LHPP is a validated tumor suppressor, with downregulation linked to poor prognosis across cancers:
Hepatocellular Carcinoma (HCC):
Oral Squamous Cell Carcinoma (OSCC):
Pan-Cancer Analysis:
Table 1: LHPP expression and clinical correlations in select cancers .
RNA Activation (RNAa): Small activating RNAs (saRNAs) targeting LHPP promoters restore expression in HCC cells, reducing viability and metastasis .
Oncolytic Adenoviruses: GD55-LHPP, an engineered adenovirus, induces apoptosis in lung cancer cells by upregulating LHPP .
LHPP (phospholysine phosphohistidine inorganic pyrophosphate phosphatase), also known as HDHD2B, is a histidine phosphatase protein that was originally identified in bovine liver. It is highly conserved from worms to humans and plays a pivotal role in histidine dephosphorylation. LHPP belongs to a small family of known histidine phosphatases that includes PHPT1, PGAM5, and LHPP. While the importance of the former two in tumor progression has been well documented, LHPP's functions have only recently gained significant research attention . The primary function of LHPP appears to be regulating histidine phosphorylation, which has implications for epigenetic regulation and carcinogenic activity suppression. It was first confirmed as a tumor suppressor in 2018 and has since been implicated in controlling multiple cellular processes related to cancer development .
LHPP shows variable expression patterns across normal human tissues. According to immunohistochemistry data from The Human Protein Atlas, LHPP is significantly expressed in normal liver tissues and is widely distributed in both cytoplasmic and membrane compartments . Expression analysis across multiple tissue types demonstrates that LHPP is constitutively expressed in most normal tissues with some variation in expression levels. In the oral cavity, LHPP exhibits high expression in normal oral keratinocytes (HOK cells) compared to oral squamous cell carcinoma (OSCC) cells . This consistent expression across normal tissues suggests a fundamental role in maintaining cellular homeostasis.
High-magnification immunofluorescence studies reveal that LHPP is expressed in both the cytoplasm and nucleus of cells . According to predictions from The Human Protein Atlas, the main subcellular localizations of LHPP protein are indeed the cytoplasm and nucleus. This dual localization pattern suggests that LHPP may have different functions depending on its subcellular compartmentalization. When LHPP is overexpressed using lentiviral vectors, stronger nuclear fluorescence is often observed, possibly due to the integration of the LHPP gene into the host chromosome . This subcellular distribution pattern provides important context for understanding LHPP's molecular functions.
Comprehensive analyses across multiple cancer types demonstrate that LHPP expression is significantly reduced in most human tumors compared to matched normal tissues. Pan-cancer analysis using TCGA and GTEx databases shows that LHPP gene expression levels are markedly reduced in tumor tissues compared with normal tissues in multiple cancer types, including sarcoma (SARC) and testicular germ cell tumors (TGCT) .
In specific cancer types:
In oral squamous cell carcinoma (OSCC), LHPP is significantly downregulated compared to normal oral mucosa tissues, as confirmed by both TCGA database analysis and experimental validation .
In hepatocellular carcinoma (HCC), analysis of the Oncomine database shows that LHPP expression is significantly downregulated in HCC tissues compared to paired normal tissues .
Western blot analyses of patient samples consistently demonstrate lower LHPP expression in cancer tissues compared to adjacent normal tissues .
This widespread downregulation across multiple cancer types strongly suggests that LHPP functions as a tumor suppressor gene.
LHPP expression levels show significant correlations with clinical outcomes across several cancer types. Higher LHPP expression is generally associated with better prognosis:
LHPP expression shows a strong correlation with tumor differentiation status, particularly in OSCC. Immunohistochemistry (IHC) staining demonstrates that LHPP expression is highest in normal oral mucosas with a mean optical density (MOD) of 0.033, decreased in highly differentiated OSCC tissues (MOD of 0.024), and almost absent in moderately and poorly differentiated OSCC tissues (MOD of 0.006 and 0.0018, respectively) .
Statistical analysis of 23 OSCC cases revealed a highly significant correlation between LHPP expression and differentiation status (P=0.000002), while other clinical parameters (age, sex, tumor size, tumor location, and muscle invasion) showed no significant correlations with LHPP expression . This strong association with differentiation status suggests that LHPP could serve as a key biomarker for determining tumor grade and potentially guide therapeutic strategies.
LHPP influences several key signaling pathways in cancer cells, with the PI3K/Akt pathway being particularly well-documented. In OSCC, GO and KEGG enrichment analyses combined with experimental validation demonstrate that LHPP promotes cancer cell apoptosis by decreasing the transcriptional activity of phosphorylated PI3K (p-PI3K) and phosphorylated Akt (p-Akt) . This modulation of the PI3K/Akt pathway, which is a central regulator of cell survival and proliferation, appears to be a key mechanism underlying LHPP's tumor suppressor function.
Additionally, gene set enrichment analysis (GSEA) of RNA-seq data from HCC patients in TCGA reveals that LHPP expression negatively correlates with cell cycle progression and metastasis pathways . This suggests that LHPP may act through multiple signaling mechanisms to suppress tumor growth and metastatic potential.
Functional studies across multiple cancer types provide strong evidence that LHPP inhibits cancer cell proliferation, migration, and invasion:
In OSCC: Cell Counting Kit-8 tests, EdU proliferation tests, scratch assays, invasion tests, monoclonal formation tests, and mouse xenograft tumor models all demonstrate that LHPP inhibits OSCC growth, proliferation, and migration both in vivo and in vitro .
In HCC: CCK8 assays show that overexpression of LHPP in Huh7 and LM3 hepatocellular carcinoma cells significantly inhibits cell viability. Similarly, colony formation assays demonstrate reduced colony-forming ability in LHPP-overexpressing cells .
These consistent findings across different cancer types and experimental approaches strongly support LHPP's role in suppressing multiple aspects of cancer cell behavior critical for tumor progression.
LHPP has been shown to regulate the expression of several key oncogenes involved in cancer progression. In HCC, real-time PCR assays demonstrate that forceful expression of LHPP suppresses the expression of several oncogenes, including:
CCNB1 (Cyclin B1): A critical regulator of cell cycle progression
PKM2 (Pyruvate Kinase M2): A key enzyme in cancer metabolism
MMP7 (Matrix Metalloproteinase-7): Involved in extracellular matrix degradation and metastasis
MMP9 (Matrix Metalloproteinase-9): Important for cancer cell invasion and metastasis
This downregulation of oncogenes provides a molecular mechanism explaining how LHPP exerts its tumor-suppressive effects on cell proliferation and metastasis.
Analysis of genetic alteration patterns across different cancer types from the TCGA project reveals four main types of genetic alterations affecting LHPP:
Mutation
Structural variant
Amplification
Deep deletion
Among these, amplification is the most common genetic alteration type, occurring primarily in:
Stomach adenocarcinoma
Uterine corpus endometrial carcinoma
Ovarian serous cystadenocarcinoma
Adrenocortical carcinoma
Esophageal carcinoma
The highest frequency of LHPP genetic alteration (3.86%) is observed in stomach adenocarcinoma, with amplification as the primary alteration type (2.50%). In brain lower grade glioma (LGG), deep deletion is the most common alteration, with a frequency of 1.95% . These patterns of genetic alteration provide insight into potential mechanisms of LHPP dysregulation in different cancer types.
In brain lower grade glioma (LGG), missense mutations represent the main genetic alteration affecting LHPP . The R45H mutation has been specifically identified, although its functional consequences are not fully elucidated in the provided search results. The presence of these mutations, particularly in a cancer type where high LHPP expression correlates with better survival outcomes, suggests that these mutations may impair LHPP's tumor suppressor function.
The impact of specific mutations on LHPP protein structure, stability, and enzymatic activity represents an important area for future research. Understanding the functional consequences of these mutations could provide valuable insights into the molecular mechanisms underlying LHPP's tumor suppressor activities and potentially identify targetable vulnerabilities in cancers with altered LHPP function.
Several effective experimental models have been established for studying LHPP function:
Cell Models:
OSCC cell lines (SCC15 and SCC25) with lentivirus-mediated LHPP overexpression
HCC cell lines (Huh7 and LM3) with lentivirus-mediated LHPP overexpression
Normal oral keratinocytes (HOK cells) as controls for OSCC studies
Animal Models:
Mouse xenograft tumor models have been successfully used to validate LHPP's tumor-suppressive effects in vivo
These models provide complementary approaches for investigating LHPP function at both cellular and organismal levels. Cell lines enable detailed mechanistic studies of LHPP's effects on proliferation, migration, and signaling pathways, while animal models allow assessment of LHPP's impact on tumor growth and progression in a physiologically relevant context.
Multiple complementary methodologies have been employed to assess LHPP expression and functional activities:
Expression Analysis:
Functional Assays:
Bioinformatic Approaches:
This multi-modal approach to studying LHPP provides comprehensive insights into its expression patterns, subcellular localization, and functional effects across different experimental systems.
Despite significant progress in understanding LHPP's role as a tumor suppressor, several important questions remain unresolved:
The precise biochemical mechanism by which LHPP's histidine phosphatase activity influences cancer-related signaling pathways
The complete spectrum of LHPP substrates in human cells
The role of LHPP in non-cancer human diseases
The potential of LHPP as a therapeutic target
The mechanisms regulating LHPP expression in normal and cancer tissues
Addressing these questions will require interdisciplinary approaches combining biochemistry, molecular biology, cell biology, and translational research methodologies.
The consistent downregulation of LHPP across multiple cancer types and its correlation with clinicopathological parameters and survival outcomes suggest several potential translational applications:
Diagnostic Applications:
LHPP expression could serve as a diagnostic biomarker, particularly for cancer differentiation status in OSCC
LHPP expression patterns might help distinguish tumor subtypes and predict prognosis
Therapeutic Applications:
Strategies to restore LHPP expression or function could represent a novel therapeutic approach for cancers with LHPP downregulation
Understanding the signaling pathways regulated by LHPP may identify alternative therapeutic targets in cancers where LHPP is inactivated
LHPP's negative regulation of oncogenes like CCNB1, PKM2, MMP7, and MMP9 suggests that these downstream effectors might represent druggable targets in LHPP-deficient tumors
Development of these applications will require further validation in diverse patient populations and comprehensive preclinical studies to assess efficacy and safety.
LHPP plays a crucial role in various biological processes, including:
Human recombinant LHPP is used in various research applications to study its function and role in disease. It is particularly significant in cancer research due to its tumor-suppressing properties . Researchers utilize various assays, including RNA sequencing and Gene Set Enrichment Analysis, to explore the mechanisms through which LHPP regulates cell behavior .