Annexin A3 (ANXA3) has been found to play important roles in
cancer progression,
metastasis, and drug resistance; however, its role in
hepatocellular carcinoma (HCC) remains unknown. In this study, we investigated the expression level, clinical significance and
biologic function of ANXA3 in HCC. Real-time quantitative
reverse transcriptase-polymerase chain reaction, western blotting and immunohistochemical staining were used to examine ANXA3 expression levels in HCC
tumor tissue, and its correlation with the clinicopathological features and prognosis of HCC patients was analyzed. The
biological functions of ANXA3 in cell proliferation, migration, invasion, and resistance to
chemotherapy were also investigated. ANXA3 expression was significantly increased in HCC tissues as compared with adjacent non-tumorous tissues. Elevated ANXA3 expression was associated with
tumor size, number of lesions,
tumor stage, and poor prognosis. In
hepatoma cell lines, exogenous ANXA3 transduction promoted the tumorigenic activity and metastatic potential of
tumor cells.
Small interfering RNA silencing of ANXA3 inhibited these processes. In addition, in vitro and in vivo experiments revealed that ANXA3 overexpression enhanced resistance to
chemotherapy. Taken together, our findings reveal that ANXA3 might play an important role in HCC progression and chemoresistance, and could serve as a novel prognostic marker and therapeutic target for HCC.