Ciliary Neurotrophic Factor Receptor a
Subunit–Modulated Multiple Downstream Signaling
Pathways in Hepatic Cancer Cell Lines and Their
Biological Implications
Xin Hu,1,2* Yingjun Zhao,1,2* Xianghuo He,2 Jinjun Li,2 Tao Wang,1,2 Weiping Zhou,3 Dafang Wan,2
Hongyang Wang,2 and Jianren Gu2
Ciliary neurotrophic factor (CNTF) plays important roles in a variety of tissues including neural
and non-neural systems, but the function of CNTF and its receptor (CNTFR) in liver remains
unclear. In this study, we demonstrate that CNTFRa is expressed heterogeneously in normal
human liver and hepatocellular carcinoma (HCC) specimens but not in hepatoblastoma specimens.
We choose the CNTFRa+/CNTFRa- (CNTFRa positive/ CNTFRa negative) cell models
of hepatic origin to study multiple downstream pathways of CNTFRa. We show that the
presence of CNTFRa determines the temporal activation patterns of downstream signaling
molecules and serves as a key modulator in regulating PI3K and AMP–activated protein kinase
(AMPK) dynamically underCNTFstimulation, thus resulting in the increase of glucose uptake and
translocation of glucose transporter 4 (GLUT4). Furthermore, CNTF-induced mitogen-activated
protein kinase (MAPK) activation suppresses AMPK activity in the early phase of CNTF
stimulation. Moreover, the protective role of CNTF against cell-cycle arrest is dependent on the
presence of CNTFRa and is modulated by the glucose concentration of the culture medium.
Conclusion: Our results demonstrate the importance of CNTFRa-mediated downstream signaling
pathways and their functional implications in hepatic cancer cells, thus highlighting a better
understanding of the biological roles of CNTFRa in human liver abnormalities, including
metabolic diseases and hepatocarcinogenesis. (HEPATOLOGY 2008;47:1298-1308.)