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Updated: Jun 24, 2025

An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
Published on: September 12, 2019
Cytoskeletal gene alterations linked to sorafenib resistance in hepatocellular carcinoma
Hong Xiao1, Hangyu Chen2, Lei Zhang2
1Key Laboratory of Tropical Biological Resources of Ministry of Education, School of Pharmaceutical Sciences, Hainan University, Hainan, China.
Background:
Although sorafenib has been consistently used as a first-line treatment for advanced hepatocellular carcinoma (HCC), most patients will develop resistance, and the mechanism of resistance to sorafenib needs further study.
Methods:
Using KAS-seq technology, we obtained the ssDNA profiles within the whole genome range of SMMC-7721 cells treated with sorafenib for differential analysis. We then intersected the differential genes obtained from the analysis of hepatocellular carcinoma patients in GSE109211 who were ineffective and effective with sorafenib treatment, constructed a PPI network, and obtained hub genes. We then analyzed the relationship between the expression of these genes and the prognosis of hepatocellular carcinoma patients.
Results:
In this study, we identified 7 hub ERGs (ACTB, CFL1, ACTG1, ACTN1, WDR1, TAGLN2, HSPA8) related to drug resistance, and these genes are associated with the cytoskeleton.
Conclusions:
The cytoskeleton is associated with sorafenib resistance in hepatocellular carcinoma. Using KAS-seq to analyze the early changes in tumor cells treated with drugs is feasible for studying the drug resistance of tumors, which provides reference significance for future research.
Insights
Sorafenib resistance in advanced hepatocellular carcinoma (HCC) is common. This study identifies cytoskeleton-associated genes linked to sorafenib resistance in HCC, offering insights for future therapeutic strategies.
Area of Science:
- Oncology
- Molecular Biology
- Genomics
Background:
- Sorafenib is a standard first-line treatment for advanced hepatocellular carcinoma (HCC).
- Acquired resistance to sorafenib is a major clinical challenge in HCC treatment.
- The underlying mechanisms of sorafenib resistance in HCC require further investigation.
Purpose of the Study:
- To investigate the molecular mechanisms of sorafenib resistance in hepatocellular carcinoma.
- To identify novel therapeutic targets for overcoming sorafenib resistance.
Main Methods:
- Utilized KAS-seq technology to analyze single-stranded DNA (ssDNA) profiles in sorafenib-treated SMMC-7721 cells.
- Integrated differential gene expression data from HCC patients with varying sorafenib responses (GSE109211).
- Constructed a protein-protein interaction (PPI) network to identify hub genes and analyzed their association with HCC patient prognosis.
Main Results:
- Identified seven hub differentially expressed genes (ERGs) associated with sorafenib resistance: ACTB, CFL1, ACTG1, ACTN1, WDR1, TAGLN2, and HSPA8.
- These identified hub genes are significantly associated with cytoskeletal functions.
- The study highlights a correlation between these cytoskeletal genes and patient outcomes in HCC.
Conclusions:
- The cytoskeleton plays a crucial role in the development of sorafenib resistance in hepatocellular carcinoma.
- KAS-seq is a viable method for studying early cellular changes in response to drug treatment, aiding in the understanding of tumor drug resistance.
- This research provides a foundation for developing new strategies to combat sorafenib resistance in HCC.
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