma (HCC), in which aberrant de novo lipogenesis (DNL) occurs, the
hepatic expression of FNDC5/Irisin is still unknown. The gene expression of FNDC5/Irisin, associated to
key regulators of DNL, inflammation and cancer progression was evaluated in liver tissue of 18 patients
with HCC undergoing liver transplantation and of 18 deceased donors.
Hepatic mRNA expression of FNDC5/Irisin and stearoyl-CoA desaturase (SCD-1), main enzymatic
regulator of DNL, were significantly higher in HCC patients than in donors (p < 0.0001 and p = 0.015,
respectively). The hepatic mRNA expression of the neurogenic locus notch homolog protein 1 (NOTCH1)
tended to be higher in HCC patients than in donors (p = 0.06). Only in HCC patients, hepatic FNDC5/Irisin
strongly correlated with the transcription factor sterol regulatory element–binding factor 1, SCD-
1, NOTCH1, tumor necrosis factor- and Interleukin-6 mRNA expression. Further, in HCC patients,
FNDC5/Irisin mRNA tended to correlate to plasma lipid profile namely triglycerides, palmitic/linoleic
acid and polyunsaturated fatty acid/saturated fatty acid ratios.
In conclusion, HCC-liver tissue over-expressed FNDC5/Irisin in association with gene expression of
mediators involved in lipogenesis, inflammation and cancer, suggesting a possible protective role of the
hormone from the liver damage.
© 2016 Elsevier Inc. All rights reserved.
1. Introduction
The Irisin is a novel metabolism-regulating hormone resulting
from the proteolytic cleavage of the fibronectin type III domain-
containing protein 5 (FNDC5) [1–3]. Although initially found in
skeletal muscle [4], afterwards Irisin revealed its ubiquitous nature
since it was found also in brain, heart, stomach, pancreas, spleen,
testis, liver, adipose and skin [5]. Since it regulates fat metabolism,
Irisin is involved in obesity, non-alcoholic fatty liver disease, ther-
Abbreviations: FNDC5, fibronectin type III domain containing 5; DNL, de novo
lipogenesis; HCC, human hepatocellular carcinoma; SCD-1, stearoyl-CoA desat-
urase; NOTCH-1, Neurogenic locus notch homolog protein 1; SREBF-1, sterol
regulatory element–binding factor 1; SFA, saturated fatty acid; PUFA, polyunsat-
urated fatty acid; CAR, constitutive androstane receptor; TNF-, tumor necrosis
factor-; IL-6, interleukin-6.
∗
Corresponding author at: CNR, Institute of Clinical Physiology, San Cataldo
Research Area, Via Moruzzi, 1, 56124 Pisa, Italy.
E-mail address: lapina@ifc.cnr.it (G. Basta).
1
Both authors contributed equally to this work.
mogenesis, diabetes, and other metabolic diseases [2,5,6]. Irisin is
produced in low amounts by hepatocytes, Kupffer cells and sinu-
soidal endothelial cells, but its role in the liver is still unknown
[7]. In a recent in vitro study, the hepatocyte treatment with
recombinant Irisin significantly inhibited the palmitic acid-induced
expression of lipogenic and inflammatory markers, and of the
transcriptional regulators of lipogenesis [8]. Although this study
suggests that Irisin could be useful toward hepatic lipid accumula-
tion and oxidative stress, further studies are needed to corroborate
these findings.
The tumor cells exhibit adaptive responses to hypoxia and
hypo-nutrient conditions, a phenomenon of changes, known as
“metabolic reprogramming”, which is one of main hallmarks
of cancer including the constitutive activation of the fatty acid
biosynthetic pathway [9–12]. De novo lipogenesis (DNL) produces
saturated fatty acids (SFA) that are converted into monounsatu-
rated fatty acids by Stearoyl-CoA desaturase 1 (SCD-1), to sustain
the increasing demand of new membrane phospholipids with
appropriate acyl composition [10,13]. Since DNL is difficult to mea-
http://dx.doi.org/10.1016/j.peptides.2016.12.014
0196-9781/© 2016 Elsevier Inc. All rights reserved.