Peptide‑based therapeutics targeting the SLC39A14‑PIWIL2 fusion in hepatocellular carcinoma

Masaud Shah1, Sung Ung Moon1, Ji-Hye Choi1,2

  • 1Department of Physiology, Ajou University School of Medicine, Suwon, 16499, Republic of Korea.

Genomics & Informatics
|December 20, 2025
PubMed

Insights

Researchers identified a novel fusion gene, SLC39A14-PIWIL2, driving liver cancer (HCC). They developed a peptide therapeutic, NEP1, that inhibits this fusion protein and enhances chemotherapy, offering a new precision treatment for HCC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Fusion genes are recognized drivers of various cancers, but their significance in hepatocellular carcinoma (HCC) is not well understood.
  • Identifying novel oncogenic drivers is crucial for developing targeted therapies for HCC.

Purpose of the Study:

  • To investigate the role of fusion genes in HCC.
  • To identify and characterize novel oncogenic fusion proteins in HCC.
  • To develop targeted peptide therapeutics against identified fusion proteins for HCC treatment.

Main Methods:

  • RNA sequencing analysis of HCC patient samples to identify fusion genes.
  • Functional assays to determine the oncogenic role of the SLC39A14-PIWIL2 fusion.
  • Structural modeling and molecular dynamics simulations to understand protein interactions.
  • In vitro studies using HCC cell lines to test the efficacy of decoy peptides.
  • Combination therapy studies with chemotherapy agents.

Main Results:

  • The SLC39A14-PIWIL2 fusion gene was identified as a potential driver in HCC, leading to the overexpression of a truncated PIWIL2 protein (tPIWIL2).
  • tPIWIL2 interacts with oncogenic partners HDAC3 and NME2.
  • A novel decoy peptide, NEP1, effectively inhibited PIWIL2-driven oncogenic activity in HCC cell lines.
  • NEP1 enhanced the efficacy of 5-fluorouracil (5-FU) by reducing PIWIL2-induced chemoresistance.

Conclusions:

  • SLC39A14-PIWIL2 represents a novel oncogenic fusion in hepatocellular carcinoma.
  • Targeted peptide therapeutics against fusion proteins, like NEP1, show promise for precision medicine in HCC.
  • Combination therapy with NEP1 and 5-FU offers a potential strategy to improve therapeutic outcomes in HCC.