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455 were significantly down-regulated in HCC, but   to  tumorigenesis  itself.  However,  most  etiologic
            significantly upregulated in 5 other solid tumors. The   relevant miRNAs were also consistently observed
            down-regulated expression pattern of miR-142 and   in  overall HCC,  indicating  similar  fundamental
            miR-455 were confirmed in the CUMC HCC validation   mechanisms involved in hepatocarcinogenesis
            set [Supplementary Table 5]. These results suggest that   regardless of different  etiologies.  These  candidate
            miR-142 and miR-455 may be potential HCC “tumor    miRNAs  may  be  applied to  improve  clinical early
            specific” markers, but they should be considered as   diagnosis of HCC and more precise prevention and
            “tumor common” markers for 5 other tumor types.    therapy. A similar research strategy can be adopted
                                                               to  discover and verify  other  “tumor  type  specific”
            Searching for target genes and biologically enriched   miRNAs  and promote early detection and precise
            pathways                                           treatment of different types of cancer.
            Mirsystem  was used to search for target genes of
            the 5 HCC “tumor specific” miRNAs (miR-24-1, miR-  Accumulating evidence based on genome-wide
            130a, miR-505, miR-142 and miR-455). A total of    and candidate  miRNA approaches have uncovered
            2,270 genes (1,937 unique genes) were obtained as   miRNAs  dysregulation in HCC acting as either
            the targets of at least one miRNA  [Supplementary   oncogenes  or tumor suppressors. [22,23]  A few but
            Table  6].  Among  them,  619 genes  were  identified   not all studies of the 5 “HCC tumor specific”
            by 5 out of 7 predictive tools or are experimentally   miRNAs  are consistent. The expression of miR-
            validated miRNA-targets including 577 unique genes   24 was significantly reduced in HCC with cirrhosis
            because some might be targeted by 2 or 3 miRNAs    compared to adjacent cirrhotic tissue, suggesting an
            [Supplementary  Figure  10].  Among  target  genes,   influence on hepatocyte carcinogenic transformation
                                                                                 [24]
            130 genes have been associated with HCC in at least   of cirrhotic tissues.  Significant  down-regulation
            one previous report by  comparing with  Liverome   of miR-130a was observed in over 75% (78/102)  of
            database   (http://liverome.kobic.re.kr/). [21]  Upon  HCC tumor tissues.  The same repression pattern
                                                                                [25]
            further evaluation for enriched biological function,   of miR-130a was also found in HCV-infected human
            we identified several important biologic pathways,   HCC cells  and rat liver tissue after treatment
                                                                        [26]
            including transforming growth factor beta (TGFβ)   with AFB ,  a strong  hepatocarcinogen.  A  recent
                                                                                                   [27]
                                                                       1
            receptor signaling pathway, endocytosis, signaling by   study found that miR-142-3p and miR-142-5p  were
                                                                                                [28]
            epidermal growth factor receptor, signaling by nerve   significantly  downregulated  in  HCC.   The  ectopic
            growth factor (NGF), NGF signaling via tropomyosin   expression of miR-142 significantly reduced HCC cell
            receptor kinase A from the plasma membrane,        migration  and invasion,  and overexpression both
            BMAL1: CLOCK/NPAS2 activates circadian expression   miR-142-3p and miR-142-5p synergistically inhibited
            and adherens junction [Supplementary Table 7],     HCC cell migration,  indicating their cooperative
            which confirmed the potential biological role of HCC   regulatory  role.   This  result  is  supported by  a
                                                                             [28]
            specific miRNAs involved in tumorigenesis.         mechanistic study demonstrating that miR-142-3p
                                                               can directly repress  the  expression  of  RAC1  (Ras-
            DISCUSSION                                         Related  C3 Botulinum  Toxin  Substrate  1), which
                                                               regulates a diverse array of cellular events including
            The  most  interesting  finding  in  the  current  study   increased colony formation, migration and invasion
            was significant down-regulation of miRNAs (miR-24-  in HCC cell lines.  Only one study observed miR-455
                                                                             [29]
            1, miR-130a, miR-505, miR-142 and miR-455) in HCC   significantly down-regulated in HCC tissue and serum
            tumor  tissue  that  showed “tumor  type  specificity”   in HCC related to type I glycogen storage disease.
                                                                                                            [30]
            [Figure 2, Supplementary Table 5]. Additionally, a   The different up-regulation patterns of miR-130a and
            panel of miRNAs (miR-21, miR-182, miR-183, miR-    miR-505 in other solid tumors (bladder,  breast,
                                                                                                   [31]
                                                                                                            [32]
            139, miR-144, miR-101-2, miR-451 and miR-486) was   gastric,  ovarian,  colorectal  and non-small cell
                                                                               [34]
                                                                                           [35]
                                                                     [33]
            first identified as “tumor common” markers that    lung cancers ) provide further evidence for their
                                                                          [36]
            are significantly  altered in most solid tumors by   potential as HCC specific biomarkers.
            comparing RNA-seq data from 9 different cancer types
            [Figure  3,  Supplementary  Table  5].  A  few  miRNAs   However, inconsistent results were also observed in
            were also significantly dysregulated in etiology-specific   previous studies that suggest significant up-regulation
            (alcohol drinking, HBV- or HCV- infection) HCC [Table 3,   for some of “HCC specific” miRNAs. For example,
            Supplementary  Figures  5  and 6],  suggesting  the   miR-24 was found significantly up-regulated in HCC
            potential impact of different etiologies in addition   tumor  tissue,  cell  lines, [37,38]   and  serum  compared


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