Abstract

PurposeHepatocellular carcinoma (HCC), a worldwide leading cause of morbidity and mortality, is the most frequent primary liver tumor. Most HCC patients are diagnosed with advanced liver cancer, resulting in a very low 5-year survival rate. Thus, there is an urgent need for the development of targeted therapies. In this study, we aimed to investigate the effect and mechanism of the miR-20a/EZH1 axis on the proliferation and metastasis of HCC and the inhibitory effect of the EZH1/EZH2 inhibitor UNC1999 on HCC.Materials and MethodsThe expression of miR-20a in human HCC tissues and cell lines was detected using quantitative real-time PCR (qRT-PCR). The expressions of proteins were analyzed with immunohistochemistry and Western blotting. Luciferase assay was used to verify whether miR-20a targets EZH1 or EZH2. The effect of miR-20a on HCC progression was studied in vivo and in vitro. The tumor inhibitory effect of UNC1999 was confirmed in vivo. CCK8 assay, wound healing assay, cell migration and invasion assay were used to evaluate the synergistic effect of UNC1999 with sorafenib. RNA sequencing (RNA-seq) was performed to screen the differentially expressed genes in the Huh7 and SMMC7721 cell lines after UNC1999, sorafenib, and combination treatments.ResultsIn this study, miR-20a showed a lower expression in both HCC tissues and cell lines. MiR-20a inhibited the proliferation and migration of SMMC7721 and Huh7 cells. The results of the luciferase assay and Western blot analysis revealed that miR-20a directly targeted EZH1, a histone methyltransferase. We demonstrated that miR-20a negatively regulated the expression of EZH1 and inhibited the proliferation and metastasis of HCC by reducing H3K27 methylation. We found UNC1999 inhibited tumor cells proliferation and enhanced the inhibitory effect of sorafenib.ConclusionWe demonstrated that miR-20a suppresses the tumor proliferation and metastasis in HCC by directly targeting EZH1. UNC1999 can inhibit tumor proliferation in vivo and increase the sensitivity of hepatoma cell lines to sorafenib.

Highlights

  • Hepatocellular carcinoma (HCC), ranking seventh globally in incidence among malignant tumors, is characterized by a poor therapeutic effect and a high mortality rate, which makes it the third leading cause of cancer-related deaths in the world [1]

  • Fan et al reported that the decreased expression of miR-20a in HCC is related to its recurrence and prognosis [7], and new research has confirmed that miR-20a overexpression can inhibit liver cancer in vivo [8]; the downstream mechanism of miR-20a remains unclear and merits further study

  • To explore the role of miR-20a in HCC, we collected tissue samples from HCC patients. quantitative real-time PCR (qRT-PCR) and miRNA in situ hybridization were performed to detect the expression of miR20a in HCC and paratumorous tissues, which showed that the expression of miR-20a in HCC was significantly decreased compared with that in paratumorous tissues (Figures 1A, B)

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Summary

Introduction

Hepatocellular carcinoma (HCC), ranking seventh globally in incidence among malignant tumors, is characterized by a poor therapeutic effect and a high mortality rate, which makes it the third leading cause of cancer-related deaths in the world [1]. Despite some advances in early detection and the recent improvements in treatment, the prognosis of patients with HCC remain poor. The understanding of the tumorrelated role of miRNAs is divided into two main aspects: on one hand, the highly expressed miRNAs promote tumor progression by downregulating the expression of tumor suppressor genes; on the other hand, the low expression of miRNAs inhibits tumor formation by upregulating the expression of oncogenes [5]. Fan et al reported that the decreased expression of miR-20a in HCC is related to its recurrence and prognosis [7], and new research has confirmed that miR-20a overexpression can inhibit liver cancer in vivo [8]; the downstream mechanism of miR-20a remains unclear and merits further study

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