Circular RNA Expression Profile and Its Potential Predictive Role in HCC

Journal of translational medicine 2018 AI 7 Explanations View Original
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Pages 1-2
Circular RNAs as Emerging Regulators in Liver Cancer

What Are Circular RNAs? Circular RNAs (circRNAs) are a class of non-coding RNA molecules that form a closed loop structure, making them more stable than linear RNAs. Unlike conventional mRNAs, they lack the free ends that would normally be targeted for degradation by cellular enzymes.

Role in Gene Regulation circRNAs primarily function as 'sponges' that bind to microRNAs (miRNAs) and sequester them from their target messenger RNAs. By soaking up miRNAs, circRNAs effectively de-repress the genes that those miRNAs would otherwise silence.

Why They Matter in HCC Hepatocellular carcinoma (HCC) is the most common form of primary liver cancer and has one of the highest mortality rates. The molecular drivers of HCC are complex, and researchers identified that circRNA networks could be disrupting normal gene expression patterns in tumor cells.

Study Objective This study aimed to profile differentially expressed circRNAs (DECs) between HCC tumor tissue and matched non-tumor liver tissue, then construct a regulatory network linking these circRNAs to known cancer-driving genes.

TL;DR: This study explored how circular RNAs, a newly recognized class of gene regulators, are altered in liver cancer and how they connect to known cancer-driving genes.
Pages 2-3
Identifying Differentially Expressed circRNAs in HCC

Expression Profiling Approach The researchers used microarray data from public databases to identify circRNAs that were significantly upregulated or downregulated in HCC tumor tissue compared to adjacent non-tumor liver tissue.

Selection Criteria From an initial analysis, 6 differentially expressed circRNAs (DECs) were identified that met the threshold for statistical significance. Three of these were then prioritized for deeper investigation: hsa_circRNA_102166, hsa_circRNA_100291, and hsa_circRNA_104515.

Network Construction The team used computational tools to predict which miRNAs could bind to each circRNA, and then identified which mRNAs those miRNAs would regulate. This produced a circRNA-miRNA-mRNA regulatory network - a chain of molecular interactions from the circRNA to its downstream gene targets.

Validation Strategy The predicted interactions were cross-validated against known databases of miRNA-target interactions to filter out false positives and focus on biologically plausible connections.

TL;DR: Using microarray data and computational network modeling, the team identified 3 key circRNAs and mapped their downstream regulatory effects on cancer-relevant genes.
Pages 3-5
The circRNA-miRNA-mRNA Network in HCC

Network Architecture The final network contained 3 selected circRNAs connected through 5 circRNA-miRNA interactions. These miRNAs in turn regulated a set of mRNAs encoding transcription factors and signaling proteins critical to cell growth.

Hub Genes Identified Analysis of the network identified 7 hub genes - genes that occupy central positions in the network and are regulated by multiple miRNA interactions. These hub genes were JUN, MYCN, AR, ESR1, FOXO1, IGF1, and CD34.

Biological Significance of Hub Genes Several of these hub genes are established cancer drivers. JUN and MYCN are oncogenic transcription factors, while FOXO1 is a tumor suppressor. IGF1 promotes cell proliferation and survival, and AR (androgen receptor) has been linked to HCC risk in males.

Regulatory Logic The circRNAs serve as molecular decoys for specific miRNAs, thereby lifting suppression of the hub genes. When circRNA expression is elevated in HCC, this could drive inappropriate activation of oncogenes or suppression of tumor suppressors.

TL;DR: The network centered on 7 hub genes including JUN, MYCN, FOXO1, and IGF1, with circRNAs acting as sponges that indirectly regulate these cancer-relevant proteins.
Pages 5-7
Validation and Expression Patterns of Key circRNAs

Expression Confirmation The three selected circRNAs showed consistent differential expression patterns across HCC samples, with hsa_circRNA_102166 being the most prominently upregulated in tumor tissue compared to adjacent normal liver.

Clinical Correlation Higher expression levels of the identified circRNAs correlated with clinicopathological features associated with worse prognosis, including higher tumor grade and larger tumor size.

Comparison with Normal Tissue The expression differences between tumor and adjacent normal tissue were robust, suggesting that these circRNAs are not merely responding to general liver stress but are specifically altered during malignant transformation.

Network Validation The predicted miRNA sponge relationships were further supported by anti-correlation patterns in the data - when circRNA expression was high, the corresponding downstream target genes were upregulated, consistent with the sponge model.

TL;DR: The three circRNAs showed consistent upregulation in HCC tumor tissue and their expression correlated with adverse clinical features, supporting their role in cancer progression.
Pages 8-9
Therapeutic Compounds Identified Through CMap Analysis

Connectivity Map Approach To translate the network findings into potential therapies, the researchers used the Connectivity Map (CMap) database - a resource that links gene expression signatures to known drug effects.

Three Candidate Compounds The analysis identified three existing compounds as candidates for reversing the HCC-associated gene expression signature: decitabine (a DNA methylation inhibitor), BW-B70C (an anti-inflammatory compound), and gefitinib (an EGFR inhibitor already approved for lung cancer).

Decitabine's Relevance Decitabine works by inhibiting DNA methyltransferases, which could reactivate silenced tumor suppressor genes. Given that several hub genes in the network are involved in epigenetic regulation, this connection is mechanistically plausible.

Gefitinib Repurposing The appearance of gefitinib is particularly interesting as it suggests that EGFR pathway activation may be downstream of the circRNA network. This raises the possibility of repurposing this already-approved drug for a subset of HCC patients with the identified circRNA expression signature.

TL;DR: CMap analysis suggested that decitabine, BW-B70C, and gefitinib could potentially reverse the HCC gene expression signature driven by the identified circRNA network.
Pages 9-10
Biomarker and Clinical Significance

Diagnostic Potential Since circRNAs are highly stable molecules, they can persist in blood and other body fluids even outside cells. This makes the identified circRNAs promising candidates for non-invasive liquid biopsy biomarkers for HCC detection.

Prognostic Value The correlation between circRNA expression levels and clinical features such as tumor grade suggests these circRNAs could help stratify patients by risk - identifying those who are likely to have more aggressive disease.

Treatment Stratification If a subset of HCC patients can be identified by their circRNA expression profile, it may be possible to target them with specific therapies that address the upstream regulatory disruption rather than just the downstream oncogenic effects.

Complementarity with Existing Markers The circRNA biomarkers could complement AFP (alpha-fetoprotein), the currently used blood marker for HCC, which has limited sensitivity and specificity particularly in early-stage disease.

TL;DR: The identified circRNAs hold promise as stable biomarkers for liquid biopsy-based HCC detection and could help personalize treatment by identifying patients with specific molecular subtypes.
Pages 10-11
Limitations and Next Steps

Computational vs. Experimental Validation A key limitation is that the circRNA-miRNA-mRNA network was built primarily through computational prediction. Experimental confirmation - such as RNA immunoprecipitation or luciferase reporter assays - is needed to validate the specific binding interactions.

Sample Size Constraints The study used publicly available datasets which may have limited sample sizes and may not represent the full diversity of HCC subtypes across different etiologies (hepatitis B, hepatitis C, alcohol, NASH).

In Vivo Functional Studies The next critical step is to experimentally knock out or overexpress the identified circRNAs in liver cancer cell lines and mouse models to confirm their functional roles in tumorigenesis.

Clinical Translation Moving the identified compounds to clinical testing will require preclinical validation in HCC-specific models, as well as investigation of potential synergies between the identified compounds and standard HCC treatments like sorafenib.

TL;DR: The computational network requires experimental validation, and the identified therapeutic candidates need preclinical testing in HCC models before clinical translation can be pursued.
Citation: Open Access, 2018. Available at: PMC6085698.