比较 RNA 测序分析揭示了病毒性(HBV、HCV)和非病毒性病因肝癌肿瘤中转录组和免疫特征的高度复杂性和异质性。
Comparative RNA-Sequencing Analysis Reveals High Complexity and Heterogeneity of Transcriptomic and Immune Profiles in Hepatocellular Carcinoma Tumors of Viral (HBV, HCV) and Non-Viral Etiology.
机构信息
Fundeni Clinical Institute, 022328 Bucharest, Romania.
Institut National de la Santé et de la Recherche Médicale (INSERM), Laboratory of Integrative Cancer Immunology, 75006 Paris, France.
出版信息
Medicina (Kaunas). 2022 Dec 7;58(12):1803. doi: 10.3390/medicina58121803.
Background and Objectives: Hepatocellular carcinoma (HCC), the most common type of primary liver cancer, is the leading cause of cancer-related mortality. It arises and progresses against fibrotic or cirrhotic backgrounds mainly due to infection with hepatitis viruses B (HBV) or C (HCV) or non-viral causes that lead to chronic inflammation and genomic changes. A better understanding of molecular and immune mechanisms in HCC subtypes is needed. Materials and Methods: To identify transcriptional changes in primary HCC tumors with or without hepatitis viral etiology, we analyzed the transcriptomes of 24 patients by next-generation sequencing. Results: We identified common and unique differentially expressed genes for each etiological tumor group and analyzed the expression of SLC, ATP binding cassette, cytochrome 450, cancer testis, and heat shock protein genes. Metascape functional enrichment analysis showed mainly upregulated cell-cycle pathways in HBV and HCV and upregulated cell response to stress in non-viral infection. GeneWalk analysis identified regulator, hub, and moonlighting genes and highlighted CCNB1, ACTN2, BRCA1, IGF1, CDK1, AURKA, AURKB, and TOP2A in the HCV group and HSF1, HSPA1A, HSP90AA1, HSPB1, HSPA5, PTK2, and AURKB in the group without viral infection as hub genes. Immune infiltrate analysis showed that T cell, cytotoxic, and natural killer cell markers were significantly more highly expressed in HCV than in non-viral tumors. Genes associated with monocyte activation had the highest expression levels in HBV, while high expression of genes involved in primary adaptive immune response and complement receptor activity characterized tumors without viral infection. Conclusions: Our comprehensive study underlines the high degree of complexity of immune profiles in the analyzed groups, which adds to the heterogeneous HCC genomic landscape. The biomarkers identified in each HCC group might serve as therapeutic targets.
背景与目的
肝细胞癌(HCC)是最常见的原发性肝癌,也是癌症相关死亡的主要原因。它主要在纤维化或肝硬化的背景下发生和进展,这主要是由于乙型肝炎病毒(HBV)或丙型肝炎病毒(HCV)感染或非病毒原因导致慢性炎症和基因组改变。需要更好地了解 HCC 亚型的分子和免疫机制。材料与方法:为了鉴定具有或不具有肝炎病毒病因的原发性 HCC 肿瘤的转录变化,我们通过下一代测序分析了 24 名患者的转录组。结果:我们确定了每个病因肿瘤组的常见和独特差异表达基因,并分析了 SLC、ATP 结合盒、细胞色素 450、癌症睾丸和热休克蛋白基因的表达。Metascape 功能富集分析显示,HBV 和 HCV 中的细胞周期途径上调,而非病毒感染中细胞应激反应上调。GeneWalk 分析鉴定了调节剂、枢纽和兼职基因,并突出了 HCV 组中的 CCNB1、ACTN2、BRCA1、IGF1、CDK1、AURKA、AURKB 和 TOP2A 以及无病毒感染组中的 HSF1、HSPA1A、HSP90AA1、HSPB1、HSPA5、PTK2 和 AURKB 作为枢纽基因。免疫浸润分析显示,HCV 中的 T 细胞、细胞毒性和自然杀伤细胞标志物的表达显著高于非病毒肿瘤。与单核细胞激活相关的基因表达水平最高的是 HBV,而与原发性适应性免疫反应和补体受体活性相关的基因的高表达特征是无病毒感染的肿瘤。结论:我们的综合研究强调了分析组中免疫谱的高度复杂性,这增加了 HCC 基因组景观的异质性。每个 HCC 组中鉴定的生物标志物可能作为治疗靶点。