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Genetic and epigenetic alterations in hepatitis B virus-associated hepatocellular carcinoma

Abstract

Hepatitis B virus (HBV) is a major cause of hepatocellular carcinoma (HCC). Its chronic infection can lead to chronic liver inflammation and the accumulation of genetic alterations to result in the oncogenic transformation of hepatocytes. HBV can also sensitize hepatocytes to oncogenic transformation by causing genetic and epigenetic changes of the host chromosomes. HBV DNA can insert into host chromosomes and recent large-scale whole-genome sequencing studies revealed recurrent HBV DNA integrations sites that may play important roles in the initiation of hepatocellular carcinogenesis. HBV can also cause epigenetic changes by altering the methylation status of cellular DNA, the post-translational modification of histones, and the expression of microRNAs. These changes can also lead to the eventual hepatocellular transformation. These recent findings on the genetic and epigenetic alterations of the host chromosomes induced by HBV opened a new avenue for the development of novel diagnosis and treatments for HBV-induced HCC.

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References

  • Becker SA, Lee TH, Butel JS, Slagle BL. 1998. Hepatitis b virus x protein interferes with cellular DNA repair. J Virol, 72: 266–272.

    PubMed Central  CAS  PubMed  Google Scholar 

  • Brechot C, Pourcel C, Louise A, Rain B, Tiollais P. 1980. Presence of integrated hepatitis b virus DNA sequences in cellular DNA of human hepatocellular carcinoma. Nature, 286: 533–535.

    Article  CAS  PubMed  Google Scholar 

  • Chakraborty PR, Ruiz-Opazo N, Shouval D, Shafritz DA. 1980. Identification of integrated hepatitis b virus DNA and expression of viral rna in an hbsag-producing human hepatocellular carcinoma cell line. Nature, 286: 531–533.

    Article  CAS  PubMed  Google Scholar 

  • Connolly E, Melegari M, Landgraf P, Tchaikovskaya T, Tennant BC, Slagle BL, Rogler LE, Zavolan M, Tuschl T, Rogler CE. 2008. Elevated expression of the mir-17-92 polycistron and mir-21 in hepadnavirus-associated hepatocellular carcinoma contributes to the malignant phenotype. Am J Pathol, 173: 856–864.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Cougot D, Neuveut C, Buendia MA. 2005. Hbv induced carcinogenesis. J Clin Virol, 34 Suppl 1: S75–78.

    Article  Google Scholar 

  • Ding D, Lou X, Hua D, Yu W, Li L, Wang J, Gao F, Zhao N, Ren G, Li L, Lin B. 2012. Recurrent targeted genes of hepatitis b virus in the liver cancer genomes identified by a next-generation sequencing-based approach. PLoS Genet, 8: e1003065.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Edman JC, Gray P, Valenzuela P, Rall LB, Rutter WJ. 1980. Integration of hepatitis b virus sequences and their expression in a human hepatoma cell. Nature, 286: 535–538.

    Article  CAS  PubMed  Google Scholar 

  • El-Serag HB, Rudolph KL. 2007. Hepatocellular carcinoma: Epidemiology and molecular carcinogenesis. Gastroenterology, 132: 2557–2576.

    Article  CAS  PubMed  Google Scholar 

  • Fujimoto A, Totoki Y, Abe T, Boroevich KA, Hosoda F, Nguyen HH, Aoki M, Hosono N, Kubo M, Miya F, Arai Y, Takahashi H, Shirakihara T, Nagasaki M, Shibuya T, Nakano K, Watanabe-Makino K, Tanaka H, Nakamura H, Kusuda J, Ojima H, Shimada K, Okusaka T, Ueno M, Shigekawa Y, Kawakami Y, Arihiro K, Ohdan H, Gotoh K, Ishikawa O, Ariizumi S, Yamamoto M, Yamada T, Chayama K, Kosuge T, Yamaue H, Kamatani N, Miyano S, Nakagama H, Nakamura Y, Tsunoda T, Shibata T, Nakagawa H. 2012. Whole-genome sequencing of liver cancers identifies etiological influences on mutation patterns and recurrent mutations in chromatin regulators. Nat Genet, 44: 760–764.

    Article  CAS  PubMed  Google Scholar 

  • Gao P, Wong CC, Tung EK, Lee JM, Wong CM, Ng IO. 2011. Deregulation of microrna expression occurs early and accumulates in early stages of hbv-associated multistep hepatocarcinogenesis. J Hepatol, 54: 1177–1184.

    Article  CAS  PubMed  Google Scholar 

  • Guichard C, Amaddeo G, Imbeaud S, Ladeiro Y, Pelletier L, Maad IB, Calderaro J, Bioulac-Sage P, Letexier M, Degos F, Clement B, Balabaud C, Chevet E, Laurent A, Couchy G, Letouze E, Calvo F, Zucman-Rossi J. 2012. Integrated analysis of somatic mutations and focal copy-number changes identifies key genes and pathways in hepatocellular carcinoma. Nat Genet, 44: 694–698.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Hai H, Tamori A, Kawada N. 2014. Role of hepatitis b virus DNA integration in human hepatocarcinogenesis. World J Gastroenterol, 20: 6236–6243.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Han H, Sun D, Li W, Shen H, Zhu Y, Li C, Chen Y, Lu L, Li W, Zhang J, Tian Y, Li Y. 2013. A c-myc-microrna functional feedback loop affects hepatocarcinogenesis. Hepatology, 57: 2378–2389.

    Article  CAS  PubMed  Google Scholar 

  • Huang J, Deng Q, Wang Q, Li KY, Dai JH, Li N, Zhu ZD, Zhou B, Liu XY, Liu RF, Fei QL, Chen H, Cai B, Zhou B, Xiao HS, Qin LX, Han ZG. 2012. Exome sequencing of hepatitis b virus-associated hepatocellular carcinoma. Nat Genet, 44: 1117–1121.

    Article  CAS  PubMed  Google Scholar 

  • Huang J, Wang Y, Guo Y, Sun S. 2010. Down-regulated micro-rna-152 induces aberrant DNA methylation in hepatitis b virus-related hepatocellular carcinoma by targeting DNA methyltransferase 1. Hepatology, 52: 60–70.

    Article  CAS  PubMed  Google Scholar 

  • Jiang Z, Jhunjhunwala S, Liu J, Haverty PM, Kennemer MI, Guan Y, Lee W, Carnevali P, Stinson J, Johnson S, Diao J, Yeung S, Jubb A, Ye W, Wu TD, Kapadia SB, de Sauvage FJ, Gentleman RC, Stern HM, Seshagiri S, Pant KP, Modrusan Z, Ballinger DG, Zhang Z. 2012. The effects of hepatitis b virus integration into the genomes of hepatocellular carcinoma patients. Genome Res, 22: 593–601.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Kan Z, Zheng H, Liu X, Li S, Barber TD, Gong Z, Gao H, Hao K, Willard MD, Xu J, Hauptschein R, Rejto PA, Fernandez J, Wang G, Zhang Q, Wang B, Chen R, Wang J, Lee NP, Zhou W, Lin Z, Peng Z, Yi K, Chen S, Li L, Fan X, Yang J, Ye R, Ju J, Wang K, Estrella H, Deng S, Wei P, Qiu M, Wulur IH, Liu J, Ehsani ME, Zhang C, Loboda A, Sung WK, Aggarwal A, Poon RT, Fan ST, Wang J, Hardwick J, Reinhard C, Dai H, Li Y, Luk JM, Mao M. 2013. Whole-genome sequencing identifies recurrent mutations in hepatocellular carcinoma. Genome Res, 23: 1422–1433.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Kekule AS, Lauer U, Meyer M, Caselmann WH, Hofschneider PH, Koshy R. 1990. The pres2/s region of integrated hepatitis b virus DNA encodes a transcriptional transactivator. Nature, 343: 457–461.

    Article  CAS  PubMed  Google Scholar 

  • Lan SH, Wu SY, Zuchini R, Lin XZ, Su IJ, Tsai TF, Lin YJ, Wu CT, Liu HS. 2014. Autophagy suppresses tumorigenesis of hepatitis b virus-associated hepatocellular carcinoma through degradation of microrna-224. Hepatology, 59: 505–517.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Lau CC, Sun T, Ching AK, He M, Li JW, Wong AM, Co NN, Chan AW, Li PS, Lung RW, Tong JH, Lai PB, Chan HL, To KF, Chan TF, Wong N. 2014. Viral-human chimeric transcript predisposes risk to liver cancer development and progression. Cancer Cell, 25: 335–349.

    Article  CAS  PubMed  Google Scholar 

  • Laursen L. 2014. A preventable cancer. Nature, 516: S2–3.

    Article  CAS  PubMed  Google Scholar 

  • Lee SM, Lee YG, Bae JB, Choi JK, Tayama C, Hata K, Yun Y, Seong JK, Kim YJ. 2014. Hbx induces hypomethylation of distal intragenic cpg islands required for active expression of developmental regulators. Proc Natl Acad Sci U S A, 111: 9555–9560.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Levrero M, Pollicino T, Petersen J, Belloni L, Raimondo G, Dandri M. 2009. Control of cccdna function in hepatitis b virus infection. J Hepatol, 51: 581–592.

    Article  CAS  PubMed  Google Scholar 

  • Li W, Zeng X, Lee NP, Liu X, Chen S, Guo B, Yi S, Zhuang X, Chen F, Wang G, Poon RT, Fan ST, Mao M, Li Y, Li S, Wang J, Jian wang, Xu X, Jiang H, Zhang X. 2013. Hivid: An efficient method to detect hbv integration using low coverage sequencing. Genomics, 102: 338–344.

    Article  CAS  PubMed  Google Scholar 

  • Liang RP, Na H, Li ZF, Ji FP, Jiang SW. 2014. Epigenetic mechanism involved in the hbv/hcv-related hepatocellular carcinoma tumorigenesis. Curr Pharm Des, 20: 1715–1725.

    Article  CAS  Google Scholar 

  • Liu C, Yu J, Yu S, Lavker RM, Cai L, Liu W, Yang K, He X, Chen S. 2010. Microrna-21 acts as an oncomir through multiple targets in human hepatocellular carcinoma. J Hepatol, 53: 98–107.

    Article  CAS  PubMed  Google Scholar 

  • Matsubara K, Tokino T. 1990. Integration of hepatitis b virus DNA and its implications for hepatocarcinogenesis. Mol Biol Med, 7: 243–260.

    CAS  PubMed  Google Scholar 

  • Na B, Huang Z, Wang Q, Qi Z, Tian Y, Lu CC, Yu J, Hanes MA, Kakar S, Huang EJ, Ou JH, Liu L, Yen TS. 2011. Transgenic expression of entire hepatitis b virus in mice induces hepatocarcinogenesis independent of chronic liver injury. PLoS One, 6: e26240.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Noh JH, Chang YG, Kim MG, Jung KH, Kim JK, Bae HJ, Eun JW, Shen Q, Kim SJ, Kwon SH, Park WS, Lee JY, Nam SW. 2013. Mir-145 functions as a tumor suppressor by directly targeting histone deacetylase 2 in liver cancer. Cancer Lett, 335: 455–462.

    Article  CAS  PubMed  Google Scholar 

  • Okamoto Y, Shinjo K, Shimizu Y, Sano T, Yamao K, Gao W, Fujii M, Osada H, Sekido Y, Murakami S, Tanaka Y, Joh T, Sato S, Takahashi S, Wakita T, Zhu J, Issa JP, Kondo Y. 2014. Hepatitis virus infection affects DNA methylation in mice with humanized livers. Gastroenterology, 146: 562–572.

    Article  CAS  PubMed  Google Scholar 

  • Ou J, Rutter WJ. 1985. Hybrid hepatitis b virus-host transcripts in a human hepatoma cell. Proc Natl Acad Sci U S A, 82: 83–87.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Ozturk M, Arslan-Ergul A, Bagislar S, Senturk S, Yuzugullu H. 2009. Senescence and immortality in hepatocellular carcinoma. Cancer Lett, 286: 103–113.

    Article  CAS  PubMed  Google Scholar 

  • Park IY, Sohn BH, Yu E, Suh DJ, Chung YH, Lee JH, Surzycki SJ, Lee YI. 2007. Aberrant epigenetic modifications in hepatocarcinogenesis induced by hepatitis b virus x protein. Gastroenterology, 132: 1476–1494.

    Article  CAS  PubMed  Google Scholar 

  • Scisciani C, Vossio S, Guerrieri F, Schinzari V, De Iaco R, D’Onorio de Meo P, Cervello M, Montalto G, Pollicino T, Raimondo G, Levrero M, Pediconi N. 2012. Transcriptional regulation of mir-224 upregulated in human hccs by nfkappab inflammatory pathways. J Hepatol, 56: 855–861.

    Article  CAS  PubMed  Google Scholar 

  • Shih C, Burke K, Chou MJ, Zeldis JB, Yang CS, Lee CS, Isselbacher KJ, Wands JR, Goodman HM. 1987. Tight clustering of human hepatitis b virus integration sites in hepatomas near a triple-stranded region. J Virol, 61: 3491–3498.

    PubMed Central  CAS  PubMed  Google Scholar 

  • Sung WK, Zheng H, Li S, Chen R, Liu X, Li Y, Lee NP, Lee WH, Ariyaratne PN, Tennakoon C, Mulawadi FH, Wong KF, Liu AM, Poon RT, Fan ST, Chan KL, Gong Z, Hu Y, Lin Z, Wang G, Zhang Q, Barber TD, Chou WC, Aggarwal A, Hao K, Zhou W, Zhang C, Hardwick J, Buser C, Xu J, Kan Z, Dai H, Mao M, Reinhard C, Wang J, Luk JM. 2012. Genome-wide survey of recurrent hbv integration in hepatocellular carcinoma. Nat Genet, 44: 765–769.

    Article  CAS  PubMed  Google Scholar 

  • Tao Y, Ruan J, Yeh SH, Lu X, Wang Y, Zhai W, Cai J, Ling S, Gong Q, Chong Z, Qu Z, Li Q, Liu J, Yang J, Zheng C, Zeng C, Wang HY, Zhang J, Wang SH, Hao L, Dong L, Li W, Sun M, Zou W, Yu C, Li C, Liu G, Jiang L, Xu J, Huang H, Li C, Mi S, Zhang B, Chen B, Zhao W, Hu S, Zhuang SM, Shen Y, Shi S, Brown C, White KP, Chen DS, Chen PJ, Wu CI. 2011. Rapid growth of a hepatocellular carcinoma and the driving mutations revealed by cell-population genetic analysis of whole-genome data. Proc Natl Acad Sci U S A, 108: 12042–12047.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Wang Q, Na B, Ou JH, Pulliam L, Yen TS. 2012. Hepatitis b virus alters the antioxidant system in transgenic mice and sensitizes hepatocytes to fas signaling. PLoS One, 7: e36818.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Wang Y, Lu Y, Toh ST, Sung WK, Tan P, Chow P, Chung AY, Jooi LL, Lee CG. 2010. Lethal-7 is down-regulated by the hepatitis b virus x protein and targets signal transducer and activator of transcription 3. J Hepatol, 53: 57–66.

    Article  CAS  PubMed  Google Scholar 

  • Wei X, Xiang T, Ren G, Tan C, Liu R, Xu X, Wu Z. 2013. Mir-101 is down-regulated by the hepatitis b virus x protein and induces aberrant DNA methylation by targeting DNA methyltransferase 3a. Cell Signal, 25: 439–446.

    Article  CAS  PubMed  Google Scholar 

  • Weichert W. 2009. Hdac expression and clinical prognosis in human malignancies. Cancer Lett, 280: 168–176.

    Article  CAS  PubMed  Google Scholar 

  • Wu LM, Yang Z, Zhou L, Zhang F, Xie HY, Feng XW, Wu J, Zheng SS. 2010. Identification of histone deacetylase 3 as a biomarker for tumor recurrence following liver transplantation in hbv-associated hepatocellular carcinoma. PLoS One, 5: e14460.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Xie HJ, Noh JH, Kim JK, Jung KH, Eun JW, Bae HJ, Kim MG, Chang YG, Lee JY, Park H, Nam SW. 2012. Hdac1 inactivation induces mitotic defect and caspase-independent autophagic cell death in liver cancer. PLoS One, 7: e34265.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Xu L, Beckebaum S, Iacob S, Wu G, Kaiser GM, Radtke A, Liu C, Kabar I, Schmidt HH, Zhang X, Lu M, Cicinnati VR. 2014. Microrna-101 inhibits human hepatocellular carcinoma progression through ezh2 downregulation and increased cytostatic drug sensitivity. J Hepatol, 60: 590–598.

    Article  CAS  PubMed  Google Scholar 

  • Yang P, Li QJ, Feng Y, Zhang Y, Markowitz GJ, Ning S, Deng Y, Zhao J, Jiang S, Yuan Y, Wang HY, Cheng SQ, Xie D, Wang XF. 2012. Tgf-beta-mir-34a-ccl22 signaling-induced treg cell recruitment promotes venous metastases of hbv-positive hepatocellular carcinoma. Cancer Cell, 22: 291–303.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Yoo YG, Na TY, Seo HW, Seong JK, Park CK, Shin YK, Lee MO. 2008. Hepatitis b virus x protein induces the expression of mta1 and hdac1, which enhances hypoxia signaling in hepatocellular carcinoma cells. Oncogene, 27: 3405–3413.

    Article  CAS  PubMed  Google Scholar 

  • Zhang X, Liu S, Hu T, Liu S, He Y, Sun S. 2009. Up-regulated microrna-143 transcribed by nuclear factor kappa b enhances hepatocarcinoma metastasis by repressing fibronectin expression. Hepatology, 50: 490–499.

    Article  CAS  PubMed  Google Scholar 

  • Zhao J, Wu G, Bu F, Lu B, Liang A, Cao L, Tong X, Lu X, Wu M, Guo Y. 2010. Epigenetic silence of ankyrin-repeat-containing, sh3-domain-containing, and proline-rich-region-containing protein 1 (aspp1) and aspp2 genes promotes tumor growth in hepatitis b virus-positive hepatocellular carcinoma. Hepatology, 51: 142–153.

    Article  CAS  PubMed  Google Scholar 

  • Zhao Q, Li T, Qi J, Liu J, Qin C. 2014. The mir-545/374a cluster encoded in the ftx lncrna is overexpressed in hbv-related hepatocellular carcinoma and promotes tumorigenesis and tumor progression. PLoS One, 9: e109782.

    Article  PubMed Central  PubMed  Google Scholar 

  • Zheng Y, Chen WL, Louie SG, Yen TS, Ou JH. 2007. Hepatitis b virus promotes hepatocarcinogenesis in transgenic mice. Hepatology, 45: 16–21.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Jing-hsiung James Ou.

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Tian, Y., Ou, Jh.J. Genetic and epigenetic alterations in hepatitis B virus-associated hepatocellular carcinoma. Virol. Sin. 30, 85–91 (2015). https://doi.org/10.1007/s12250-015-3582-7

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  • DOI: https://doi.org/10.1007/s12250-015-3582-7

Keywords

  • hepatitis B virus (HBV)
  • hepatocellular carcinoma (HCC)
  • genetic alterations
  • epigenetic regulations
  • HCC-associated microRNAs