Screening of prognosis-related enhancer RNAs and their corresponding target genes in patients with hepatocellular carcinoma and its prognostic significance
1. Department of Hepatobiliary Surgery, the First Central Hospital of Tianjin City, Tianjin 300192, China; 2. Department of Hepatobiliary Surgery, the First Center Clinical College of Tianjin Medical University, Tianjin 300192, China
Objective: To screen the enhancer RNAs (eRNAs) and their corresponding target genes related to the prognosis hepatocellular carcinoma (HCC), and to explore their regulatory effect and function. Methods: The transcript data and clinical data of HCC were downloaded from UCSC database to extract the expression matrix of eRNAs and their predicted corresponding target genes. Kaplan-Meier and Spearman correlation analysis were used to screen HCC prognosis-related eRNAs and the target genes, and the least absolute shrinkage and selection operator (LASSO) regression analysis and multivariate Cox multiple regression analysis were utilized to construct a HCC prognostic risk scoring system. A short interfering RNA (siRNA) targeting eRNA AP003469.2 was designed and synthesized to transfect liver cancer SMMC-7721 cells. Then, RT-PCR was used to verify the knockdown efficiency, qPCR was used to detect the expression of the target gene YWHAZ, and CCK-8 was adopted to examine the proliferation of SMMC-7721 cells after transfection. Results: Four prognosis-related genes were screened, including two eRNAs (AP003469.2 and SPRY4-AS1) and two target genes (PPARGC1A and SLC2A1) (P<0.05). Among them, the high expression of PPARGC1A indicated a better prognosis, while the high expression of AP003469.2, SPRY4-AS1 and SLC2A1 genes indicated a poor prognosis. The prognostic risk scoring system constructed based on the 4 genes exhibited AUC of 0.730, 0.699 and 0.679 at the 1st, 3rd and the 5th year respectively, indicating good predictive performance of the system. After AP003469.2 knockdown in SMMC-7721 cells, the expression of its predicted target gene YWHAZ did not change significantly, and it had no significant effect on the proliferation of SMMC-7721 cells. Conclusion: Among the 4 key genes were screened out based on bioinformatics analysis, eRNA AP003469.2 is a biomarker with high prognostic performance for HCC; however, it has no cancer-promoting function or regulatory effect on YWHAZ.
Project supported by the Natural Science Foundation of Tianjin City (No. 20JCYBJC01310), and the Tianjin Major Science and Technology Project for Prevention and Treatment of Major Disease (No. 19ZXDBSY00010)