Abstract

BackgroundHepatocellular carcinoma (HCC) is one of the most common malignancies worldwide. HCC has a poor prognosis associated with tumor recurrence and drug resistance, which has been attributed to the existence of hepatic cancer stem cells (HCSCs). However, the characteristics and regulatory mechanisms of HCSCs remain unclear. We therefore established a novel system to enrich HCSCs and we demonstrate that these HCSCs exhibit cancer stem cell properties.MethodsWe used miRNA and mRNA high-throughput sequencing data sets to determine molecular signatures and regulatory mechanisms in HCSCs. Paired miRNA and gene deep sequencing data in HCSCs versus HCC cells were used to identify candidate biomarkers of HCSCs. Using network analysis, we studied the relationship between miRNA and gene biomarkers, and KEGG pathway enrichment analysis was performed to study the function of candidate biomarkers.ResultsWe identified 9 up- and 9 down-regulated miRNAs and 115 up- and 402 down-regulated genes in HCSCs compared with HCC cells. A miRNA-gene network was constructed using 651 miRNA–gene interactions (between 7 up-regulated miRNAs and 274 down-regulated genes), and 103 miRNA–gene interactions (between 9 down-regulated miRNAs and 62 up-regulated genes). Pathway enrichment analysis identified five tumor invasion- and metastasis-related pathways and MAPK signaling associated with HCSCs. We further discovered two novel pathways that likely play a role in the regulation of HCSCs.ConclusionsWe identified a molecular expression signature and pathway regulatory mechanisms in HCSCs with potential diagnostic and therapeutic value.Electronic supplementary materialThe online version of this article (doi:10.1186/s12967-015-0609-7) contains supplementary material, which is available to authorized users.

Highlights

  • Hepatocellular carcinoma (HCC) is one of the most common malignancies worldwide

  • For miRNAs, 250 (59.7%) up- and 18 (4.3%) down-regulated miRNAs were identified in Hep3B-C cells, while 23 (5.4%) up- and 128 (30.2%) down-regulated miRNAs were identified in Huh7-C cells

  • We selected 9 up- and 9 down-regulated miRNAs, that were consistently altered in both stem cell lines, as candidate miRNA biomarkers of hepatic cancer stem cells (HCSCs) (Fig. 2a)

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Summary

Introduction

HCC has a poor prognosis associated with tumor recurrence and drug resistance, which has been attributed to the existence of hepatic cancer stem cells (HCSCs). Hepatocellular carcinoma (HCC) is one of the most common malignancies that accounts for 70–85% of liver cancers worldwide [1]. Significant progress has been made in recent years regarding the treatment options for HCC, poor prognosis remains a problem because of late diagnosis, recurrence, and drug resistance [2]. While surgical intervention–the main treatment option for HCC–is effective in patients diagnosed at an early stage [3], the treatment of advanced liver cancer is more difficult and prognosis remains poor because of drug resistance [4], making recurrence almost inevitable [5].

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