Department of Hepatobiliary Surgery, Second Hospital Affiliated to Third Military Medical University of Xinqiao Hospital, Chongqing 400037, China.
Division of Nursing, Second Hospital Affiliated to Third Military Medical University, Xinqiao Hospital, Chongqing 400037, China.
World J Gastroenterol. 2019 Sep 7;25(33):4921-4932. doi: 10.3748/wjg.v25.i33.4921.
The potential role of chronic inflammation in the development of cancer has been widely recognized. However, there has been little research fully and thoroughly exploring the molecular link between hepatitis B virus (HBV) and hepatocellular carcinoma (HCC).
To elucidate the molecular links between HBV and HCC through analyzing the molecular processes of HBV-HCC using a multidimensional approach.
First, maladjusted genes shared between HBV and HCC were identified by disease-related differentially expressed genes. Second, the protein-protein interaction network based on dysfunctional genes identified a series of dysfunctional modules and significant crosstalk between modules based on the hypergeometric test. In addition, key regulators were detected by pivot analysis. Finally, targeted drugs that have regulatory effects on diseases were predicted by modular methods and drug target information.
The study found that 67 genes continued to increase in the HBV-HCC process. Moreover, 366 overlapping genes in the module network participated in multiple functional blocks. It could be presumed that these genes and their interactions play an important role in the relationship between inflammation and cancer. Correspondingly, significant crosstalk constructed a module level bridge for HBV-HCC molecular processes. On the other hand, a series of non-coding RNAs and transcription factors that have potential pivot regulatory effects on HBV and HCC were identified. Among them, some of the regulators also had persistent disorders in the process of HBV-HCC including microRNA-192, microRNA-215, and microRNA-874, and early growth response 2, FOS, and Kruppel-like factor 4. Therefore, the study concluded that these pivots are the key bridge molecules outside the module. Last but not least, a variety of drugs that may have some potential pharmacological or toxic side effects on HBV-induced HCC were predicted, but their mechanisms still need to be further explored.
The results suggest that the persistent inflammatory environment of HBV can be utilized as an important risk factor to induce the occurrence of HCC, which is supported by molecular evidence.
慢性炎症在癌症发展中的潜在作用已得到广泛认可。然而,目前几乎没有研究能够全面深入地探索乙型肝炎病毒(HBV)与肝细胞癌(HCC)之间的分子联系。
通过多维方法分析 HBV-HCC 的分子过程,阐明 HBV 与 HCC 之间的分子联系。
首先,通过疾病相关差异表达基因鉴定 HBV 和 HCC 之间共享的失调基因。其次,基于功能失调基因的蛋白质-蛋白质相互作用网络,通过超几何检验确定了一系列功能失调模块和模块之间的显著串扰。此外,通过枢纽分析检测关键调节剂。最后,通过模块方法和药物靶点信息预测对疾病具有调节作用的靶向药物。
研究发现,在 HBV-HCC 过程中,有 67 个基因持续增加。此外,模块网络中的 366 个重叠基因参与了多个功能块。可以推测,这些基因及其相互作用在炎症和癌症之间的关系中起着重要作用。相应地,显著的串扰构建了 HBV-HCC 分子过程的模块级桥梁。另一方面,鉴定出一系列对 HBV 和 HCC 具有潜在枢纽调节作用的非编码 RNA 和转录因子。其中,一些调节剂在 HBV-HCC 过程中也存在持续性紊乱,包括 microRNA-192、microRNA-215 和 microRNA-874,以及早期生长反应 2、FOS 和 Kruppel 样因子 4。因此,该研究得出结论,这些枢纽是模块外的关键桥梁分子。最后但并非最不重要的是,预测了多种可能对 HBV 诱导的 HCC 具有一些潜在药理或毒副作用的药物,但它们的机制仍需进一步探索。
研究结果表明,HBV 持续的炎症环境可作为诱导 HCC 发生的重要危险因素,这得到了分子证据的支持。