Abstract

HOX transcript antisense RNA (HOTAIR), a newly discovered long noncoding RNA (lncRNA), has been reported to be a poor prognostic marker in many types of cancers. The current study attempted to investigate the biological roles and clinicopathlogical implications of HOTAIR in hepatocellular carcinoma (HCC), as well as understand the molecular mechanisms of HOTAIR in HCC progression. HOTAIR expression in 95 HCC patients with paired HCC tissues and adjacent non‑cancer tissues were investigated using quantitative reverse transcription‑polymerase chain reaction. The association between HOTAIR expression and clinicopathological features was assessed. The effects of HOTAIR were examined invitro assays by silencing the lncRNA. Pathway analyses were performed to illustrate the biological functions of the HOTAIR and coexpression genes. The expression level of HOTAIR was observed significantly higher in the HCC tissue than the adjacent non‑tumor tissue. HOTAIR expression levels were significantly higher in tumor samples from patients with distant metastasis, advanced stage, portal vein tumor embolus, vasoinvasion, tumor capsular infiltration or positive nm23 expression than those from patients without these conditions, correspondingly. The silencing of HOTAIR in liver cancer cells induced the inhibition of cell proliferation and promotion of apoptosis. Several pathways such as extracellular matrix‑receptor interaction, focal adhesion, pathways in cancer were annotated with the HOTAIR and coexpression genes. In summary, the present analysis indicates that HOTAIR might be an oncogene in HCC. It functions though promoting tumor cell growth and inhibiting apoptosis. HOTAIR may potentially be involved in HCC metastatic progression by several pathways correlated to cell adhesion, and may be a therapeutic target in future.

Highlights

  • Hepatocellular carcinoma (HCC) is a commonly diagnosed cancer worldwide, with ~782,500 newly diagnosed cases and >700,000 HCC‐related deaths in 2012 [1]

  • HOX transcript antisense intergenic RNA (HOTAIR) expression was evaluated in 95 paired FFPE HCC and adjacent non‐tumor tissues using Reverse transcription‐quantitative polymerase chain reac‐ tion (RT‐qPCR)

  • The HOTAIR expression was significantly higher in HCC tissues, compared with the adjacent non‐tumor tissue

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Summary

Introduction

Hepatocellular carcinoma (HCC) is a commonly diagnosed cancer worldwide, with ~782,500 newly diagnosed cases and >700,000 HCC‐related deaths in 2012 [1]. Long noncoding RNAs (lncRNAs) with >200 nucleotides are transcripts non‐coding for proteins. The lncRNA HOX transcript antisense intergenic RNA (HOTAIR) has been reported as a potential prognostic biomarker for cancers since it was discovered in 2007 [7]. HOTAIR as a long and polyadenylated RNA that does not code for protein, and is expressed from the development HOXC locus located on chromosome 12q13.13 [7]. HOTAIR overexpression has been extensively observed in multiple cancers and is reported to predict poor prognosis in esophageal carcinoma, gastric cancer, colorectal cancer, HCC, breast cancer and other types of cancer [8,9]. There have been plenty of investigations carried out to study the potential molecular mechanisms of HOTAIR in cancer progression.

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