| 
							
      					 | 
  					 
  					
    					 | 
   					 
   										
    					| IL-37b suppresses epithelial mesenchymal transition in hepatocellular carcinoma by inhibiting IL-6/STAT3 signaling | 
  					 
  					  										
						| Xing-Yu Pu a , Dao-Feng Zheng b , Ai Shen c , Hai-Tao Gu d , Xu-Fu Wei b , Tong Mou b , Jian-Bo Zhang d , Rui Liu d , ∗ | 
					 
															
						a Department of Medical Imaging, Chongqing Medical University, Chongqing 400016, China 
b Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China 
c Department of Hepatobiliary Surgery, Chongqing Cancer Institute, Chongqing 400030, China 
d Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China 
∗ Corresponding author. 
E-mail address: lrcool@hospital.cqmu.edu.cn (R. Liu). | 
					 
										
						 | 
					 
				 
				
				
					
						
							
								
									
										
											
                        					 
												
													
													    | 
													    	
														 | 
													 
																										
													
														
															
													
													    | 
													     		                            						                            																	    Abstract   BACKGROUND: 
Interleukin-37b (IL-37b), a vital negative regulator of the innate immune system, has been reported to be a tumor inhibitor in different type of cancers. However, little is known about the relationship between IL-37b and hepatocellular carcinoma (HCC). The present study aimed to investigate the potential roles of IL-37b in HCC progression. 
METHODS: 
Subjects (n?=?237) were recruited, and serum IL-37b was measured using ELISA. The tumor-suppressive capacity and underlying mechanisms of IL-37b in HCC were investigated in vitro and in vivo. 
RESULTS: 
Compared to healthy controls, serum IL-37b levels were elevated in chronic hepatitis B (CHB) patients but decreased significantly in HBV-HCC patients, especially for those with portal venous tumor thrombus. Low level serum IL-37b in HBV-HCC patients correlated with high HCC stage and poor overall survival and disease-free survival. In vitro and in vivo, recombinant human IL-37b inhibited proliferation and metastasis in HCC cells. Furthermore, IL-37b inhibited epithelial mesenchymal transition in HCC cells in vitro by downregulating IL-6, pSTAT3 (Y705), N-cadherin, and vimentin expression and by upregulating E-cadherin expression. These effects were partially reversed by transfection of adenovirus encoding human IL-6. 
CONCLUSIONS: 
IL-37b inhibits HCC growth, metastasis and epithelial mesenchymal transition by regulating IL-6/STAT3 signaling. Serum IL-37b may be a biomarker for HBV-HCC and its staging. 
																										     | 
														 
														
														
															| 
															    															    															    															 | 
														 
														 																											    																														 
															 | 
															
																
															 | 
													    	
															 | 
																
															
														 
														
													 
													
												 
												
												
												
											
											 
											
											 
										 
									 | 
								 
							 
						 | 
					 
				 
			
		 |