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Identification of SPP1, a cancer-associated fibroblast-derived anticancer resistance gene in hepatocellular carcinoma, and functional characterization of SORT1 as a potential driver marker for hepatocarcinogenesis

DC Field Value Language
dc.contributor.advisor조, 효정-
dc.contributor.author안, 혜리-
dc.date.accessioned2023-11-16T05:43:57Z-
dc.date.available2023-11-16T05:43:57Z-
dc.date.issued2023-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/26848-
dc.language.isoen-
dc.titleIdentification of SPP1, a cancer-associated fibroblast-derived anticancer resistance gene in hepatocellular carcinoma, and functional characterization of SORT1 as a potential driver marker for hepatocarcinogenesis-
dc.typeThesis-
dc.identifier.urlhttp://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000032998-
dc.subject.keywordcancer-associated fibroblast-
dc.subject.keywordtumor microenvironment-
dc.subject.keyworddrug resistance-
dc.subject.keywordmethylation-
dc.subject.keywordhepatocellular carcinoma-
dc.description.degreeDoctor-
dc.contributor.department대학원 의생명과학과-
dc.contributor.affiliatedAuthor안, 혜리-
dc.date.awarded2023-
dc.type.localTheses-
dc.citation.date2023-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.description.tableOfContentsChapter 1 1

Ⅰ. INTRODUCTION 1

Ⅱ. MATERIALS AND METHODS 3

1. Isolation of fibroblasts from surgically resected liver tissues 3

2. Immunofluorescence 4

3. Collection of cell culture medium 4

4. Western blotting 4

5. Acquisition and analysis of the gene expression profiles in public omics databases 5

6. Cell culture 5

7. RNA extraction and quantitative reverse transcription-polymerase chain reaction (qRT-PCR) 6

8. SPP1-blocking peptide and SPP1-aptamer 6

9. Establishment of sorafenib- and lenvatinib-resistant cells 7

10. Mouse tumor models 7

11. RNA-sequencing data analysis 9

12. Immunohistochemical assessment of SPP1 expression in human HCC tissues 10

13. Fluorescence quantitative analysis for protein expression of integrins 11

14. Wound healing assay 11

15. Transwell assay 12

16. Co-immunoprecipitation (co-IP) 12

17. Single-cell RNA-seq analysis 13

18. Patients and definition of clinical terms 14

19. Statistical analyses 15

Ⅲ. RESULTS 16

1. CAFs suppressed the sensitivity of HCC cells to sorafenib and lenvatinib 16

2. Identified genes specifically overexpressed in CAFs 18

3. SPP1 was overexpressed in HCC tissues from sorafenib non-responders 18

4. Selection of HCC cell lines for further functional study 19

5. CAFs were a major source of secretory SPP1 in the HCC TME 19

6. Blockade of CAF-derived SPP1 restored HCC cell sensitivity to sorafenib or lenvatinib 22

7. In vivo validation of the effect of blocking CAF-derived SPP1 on HCC resistance to TKIs 25

8. CAF-derived SPP1 bound to integrin complexes on the HCC cell surface 27

9. CAF-derived SPP1 activated the RAF/ERK/STAT3 and PI3K/AKT/mTOR signaling pathways via PKCα phosphorylation in HCC cells 28

10. SPP1-related gene signatures indicated poor prognosis in patients with HCC 31

11. CAF-derived SPP1 promoted the EMT of HCC cells 32

12. EMT-related genes were specifically expressed in SPP1-positive fibroblasts 32

13. Plasma SPP1 level prior to sorafenib or lenvatinib treatment was an independent predictor of PFS or OS in patients with advanced HCC 34

Ⅳ. DISCUSSION 41

Ⅴ. REFERENCES 44

Chapter 2 50

Ⅰ. INTRODUCTION 50

Ⅱ. MATERIALS AND METHODS 52

1. Tissue samples 52

2. Gene expression profiling 52

3. Cell culture and transfection 52

4. RNA extraction and quantitative reverse transcription-polymerase chain reaction (qRT-PCR) 53

5. Western blotting 54

6. Expression of the SORT1 Gene at the Single-Cell Level 54

7. Cell viability and growth assay 55

8. Clonogenic proliferation assay 55

9. Wound healing assay 56

10. Mouse tumor models 56

11. Immunohistochemistry (IHC) 57

12. Apoptosis and cell cycle assays 57

13. Hoechst 33342/PI staining assay 58

14. Molecular pathway mining 58

15. Tube formation assay 59

16. Migration assay 59

17. Exploration of gene alterations in SORT1 Using cBioPortal and comparative analysis of multidimensional cancer genomics and clinical data 59

18. Quantitative methylation-specific polymerase chain reaction (qMSP) 60

19. Statistical analyses 60

Ⅲ. RESULTS 62

1. Identification of driver genes of hepatocarcinogenesis via multi-stage HCC microarray datasets 62

2. The oncogenic effect of SORT1 suppression overexpressed in HCCbiomarkers for HCC and their diagnostic performance in each cohort 69

3. The validation of the HCC progression effect of suppression SORT1 in vivo 71

4. SORT1-targeted inhibition regulates apoptosis and cell cycle arrest in HCC cells 74

5. The enrichment of angiogenesis-related genes in SORT1 and metastatic effects in vivo 77

6. Identification of mechanisms regulating overexpressed SORT1 activation in HCC 80

Ⅳ. DISCUSSION 87

Ⅴ. REFERENCES 89
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