MYH9 has dual functions in
tumors. However, its role in inducing
tumor stemness in
hepatocellular carcinoma (HCC) is not yet determined. Here, we found that MYH9 is an effective promoter of
tumor stemness that facilitates
hepatocellular carcinoma pathogenesis. Importantly, targeting MYH9 remarkably improved the survival of
hepatocellular carcinoma-bearing mice and promoted
sorafenib sensitivity of
hepatocellular carcinoma cells in vivo. Mechanistic analysis suggested that MYH9 interacted with GSK3β and reduced its
protein expression by
ubiquitin-mediated degradation, which therefore dysregulated the β-
catenin destruction complex and induced the downstream
tumor stemness phenotype, epithelial-mesenchymal transition, and c-Jun signaling in HCC. C-Jun transcriptionally stimulated MYH9 expression and formed an MYH9/GSK3β/β-
catenin/c-Jun feedback loop. X
protein is a hepatitis B virus (HBV)-encoded key oncogenic
protein that promotes HCC pathogenesis. Interestingly, we observed that
HBV X protein (HBX) interacted with MYH9 and induced its expression by modulating GSK3β/β-
catenin/c-Jun signaling. Targeting MYH9 blocked HBX-induced GSK3β ubiquitination to activate the β-
catenin destruction complex and suppressed
cancer stemness and EMT. Based on TCGA database analysis, MYH9 was found to be elevated and conferred poor prognosis for
hepatocellular carcinoma patients. In clinical samples, high MYH9 expression levels predicted poor prognosis of
hepatocellular carcinoma patients. These findings identify the suppression of MYH9 as an alternative approach for the effective eradication of CSC properties to inhibit
cancer migration, invasion, growth, and
sorafenib resistance in HCC patients. Our study demonstrated that MYH9 is a crucial therapeutic target in HCC.