Identification of NOX4 as a New Biomarker in Hepatocellular Carcinoma and Its Effect on Sorafenib Therapy

To improve the survival of patients with hepatocellular carcinoma (HCC), new biomarkers and therapeutic targets are urgently needed. In this study, the GEO and TCGA dataset were used to explore the differential co-expressed genes and their prognostic correlation between HCC and normal samples. The m...

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Main Authors: Hui-Zhou Li, Qing-Qing Liu, De-Hua Chang, Shu-Xian Li, Long-Tao Yang, Peng Zhou, Jiang-Bei Deng, Chang-Hao Huang, Yu-Dong Xiao
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/8/2196
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author Hui-Zhou Li
Qing-Qing Liu
De-Hua Chang
Shu-Xian Li
Long-Tao Yang
Peng Zhou
Jiang-Bei Deng
Chang-Hao Huang
Yu-Dong Xiao
author_facet Hui-Zhou Li
Qing-Qing Liu
De-Hua Chang
Shu-Xian Li
Long-Tao Yang
Peng Zhou
Jiang-Bei Deng
Chang-Hao Huang
Yu-Dong Xiao
author_sort Hui-Zhou Li
collection DOAJ
description To improve the survival of patients with hepatocellular carcinoma (HCC), new biomarkers and therapeutic targets are urgently needed. In this study, the GEO and TCGA dataset were used to explore the differential co-expressed genes and their prognostic correlation between HCC and normal samples. The mRNA levels of these genes were validated by qRT-PCR in 20 paired fresh HCC samples. The results demonstrated that the eight-gene model was effective in predicting the prognosis of HCC patients in the validation cohorts. Based on qRT-PCR results, NOX4 was selected to further explore biological functions within the model and 150 cases of paraffin-embedded HCC tissues were scored for NOX4 immunohistochemical staining. We found that the NOX4 expression was significantly upregulated in HCC and was associated with poor survival. In terms of function, the knockdown of NOX4 markedly inhibited the progression of HCC in vivo and in vitro. Mechanistic studies suggested that NOX4 promotes HCC progression through the activation of the epithelial–mesenchymal transition. In addition, the sensitivity of HCC cells to sorafenib treatment was obviously decreased after NOX4 overexpression. Taken together, this study reveals NOX4 as a potential therapeutic target for HCC and a biomarker for predicting the sorafenib treatment response.
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spelling doaj.art-60c0ee715fbd43b28250583b2cbc2bc92023-11-19T00:20:45ZengMDPI AGBiomedicines2227-90592023-08-01118219610.3390/biomedicines11082196Identification of NOX4 as a New Biomarker in Hepatocellular Carcinoma and Its Effect on Sorafenib TherapyHui-Zhou Li0Qing-Qing Liu1De-Hua Chang2Shu-Xian Li3Long-Tao Yang4Peng Zhou5Jiang-Bei Deng6Chang-Hao Huang7Yu-Dong Xiao8Department of Radiology, The Second Xiangya Hospital, Central South University, Changsha 410011, ChinaDepartment of Oncology, Xiangya Hospital, Central South University, Changsha 410008, ChinaDepartment of Diagnostic and Interventional Radiology, University Hospital Heidelberg, 69120 Heidelberg, GermanyDepartment of Radiology, The Second Xiangya Hospital, Central South University, Changsha 410011, ChinaDepartment of Radiology, The Second Xiangya Hospital, Central South University, Changsha 410011, ChinaDepartment of Pathology, The Second Xiangya Hospital, Central South University, Changsha 410011, ChinaDepartment of Intervention, Changsha Central Hospital, University of South Chian, Changsha 410011, ChinaThe Hunan Provincial Key Laboratory of Precision Diagnosis and Treatment for Gastrointestinal Tumor, Xiangya Hospital, Central South University, Changsha 410008, ChinaDepartment of Radiology, The Second Xiangya Hospital, Central South University, Changsha 410011, ChinaTo improve the survival of patients with hepatocellular carcinoma (HCC), new biomarkers and therapeutic targets are urgently needed. In this study, the GEO and TCGA dataset were used to explore the differential co-expressed genes and their prognostic correlation between HCC and normal samples. The mRNA levels of these genes were validated by qRT-PCR in 20 paired fresh HCC samples. The results demonstrated that the eight-gene model was effective in predicting the prognosis of HCC patients in the validation cohorts. Based on qRT-PCR results, NOX4 was selected to further explore biological functions within the model and 150 cases of paraffin-embedded HCC tissues were scored for NOX4 immunohistochemical staining. We found that the NOX4 expression was significantly upregulated in HCC and was associated with poor survival. In terms of function, the knockdown of NOX4 markedly inhibited the progression of HCC in vivo and in vitro. Mechanistic studies suggested that NOX4 promotes HCC progression through the activation of the epithelial–mesenchymal transition. In addition, the sensitivity of HCC cells to sorafenib treatment was obviously decreased after NOX4 overexpression. Taken together, this study reveals NOX4 as a potential therapeutic target for HCC and a biomarker for predicting the sorafenib treatment response.https://www.mdpi.com/2227-9059/11/8/2196hepatocellular carcinomaNOX4epithelial–mesenchymal transitionsorafenib resistance
spellingShingle Hui-Zhou Li
Qing-Qing Liu
De-Hua Chang
Shu-Xian Li
Long-Tao Yang
Peng Zhou
Jiang-Bei Deng
Chang-Hao Huang
Yu-Dong Xiao
Identification of NOX4 as a New Biomarker in Hepatocellular Carcinoma and Its Effect on Sorafenib Therapy
Biomedicines
hepatocellular carcinoma
NOX4
epithelial–mesenchymal transition
sorafenib resistance
title Identification of NOX4 as a New Biomarker in Hepatocellular Carcinoma and Its Effect on Sorafenib Therapy
title_full Identification of NOX4 as a New Biomarker in Hepatocellular Carcinoma and Its Effect on Sorafenib Therapy
title_fullStr Identification of NOX4 as a New Biomarker in Hepatocellular Carcinoma and Its Effect on Sorafenib Therapy
title_full_unstemmed Identification of NOX4 as a New Biomarker in Hepatocellular Carcinoma and Its Effect on Sorafenib Therapy
title_short Identification of NOX4 as a New Biomarker in Hepatocellular Carcinoma and Its Effect on Sorafenib Therapy
title_sort identification of nox4 as a new biomarker in hepatocellular carcinoma and its effect on sorafenib therapy
topic hepatocellular carcinoma
NOX4
epithelial–mesenchymal transition
sorafenib resistance
url https://www.mdpi.com/2227-9059/11/8/2196
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