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A genomic enhancer signature associates with hepatocellular carcinoma prognosis.


ABSTRACT:

Background & aims

Lifestyle and environmental-related exposures are important risk factors for hepatocellular carcinoma (HCC), suggesting that epigenetic dysregulation significantly underpins HCC. We profiled 30 surgically resected tumours and the matched adjacent normal tissues to understand the aberrant epigenetic events associated with HCC.

Methods

We identified tumour differential enhancers and the associated genes by analysing H3K27 acetylation (H3K27ac) chromatin immunoprecipitation sequencing (ChIP-seq) and Hi-C/HiChIP data from the resected tumour samples of 30 patients with early-stage HCC. This epigenome dataset was analysed with previously reported genome and transcriptome data of the overlapping group of patients from the same cohort. We performed patient-specific differential expression testing using multiregion sequencing data to identify genes that undergo both enhancer and gene expression changes. Based on the genes selected, we identified two patient groups and performed a recurrence-free survival analysis.

Results

We observed large-scale changes in the enhancer distribution between HCC tumours and the adjacent normal samples. Many of the gain-in-tumour enhancers showed corresponding upregulation of the associated genes and vice versa, but much of the enhancer and gene expression changes were patient-specific. A subset of the upregulated genes was activated in a subgroup of patients' tumours. Recurrence-free survival analysis revealed that the patients with a more robust upregulation of those genes showed a worse prognosis.

Conclusions

We report the genomic enhancer signature associated with differential prognosis in HCC. Findings that cohere with oncofoetal reprogramming in HCC were underpinned by genome-wide enhancer rewiring. Our results present the epigenetic changes in HCC that offer the rational selection of epigenetic-driven gene targets for therapeutic intervention or disease prognostication in HCC.

Impact and implications

Lifestyle and environmental-related exposures are the important risk factors of hepatocellular carcinoma (HCC), suggesting that tumour-associated epigenetic dysregulations may significantly underpin HCC. We profiled tumour tissues and their matched normal from 30 patients with early-stage HCC to study the dysregulated epigenetic changes associated with HCC. By also analysing the patients' RNA-seq and clinical data, we found the signature genes - with epigenetic and transcriptomic dysregulation - associated with worse prognosis. Our findings suggest that systemic approaches are needed to consider the surrounding cellular environmental and epigenetic changes in HCC tumours.

SUBMITTER: Jeon AJ 

PROVIDER: S-EPMC10165154 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature

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Publications

A genomic enhancer signature associates with hepatocellular carcinoma prognosis.

Jeon Ah-Jung AJ   Anene-Nzelu Chukwuemeka George CG   Teo Yue-Yang YY   Chong Shay Lee SL   Sekar Karthik K   Wu Lingyan L   Chew Sin-Chi SC   Chen Jianbin J   Kendarsari Raden Indah RI   Lai Hannah H   Ling Wen Huan WH   Kaya Neslihan Arife NA   Lim Jia Qi JQ   Chung Alexander Yaw Fui AYF   Cheow Peng-Chung PC   Kam Juinn Huar JH   Madhavan Krishnakumar K   Kow Alfred A   Ganpathi Iyer Shridhar IS   Lim Tony Kiat Hon TKH   Leow Wei-Qiang WQ   Loong Shihleone S   Loh Tracy Jiezhen TJ   Wan Wei Keat WK   Soon Gwyneth Shook Ting GST   Pang Yin Huei YH   Yoong Boon Koon BK   Bee-Lan Ong Diana D   Lim Jasmine J   de Villa Vanessa H VH   Dela Cruz Rouchelle D RD   Chanwat Rawisak R   Thammasiri Jidapa J   Bonney Glenn K GK   Goh Brian K P BKP   Foo Roger Sik Yin RSY   Chow Pierce Kah-Hoe PK  

JHEP reports : innovation in hepatology 20230226 6


<h4>Background & aims</h4>Lifestyle and environmental-related exposures are important risk factors for hepatocellular carcinoma (HCC), suggesting that epigenetic dysregulation significantly underpins HCC. We profiled 30 surgically resected tumours and the matched adjacent normal tissues to understand the aberrant epigenetic events associated with HCC.<h4>Methods</h4>We identified tumour differential enhancers and the associated genes by analysing H3K27 acetylation (H3K27ac) chromatin immunopreci  ...[more]

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