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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Gastroenterol. May 21, 2026; 32(19): 115332
Published online May 21, 2026. doi: 10.3748/wjg.v32.i19.115332
PRMT5 imposed a dual repression on DDIT3 transcription to promote the malignancy of hepatocellular carcinoma
Shu-Bing Zhang, Zhi-Xiong Dong, De-Hua Hu, Yang Wang, Shuai Mo, Bin Shen, Wen-Jing Tang, Jin-Hua Yan, Hao Jiang
Hao Jiang, Bin Shen, Shuai Mo, De-Hua Hu, Department of Biomedical Informatics, School of Life Sciences, Central South University, Changsha 410013, Hunan Province, China
Jin-Hua Yan, Wen-Jing Tang, Yang Wang, Shu-Bing Zhang, Department of Cell Biology, School of Life Sciences, Central South University, Changsha 410013, Hunan Province, China
Zhi-Xiong Dong, Medicine and Life Sciences, Wenzhou Medical University, Wenzhou 325053, Zhejiang Province, China
Co-first authors: Hao Jiang and Jin-Hua Yan.
Co-corresponding authors: Zhi-Xiong Dong and Shu-Bing Zhang.
Author contributions: Jiang H, Dong ZX and Zhang SB designed the research study; Dong ZX, Zhang SB helped to supervised the study; Jiang H, Yan JH and Tang WJ performed most experiments, analyzed the data, wrote the manuscript and edited the paper; Wang Y, Shen B and Mo S contributed to new reagents and analytic tools; Hu DH helped to perform the experiments and analyzed the data; Jiang H and Zhang SB helped to edit the paper; all authors have read and approved the final manuscript.
Supported by the National Natural Science Foundation of China, No. 82573818; the Natural Science Foundation of Hunan Province of China, No. 2025JJ50542; and Key Laboratory of School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, No. JS2023005.
Institutional review board statement: The study was approved by the Ethics Committee of School of Life Sciences, Central South University (approval No. 2021-1-46).
Institutional animal care and use committee statement: All animal experiments were approved by the Ethics Committee of School of Life Sciences, Central South University (approval No. 2021-2-56).
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
ARRIVE guidelines statement: The authors have read the ARRIVE guidelines, and the manuscript was prepared and revised according to the ARRIVE guidelines.
Data sharing statement: All the data generated or analyzed in this study are included in this published article. The data are available upon request from the corresponding author.
Corresponding author: Shu-Bing Zhang, MD, Professor, Department of Cell Biology, School of Life Sciences, Central South University, No. 172 Tongzipo, Yuelu District, Changsha 410013, Hunan Province, China. shubingzhang@csu.edu.cn
Received: October 17, 2025
Revised: December 28, 2025
Accepted: February 14, 2026
Published online: May 21, 2026
Processing time: 214 Days and 19.4 Hours
Abstract
BACKGROUND

Hepatocellular carcinoma (HCC) is one of the leading causes of cancer-related death worldwide. Dysregulation of the epigenetic modifier PRMT5 contributes to the proliferation and metastasis of cancers, and its inhibition has displayed promising therapeutic effect on malignant tumors. However, the pathogenic mechanism and therapeutic potential of targeting PRMT5 in HCC remain unclear.

AIM

To elucidate the molecular mechanisms by which PRMT5 promotes HCC progression and to provide a rationale for novel therapeutic strategies targeting PRMT5.

METHODS

The correlation between PRMT5 expression and patient prognosis was analyzed using an online database (GEPIA2). Subsequently, the functional impact of PRMT5 was evaluated in vitro through cell viability, clonogenic formation, and apoptosis assays in HCC cell lines. Mechanistically, chromatin immunoprecipitation, co-immunoprecipitation, and promoter activity assays were used to investigate the binding PRMT5 and histone modification (H4R3me2) on the DDIT3 promoter, and its interaction with STAT3. The anti-tumor efficacy of HLCL-61 was evaluated in subcutaneous xenograft mouse models using both cell line-derived xenografts and patient-derived xenografts.

RESULTS

Our study found that high PRMT5 expression was correlated with a worse prognosis of HCC, and inhibition of PRMT5 expression significantly decreased the viability of HCC cells by inducing apoptosis. In the mechanistic study, we discovered that PRMT5 could bind to the DDIT3 promoter and increase the H4R3me2 level on it to repress DDIT3 transcription. Meanwhile, PRMT5 interacted with the coiled-coil domain of STAT3 and recruited it to the DDIT3 promoter to conjointly inhibit promoter activity. In addition, we evaluated that the PRMT5 inhibitor HLCL-61 and found that it exhibited excellent inhibitory efficacy on HCC cells and tissue derived tumors.

CONCLUSION

PRMT5 served as an adaptor of STAT3, displaying a dual inhibitory role in DDIT3 transcription to promote apoptosis resistance, and its inhibitor HLCL-61 represents a potential alternative therapeutic approach to treat HCC.

Keywords: Hepatocellular carcinoma; PRMT5; HLCL-61; Apoptosis; Symmetrical dimethylation

Core Tip: High PRMT5 expression was correlated with a worse prognosis of hepatocellular carcinoma (HCC), and inhibition of PRMT5 expression significantly decreased the viability of HCC cells by inducing apoptosis. Mechanistically, PRMT5 dually suppressed the promoter activity of the apoptosis-inducing factor DDIT3 by increasing H4R3me2 modification and recruiting STAT3 to its promoter. The PRMT5 inhibitor HLCL-61 exerted excellent inhibitory efficacy on HCC cells and tissue derived tumors. In general, our study demonstrated that PRMT5 served as an adaptor for STAT3, displaying a dual inhibitory role on DDIT3 transcription to promote apoptosis resistance, and provided that its inhibitor HLCL-61 was an alternative therapeutic approach of HCC.

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