<p>High-grade
serous ovarian carcinoma (HGSOC) is the most common malignant cancer with the
highest mortality rate of ovarian cancer. Due to the lack of early-stage clinical
symptoms, most HGSOC patients are diagnosed at an advanced stage with
peritoneal metastases, which is significantly correlated with a poor prognosis.
The omental tumor microenvironment is a complex milieu driving epigenetic
alterations, which trigger ovarian cancer development and metastatic
progression. However, molecular mechanisms underlying the metastatic ovarian
cancer cells affected by epigenetic alterations within the stressful
peritoneal-associated tumor microenvironment remain largely unclear. </p>
<p> </p>
<p>Stressful
factors in the tumor microenvironment, such as hypoxia and metabolic
starvation, can induce DNA hypermethylation in tumor cells and contribute to
epigenetic silencing of tumor suppressor miRNAs. In this study, miR-33b is
frequently downregulated in ovarian cancer cells derived from metastatic
omental tumor tissues, while its downregulation could be counteracted by the
treatment of 5-Aza-dc (DNA methylating inhibitor). In addition,
methylation-specific PCR (MS-PCR) and pyrosequencing assay confirmed the
promoter hypermethylation of miR-33b during tumor progression and metastasis of
ovarian cancer. Here, we identified that miR-33b is frequently silenced by
promoter hypermethylation in HGSOC cells derived from metastatic omental tumor
tissues.</p>
<p> </p>
<p>Our
laboratory has previously established an omental conditioned medium (OCM) to
imitate the omental tumor microenvironment and found that ovarian cancer cells
showed increased cell proliferation, migration, and invasion when co-cultured
in OCM. On the other hand, OCM-treated ovarian cancer cells displayed a
significant increase in de novo lipogenesis and fatty acid oxidation. In this
study, it was shown that restoration of miR-33b mitigates the OCM-promoted
oncogenic properties in ovarian cancer cells. Moreover, miR-33b overexpression
inhibited OCM-stimulated lipid metabolic activities. These results implied that
miR-33b exerts tumor suppressor functions by repressing lipid metabolism and,
as a consequence, inhibits oncogenic properties and peritoneal metastases of
ovarian cancer cells found in the omentum. </p>
<p> </p>
<p>Mechanistically,
miR-33b directly targets 3’ UTR of transforming growth factor beta-activated
kinase 1 (TAK1), which is highly associated with tumor progression and
metastasis of ovarian cancer. Indeed, TAK1 shows an inversed correlation with
miR-33b in the ovarian cancer tissue array. Notably, miR-33b acts as a tumor
suppressor by inhibiting OCM-activated TAK1/NF-κB signaling and regulates
OCM-initiated lipid reprogramming by abolishing the expression of fatty acid
synthase (FASN) and carnitine palmitoyltransferase 1A (CPT1A) in ovarian cancer
cells when cultured in OCM. Besides, depletion of TAK1 prevents OCM-facilitated
lipid biosynthesis and fatty acid degradation by repressing the activities of
FASN and CPT1A in OCM-cultured ovarian cancer cells. The treatment of FASN or
CPT1A inhibitor reduces the OCM-mediated NF-κB signaling activities. These
results indicate that miR-33b directly targets TAK1 and results in an
inhibition of FASN and CPT1A expression, thereby suppressing phosphorylation of
NF-κb signaling and impairing OCM-induced oncogenic behaviors of ovarian cancer
cells.</p>
<p> </p>
<p>In
conclusion, this study suggests that the lipid-rich tumor microenvironment is
associated with epigenetic silencing of miR-33b in ovarian cancer. miR-33b
exerts tumor suppressor functions to prevent ovarian cancer peritoneal
dissemination and omental metastasis, at least in part, by targeting the
TAK1/FASN/CPT1A/NF-κB signaling axis.</p>
<p><br></p>