Distinct Patterns of HBV Integration and <i>TERT</i> Alterations between in Tumor and Non-Tumor Tissue in Patients with Hepatocellular Carcinoma

Although hepatitis B virus (HBV) integration into the cellular genome is well known in HCC (hepatocellular carcinoma) patients, its biological role still remains uncertain. This study investigated the patterns of HBV integration and correlated them with <i>TERT</i> (telomerase reverse tr...

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Main Authors: Jeong-Won Jang, Hye-Seon Kim, Jin-Seoub Kim, Soon-Kyu Lee, Ji-Won Han, Pil-Soo Sung, Si-Hyun Bae, Jong-Young Choi, Seung-Kew Yoon, Dong-Jin Han, Tae-Min Kim, Lewis R. Roberts
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/22/13/7056
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author Jeong-Won Jang
Hye-Seon Kim
Jin-Seoub Kim
Soon-Kyu Lee
Ji-Won Han
Pil-Soo Sung
Si-Hyun Bae
Jong-Young Choi
Seung-Kew Yoon
Dong-Jin Han
Tae-Min Kim
Lewis R. Roberts
author_facet Jeong-Won Jang
Hye-Seon Kim
Jin-Seoub Kim
Soon-Kyu Lee
Ji-Won Han
Pil-Soo Sung
Si-Hyun Bae
Jong-Young Choi
Seung-Kew Yoon
Dong-Jin Han
Tae-Min Kim
Lewis R. Roberts
author_sort Jeong-Won Jang
collection DOAJ
description Although hepatitis B virus (HBV) integration into the cellular genome is well known in HCC (hepatocellular carcinoma) patients, its biological role still remains uncertain. This study investigated the patterns of HBV integration and correlated them with <i>TERT</i> (telomerase reverse transcriptase) alterations in paired tumor and non-tumor tissues. Compared to those in non-tumors, tumoral integrations occurred less frequently but with higher read counts and were more preferentially observed in genic regions with significant enrichment of integration into promoters. In HBV-related tumors, <i>TERT</i> promoter was identified as the most frequent site (38.5% (10/26)) of HBV integration. <i>TERT</i> promoter mutation was observed only in tumors (24.2% (8/33)), but not in non-tumors. Only 3.00% (34/1133) of HBV integration sites were shared between tumors and non-tumors. Within the HBV genome, HBV breakpoints were distributed preferentially in the 3’ end of HBx, with more tumoral integrations detected in the preS/S region. The major genes that were recurrently affected by HBV integration included <i>TERT</i> and <i>MLL4</i> for tumors and <i>FN1</i> for non-tumors. Functional enrichment analysis of tumoral genes with integrations showed enrichment of cancer-associated genes. The patterns and functions of HBV integration are distinct between tumors and non-tumors. Tumoral integration is often enriched into both human-virus regions with oncogenic regulatory function. The characteristic genomic features of HBV integration together with <i>TERT</i> alteration may dysregulate the affected gene function, thereby contributing to hepatocarcinogenesis.
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spelling doaj.art-a1e1cb71cbbd49179f543e62f5dd0e292023-11-22T02:24:20ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-06-012213705610.3390/ijms22137056Distinct Patterns of HBV Integration and <i>TERT</i> Alterations between in Tumor and Non-Tumor Tissue in Patients with Hepatocellular CarcinomaJeong-Won Jang0Hye-Seon Kim1Jin-Seoub Kim2Soon-Kyu Lee3Ji-Won Han4Pil-Soo Sung5Si-Hyun Bae6Jong-Young Choi7Seung-Kew Yoon8Dong-Jin Han9Tae-Min Kim10Lewis R. Roberts11Division of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaThe Catholic University Liver Research Center, Department of Biomedicine & Health Sciences, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaThe Catholic University Liver Research Center, Department of Biomedicine & Health Sciences, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaDepartment of Biomedicine & Health Sciences, Graduate School, The Catholic University of Korea, Seoul 06591, KoreaDepartment of Medical Informatics, Cancer Research Institute, College of Medicine, The Catholic University of Korea, Seoul 06591, KoreaDivision of Gastroenterology and Hepatology, Mayo Clinic College of Medicine and Science, Rochester, MN 55902, USAAlthough hepatitis B virus (HBV) integration into the cellular genome is well known in HCC (hepatocellular carcinoma) patients, its biological role still remains uncertain. This study investigated the patterns of HBV integration and correlated them with <i>TERT</i> (telomerase reverse transcriptase) alterations in paired tumor and non-tumor tissues. Compared to those in non-tumors, tumoral integrations occurred less frequently but with higher read counts and were more preferentially observed in genic regions with significant enrichment of integration into promoters. In HBV-related tumors, <i>TERT</i> promoter was identified as the most frequent site (38.5% (10/26)) of HBV integration. <i>TERT</i> promoter mutation was observed only in tumors (24.2% (8/33)), but not in non-tumors. Only 3.00% (34/1133) of HBV integration sites were shared between tumors and non-tumors. Within the HBV genome, HBV breakpoints were distributed preferentially in the 3’ end of HBx, with more tumoral integrations detected in the preS/S region. The major genes that were recurrently affected by HBV integration included <i>TERT</i> and <i>MLL4</i> for tumors and <i>FN1</i> for non-tumors. Functional enrichment analysis of tumoral genes with integrations showed enrichment of cancer-associated genes. The patterns and functions of HBV integration are distinct between tumors and non-tumors. Tumoral integration is often enriched into both human-virus regions with oncogenic regulatory function. The characteristic genomic features of HBV integration together with <i>TERT</i> alteration may dysregulate the affected gene function, thereby contributing to hepatocarcinogenesis.https://www.mdpi.com/1422-0067/22/13/7056hepatitis B virusvirus integrationliver cancertelomerasepoint mutation
spellingShingle Jeong-Won Jang
Hye-Seon Kim
Jin-Seoub Kim
Soon-Kyu Lee
Ji-Won Han
Pil-Soo Sung
Si-Hyun Bae
Jong-Young Choi
Seung-Kew Yoon
Dong-Jin Han
Tae-Min Kim
Lewis R. Roberts
Distinct Patterns of HBV Integration and <i>TERT</i> Alterations between in Tumor and Non-Tumor Tissue in Patients with Hepatocellular Carcinoma
International Journal of Molecular Sciences
hepatitis B virus
virus integration
liver cancer
telomerase
point mutation
title Distinct Patterns of HBV Integration and <i>TERT</i> Alterations between in Tumor and Non-Tumor Tissue in Patients with Hepatocellular Carcinoma
title_full Distinct Patterns of HBV Integration and <i>TERT</i> Alterations between in Tumor and Non-Tumor Tissue in Patients with Hepatocellular Carcinoma
title_fullStr Distinct Patterns of HBV Integration and <i>TERT</i> Alterations between in Tumor and Non-Tumor Tissue in Patients with Hepatocellular Carcinoma
title_full_unstemmed Distinct Patterns of HBV Integration and <i>TERT</i> Alterations between in Tumor and Non-Tumor Tissue in Patients with Hepatocellular Carcinoma
title_short Distinct Patterns of HBV Integration and <i>TERT</i> Alterations between in Tumor and Non-Tumor Tissue in Patients with Hepatocellular Carcinoma
title_sort distinct patterns of hbv integration and i tert i alterations between in tumor and non tumor tissue in patients with hepatocellular carcinoma
topic hepatitis B virus
virus integration
liver cancer
telomerase
point mutation
url https://www.mdpi.com/1422-0067/22/13/7056
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