外周血单核细胞中的 lncRNAs ADAMTSL4-AS1、AC067931 和 SOCS2-AS1 作为乙型肝炎病毒相关肝细胞癌新型诊断生物标志物的潜力

IF 4.2 3区 医学 Q2 ONCOLOGY
Journal of Hepatocellular Carcinoma Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI:10.2147/JHC.S463804
Weiwei Guan, Congyue Zhang, Tongguo Miao, Chen Dong, Lu Li, Xiwei Yuan, Dandan Zhao, Rong Ai, Xiaoxiao Zhang, Mengjiao Sun, Haiyan Kang, Yuemin Nan
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引用次数: 0

摘要

目的:长非编码RNA(lncRNA)可能与肝细胞癌(HCC)的进展密切相关,可作为诊断和预后标志物。本研究旨在探讨基于 lncRNA 的乙型肝炎病毒(HBV)相关 HCC 诊断生物标志物。材料与方法:对 15 例 HBV 相关肝病患者(5 例慢性乙型肝炎 [CHB]、5 例肝硬化 [LC] 和 5 例 HCC)的肝组织进行了高通量转录组测序。采用实时定量聚合酶链反应(qRT-PCR)分析lncRNA的表达。评估了 HBV 相关 HCC 筛查的潜在诊断性能:通过趋势分析和功能分析,我们发现8个lncRNA逐渐上调,1个lncRNA通过调控靶mRNA和下游HCC相关信号通路而逐渐下调。通过qRT-PCR对外周血单核细胞(PBMCs)和HCC组织中表达失调的lncRNAs进行验证发现,与CHB和肝硬化相比,ADAMTSL4-AS1、SOCS2-AS1和AC067931在HCC中的表达显著增加。此外,与 LX2 细胞相比,差异表达的 lncRNA 在 Huh7、Hep3B、HepG2 和 HepG2.215 细胞中异常升高。此外,ADAMTSL4-AS1、SOCS2-AS1 和 AC067931 被鉴定为 HBV 相关性 HCC 的新型生物标志物。在区分 HCC 和 CHB 时,ADAMTSL4-AS1、AC067931 和 SOCS2-AS1 与甲胎蛋白(AFP)的曲线下面积(AUC)为 0.945(灵敏度为 83.9%;特异性为 89.8%)。同样,在区分 HCC 和 LC 时,该组合的 AUC 为 0.871(灵敏度 91.1%;特异度 68.2%)。此外,该组合在区分 HCC 与 CHB 和 LC 方面显示出最高的诊断能力(AUC,0.905;灵敏度,91.1%;特异性,75.3%)。特别是,该组合能识别AFP阴性(AFP < 20 ng/mL)(AUC = 0.814)、小(AUC = 0.909)和早期(AUC = 0.863)肿瘤:结论:ADAMTSL4-AS1、SOCS2-AS1 和 AC067931 与 PBMC 中的 AFP 结合可作为 HBV 相关性 HCC(尤其是 AFP 阴性、小型和早期 HCC)的无创诊断生物标志物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Potential of the lncRNAs ADAMTSL4-AS1, AC067931 and SOCS2-AS1 in Peripheral Blood Mononuclear Cells as Novel Diagnostic Biomarkers for Hepatitis B Virus-Associated Hepatocellular Carcinoma.

Purpose: Long noncoding RNAs (lncRNAs) might be closely associated with hepatocellular carcinoma (HCC) progression and could serve as diagnostic and prognostic markers. This study aimed to investigate lncRNA-based diagnostic biomarkers for hepatitis B virus (HBV)-associated HCC.

Materials and methods: High-throughput transcriptome sequencing was conducted on the liver tissues of 15 patients with HBV-associated liver diseases (5 with chronic hepatitis B [CHB], 5 with liver cirrhosis [LC], and 5 with HCC). Quantitative real-time polymerase chain reaction (qRT-PCR) was used to analyze lncRNA expressions. Potential diagnostic performance for HBV-associated HCC screening was evaluated.

Results: Through trend analysis and functional analysis, we found that 8 lncRNAs were gradually upregulated and 1 lncRNA was progressively downregulated by regulation of target mRNAs and downstream HCC-associated signaling pathways. The validation of dysregulated lncRNAs in peripheral blood mononuclear cells (PBMCs) and HCC tissues by qRT-PCR revealed that ADAMTSL4-AS1, SOCS2-AS1, and AC067931 were significantly increased in HCC compared with CHB and cirrhosis. Moreover, differentially expressed lncRNAs were aberrantly elevated in Huh7, Hep3B, HepG2, and HepG2.215 cells compared with LX2 cells. Furthermore, ADAMTSL4-AS1, SOCS2-AS1, and AC067931 were identified as novel biomarkers for HBV-associated HCC. For distinguishing HCC from CHB, ADAMTSL4-AS1, AC067931, and SOCS2-AS1 combined with alpha-fetoprotein (AFP) had an area under the curve (AUC) of 0.945 (sensitivity, 83.9%; specificity, 89.8%). Similarly, for distinguishing HCC from LC, this combination had an AUC of 0.871 (sensitivity, 91.1%; specificity, 68.2%). Furthermore, this combination showed the highest diagnostic ability to distinguish HCC from CHB and LC (AUC, 0.905; sensitivity, 91.1%; specificity, 75.3%). In particular, this combination identified AFP-negative (AFP < 20 ng/mL) (AUC = 0.814), small (AUC = 0.909), and early stage (AUC = 0.863) tumors.

Conclusion: ADAMTSL4-AS1, SOCS2-AS1, and AC067931 combined with AFP in PBMCs may serve as a noninvasive diagnostic biomarker for HBV-associated HCC, especially AFP-negative, small, and early stage HCC.

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来源期刊
CiteScore
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