Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (9): 101-117.doi: 10.6040/j.issn.1671-7554.0.2023.0468

• Clinical Medicine • Previous Articles     Next Articles

Comprehensive bioinformatics analysis to identify differentially expressed genes for aberrant methylation modification in HBV-associated HCC

CHEN Yingjun, LIU Tonggang   

  1. Department of Infectious Diseases, Binzhou Medical University Hospital, Binzhou 256603, Shandong, China
  • Received:2023-06-01 Published:2023-10-10

Abstract: Objective To explore the differentially expressed genes(DEGs)and molecular mechanism of abnormal methylation modification associated with the development of hepatitis B virus(HBV)-associated hepatocellular carcinoma(HCC)for the early diagnosis of this disease. Methods After the expression profile chips GSE121248, GSE107170 and DNA methylation chip GSE136319 were downloaded from the Gene Expression Database(GEO), the DEGs and differentially methylated genes(DMGs)between HBV-associated HCC tissues and adjacent tissues were screened with R language, and the visual volcano map was drawn. Gene ontology(GO)and Kyoto encyclopedia of genes and genomes(KEGG)enrichment analysis of the methylated-differentially expressed genes(MDEGs)were performed to construct protein-protein interaction(PPI)networks. The molecular complex detection(MCODE)was conducted with Cytoscap, and key genes were screened with cytoHubba plugin. The mRNA expression levels of key genes were verified with the Cancer Genome Atlas(TCGA). The relationship between methylation and gene expression of key genes in HCC was determined with Pearson correlation coefficient. HPA database, Cox proportional hazard regression model, Kaplan Meier-plotter database and receiver operating characteristic(ROC)curve were used to verify the protein expressions of key genes, survival analysis and prediction accuracy. The correlation between the expressions of key genes and clinical indicators(tumor size, pathological stage)were analyzed. Results A total of 921 and 1,172 DEGs were screened from the GSE121248 and GSE107170 datasets, respectively, with 570 and 714 down-regulated and 351 and 458 upregulated genes, respectively. After differential analysis of GSE136319 data, 7 952 genes were hyptrmethylated and 2 630 genes were hypomethylated. A comprehensive analysis of DEGs and DMGs yielded 33 genes upregulated under hypomethylation modification and 158 genes downregulated under hypermethylation modification. GO enrichment analysis showed that the DEGs with abnormal methylation modification were mainly involved in organic acid catabolic process, carboxylic acid catabolic process and heme binding; KEGG pathways were mainly involved in chemical carcinogenesis, complements, coagulation cascades and PPAR signaling pathway. STRING and Cytoscape screened out 12 key genes related to methylation, including FTCD, HRG, C8A, FOXM1, FGA, KLKB1, MBL2, FETUB, TTK, AURKA, PRC1and MAD2L1. After clinical verification, FTCD, HRG, C8A, FOXM1, AURKA, PRC1, TTK and MAD2L1 were confirmed to be differentially expressed in HBV-related HCC and were associated with poor prognosis. The expression levels of FTCD, HRG, FOXM1, TTK, AURKA, PRC1 and MAD2L1 were correlated with tumor size and pathological stage. Conclusion FTCD, HRG, C8A, FOXM1, TTK, AURKA, PRC1 and MAD2L1 may play important roles in the pathogenesis of HBV-related HCC, which may serve as potential diagnostic markers and therapeutic targets.

Key words: Hepatitis B virus, Hepatocellular carcinoma, DNA methylation, Biomarker, Bioinformatics analysis

CLC Number: 

  • R735.7
[1] Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries [J]. CA Cancer J Clin, 2021, 71(3): 209-249.
[2] Wu CC, Li MN, Meng HB, et al. Analysis of status and countermeasures of cancer incidence and mortality in China [J]. Sci China Life Sci, 2019, 62(5): 640-647.
[3] 董菁, 高沿航, 刘嵘, 等. HBV/HCV相关肝细胞癌抗病毒治疗专家共识(2021年更新版)[J]. 临床肝胆病杂志, 2021, 37(10): 2292-2302, 2499. Dong Jing, Gao Yanhang, Liu Rong, et al. Expert consensus on antiviral therapy for HBV/HCV-related hepatocellular carcinoma: a 2021 update [J]. Journal of Clinical Hepatology, 2021, 37(10): 2292-2302, 2499.
[4] Li XC, Xu WQ, Kang W, et al. Genomic analysis of liver cancer unveils novel driver genes and distinct prognostic features [J]. Theranostics, 2018, 8(6): 1740-1751.
[5] Zhou SL, Zhou ZJ, Song CL, et al. Whole-genome sequencing reveals the evolutionary trajectory of HBV-related hepatocellular carcinoma early recurrence [J]. Signal Transduct Target Ther, 2022, 7(1): 24. doi:10.1038/s41392-021-00838-3.
[6] Kulik L, El-Serag HB. Epidemiology and management of hepatocellular carcinoma [J]. Gastroenterology, 2019, 156(2): 477-491.
[7] Razin A, Cedar H. DNA methylation and genomic imprinting [J]. Cell, 1994, 77(4): 473-476.
[8] Ye C, Tao R, Cao QY, et al. Whole-genome DNA methylation and hydroxymethylation profiling for HBV-related hepatocellular carcinoma [J]. Int J Oncol, 2016, 49(2): 589-602.
[9] Russo G, Tramontano A, Iodice I, et al. Epigenome chaos: stochastic and deterministic DNA methylation events drive cancer evolution [J]. Cancers, 2021, 13(8): 1800.
[10] Li Q, Deng CL, Zhang T, et al. Association of GSTP1 and P16 promoter methylation with the risk of HBV-related hepatocellular carcinoma: a meta-analysis [J]. Onco Targets Ther, 2018, 11: 5789-5796. doi:10.2147/OTT.S168444.
[11] 范海燕, 张慧景, 郭占军, 等. 肝细胞癌患者癌组织中RASSF1A和WIF-1基因甲基化的临床意义[J]. 山东大学学报(医学版), 2013, 51(5): 89-93, 104. FAN Haiyan, ZHANG Huijing, GUO Zhanjun, et al. Prognostic significance of RASSF1A and WIF-1 methylation in the cancer tissues of patients with HCC [J]. Journal of Shandong University(Health Sciences), 2013, 51(5): 89-93, 104.
[12] Lee ECS, Elhassan SAM, Lim GPL, et al. The roles of circular RNAs in human development and diseases [J]. Biomed Pharmacother, 2019, 111: 198-208. doi:10.1016/j.biopha.2018.12.052.
[13] Barrett T, Wilhite SE, Ledoux P, et al. NCBI GEO: archive for functional genomics data sets: update [J]. Nucleic Acids Res, 2013, 41(Database issue): D991-D995. doi:10.1093/nar/gks1193.
[14] Ritchie ME, Phipson B, Wu D, et al. Limma powers differential expression analyses for RNA-sequencing and microarray studies [J]. Nucleic Acids Res, 2015, 43(7): e47. doi:10.1093/nar/gkv007.
[15] Shu JT, Liu YF, Shan YJ, et al. Deep sequencing microRNA profiles associated with wooden breast in commercial broilers [J]. Poult Sci, 2021, 100(12): 101496. doi:10.1016/j.psj.2021.101496.
[16] Ma JB, Li R, Wang J. Characterization of a prognostic four?gene methylation signature associated with radiotherapy for head and neck squamous cell carcinoma [J]. Mol Med Rep, 2019, 20(1): 622-632.
[17] Jia AQ, Xu L, Wang Y. Venn diagrams in bioinformatics [J]. Brief Bioinform, 2021, 22(5): bbab108. doi:10.1093/bib/bbab108.
[18] Ashburner M, Ball CA, Blake JA, et al. Gene ontology: tool for the unification of biology. The Gene Ontology Consortium [J]. Nat Genet, 2000, 25(1): 25-29.
[19] Kanehisa M, Furumichi M, Tanabe M, et al. KEGG: new perspectives on genomes, pathways, diseases and drugs [J]. Nucleic Acids Res, 2017, 45(D1): 353-361.
[20] Szklarczyk D, Gable AL, Nastou KC, et al. The STRING database in 2021: customizable protein-protein networks, and functional characterization of user-uploaded gene/measurement sets [J]. Nucleic Acids Res, 2021, 49(D1): 605-612.
[21] Smoot ME, Ono K, Ruscheinski J, et al. Cytoscape 2.8: new features for data integration and network visualization [J]. Bioinformatics, 2011, 27(3): 431-432.
[22] Chen QL, Yan Q, Feng KL, et al. Using integrated bioinformatics analysis to identify abnormally methylated differentially expressed genes in hepatocellular carcinoma [J]. Int J Gen Med, 2021, 14: 805-823. doi:10.2147/IJGM.S294505.
[23] Wang ZN, Jensen MA, Zenklusen JC. A practical guide to the cancer genome atlas(TCGA)[J]. Methods Mol Biol, 2016, 1418: 111-141. doi:10.1007/978-1-4939-3578-9_6.
[24] Tang ZF, Kang BX, Li CW, et al. GEPIA2: an enhanced web server for large-scale expression profiling and interactive analysis [J]. Nucleic Acids Res, 2019, 47(W1):556-560.
[25] 贺士卿, 李皖皖, 董书晴, 等. 基于数据库构建乳腺癌焦亡相关基因的预后风险模型[J]. 山东大学学报(医学版), 2022, 60(8): 34-43. HE Shiqing, LI Wanwan, DONG Shuqing, et al. Construction of a prognostic risk model of pyroptosis-related genes in breast cancer based on database [J]. Journal of Shandong University(Health Science), 2022, 60(8): 34-43.
[26] Liu JF, Lichtenberg T, Hoadley KA, et al. An integrated TCGA pan-cancer clinical data resource to drive high-quality survival outcome analytics [J]. Cell, 2018, 173(2): 400-416.
[27] Qiang R, Zhao ZT, Tang L, et al. Identification of 5 hub genes related to the early diagnosis, tumour stage, and poor outcomes of hepatitis B virus-related hepatocellular carcinoma by bioinformatics analysis [J]. Comput Math Methods Med, 2021: 9991255. doi:10.1155/2021/9991255.
[28] Seo W, Gao YH, He Y, et al. ALDH2 deficiency promotes alcohol-associated liver cancer by activating oncogenic pathways via oxidized DNA-enriched extracellular vesicles [J]. J Hepatol, 2019, 71(5): 1000-1011.
[29] 余雨, 成军, 梅传忠, 等. 乙型肝炎病毒相关肝细胞癌核心差异表达基因生物信息学分析[J]. 中国血吸虫病防治杂志, 2022, 34(5): 507-513. YU Yu, CHENG Jun, MEI Chuanzhong, et al. Bioinformatics analysis of core differentially expressed genes in hepatitis B virus-related hepatocellular carcinoma [J]. Chinese Journal of Schistosomiasis Control, 2022, 34(5): 507-513.
[30] Kew MC. Aflatoxins as a cause of hepatocellular carcinoma [J]. J Gastrointestin Liver Dis, 2013, 22(3): 305-310.
[31] Chen X, Liao L, Li YW, et al. Screening and functional prediction of key candidate genes in hepatitis B virus-associated hepatocellular carcinoma [J]. Biomed Res Int, 2020: 7653506. doi:10.1155/2020/7653506[PubMed]
[32] Ye L, Kan FM, Yan T, et al. Enhanced antiviral and antifibrotic effects of short hairpin RNAs targeting HBV and TGF-β in HBV-persistent mice [J]. Sci Rep, 2017, 7(1): 3860.
[33] Sun K, Wang Q, Huang XH. PPAR gamma inhibits growth of rat hepatic stellate cells and TGF beta-induced connective tissue growth factor expression [J]. Acta Pharmacol Sin, 2006, 27(6): 715-723.
[34] Ye L, Chen T, Cao JQ, et al. Short hairpin RNA attenuates liver fibrosis by regulating the PPAR-γ and NF-κB pathways in HBV-induced liver fibrosis in mice [J]. Int J Oncol, 2020, 57(5): 1116-1128.
[35] Lapierre P, Hajoui O, Homberg JC, et al. Formiminotransferase cyclodeaminase is an organ-specific autoantigen recognized by sera of patients with autoimmune hepatitis [J]. Gastroenterology, 1999, 116(3): 643-649.
[36] Seimiya M, Tomonaga T, Matsushita K, et al. Identification of novel immunohistochemical tumor markers for primary hepatocellular carcinoma; clathrin heavy chain and formiminotransferase cyclodeaminase [J]. Hepatology, 2008, 48(2): 519-530.
[37] Chen JJ, Chen ZM, Huang ZT, et al. Formiminotransferase cyclodeaminase suppresses hepatocellular carcinoma by modulating cell apoptosis, DNA damage, and phosphatidylinositol 3-kinases(PI3K)/akt signaling pathway [J]. Med Sci Monit, 2019, 25: 4474-4484. doi:10.12659/MSM.916202.
[38] Poon IK, Patel KK, Davis DS, et al. Histidine-rich glycoprotein: the Swiss Army knife of mammalian plasma [J]. Blood, 2011, 117(7): 2093-2101.
[39] Zou XJ, Zhang DY, Song Y, et al. HRG switches TNFR1-mediated cell survival to apoptosis in Hepatocellular Carcinoma [J]. Theranostics, 2020, 10(23): 10434-10447.
[40] He X, Wang Y, Zhang W, et al. Screening differential expression of serum proteins in AFP-negative HBV-related hepatocellular carcinoma using iTRAQ-MALDI-MS/MS [J]. Neoplasma, 2014, 61(1): 17-26.
[41] Castaneda M, Hollander PD, Mani SA. Forkhead box transcription factors: double-edged swords in cancer [J]. Cancer Res, 2022, 82(11): 2057-2065.
[42] Yuan BW, Liu YH, Yu XH, et al. FOXM1 contributes to taxane resistance by regulating UHRF1-controlled cancer cell stemness [J]. Cell Death Dis, 2018, 9(5): 562.
[43] Wang L, Shi CY, Yu J, et al. FOXM1-induced TYMS upregulation promotes the progression of hepatocellular carcinoma [J]. Cancer Cell Int, 2022, 22(1): 47.
[44] Miao RY, Luo HT, Zhou HD, et al. Identification of prognostic biomarkers in hepatitis B virus-related hepatocellular carcinoma and stratification by integrative multi-omics analysis[J]. J Hepatol, 2014, 61(4): 840-849.
[45] Liang XD, Dai YC, Li ZY, et al. Expression and function analysis of mitotic checkpoint genes identifies TTK as a potential therapeutic target for human hepatocellular carcinoma [J]. PLoS One, 2014, 9(6): e97739. doi:10.1371/journal.pone.0097739.
[46] Liu X, Liao WJ, Yuan Q, et al. TTK activates Akt and promotes proliferation and migration of hepatocellular carcinoma cells [J]. Oncotarget, 2015, 6(33): 34309-34320.
[47] Du RJ, Huang CT, Liu KD, et al. Targeting AURKA in Cancer: molecular mechanisms and opportunities for Cancer therapy [J]. Mol Cancer, 2021, 20(1): 15. doi:10.1186/s12943-020-01305-3.
[48] Islam B, Yu HY, Duan TQ, et al. Cell cycle kinases(AUKA, CDK1, PLK1)are prognostic biomarkers and correlated with tumor-infiltrating leukocytes in HBV related HCC [J]. J Biomol Struct Dyn, 2023: 1-17. doi:10.1080/07391102.2022.2164056.
[49] Cui SY, Zhang K, Li C, et al. Methylation-associated silencing of microRNA-129-3p promotes epithelial-mesenchymal transition, invasion and metastasis of hepatocelluar cancer by targeting Aurora-A [J]. Oncotarget, 2016, 7(47): 78009-78028.
[50] Kieserman EK, Glotzer M, Wallingford JB. Developmental regulation of central spindle assembly and cytokinesis during vertebrate embryogenesis [J]. Curr Biol, 2008, 18(2): 116-123.
[51] 于克娜, 孙凯月, 张杰, 等. 西妥昔单抗治疗头颈部鳞状细胞癌差异表达基因的生物信息学分析[J]. 山东大学耳鼻喉眼学报, 2020, 34(4): 117-124. YU Kena, SUN Kaiyue, ZHANG Jie, et al. Analysis of differentially expressed genes during cetuximab treatment of head and neck squamous cell carcinoma using bioinformatics [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(4): 117-124.
[52] Li J, Dallmayer M, Kirchner T, et al. PRC1: linking cytokinesis, chromosomal instability, and cancer evolution [J]. Trends Cancer, 2018, 4(1): 59-73.
[53] Tian Y, Arai E, Makiuchi S, et al. Aberrant DNA methylation results in altered gene expression in non-alcoholic steatohepatitis-related hepatocellular carcinomas [J]. J Cancer Res Clin Oncol, 2020, 146(10): 2461-2477.
[54] Brulotte ML, Jeong BC, Li FX, et al. Mechanistic insight into TRIP13-catalyzed Mad2 structural transition and spindle checkpoint silencing [J]. Nat Commun, 2017, 8(1): 1956. doi:10.1038/s41467-017-02012-2.
[55] Jeong SJ, Shin HJ, Kim SJ, et al. Transcriptional abnormality of the hsMAD2 mitotic checkpoint gene is a potential link to hepatocellular carcinogenesis [J]. Cancer Res, 2004, 64(23): 8666-8673.
[56] Fan GR, Tu YQ, Chen C, et al. DNA methylation biomarkers for hepatocellular carcinoma [J]. Cancer Cell Int, 2018, 18: 140. doi:10.1186/s12935-018-0629-5.
[57] Willis S, Polydoropoulou V, Sun YL, et al. Exploratory analysis of single-gene predictive biomarkers in HERA DASL cohort reveals that C8A mRNA expression is prognostic of outcome and predictive of benefit of trastuzumab [J]. JCO Precis Oncol, 2018, 2: PO.18.00016. doi:10.1200/PO.18.00016.
[58] Jang HN, Moon SJ, Jung KC, et al. Mass spectrometry-based proteomic discovery of prognostic biomarkers in adrenal cortical carcinoma [J]. Cancers, 2021, 13(15): 3890.
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