<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2020.7779</article-id>
<article-id pub-id-type="publisher-id">or-44-05-2185</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Bioinformatics analysis of <italic>LINC01554</italic> and its co-expressed genes in hepatocellular carcinoma</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Ling</given-names></name>
<xref rid="af1-or-44-05-2185" ref-type="aff">1</xref>
<xref rid="af2-or-44-05-2185" ref-type="aff">2</xref>
<xref rid="fn1-or-44-05-2185" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Huang</surname><given-names>Kang</given-names></name>
<xref rid="af1-or-44-05-2185" ref-type="aff">1</xref>
<xref rid="fn1-or-44-05-2185" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Lu</surname><given-names>Zhongshan</given-names></name>
<xref rid="af1-or-44-05-2185" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhao</surname><given-names>Huijia</given-names></name>
<xref rid="af1-or-44-05-2185" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Hao</given-names></name>
<xref rid="af1-or-44-05-2185" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Ye</surname><given-names>Qifa</given-names></name>
<xref rid="af1-or-44-05-2185" ref-type="aff">1</xref>
<xref rid="af3-or-44-05-2185" ref-type="aff">3</xref>
<xref rid="c1-or-44-05-2185" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Peng</surname><given-names>Guizhu</given-names></name>
<xref rid="af1-or-44-05-2185" ref-type="aff">1</xref>
<xref rid="c1-or-44-05-2185" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-or-44-05-2185"><label>1</label>Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Wuhan, Hubei 430071, P.R. China</aff>
<aff id="af2-or-44-05-2185"><label>2</label>Department of Pharmacology, Basic Medical School of Wuhan University, Wuhan, Hubei 430071, P.R. China</aff>
<aff id="af3-or-44-05-2185"><label>3</label>The Third Xiangya Hospital of Central South University, Research Center of National Health Ministry on Transplantation Medicine Engineering and Technology, Changsha, Hunan 410013, P.R. China</aff>
<author-notes>
<corresp id="c1-or-44-05-2185"><italic>Correspondence to</italic>: Professor Qifa Ye or Professor Guizhu Peng, Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, Hubei Key Laboratory of Medical Technology on Transplantation, Wuhan, Hubei 430071, P.R. China, E-mail: <email>yqf_china@163.com</email>, E-mail: <email>pengguizhu@139.com</email></corresp>
<fn id="fn1-or-44-05-2185"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub"><month>11</month><year>2020</year></pub-date>
<pub-date pub-type="epub"><day>25</day><month>09</month><year>2020</year></pub-date>
<volume>44</volume>
<issue>5</issue>
<fpage>2185</fpage>
<lpage>2197</lpage>
<history>
<date date-type="received"><day>20</day><month>09</month><year>2019</year></date>
<date date-type="accepted"><day>31</day><month>08</month><year>2020</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Li et al.</copyright-statement>
<copyright-year>2020</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Hepatocellular carcinoma (HCC) is a leading cause of cancer-related morbidity and mortality globally. Despite the remarkable improvements in comprehensive HCC treatment, the underlying mechanistic details of HCC remain elusive. We screened HCC patients for differentially expressed genes (DEGs) using the Gene Expression Omnibus (GSE113850) and The Cancer Genome Atlas (TCGA) datasets. <italic>LINC01554</italic> expression in 40 paired samples was determined by quantitative reverse transcription polymerase chain reaction (RT-qPCR), and its clinical significance was assessed. <italic>LINC01554</italic> was found to have a gain-of-function role in HCC <italic>in vitro</italic>. Additionally, the bioinformatics analysis of the genes co-expressed with <italic>LINC01554</italic> was performed using the Co-LncRNA website, and potential molecular mechanisms were investigated using the Gene Ontology and Kyoto Encyclopaedia of Genes and Genomes resources and validated by <italic>in vitro</italic> experiments. A total of 229 DEGs were identified from the GSE113850 dataset. Among the identified DEGs, three long non-coding RNAs (lncRNAs) (<italic>DIO3OS, LINC01554</italic>, and <italic>LINC01093</italic>) with |logFC| &#x2265;2 and P&#x003C;0.05 were screened. A total of 148 lncRNAs with |logFC| &#x2265;1 and P&#x003C;0.05 were identified from TCGA dataset. Low <italic>LINC01554</italic> expression levels were significantly correlated with overall survival, pathological stage, hepatitis B infection, tumour size, portal vein tumour thrombus, and TNM stage. Using gain-of-function assays, we further showed that <italic>LINC01554</italic> inhibited the proliferation, migration, and invasion of the HCCLM9 and SK-Hep1 cells and promoted G0/G1 arrest, but it did not significantly affect apoptosis. Western blotting revealed that <italic>LINC01554</italic> overexpression resulted in increased ZO-1 and E-cadherin expression levels, but decreased N-cadherin and vimentin expression levels. Moreover, <italic>LINC01554</italic> overexpression inhibited Akt, p-Akt, &#x03B2;-catenin, and p-Gsk3&#x03B2; expression. Our results showed that <italic>LINC01554</italic> repressed HCC cell invasiveness and epithelial-to-mesenchymal transition partly by inhibiting Wnt and PI3K-Akt signalling <italic>in vitro</italic>. Taken together, our findings provide new insights into the molecular mechanisms underlying HCC tumourigenesis and implicate <italic>LINC01554</italic> as a potential target for HCC therapy.</p>
</abstract>
<kwd-group>
<kwd>hepatocellular carcinoma</kwd>
<kwd><italic>LINC01554</italic></kwd>
<kwd>bioinformatics analysis</kwd>
<kwd>Wnt signalling</kwd>
<kwd>PI3K-Akt signalling</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Primary liver cancer is responsible for a large proportion of cancer-related deaths globally. More than half of all hepatocellular carcinoma (HCC) patients are in China, and Chinese HCC mortality rates are the highest in the world (<xref rid="b1-or-44-05-2185" ref-type="bibr">1</xref>,<xref rid="b2-or-44-05-2185" ref-type="bibr">2</xref>). Despite the advances in clinical and experimental research on HCC, the survival rate of HCC patients remains low (<xref rid="b3-or-44-05-2185" ref-type="bibr">3</xref>). Emerging studies have reported that carcinogenesis is a complex process that involves multiple molecules (<xref rid="b4-or-44-05-2185" ref-type="bibr">4</xref>). To this end, HCC carcinogenesis must be more extensively elucidated, and it is crucial to develop new approaches to improve HCC treatment and increase the long-term survival rate of HCC patients.</p>
<p>mRNAs that encode proteins account for &#x003C;2&#x0025; of the human transcriptome (<xref rid="b5-or-44-05-2185" ref-type="bibr">5</xref>). Increasing evidence indicates that even though many transcripts are not translated into proteins, they function at the transcriptional level. Long non-coding RNAs (lncRNAs) are a new class of transcripts that consist of &#x003E;200 nucleotides but are not translated into proteins (<xref rid="b6-or-44-05-2185" ref-type="bibr">6</xref>). Some lncRNAs have been reported to be abnormally expressed in cancer, while others have been found to be related to cancer occurrence and development (<xref rid="b7-or-44-05-2185" ref-type="bibr">7</xref>). <italic>LINC01554</italic> has been reported as a significant lncRNA involved in the pathogenesis of non-alcoholic fatty liver disease and oesophageal cancer (<xref rid="b8-or-44-05-2185" ref-type="bibr">8</xref>,<xref rid="b9-or-44-05-2185" ref-type="bibr">9</xref>). In the present study, we found that <italic>LINC01554</italic> was significantly downregulated in HCC tissues, and its expression levels were closely associated with the prognosis of HCC patients. Moreover, <italic>LINC01554</italic> inhibited HCC proliferation and metastasis <italic>in vitro</italic>. Further experiments were performed to identify the mechanism of <italic>LINC01554</italic> in HCC and determine its potential suitability as a diagnostic biomarker for early HCC detection and a potential target for HCC therapy.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Gene expression profiles</title>
<p>We downloaded gene expression profiling data from the Gene Expression Omnibus database (GEO, <uri xlink:href="http://www.ncbi.nlm.nih.gov/gds/">http://www.ncbi.nlm.nih.gov/gds/</uri>). The GSE113850 dataset, which consists of 39 tissue samples including 32 HCC and 7 normal liver tissues, was used (<xref rid="b10-or-44-05-2185" ref-type="bibr">10</xref>). We also downloaded gene expression profiling data from The Cancer Genome Atlas database (TCGA, <uri xlink:href="http://portal.gdc.cancer.gov/">http://portal.gdc.cancer.gov/</uri>). This dataset consisted of 424 tissues, including 371 primary HCC, 3 recurrent HCC, and 50 normal liver tissues.</p>
</sec>
<sec>
<title>Screening of HCC patients for differentially expressed genes (DEGs)</title>
<p>We used the GEO2R statistical analysis tool (<uri xlink:href="https://www.ncbi.nlm.nih.gov/geo/geo2r/">https://www.ncbi.nlm.nih.gov/geo/geo2r/</uri>) and Student&#x0027;s t-test to identify DEGs in the GSE113850 dataset. The adjusted P-value was set at &#x003C;0.05, and the logFC value was set at &#x003E;2 (upregulated genes) or &#x003C;-2 (downregulated genes). Data from the TCGA database were analysed using the R packages, DESeq and edgeR (<uri xlink:href="https://www.bioconductor.org/">https://www.bioconductor.org/</uri>), and Student&#x0027;s t-test to identify DEGs. Meanwhile, heat maps and volcano plots were created by a hierarchical clustering method.</p>
</sec>
<sec>
<title>Comparison of the expression levels of three lncRNAs and the clinicopathological characteristics of the HCC patients</title>
<p>Gene Expression Profiling Interactive Analysis (GEPIA, <uri xlink:href="http://gepia.cancer-pku.cn/index.html">http://gepia.cancer-pku.cn/index.html</uri>) is an online tool used for analysing RNA sequencing (RNA-Seq) data from TCGA and GTEx databases. It includes RNA sequencing expression data of 9,736 tumors and 8,587 normal samples and related clinical datasets of TCGA and the GTEx projects. It provides key interactive and customizable functions including differential expression analysis, profiling plotting, correlation analysis, patient survival analysis, similar gene detection and dimensionality reduction analysis (<xref rid="b11-or-44-05-2185" ref-type="bibr">11</xref>). Using GEPIA, we compared the gene expression levels of HCC and normal liver tissues. We used log-rank test to analyse the correlation between the levels of gene expression and the duration of patient survival. Moreover, we analysed the gene expression levels according to the tumour stage of the HCC patients. The adjusted P-value was set at &#x003C;0.05, and the datasets were set at LIHC (liver hepatocellular carcinoma).</p>
</sec>
<sec>
<title>Clinical specimens and cell culture</title>
<p>Forty patients (age range, 20&#x2013;76 years; mean age, 54.78&#x00B1;10.64 years; males, 33; females, 7), who attended the Zhongnan Hospital of Wuhan University from April 2018 to April 2019, were enrolled in this study. All patients were diagnosed with HCC by histological examination, and they provided written informed consent for their tissues to be used for medical research. Ethical approval for this study was obtained from the Zhongnan Hospital of Wuhan University. Liver cancer cell lines (SK-Hep1, HCCLM9 and HepG2) were obtained from the Cell Bank of the Type Culture Collection (Chinese Academy of Sciences, Shanghai, China). Cells were cultured in Dulbecco&#x0027;s modified Eagles medium (DMEM; Invitrogen; Thermo Fisher Scientific, Inc.), supplemented with 10&#x0025; foetal bovine serum (FBS) and 1&#x0025; penicillin-streptomycin, at 37&#x00B0;C in a 5&#x0025; CO<sub>2</sub> humidified atmosphere.</p>
</sec>
<sec>
<title>Lentiviral construction and cell transfections</title>
<p>The sequence of lncRNA LINC01554 was sub-cloned into the lentiviral expression vector Lv105 (GeneCopoeia, Guangzhou, China). 293T cells were plated into 6-well plates. After 293T cell confluence reached 80&#x0025;, cells were co-transfected with LINC01554-Lv105 (or control vector EX-EGFP-Lv105) and Lenti-Pac CMV Expression Packaging vectors (gag-pol-RRE vector, REV vector and VSV-G vector) (GeneCopoeia). The mass of each vector in each well is 1.0 &#x00B5;g lentiviral plasmid, 1.2 &#x00B5;g gag-pol-RRE vector, 1.0 &#x00B5;g REV vector, and 1.0 &#x00B5;g VSV-G vector. The transfection was performed by using LipoFectMax&#x2122; Transfection Reagent (ABP Biosciences, USA). After incubation for 48 h, the lentiviral particles were harvested from the cell medium supernatant by centrifuging at 500 &#x00D7; g for 10 min. The SK-Hep1 and HCCLM9 cells were then transduced with Lv-LINC01554 lentivirus controlled with the Lv-NC lentivirus.</p>
</sec>
<sec>
<title>Quantitative reverse transcription polymerase chain reaction (RT-qPCR) analysis</title>
<p>Total RNA was isolated from the clinical specimens and cells using TRIzol reagent (Yeasen Biotech). cDNA was generated using a Hieff First Strand cDNA Synthesis Super Mix for RT-qPCR kit (Yeasen Biotech). RT-qPCR analysis was performed using the Hieff qPCR SYBR Green Master Mix kit (Yeasen Biotech) and a StepOnePlus instrument (Applied Biosystems; Thermo Fisher Scientific, Inc.). Relative lncRNA expression was analysed using the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method (<xref rid="b12-or-44-05-2185" ref-type="bibr">12</xref>), with normalisation to &#x03B2;-actin expression. Primer sequences used for RT-qPCR were as follows: <italic>LINC01554</italic> forward, 5&#x2032;-TGTGGCAAACGCAAACGA-3&#x2032; and reverse, 5&#x2032;-GCCCAGAGTAAAGGGAAATGTA-3&#x2032;; &#x03B2;-actin forward, 5&#x2032;-TGGCACCCAGCACAATGAA-3&#x2032; and reverse, 5&#x2032;-CTAAGTCATAGTCCGCCTAGAAGCA-3&#x2032;.</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Total protein was isolated from the HCCLM9 and SK-Hep1 cells using RIPA lysis buffer (Wuhan Servicebio Biotechnology). Protein concentrations were determined using the bicinchoninic acid assay (Wuhan Servicebio Biotechnology). The mass of protein loaded per lane was 25 &#x00B5;g. Proteins were separated using 10&#x0025; SDS-PAGE gels and electro-transferred to PVDF membranes. The membranes were then blocked by TBST (with 5&#x0025; skim milk powder) for 2 h at room temperature and incubated overnight, respectively, with primary antibodies at 4&#x00B0;C. After washing with TBST three times, the membranes were incubated, respectively, with goat anti-rabbit secondary antibody at 37&#x00B0;C for 2 h. The dilutions and suppliers of the primary antibodies and secondary antibodies are documented in <xref rid="tI-or-44-05-2185" ref-type="table">Table I</xref>. Protein blots were detected using a chemiluminescence kit (NCM Biotech) and Tanon 4500 Immunodetection System (Tanon). The protein bands were visualised with chemiluminescence ECL reagent and recorded with X-ray film. The signal intensity was analysed by ImageJ v1.42q software (National Institutes of Health). GAPDH content was used to standardise sample loading.</p>
</sec>
<sec>
<title>Flow cytometric analysis</title>
<p>After transfection, the cells were collected and washed twice with phosphate-buffered saline (PBS). For cell cycle analysis, the cells were stained with a cell cycle staining kit (KeyGEN) for 15 min. Apoptosis was detected using an Annexin V-FITC and Propidium Iodide Apoptosis Detection Kit (KeyGEN). Finally, the proportion of cells in different phases of the cell cycle and the apoptosis rate were measured using a FACSCalibur flow cytometer (BD Biosciences).</p>
</sec>
<sec>
<title>Fluorescence in situ hybridisation (FISH)</title>
<p>Briefly, the SK-Hep1 and HCCLM9 cells were first fixed with 4&#x0025; formaldehyde. They were then placed on slides, and hybridisation reactions were performed using <italic>LINC01554-, U6</italic>-, and <italic>18S</italic> rRNA-specific probes. Cells were then counterstained with DAPI. Fluorescence images were captured using a confocal microscope. The FAM-labelled <italic>LINC01554</italic>, TAMRA-labelled <italic>18S</italic> rRNA, and TAMRA-labelled <italic>U6</italic> probe sequences were 5&#x2032;-ACTTCCCGACTGCTCATCAACCGACCTCCCTGGGGCCGAGAGGCA-3&#x2032;, 5&#x2032;-CGCTGAGCCAGTCAGTGTAGCGCGCGTGCAGCCCCGGACATCTAAGGGCATCACAGACCTGTTATTGCTCAATCTCGGGTGGCTGAACGCCACTTGTCCCTCTAAGAAGTTGGGGGACGCCGACCGCTCGGGGGTCGCGTAACTAGTTAGCATGCCAGAGTCTCGTTCGTTATCGGAATTAACCAGACAAATCGCTCCACCAACTAAGAACGGCCAT-3&#x2032; and 5&#x2032;-AAAAATATGGAACGCTTCACGAATTTGCGTGTCATCCTTGCGCAGGGGCCATGCTAATCTTCTCTGTATCGTTCCAATTTTAGTATATGTGCTGCCGAAGCGAGCAC-3&#x2032;, respectively. The probes were purchased from AxlBioCo., Ltd.</p>
</sec>
<sec>
<title>Cell Counting Kit-8 (CCK-8) assay</title>
<p>Cells in the logarithmic growth phase were digested with trypsin and seeded (2&#x00D7;10<sup>3</sup>) in a 96-well plate. CCK-8 reagent (10 &#x00B5;l) (Dojindo Molecular Technologies) was added to each well at 0, 24, 48, and 72 h. After incubating the cells with the CCK-8 reagent for 4 h, we measured the optical density (OD) at 450 nm.</p>
</sec>
<sec>
<title>Scratch test assay</title>
<p>Cells were seeded in 6-well plates at 50&#x0025; density of the cells. When they were approximately 90&#x0025; confluent, the tip of a sterile 1,000-&#x00B5;l pipette was used to scratch a line wound. Cells that migrated to the wound region were observed under a microscope at 0 and 24 h.</p>
</sec>
<sec>
<title>Transwell assays</title>
<p>A 24-well Transwell chamber with Matrigel was used to evaluate the cell invasion rates. Cells (5&#x00D7;10<sup>4</sup>) from each group were added to the upper Transwell chamber, and DMEM (600 &#x00B5;l), containing 10&#x0025; FBS, was added to the lower Transwell chamber. Cells were then incubated at 37&#x00B0;C in 5&#x0025; CO<sub>2</sub> for 48 h. Finally, after fixation with 4&#x0025; paraformaldehyde for 20 min and crystal violet staining for 15 min at room temperature, the number of cells passing through the membrane was observed under a light microscope. Cells were counted in five random fields, and the average number of cells per field was calculated.</p>
</sec>
<sec>
<title>Gene set enrichment analysis (GSEA)</title>
<p>Thirty-two HCC samples and 7 normal liver samples from GSE113850 were divided into two groups (HCC vs. NC). In order to investigate the further function of LINC01554, GSEA (<uri xlink:href="http://software.broadinstitute.org/gsea/index.jsp">http://software.broadinstitute.org/gsea/index.jsp</uri>) was carried out between the two groups. Annotated gene were selected as the reference gene sets. False discovery rate (FDR) &#x003C;0.25, and gene size &#x2265;100 were regarded as the cut-off criteria.</p>
</sec>
<sec>
<title>Bioinformatics analysis of the co-expressed genes (CEGs)</title>
<p>Co-LncRNA (<uri xlink:href="http://bio-bigdata.hrbmu.edu.cn/Co-LncRNA/">http://bio-bigdata.hrbmu.edu.cn/Co-LncRNA/</uri>) is a web-based computational tool that predicts the CEGs of single or multiple lncRNAs. We analysed the same RNA-Seq datasets to identify the CEGs. The regression/correlation method was set as Linear Regression. The corresponding coefficient threshold values were set at &#x003E;2, and the adjusted P-value was set at &#x003C;0.01.</p>
</sec>
<sec>
<title>Gene Ontology (GO) and Kyoto Encyclopaedia of Genes and Genomes (KEGG) pathway analyses of CEGs</title>
<p>The GO resource (<uri xlink:href="http://www.geneontology.org/">http://www.geneontology.org/</uri>) describes gene functions and groups them into three categories: Molecular function, cellular component, and biological process. KEGG (<uri xlink:href="http://www.genome.jp/kegg/">http://www.genome.jp/kegg/</uri>) contains a set of genomes and biological pathways that provide information on genome functions and the relationships among genes. We visualised all known GO functional annotations and KEGG pathways of the CEGs using DAVID (<uri xlink:href="http://david.ncifcrf.gov">http://david.ncifcrf.gov</uri>). GO and KEGG enrichment plots were also created.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Statistical analysis was performed using the SPSS 22.0 software (IBM Corp.). All experiments were performed in triplicate, and all data are presented as means &#x00B1; standard error of the mean. All data are presented as a comparison between the groups and analysed by Student&#x0027;s t-test or analysis of variance (ANOVA). Receiver operating characteristic (ROC) curves were used to determine the correlation between the true- and false-positive rates, and this was important for assessing the diagnostic value of the genes. Results were regarded as statistically significant at P&#x003C;0.05.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Identification of the DEGs</title>
<p>After analysing the GSE113850 dataset, we identified 229 DEGs, of which 151 were downregulated and 78 were upregulated, as shown in a volcano plot (<xref rid="f1-or-44-05-2185" ref-type="fig">Fig. 1C</xref>). Hierarchical clustering analysis of the top 10 DEGs with a fold change &#x003E;2 is presented as a heat map (<xref rid="f1-or-44-05-2185" ref-type="fig">Fig. 1B</xref>). Three lncRNA genes (<italic>DIO3OS, LINC01554</italic>, and <italic>LINC01093</italic>) were among these DEGs. After analysing TCGA data, we identified 148 differentially expressed lncRNAs, and hierarchical clustering analysis of the top 10 lncRNAs with a fold change &#x003E;1 is presented as a heat map (<xref rid="f1-or-44-05-2185" ref-type="fig">Fig. 1A</xref>). The Venn plot shows that <italic>LINC01554</italic> was the only differentially expressed lncRNA in both the GSE113850 and TCGA datasets (<xref rid="f1-or-44-05-2185" ref-type="fig">Fig. 1D</xref>).</p>
</sec>
<sec>
<title>Relationship between the expression levels of three lncRNAs and the prognosis of HCC patients</title>
<p>Using GEPIA, we compared the expression levels of the three lncRNAs, <italic>DIO3OS, LINC01554</italic> and <italic>LINC01093</italic>, in the HCC and normal liver tissues. The results showed that the lncRNA expression levels were lower in HCC tissues than these in the normal liver tissues (<xref rid="f2-or-44-05-2185" ref-type="fig">Fig. 2A-C</xref>). The area under the curve (AUC) values for <italic>DIO3OS, LINC01554</italic> and <italic>LINC01093</italic> were 0.793, 0.729 and 0.969, respectively (<xref rid="f2-or-44-05-2185" ref-type="fig">Fig. 2D-F</xref>), indicating a moderate diagnostic value of their expression levels in HCC. These results were based on the original data from TCGA. We also analysed the lncRNA expression levels according to the tumour stage of HCC patients. Among the three lncRNAs, <italic>LINC01554</italic> showed expression levels that significantly differed according to the HCC stage (<xref rid="f2-or-44-05-2185" ref-type="fig">Fig. 2G-I</xref>). We further explored the effects of these lncRNAs on the survival of HCC patients. These results showed that decreased <italic>DIO3OS LINC01554</italic> and <italic>LINC01093</italic> were significantly correlated with disease-free survival (DFS) of all HCC patients (<xref rid="f2-or-44-05-2185" ref-type="fig">Fig. 2J-L</xref>), and decreased levels of all three lncRNAs were significantly correlated with overall survival (OS) of all HCC patients (<xref rid="f2-or-44-05-2185" ref-type="fig">Fig. 2M-O</xref>). Meanwhile, we also explored the correlation between <italic>LINC01554</italic> expression and the clinicopathological features in 40 HCC patients to evaluate the clinical role of <italic>LINC01554</italic> in HCC (<xref rid="tII-or-44-05-2185" ref-type="table">Table II</xref>). Lower <italic>LINC01554</italic> expression levels were strongly linked to certain clinical characteristics, including HBV infection (P=0.0044), pathological stage (P=0.0079), tumour size (P=0.0252), portal vein tumour thrombus (P=0.0471), and TNM stage (P=0.0022).</p>
<p><italic>LINC01554</italic> expression is downregulated in human HCC samples. We analysed <italic>LINC01554</italic> expression in 40 paired HCC and normal tumour-adjacent tissue samples by RT-qPCR. The results showed that <italic>LINC01554</italic> expression was significantly lower in the HCC samples (P&#x003C;0.01, <xref rid="f3-or-44-05-2185" ref-type="fig">Fig. 3B</xref>), and downregulated <italic>LINC01554</italic> expression was observed in 70.0&#x0025; (28/40) of the HCC samples (<xref rid="f3-or-44-05-2185" ref-type="fig">Fig. 3A</xref>). We also investigated <italic>LINC01554</italic> expression in the liver cancer cell lines (SK-Hep1, HepG2, and HCCLM9). RT-qPCR results showed that <italic>LINC01554</italic> expression was relatively lower in the SK-Hep1 and HCCLM9 cells than in the HepG2 cells (<xref rid="f3-or-44-05-2185" ref-type="fig">Fig. 3C</xref>). Therefore, SK-Hep1 and HCCLM9 cells were used for subsequent experiments. To study <italic>LINC01554</italic> functions in HCC cell lines, a recombinant lentivirus that carried the <italic>LINC01554</italic> DNA sequence (Lv-<italic>LINC01554</italic>) and a recombinant lentivirus without the <italic>LINC01554</italic> DNA sequence (Lv-NC), as a control, were transfected into HCC cells. Transfection efficiencies were confirmed by RT-qPCR (P&#x003C;0.01; <xref rid="f3-or-44-05-2185" ref-type="fig">Fig. 3D</xref>).</p>
</sec>
<sec>
<title>LINC01554 overexpression inhibits SK-Hep1 and HCCLM9 cell proliferation and promotes G0/G1 arrest, but it does not significantly affect apoptosis</title>
<p>According to the CCK-8 assay results, the OD450 values of the SK-Hep1 and HCCLM9 cell lines in the Lv-<italic>LINC01554</italic> group at 0, 24, 48 and 72 h were significantly lower than those in the Lv-NC group (P&#x003C;0.01; <xref rid="f4-or-44-05-2185" ref-type="fig">Fig. 4A</xref>). We examined the distribution of cells at different stages of the cell cycle using flow cytometry. The results revealed that <italic>LINC01554</italic> overexpression promoted G0/G1 arrest (P&#x003C;0.05; <xref rid="f4-or-44-05-2185" ref-type="fig">Fig. 4B</xref>), but it did not significantly affect apoptosis (<xref rid="f4-or-44-05-2185" ref-type="fig">Fig. 4C</xref>).</p>
</sec>
<sec>
<title>LINC01554 inhibits epithelial-mesenchymal transition (EMT) and tumour invasion in the SK-Hep1 and HCCLM9 cells</title>
<p>Wound-healing and Transwell invasion assays were used to investigate the role of <italic>LINC01554</italic> in HCC cell migration and invasion. Scratch assays showed that the migration rate of the Lv-<italic>LINC01554</italic> transfection group was significantly lower than that of the Lv-NC transfection group (P&#x003C;0.01; <xref rid="f5-or-44-05-2185" ref-type="fig">Fig. 5A</xref>). Transwell experimental results showed that the number of migrated cells in the Lv-<italic>LINC01554</italic> transfection group was significantly lower than that in the Lv-NC transfection group (P&#x003C;0.01; <xref rid="f5-or-44-05-2185" ref-type="fig">Fig. 5B</xref>). Next, we assessed EMT-related gene expression in the HCCLM9 and SK-Hep1 cells. The results of the western blot analysis showed that <italic>LINC01554</italic> overexpression led to increased ZO-1 and E-cadherin expression, but decreased N-cadherin and vimentin expression (<xref rid="f5-or-44-05-2185" ref-type="fig">Figs. 5C</xref> and <xref rid="SD1-or-44-05-2185" ref-type="supplementary-material">S1</xref>). Moreover, FISH assays showed that <italic>LINC01554</italic> was mainly located in the nuclei of the SK-Hep1 and HCCLM9 cells (<xref rid="f5-or-44-05-2185" ref-type="fig">Fig. 5D</xref>).</p>
</sec>
<sec>
<title>Gene set enriched analysis</title>
<p>GSEA was used to map into 6 functional gene sets. A total of 6 functional gene sets were enriched, which were mainly &#x2018;Epithelial mesenchymal transition&#x2019;, &#x2018;G2M checkpoint&#x2019;, &#x2018;Kras signaling up&#x2019;, &#x2018;IL6/JAK/STAT3 signaling&#x2019;, &#x2018;Bile acid metabolism&#x2019; and &#x2018;Fatty acid metabolism&#x2019; (<xref rid="f6-or-44-05-2185" ref-type="fig">Fig. 6</xref>).</p>
</sec>
<sec>
<title>GO and KEGG pathway enrichment analysis</title>
<p>We analysed the GO functions and KEGG pathways of the genes co-expressed with <italic>LINC01554</italic> using the DAVID online database. Only the top 10 pathways for each category are listed (<xref rid="f7-or-44-05-2185" ref-type="fig">Fig. 7A-D</xref>). GO analysis showed that the CEGs were mainly enriched in &#x2018;intracellular signal transduction&#x2019;, &#x2018;transcription, DNA-templated&#x2019;, &#x2018;negative regulation of transcription by the RNA polymerase II promoter&#x2019;, &#x2018;negative regulation of cell proliferation&#x2019;, &#x2018;response to hypoxia&#x2019;, &#x2018;canonical Wnt signalling pathway&#x2019;, &#x2018;cell migration&#x2019;, and &#x2018;cell cycle arrest&#x2019;. KEGG pathway analysis showed that these genes were related to PI3K-Akt, Ras, Wnt, chemokine, and tumour necrosis factor (TNF) signalling pathways; viral carcinogenesis; and toxoplasmosis, hepatitis B, and non-alcoholic fatty liver disease pathways.</p>
</sec>
<sec>
<title>LINC01554 overexpression affected the expression of proteins related to Wnt and PI3K-Akt signalling in HCC cells</title>
<p>To examine whether <italic>LINC01554</italic> exerts its function through Wnt and PI3K-Akt signalling in HCC cells, the expression levels of proteins related to these pathways (Akt, p-Akt, Gsk3&#x03B2;, p-Gsk3&#x03B2; and &#x03B2;-catenin) were measured in the <italic>LINC01554</italic>-overexpressing HCCLM9 and SK-Hep1 cells (<xref rid="f8-or-44-05-2185" ref-type="fig">Figs. 8A and B</xref> and <xref rid="SD1-or-44-05-2185" ref-type="supplementary-material">S2</xref>). The results showed that <italic>LINC01554</italic> overexpression inhibited Akt, p-Akt, &#x03B2;-catenin, and p-Gsk3&#x03B2; expression.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>As key regulators of tumour pathogenesis, long non-coding RNAs (lncRNAs) are involved in the multilevel regulation of gene expression in cancer (<xref rid="b13-or-44-05-2185" ref-type="bibr">13</xref>). However, the lncRNAs with aberrant expression in HCC remain unknown. In the present study, we screened hepatocellular carcinoma (HCC) patients for differentially expressed genes (DEGs) from the Gene Expression Omnibus (GEO) dataset, GSE113850, and found that <italic>DIO3OS, LINC01554</italic>, and <italic>LINC01093</italic> were in the top 30 DEGs. Based on a literature review, we chose <italic>DIO3OS, LINC01554</italic>, and <italic>LINC01093</italic> for further investigation as they showed relevant biological functions. For example, previous studies have shown that <italic>DIO3OS</italic> is highly expressed in pancreatic cancer and <italic>DIO3OS</italic> was found to regulate pancreatic cancer cell proliferation and metastasis by affecting the <italic>miR-122</italic>/<italic>ALDOA</italic> axis (<xref rid="b14-or-44-05-2185" ref-type="bibr">14</xref>). <italic>LINC01093</italic> is a liver-specific lncRNA that was found to be significantly downregulated in HCC samples and could inhibit HCC cell growth and metastasis (<xref rid="b15-or-44-05-2185" ref-type="bibr">15</xref>). <italic>LINC01554</italic> downregulation was found to promote high aerobic glycolysis in cancer cells and cell growth by regulating the PKM2 and Akt/mTOR signalling pathways (<xref rid="b16-or-44-05-2185" ref-type="bibr">16</xref>). We used GEPIA datasets to verify the differences in <italic>DIO3OS, LINC01554</italic>, and <italic>LINC01093</italic> expression levels between the HCC and normal liver tissues. We further explored the effects of <italic>DIO3OS, LINC01554</italic>, and <italic>LINC01093</italic> expression levels on overall survival (OS) and disease-free survival (DFS). These results showed that decreased <italic>DIO3OS, LINC01554</italic>, and <italic>LINC01093</italic> levels were significantly correlated with OS and decreased <italic>DIO3OS</italic> levels were significantly associated with DFS. The AUC values of <italic>DIO3OS, LINC01554</italic>, and <italic>LINC01093</italic> indicated that their expression levels were of moderate diagnostic value in HCC. Therefore, we suggested that these three lncRNAs could be used as tumour biomarkers of HCC. Meanwhile, we also screened the patients for differentially expressed lncRNAs using TCGA datasets. Venn plots showed that <italic>LINC01554</italic> was a common differentially expressed lncRNA in the GSE113850 and TCGA datasets. Moreover, we found that lower LINC01554 expression levels were positively correlated with pathological stage, hepatitis B infection, tumour size, portal vein tumour thrombus, and TNM stage in 40 HCC patients. Therefore, we chose <italic>LINC01554</italic> as the focus of our subsequent experiments.</p>
<p>A search of the NCBI databases (<uri xlink:href="https://www.ncbi.nlm.nih.gov/">https://www.ncbi.nlm.nih.gov/</uri>) revealed that <italic>LINC01554</italic> is a 1,931-bp lncRNA, with three exons, encoded by a gene on chromosome 5q15. Using RT-qPCR, we confirmed that <italic>LINC01554</italic> expression levels were significantly lower in the HCC tissues than these levels in the paired normal tumour-adjacent tissues obtained from 40 HCC patients. This finding was consistently observed in the GSE113850 and TCGA datasets. A gain-of-function assay further showed that <italic>LINC01554</italic> inhibited HCCLM9 and SK-Hep1 cell proliferation, migration, and invasion and promoted G0/G1 arrest, but it did not significantly affect apoptosis. Cancer cell proliferation and metastasis are known to play significant roles in cancer development, and the adhesion of cancer cells in the microcirculation is related to cancer metastasis through the vessels (<xref rid="b17-or-44-05-2185" ref-type="bibr">17</xref>,<xref rid="b18-or-44-05-2185" ref-type="bibr">18</xref>). Epithelial-mesenchymal transition (EMT) is an important step in liver cancer metastasis, and extracellular matrix (ECM)-receptor interactions lead to the direct or indirect control of cellular adhesion and migration (<xref rid="b19-or-44-05-2185" ref-type="bibr">19</xref>,<xref rid="b20-or-44-05-2185" ref-type="bibr">20</xref>). Moreover, EMT is an early event that is critical for cancer invasion and metastasis (<xref rid="b21-or-44-05-2185" ref-type="bibr">21</xref>). In our study, <italic>LINC01554</italic> affected the expression levels of EMT markers in the HCCLM9 and SK-Hep1 cells. <italic>LINC01554</italic> overexpression promoted the expression of epithelial markers (E-cadherin and ZO-1) but inhibited the expression of mesenchymal markers (N-cadherin and vimentin) in the HCCLM9 and SK-Hep1 cells. These findings strongly implicate the downregulation of <italic>LINC01554</italic> in the metastatic growth of HCC.</p>
<p>The mechanism of action of lncRNAs is mainly associated with their subcellular localisation. Nuclear lncRNAs mostly show effects at the transcriptional levels, while cytoplasmic lncRNAs mostly function as endogenous sponges for miRNAs or show effects at post-transcriptional levels (<xref rid="b22-or-44-05-2185" ref-type="bibr">22</xref>,<xref rid="b23-or-44-05-2185" ref-type="bibr">23</xref>). Furthermore, FISH assays showed that <italic>LINC01554</italic> is mainly located in the nuclei of HCC cells, indicating its function in transcriptional regulation. To gain a better understanding of the potential molecular mechanism of <italic>LINC01554</italic> in HCC, we performed <italic>LINC01554</italic> co-expression analysis using the Co-LncRNA website. lncRNA-mRNA co-expression analyses are commonly used to identify potential target genes of lncRNAs and research the molecular mechanisms of lncRNAs further (<xref rid="b24-or-44-05-2185" ref-type="bibr">24</xref>). We identified 139 genes as potential <italic>LINC01554</italic> targets using this analysis. Meanwhile, we performed GO and KEGG pathway analyses of these 139 genes using the DAVID online database. The analyses identified multiple signalling pathways that involved these genes. The pathways included PI3K-Akt, Ras, Wnt, chemokine, and TNF signalling pathways; viral carcinogenesis, and hepatitis B disease pathway. Importantly, the abnormal activation of the Wnt and PI3K/Akt pathways has been widely reported in tumour development. The Wnt signalling pathway is commonly affected in HCC of different aetiologies, which most likely involve common pathogenetic mechanisms. Furthermore, the Wnt signalling pathway is reported to have a close association with EMT (<xref rid="b25-or-44-05-2185" ref-type="bibr">25</xref>,<xref rid="b26-or-44-05-2185" ref-type="bibr">26</xref>). Emerging evidence indicates that some lncRNAs participate in tumour invasion and metastasis by regulating the Wnt/&#x03B2;-catenin signalling pathway and inhibiting E-cadherin expression. The mitogen-activated protein kinase (MAPK) and RAS/RAF/MEK/ERK pathways, which regulate cell growth and involve a number of receptors such as epidermal growth factor receptor (EGFR) and Kirsten rat sarcoma viral oncogene homologue (KRAS), also play key roles in HCC development (<xref rid="b27-or-44-05-2185" ref-type="bibr">27</xref>&#x2013;<xref rid="b30-or-44-05-2185" ref-type="bibr">30</xref>). OTUD6B was found to inhibit clear cell renal cell carcinoma by regulating the Wnt/&#x03B2;-catenin pathway and suppressing EMT-related protein expression (<xref rid="b31-or-44-05-2185" ref-type="bibr">31</xref>). Moreover, it has been reported that the PI3K/Akt signalling pathway mediates EMT to increase tumour aggressiveness (<xref rid="b32-or-44-05-2185" ref-type="bibr">32</xref>,<xref rid="b33-or-44-05-2185" ref-type="bibr">33</xref>). PI3K/Akt promotes non-small-cell lung carcinoma metastasis by regulating EMT (<xref rid="b34-or-44-05-2185" ref-type="bibr">34</xref>). Additionally, emerging studies have reported that some lncRNAs promote cancer progression by regulating the PI3K/Akt pathway (<xref rid="b35-or-44-05-2185" ref-type="bibr">35</xref>). One study demonstrated that knockdown of the lncRNA <italic>NR027113</italic> inhibited the activity of the PI3K/Akt signalling pathway and restrained EMT. Furthermore, this study reported that PTEN silencing promoted Akt protein phosphorylation and HCC cell function (<xref rid="b36-or-44-05-2185" ref-type="bibr">36</xref>). These data suggest that the Wnt and PI3K/Akt pathways are tightly linked to each other and both promote EMT. In the present study, the Wnt and PI3K/Akt pathways were repressed by <italic>LINC01554</italic> overexpression in <italic>in vitro</italic> investigations. However, the mechanism by which <italic>LINC01554</italic> regulates EMT through the Wnt and PI3K/Akt pathways warrants further exploration. KEGG pathway analysis also showed that genes co-expressed with <italic>LINC01554</italic> were associated with precancerous diseases, such as hepatitis B virus infection and viral carcinogenesis, which are factors critical for triggering liver carcinogenesis (<xref rid="b37-or-44-05-2185" ref-type="bibr">37</xref>). These studies consistently suggest that low <italic>LINC01554</italic> levels may play a role in tumour pathogenesis.</p>
<p>The present study has some limitations. Firstly, the functions and potential mechanisms of <italic>LINC01554</italic> in HCC were not confirmed <italic>in vivo</italic>. We did perform inhibition experiments of LINC01554. Regrettably, the efficiencies of interference were extremely low. The possible reason may be the location of LINC01554 in the nucleus of HCC cells. Secondly, the experimental validation of <italic>LINC01554</italic> expression was only performed in 40 pairs of HCC and matched normal tissues. Therefore, investigations and corresponding experiments with a larger clinical sample size will be the focus of our future research.</p>
<p>In conclusion, we report the novel finding that <italic>LINC01554</italic> inhibited HCC cell proliferation, migration, and invasion and promoted G0/G1 arrest. Taken together, our findings provide new insights into the molecular mechanisms underlying HCC tumourigenesis and implicated <italic>LINC01554</italic> as a potential target for HCC therapy.</p>
</sec>
<sec sec-type="supplementary-material">
<title>Supplementary Material</title>
<supplementary-material id="SD1-or-44-05-2185" content-type="local-data">
<caption>
<title>Supporting Data</title>
</caption>
<media mimetype="application" mime-subtype="pdf" xlink:href="Supplementary_Data.pdf"/>
</supplementary-material>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding</title>
<p>This project was supported by the Health Commission of the Hubei Province Scientific Research Project (grant no. WJ2019H074), The Medical Science Advancement Program (Clinical Medicine) of Wuhan University (grant no. TFLC2018003) and National Key Laboratory of Virology (grant no. 2018KF005).</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>The datasets used during the present study are available from the corresponding author upon reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>QY and GP designed the research and revised the manuscript. LL, KH and ZL performed the experiments and wrote the draft manuscript. LL, KH, ZL, HZ and HL analyzed the experimental results. All authors read and approved the manuscript and agree to be accountable for all aspects of the research in ensuring that the accuracy or integrity of any part of the work are appropriately investigated and resolved.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>All patients provided written informed consent for their tissues to be used for medical research. Ethical approval (2019073) for this study was obtained from the Zhongnan Hospital of Wuhan University (Wuhan, Hubei, China).</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="b1-or-44-05-2185"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>De Martel</surname><given-names>C</given-names></name><name><surname>Maucort-Boulch</surname><given-names>D</given-names></name><name><surname>Plummer</surname><given-names>M</given-names></name><name><surname>Franceschi</surname><given-names>S</given-names></name></person-group><article-title>World-wide relative contribution of hepatitis B and C viruses in hepatocellular carcinoma</article-title><source>Hepatology</source><volume>62</volume><fpage>1190</fpage><lpage>1200</lpage><year>2015</year><pub-id pub-id-type="doi">10.1002/hep.27969</pub-id><pub-id pub-id-type="pmid">26146815</pub-id></element-citation></ref>
<ref id="b2-or-44-05-2185"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>W</given-names></name><name><surname>Zheng</surname><given-names>R</given-names></name><name><surname>Baade</surname><given-names>PD</given-names></name><name><surname>Zhang</surname><given-names>S</given-names></name><name><surname>Zeng</surname><given-names>H</given-names></name><name><surname>Bray</surname><given-names>F</given-names></name><name><surname>Jemal</surname><given-names>A</given-names></name><name><surname>Yu</surname><given-names>XQ</given-names></name><name><surname>He</surname><given-names>J</given-names></name></person-group><article-title>Cancer statistics in China, 2015</article-title><source>CA Cancer J Clin</source><volume>66</volume><fpage>115</fpage><lpage>132</lpage><year>2016</year><pub-id pub-id-type="doi">10.3322/caac.21338</pub-id><pub-id pub-id-type="pmid">26808342</pub-id></element-citation></ref>
<ref id="b3-or-44-05-2185"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Aravalli</surname><given-names>RN</given-names></name><name><surname>Steer</surname><given-names>CJ</given-names></name><name><surname>Cressman</surname><given-names>EN</given-names></name></person-group><article-title>Molecular mechanism of hepatocellular carcinoma</article-title><source>Hepatology</source><volume>48</volume><fpage>2047</fpage><lpage>2063</lpage><year>2008</year><pub-id pub-id-type="doi">10.1002/hep.22580</pub-id><pub-id pub-id-type="pmid">19003900</pub-id></element-citation></ref>
<ref id="b4-or-44-05-2185"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Furuta</surname><given-names>M</given-names></name><name><surname>Kozaki</surname><given-names>KI</given-names></name><name><surname>Tanaka</surname><given-names>S</given-names></name><name><surname>Arii</surname><given-names>S</given-names></name><name><surname>Imoto</surname><given-names>I</given-names></name><name><surname>Inazawa</surname><given-names>J</given-names></name></person-group><article-title>miR-124 and miR-203 are epigenetically silenced tumour-suppressive microRNAs in hepatocellular carcinoma</article-title><source>Carcinogenesis</source><volume>31</volume><fpage>766</fpage><lpage>776</lpage><year>2010</year><pub-id pub-id-type="doi">10.1093/carcin/bgp250</pub-id><pub-id pub-id-type="pmid">19843643</pub-id></element-citation></ref>
<ref id="b5-or-44-05-2185"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Quinn</surname><given-names>JJ</given-names></name><name><surname>Chang</surname><given-names>HY</given-names></name></person-group><article-title>Unique features of long non-coding RNA biogenesis and function</article-title><source>Nat Rev Genet</source><volume>17</volume><fpage>47</fpage><lpage>62</lpage><year>2016</year><pub-id pub-id-type="doi">10.1038/nrg.2015.10</pub-id><pub-id pub-id-type="pmid">26666209</pub-id></element-citation></ref>
<ref id="b6-or-44-05-2185"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>St Laurent</surname><given-names>G</given-names></name><name><surname>Wahlestedt</surname><given-names>C</given-names></name><name><surname>Kapranov</surname><given-names>P</given-names></name></person-group><article-title>The landscape of long noncoding RNA classification</article-title><source>Trends Genet</source><volume>31</volume><fpage>239</fpage><lpage>251</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.tig.2015.03.007</pub-id><pub-id pub-id-type="pmid">25869999</pub-id></element-citation></ref>
<ref id="b7-or-44-05-2185"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Maruyama</surname><given-names>R</given-names></name><name><surname>Suzuki</surname><given-names>H</given-names></name></person-group><article-title>Long noncoding RNA involvement in cancer</article-title><source>BMB Rep</source><volume>45</volume><fpage>604</fpage><lpage>611</lpage><year>2012</year><pub-id pub-id-type="doi">10.5483/BMBRep.2012.45.11.227</pub-id><pub-id pub-id-type="pmid">23186998</pub-id></element-citation></ref>
<ref id="b8-or-44-05-2185"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ryaboshapkina</surname><given-names>M</given-names></name><name><surname>Hammar</surname><given-names>M</given-names></name></person-group><article-title>Human hepatic gene expression signature of non-alcoholic fatty liver disease progression, a meta-analysis</article-title><source>Sci Rep</source><volume>7</volume><fpage>12361</fpage><year>2017</year><pub-id pub-id-type="doi">10.1038/s41598-017-10930-w</pub-id><pub-id pub-id-type="pmid">28955037</pub-id></element-citation></ref>
<ref id="b9-or-44-05-2185"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fan</surname><given-names>Q</given-names></name><name><surname>Liu</surname><given-names>B</given-names></name></person-group><article-title>Identification of a RNA-Seq based 8-long non-coding RNA signature predicting survival in esophageal cancer</article-title><source>Med Sci Monit</source><volume>22</volume><fpage>5163</fpage><lpage>5172</lpage><year>2016</year><pub-id pub-id-type="doi">10.12659/MSM.902615</pub-id><pub-id pub-id-type="pmid">28028307</pub-id></element-citation></ref>
<ref id="b10-or-44-05-2185"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Klingenberg</surname><given-names>M</given-names></name><name><surname>Gro&#x00DF;</surname><given-names>M</given-names></name><name><surname>Goyal</surname><given-names>A</given-names></name><name><surname>Polycarpou-Schwarz</surname><given-names>M</given-names></name><name><surname>Miersch</surname><given-names>T</given-names></name><name><surname>Ernst</surname><given-names>A</given-names></name><name><surname>Leupold</surname><given-names>J</given-names></name><name><surname>Patil</surname><given-names>N</given-names></name><name><surname>Warnken</surname><given-names>U</given-names></name><name><surname>Allgayer</surname><given-names>H</given-names></name><etal/></person-group><article-title>The long noncoding RNA cancer susceptibility 9 and RNA binding protein heterogeneous nuclear ribonucleoprotein L form a complex and coregulate genes linked to AKT signaling</article-title><source>Hepatology</source><volume>68</volume><fpage>1817</fpage><lpage>1832</lpage><year>2018</year><pub-id pub-id-type="doi">10.1002/hep.30102</pub-id><pub-id pub-id-type="pmid">29790588</pub-id></element-citation></ref>
<ref id="b11-or-44-05-2185"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname><given-names>Z</given-names></name><name><surname>Li</surname><given-names>C</given-names></name><name><surname>Kang</surname><given-names>B</given-names></name><name><surname>Gao</surname><given-names>G</given-names></name><name><surname>Li</surname><given-names>C</given-names></name><name><surname>Zhang</surname><given-names>Z</given-names></name></person-group><article-title>GEPIA: A web server for cancer and normal gene expression profiling and interactive analyses</article-title><source>Nucleic Acids Res</source><volume>45</volume><fpage>W98</fpage><lpage>W102</lpage><year>2017</year><pub-id pub-id-type="doi">10.1093/nar/gkx247</pub-id><pub-id pub-id-type="pmid">28407145</pub-id></element-citation></ref>
<ref id="b12-or-44-05-2185"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname><given-names>KJ</given-names></name><name><surname>Schmittgen</surname><given-names>TD</given-names></name></person-group><article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) method</article-title><source>Methods</source><volume>25</volume><fpage>402</fpage><lpage>408</lpage><year>2001</year><pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id><pub-id pub-id-type="pmid">11846609</pub-id></element-citation></ref>
<ref id="b13-or-44-05-2185"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lim</surname><given-names>LJ</given-names></name><name><surname>Wong</surname><given-names>SYS</given-names></name><name><surname>Huang</surname><given-names>F</given-names></name><name><surname>Lim</surname><given-names>S</given-names></name><name><surname>Chong</surname><given-names>SS</given-names></name><name><surname>Ooi</surname><given-names>LL</given-names></name><name><surname>Kon</surname><given-names>OL</given-names></name><name><surname>Lee</surname><given-names>CG</given-names></name></person-group><article-title>Roles and regulation of long noncoding RNAs in hepatocellular carcinoma</article-title><source>Cancer Res</source><volume>79</volume><fpage>5131</fpage><lpage>5139</lpage><year>2019</year><pub-id pub-id-type="doi">10.1158/0008-5472.CAN-19-0255</pub-id><pub-id pub-id-type="pmid">31337653</pub-id></element-citation></ref>
<ref id="b14-or-44-05-2185"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cui</surname><given-names>K</given-names></name><name><surname>Jin</surname><given-names>S</given-names></name><name><surname>Du</surname><given-names>Y</given-names></name><name><surname>Yu</surname><given-names>J</given-names></name><name><surname>Feng</surname><given-names>H</given-names></name><name><surname>Fan</surname><given-names>Q</given-names></name><name><surname>Ma</surname><given-names>W</given-names></name></person-group><article-title>Long noncoding RNA DIO3OS interacts with miR-122 to promote proliferation and invasion of pancreatic cancer cells through upregulating ALDOA</article-title><source>Cancer Cell Int</source><volume>19</volume><fpage>202</fpage><year>2019</year><pub-id pub-id-type="doi">10.1186/s12935-019-0922-y</pub-id><pub-id pub-id-type="pmid">31384177</pub-id></element-citation></ref>
<ref id="b15-or-44-05-2185"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>He</surname><given-names>J</given-names></name><name><surname>Zuo</surname><given-names>Q</given-names></name><name><surname>Hu</surname><given-names>B</given-names></name><name><surname>Jin</surname><given-names>H</given-names></name><name><surname>Wang</surname><given-names>C</given-names></name><name><surname>Cheng</surname><given-names>Z</given-names></name><name><surname>Deng</surname><given-names>X</given-names></name><name><surname>Yang</surname><given-names>C</given-names></name><name><surname>Ruan</surname><given-names>H</given-names></name><name><surname>Yu</surname><given-names>C</given-names></name><etal/></person-group><article-title>A noval, liver-specific long noncoding RNA LINC01093 suppresses HCC progression by interaction with IGF2BP1 to facilitate decay of GLI1 mRNA</article-title><source>Cancer Lett</source><volume>450</volume><fpage>98</fpage><lpage>109</lpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.canlet.2019.02.033</pub-id><pub-id pub-id-type="pmid">30790682</pub-id></element-citation></ref>
<ref id="b16-or-44-05-2185"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>YL</given-names></name><name><surname>Li</surname><given-names>L</given-names></name><name><surname>Jia</surname><given-names>YX</given-names></name><name><surname>Zhang</surname><given-names>BZ</given-names></name><name><surname>Li</surname><given-names>JC</given-names></name><name><surname>Zhu</surname><given-names>YH</given-names></name><name><surname>Li</surname><given-names>MQ</given-names></name><name><surname>He</surname><given-names>JZ</given-names></name><name><surname>Zeng</surname><given-names>TT</given-names></name><name><surname>Ban</surname><given-names>XJ</given-names></name><etal/></person-group><article-title>LIN01554-mediated glucose metabolism reprogramming suppresses tumourigenicity in hepatocellular carcinoma via downregulating PKM2 expression and inhibiting Akt/mTOR signaling pathway</article-title><source>Theranostics</source><volume>9</volume><fpage>796</fpage><lpage>810</lpage><year>2019</year><pub-id pub-id-type="doi">10.7150/thno.28992</pub-id><pub-id pub-id-type="pmid">30809309</pub-id></element-citation></ref>
<ref id="b17-or-44-05-2185"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Labernadie</surname><given-names>A</given-names></name><name><surname>Kato</surname><given-names>T</given-names></name><name><surname>Brugues</surname><given-names>A</given-names></name><name><surname>Serra-Picamal</surname><given-names>X</given-names></name><name><surname>Derzsi</surname><given-names>S</given-names></name><name><surname>Arwert</surname><given-names>E</given-names></name><name><surname>Weston</surname><given-names>A</given-names></name><name><surname>Gonzalez-Tarrago</surname><given-names>V</given-names></name><name><surname>Elosegui-Artola</surname><given-names>A</given-names></name><name><surname>Albertazzi</surname><given-names>L</given-names></name><etal/></person-group><article-title>A mechanically active heterotypic E-cadherin/N-cadherin adhesion enables fibroblasts to drive cancer cell invasion</article-title><source>Nat Cell Biol</source><volume>19</volume><fpage>224</fpage><lpage>237</lpage><year>2017</year><pub-id pub-id-type="doi">10.1038/ncb3478</pub-id><pub-id pub-id-type="pmid">28218910</pub-id></element-citation></ref>
<ref id="b18-or-44-05-2185"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Saitoh</surname><given-names>M</given-names></name></person-group><article-title>Involvement of partial EMT in cancer progression</article-title><source>J Biochem</source><volume>164</volume><fpage>257</fpage><lpage>264</lpage><year>2018</year><pub-id pub-id-type="doi">10.1093/jb/mvy047</pub-id><pub-id pub-id-type="pmid">29726955</pub-id></element-citation></ref>
<ref id="b19-or-44-05-2185"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cheng</surname><given-names>N</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Han</surname><given-names>ZG</given-names></name></person-group><article-title>Argonaute2 promotes tumour metastasis by way of up-regulating focal adhesion kinase expression in hepatocellular carcinoma</article-title><source>Hepatology</source><volume>57</volume><fpage>1906</fpage><lpage>1918</lpage><year>2013</year><pub-id pub-id-type="doi">10.1002/hep.26202</pub-id><pub-id pub-id-type="pmid">23258480</pub-id></element-citation></ref>
<ref id="b20-or-44-05-2185"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>YA</given-names></name><name><surname>Liang</surname><given-names>BY</given-names></name><name><surname>Guan</surname><given-names>Y</given-names></name><name><surname>You</surname><given-names>J</given-names></name><name><surname>Zhu</surname><given-names>L</given-names></name><name><surname>Chen</surname><given-names>XP</given-names></name><name><surname>Huang</surname><given-names>ZY</given-names></name></person-group><article-title>Loss of N-cadherin is associated with loss of E-cadherin expression and poor outcomes of liver resection in hepatocellular carcinoma</article-title><source>J Surg Res</source><volume>194</volume><fpage>167</fpage><lpage>176</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.jss.2014.09.031</pub-id><pub-id pub-id-type="pmid">25438959</pub-id></element-citation></ref>
<ref id="b21-or-44-05-2185"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cho</surname><given-names>ES</given-names></name><name><surname>Kang</surname><given-names>HE</given-names></name><name><surname>Kim</surname><given-names>NH</given-names></name><name><surname>Yook</surname><given-names>JI</given-names></name></person-group><article-title>Therapeutic implications of cancer epithelial-mesenchymal transition (EMT)</article-title><source>Arch Pharm Res</source><volume>42</volume><fpage>14</fpage><lpage>24</lpage><year>2019</year><pub-id pub-id-type="doi">10.1007/s12272-018-01108-7</pub-id><pub-id pub-id-type="pmid">30649699</pub-id></element-citation></ref>
<ref id="b22-or-44-05-2185"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname><given-names>S</given-names></name><name><surname>Yang</surname><given-names>D</given-names></name><name><surname>Ye</surname><given-names>Y</given-names></name><name><surname>Liu</surname><given-names>P</given-names></name><name><surname>Chen</surname><given-names>Z</given-names></name><name><surname>Lei</surname><given-names>T</given-names></name><name><surname>Pu</surname><given-names>J</given-names></name><name><surname>Liu</surname><given-names>L</given-names></name><name><surname>Wang</surname><given-names>Z</given-names></name></person-group><article-title>Long noncoding RNA actin filament-associated protein 1 antisense RNA 1 promotes malignant phenotype through binging with lysine-specific demethylase 1 and repressing HMG box-containing protein 1 in non-small-cell lung cancer</article-title><source>Cancer Sci</source><volume>110</volume><fpage>2211</fpage><lpage>2225</lpage><year>2019</year><pub-id pub-id-type="doi">10.1111/cas.14039</pub-id><pub-id pub-id-type="pmid">31069893</pub-id></element-citation></ref>
<ref id="b23-or-44-05-2185"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname><given-names>YH</given-names></name><name><surname>He</surname><given-names>GL</given-names></name><name><surname>Huang</surname><given-names>SZ</given-names></name><name><surname>Zhong</surname><given-names>KB</given-names></name><name><surname>Liao</surname><given-names>H</given-names></name><name><surname>Cai</surname><given-names>L</given-names></name><name><surname>Gao</surname><given-names>Y</given-names></name><name><surname>Peng</surname><given-names>ZW</given-names></name><name><surname>Fu</surname><given-names>SJ</given-names></name></person-group><article-title>The long noncoding RNA AK002107 negatively modulates miR-140-5p and targets TGFBR1 to induce epithelial-mesenchymal transition in hepatocellular carcinoma</article-title><source>Mol Oncol</source><volume>13</volume><fpage>1296</fpage><lpage>1310</lpage><year>2019</year><pub-id pub-id-type="doi">10.1002/1878-0261.12487</pub-id><pub-id pub-id-type="pmid">30943320</pub-id></element-citation></ref>
<ref id="b24-or-44-05-2185"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Le</surname><given-names>TD</given-names></name><name><surname>Liu</surname><given-names>L</given-names></name><name><surname>Li</surname><given-names>J</given-names></name></person-group><article-title>Inferring and analysing module-specific lncRNA-mRNA causal regulatory networks in human cancer</article-title><source>Brief Bioinform</source><volume>20</volume><fpage>1403</fpage><lpage>1419</lpage><year>2019</year><pub-id pub-id-type="doi">10.1093/bib/bby008</pub-id><pub-id pub-id-type="pmid">29401217</pub-id></element-citation></ref>
<ref id="b25-or-44-05-2185"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Rajasekaran</surname><given-names>M</given-names></name><name><surname>Xia</surname><given-names>H</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name><name><surname>Kong</surname><given-names>SN</given-names></name><name><surname>Sekar</surname><given-names>K</given-names></name><name><surname>Seshachalam</surname><given-names>VP</given-names></name><name><surname>Deivasigamani</surname><given-names>A</given-names></name><name><surname>Goh</surname><given-names>BKP</given-names></name><name><surname>Ooi</surname><given-names>LL</given-names></name><etal/></person-group><article-title>The microtubule-associated protein PRC1 promotes early recurrence of hepatocellular carcinomain association with the Wnt/&#x03B2;-catenin signalling pathway</article-title><source>Gut</source><volume>65</volume><fpage>1522</fpage><lpage>1534</lpage><year>2016</year><pub-id pub-id-type="doi">10.1136/gutjnl-2015-310625</pub-id><pub-id pub-id-type="pmid">26941395</pub-id></element-citation></ref>
<ref id="b26-or-44-05-2185"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>J</given-names></name><name><surname>Cai</surname><given-names>H</given-names></name><name><surname>Sun</surname><given-names>L</given-names></name><name><surname>Zhan</surname><given-names>P</given-names></name><name><surname>Chen</surname><given-names>M</given-names></name><name><surname>Zhang</surname><given-names>F</given-names></name><name><surname>Ran</surname><given-names>Y</given-names></name><name><surname>Wan</surname><given-names>J</given-names></name></person-group><article-title>LGR5, a novel functional glioma stem cell marker, promotes EMT by activating the Wnt/&#x03B2;-catenin pathway and predicts poor survival of glioma patients</article-title><source>J Exp Clin Cancer Res</source><volume>37</volume><fpage>225</fpage><year>2018</year><pub-id pub-id-type="doi">10.1186/s13046-018-0864-6</pub-id><pub-id pub-id-type="pmid">30208924</pub-id></element-citation></ref>
<ref id="b27-or-44-05-2185"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Heuberger</surname><given-names>J</given-names></name><name><surname>Birchmeier</surname><given-names>W</given-names></name></person-group><article-title>Interplay of cadherin-mediated cell adhesion and canonical Wnt signaling</article-title><source>Cold Spring Harb Perspect Biol</source><volume>2</volume><fpage>a002915</fpage><year>2010</year><pub-id pub-id-type="doi">10.1101/cshperspect.a002915</pub-id><pub-id pub-id-type="pmid">20182623</pub-id></element-citation></ref>
<ref id="b28-or-44-05-2185"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Z</given-names></name><name><surname>Zhou</surname><given-names>C</given-names></name><name><surname>Chang</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>Z</given-names></name><name><surname>Hu</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>F</given-names></name><name><surname>Lu</surname><given-names>Y</given-names></name><name><surname>Zheng</surname><given-names>L</given-names></name><name><surname>Zhang</surname><given-names>W</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Li</surname><given-names>X</given-names></name></person-group><article-title>Long non-coding RNA CASC11 interacts with hnRNA-K and activates the WNT/&#x03B2;-catenin pathway to promote growth and metastasis in colorectal cancer</article-title><source>Cancer Lett</source><volume>376</volume><fpage>62</fpage><lpage>73</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.canlet.2016.03.022</pub-id><pub-id pub-id-type="pmid">27012187</pub-id></element-citation></ref>
<ref id="b29-or-44-05-2185"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>L</given-names></name><name><surname>Guo</surname><given-names>P</given-names></name><name><surname>He</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>Z</given-names></name><name><surname>Chen</surname><given-names>L</given-names></name><name><surname>Luo</surname><given-names>Y</given-names></name><name><surname>Qi</surname><given-names>L</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Wu</surname><given-names>Q</given-names></name><name><surname>Cui</surname><given-names>Y</given-names></name><etal/></person-group><article-title>HCC-derived exosomes elicit HCC progression and recurrence by epithelial-mesenchymal transition through MAPK/ERK signaling pathway</article-title><source>Cell Death Dis</source><volume>9</volume><fpage>513</fpage><year>2018</year><pub-id pub-id-type="doi">10.1038/s41419-018-0534-9</pub-id><pub-id pub-id-type="pmid">29725020</pub-id></element-citation></ref>
<ref id="b30-or-44-05-2185"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ding</surname><given-names>D</given-names></name><name><surname>Huang</surname><given-names>H</given-names></name><name><surname>Jiang</surname><given-names>W</given-names></name><name><surname>Yu</surname><given-names>W</given-names></name><name><surname>Zhu</surname><given-names>H</given-names></name><name><surname>Liu</surname><given-names>J</given-names></name><name><surname>Saiyin</surname><given-names>H</given-names></name><name><surname>Wu</surname><given-names>J</given-names></name><name><surname>Huang</surname><given-names>H</given-names></name><name><surname>Jiang</surname><given-names>S</given-names></name><name><surname>Yu</surname><given-names>L</given-names></name></person-group><article-title>Reticulocalbin-2 enhances hepatocellular carcinoma proliferation via modulating the EGFR-ERK pathway</article-title><source>Oncogene</source><volume>36</volume><fpage>6691</fpage><lpage>6700</lpage><year>2017</year><pub-id pub-id-type="doi">10.1038/onc.2017.230</pub-id><pub-id pub-id-type="pmid">28745317</pub-id></element-citation></ref>
<ref id="b31-or-44-05-2185"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>G</given-names></name><name><surname>Zhang</surname><given-names>ZJ</given-names></name><name><surname>Jian</surname><given-names>WG</given-names></name><name><surname>Liu</surname><given-names>PH</given-names></name><name><surname>Xue</surname><given-names>W</given-names></name><name><surname>Wang</surname><given-names>TD</given-names></name><name><surname>Meng</surname><given-names>YY</given-names></name><name><surname>Yuan</surname><given-names>C</given-names></name><name><surname>Li</surname><given-names>HM</given-names></name><name><surname>Yu</surname><given-names>YP</given-names></name><etal/></person-group><article-title>Novel long noncoding RNA OTUD6B-AS1 indicates poor prognosis and inhibits clear cell renal cell carcinoma proliferation via the Wnt/&#x03B2;-catenin signaling pathway</article-title><source>Mol Cancer</source><volume>18</volume><fpage>15</fpage><year>2019</year><pub-id pub-id-type="doi">10.1186/s12943-019-0942-1</pub-id><pub-id pub-id-type="pmid">30670025</pub-id></element-citation></ref>
<ref id="b32-or-44-05-2185"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Meng</surname><given-names>J</given-names></name><name><surname>Zhang</surname><given-names>XT</given-names></name><name><surname>Liu</surname><given-names>XL</given-names></name><name><surname>Fan</surname><given-names>L</given-names></name><name><surname>Li</surname><given-names>C</given-names></name><name><surname>Sun</surname><given-names>Y</given-names></name><name><surname>Liang</surname><given-names>XH</given-names></name><name><surname>Wang</surname><given-names>JB</given-names></name><name><surname>Mei</surname><given-names>QB</given-names></name><name><surname>Zhang</surname><given-names>F</given-names></name><name><surname>Zhang</surname><given-names>T</given-names></name></person-group><article-title>WSTF promotes proliferation and invasion of lung cancer cells by inducing EMT via PI3K/Akt and IL-6/STAT3 signaling pathways</article-title><source>Cell Signal</source><volume>28</volume><fpage>1673</fpage><lpage>1682</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.cellsig.2016.07.008</pub-id><pub-id pub-id-type="pmid">27449264</pub-id></element-citation></ref>
<ref id="b33-or-44-05-2185"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>W</given-names></name><name><surname>Pan</surname><given-names>Q</given-names></name><name><surname>Fuhler</surname><given-names>GM</given-names></name><name><surname>Smits</surname><given-names>R</given-names></name><name><surname>Peppelenbosch</surname><given-names>MP</given-names></name></person-group><article-title>Action and function of Wnt/&#x03B2;-catenin signaling in the progression from chronic hepatitis C to hepatocellular carcinoma</article-title><source>J Gastroenterol</source><volume>52</volume><fpage>419</fpage><lpage>431</lpage><year>2017</year><pub-id pub-id-type="doi">10.1007/s00535-016-1299-5</pub-id><pub-id pub-id-type="pmid">28035485</pub-id></element-citation></ref>
<ref id="b34-or-44-05-2185"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>R</given-names></name><name><surname>Yu</surname><given-names>Z</given-names></name><name><surname>Chen</surname><given-names>F</given-names></name><name><surname>Xu</surname><given-names>H</given-names></name><name><surname>Shen</surname><given-names>S</given-names></name><name><surname>Chen</surname><given-names>W</given-names></name><name><surname>Chen</surname><given-names>L</given-names></name><name><surname>Su</surname><given-names>Q</given-names></name><name><surname>Zhang</surname><given-names>L</given-names></name><name><surname>Bi</surname><given-names>J</given-names></name><etal/></person-group><article-title>miR-300 regulates the epithelial-mesenchymal transition and invasion of hepatocellular carcinoma by targeting the FAK/PI3K/AKT signaling pathway</article-title><source>Biomed Pharmacother</source><volume>103</volume><fpage>1632</fpage><lpage>1642</lpage><year>2018</year><pub-id pub-id-type="doi">10.1016/j.biopha.2018.03.005</pub-id><pub-id pub-id-type="pmid">29864952</pub-id></element-citation></ref>
<ref id="b35-or-44-05-2185"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>H</given-names></name><name><surname>Wu</surname><given-names>Q</given-names></name><name><surname>Liu</surname><given-names>Z</given-names></name><name><surname>Luo</surname><given-names>X</given-names></name><name><surname>Fan</surname><given-names>Y</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Hua</surname><given-names>S</given-names></name><name><surname>Fu</surname><given-names>Q</given-names></name><name><surname>Zhao</surname><given-names>M</given-names></name><etal/></person-group><article-title>Downregulation of FAP suppresses cell proliferation and metastasis through PTEN/PI3K/AKT and Ras-ERK signaling in oral squamous cell carcinoma</article-title><source>Cell Death Dis</source><volume>5</volume><fpage>e1155</fpage><year>2014</year><pub-id pub-id-type="doi">10.1038/cddis.2014.122</pub-id><pub-id pub-id-type="pmid">24722280</pub-id></element-citation></ref>
<ref id="b36-or-44-05-2185"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>Z</given-names></name><name><surname>Zhou</surname><given-names>ZY</given-names></name><name><surname>He</surname><given-names>CC</given-names></name><name><surname>Zhang</surname><given-names>JL</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Xiao</surname><given-names>ZY</given-names></name></person-group><article-title>Down-regulation of LncRNA NR027113 inhibits cells proliferration and metastasis via PTEN/PI3K/Akt signaling pathway in hepatocellular carcinoma</article-title><source>Eur Rev Med Pharmacol Sci</source><volume>22</volume><fpage>7222</fpage><lpage>7232</lpage><year>2018</year><pub-id pub-id-type="pmid">30468465</pub-id></element-citation></ref>
<ref id="b37-or-44-05-2185"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chaturvedi</surname><given-names>VK</given-names></name><name><surname>Singh</surname><given-names>A</given-names></name><name><surname>Dudey</surname><given-names>SK</given-names></name><name><surname>Hetta</surname><given-names>HF</given-names></name><name><surname>John</surname><given-names>J</given-names></name><name><surname>Singh</surname><given-names>MP</given-names></name></person-group><article-title>Molecular mechanistic insight of hepatitis B virus mediated hepatocellular carcinoma</article-title><source>Microb Pathog</source><volume>128</volume><fpage>184</fpage><lpage>194</lpage><year>2019</year><pub-id pub-id-type="doi">10.1016/j.micpath.2019.01.004</pub-id><pub-id pub-id-type="pmid">30611768</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-or-44-05-2185" position="float">
<label>Figure 1.</label>
<caption><p>(A) Hierarchical clustering analysis of the top 10 differentially expressed lncRNAs (|logFC| &#x003E;1, P&#x003C;0.05) from TCGA datasets. (B) Hierarchical clustering analysis of the top 10 differentially expressed genes (DEGs, |logFC| &#x003E;2, P&#x003C;0.05) from the GSE113850 dataset. (C) After analysing the GSE113850 dataset, we identified 229 DEGs, of which 151 were downregulated and 229 were upregulated, as indicated in a volcano plot (|logFC| &#x003E;2; P&#x003C;0.05). Red indicates upregulated DEGs; green indicates downregulated DEGs; blue indicates no difference. (D) Venn plot shows that <italic>LINC01554</italic> is a common differentially expressed lncRNA in the GSE113850 and TCGA datasets. TCGA, Cancer Genome Atlas.</p></caption>
<graphic xlink:href="OR-44-05-2185-g00.tif"/>
</fig>
<fig id="f2-or-44-05-2185" position="float">
<label>Figure 2.</label>
<caption><p><italic>LINC01554</italic> expression levels in HCC tissues and their association with clinicopathological characteristics of HCC patients based on the GEPIA and TCGA databases. <italic>DIO3OS</italic> (A) <italic>LINC01554</italic> (B) and <italic>LINC01093</italic> (C) lncRNA expression levels in HCC (T, tumour; n=369) and normal liver (N, non-tumour; n=160) tissue samples. ROC curves of <italic>DIO3OS</italic> (D) <italic>LINC01554</italic> (E) and <italic>LINC01093</italic> (F) lncRNAs in HCC patients based on the TCGA database. Association of <italic>DIO3OS</italic> (G) <italic>LINC01554</italic> (H) and <italic>LINC01093</italic> (I) lncRNAs with the pathological stage of HCC. Association of <italic>DIO3OS</italic> (J) <italic>LINC01554</italic> (K) and <italic>LINC01093</italic> (L) lncRNAs with the disease-free survival of HCC patients. Association of <italic>DIO3OS</italic> (M) <italic>LINC01554</italic> (N) and <italic>LINC01093</italic> (O) lncRNAs with the overall survival of HCC patients. HCC, hepatocellular carcinoma; TCGA, The Cancer Genome Atlas; lncRNA, long non-coding RNA; ROC, receiver operating characteristic. &#x002A;P&#x003C;0.05, comparison with the Lv-NC group.</p></caption>
<graphic xlink:href="OR-44-05-2185-g01.tif"/>
</fig>
<fig id="f3-or-44-05-2185" position="float">
<label>Figure 3.</label>
<caption><p><italic>LINC01554</italic> expression is downregulated in human HCC samples. (A) Downregulation of <italic>LINC01554</italic> (&#x003E;2-fold) is detected in 70.0&#x0025; (28/40) of primary HCC tissues. (B) The relative expression of <italic>LINC01554</italic> in HCC and adjacent non-tumour liver tissues (n=40) was analysed by RT-qPCR. (C) The relative expression of <italic>LINC01554</italic> in liver cancer cell lines (HepG2, SK-Hep1 and HCCLM9) is analysed. (D) <italic>LINC01554</italic> expression in the SK-Hep1 and HCCLM9 cells, after transfection with Lv-<italic>LINC01554</italic>, is measured by RT-qPCR. All results are from at least three independent experiments. &#x03B2;-actin was used as a control. &#x002A;&#x002A;P&#x003C;0.01, comparison with normal tissues or Lv-NC group. HCC, hepatocellular carcinoma.</p></caption>
<graphic xlink:href="OR-44-05-2185-g02.tif"/>
</fig>
<fig id="f4-or-44-05-2185" position="float">
<label>Figure 4.</label>
<caption><p><italic>LINC01554</italic> overexpression inhibits SK-Hep1 and HCCLM9 cell proliferation and promotes G0/G1 arrest. (A) CCK-8 assay of <italic>LINC01554</italic>-overexpressing HCC SK-Hep1 and HCCLM9 cells. (B) Cell cycle analysis of <italic>LINC01554</italic>-overexpressing SK-Hep1 and HCCLM9 cells. (C) After transfection with an <italic>LINC01554</italic>-overexpression vector, the SK-Hep1 and HCCLM9 cells are double-stained and analysed by flow cytometry. Cells positive for Annexin V staining are counted as apoptotic cells. All results are from at least three independent experiments. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01, comparison with the Lv-NC group. HCC, hepatocellular carcinoma.</p></caption>
<graphic xlink:href="OR-44-05-2185-g03.tif"/>
</fig>
<fig id="f5-or-44-05-2185" position="float">
<label>Figure 5.</label>
<caption><p><italic>LINC01554</italic> overexpression suppresses migration, invasion, and EMT-related gene expression in HCC cells. (A) Wound-healing assay in <italic>LINC01554</italic>-overexpressing SK-Hep1 and HCCLM9 cells. (B) Invasion ability of <italic>LINC01554</italic>-overexpressing SK-Hep1 and HCCLM9 cells. (C) Expression levels of EMT markers (ZO-1, E-cadherin, N-cadherin and vimentin) in <italic>LINC01554</italic>-overexpressing HCCLM9 and SK-Hep1 cells are analysed by western blotting. (D) FISH analysis of <italic>LINC01554</italic> in the SK-Hep1 and HCCLM9 cells. The <italic>U6</italic> and <italic>18S</italic> rRNA probes are labelled red, the <italic>LINC01554</italic> RNA probe is labelled green, and nuclear DNA with DAPI staining is labelled blue. Scale bar, 50 &#x00B5;m. All results are from at least three independent experiments. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01, comparison with the Lv-NC group. HCC, hepatocellular carcinoma; EMT, epithelial-mesenchymal transition.</p></caption>
<graphic xlink:href="OR-44-05-2185-g04.tif"/>
</fig>
<fig id="f6-or-44-05-2185" position="float">
<label>Figure 6.</label>
<caption><p>Gene set enriched analysis (GSEA). (A-C) LINC01554 is positively correlated with Epithelial mesenchymal transition, G2M checkpoint and Kras signaling up. (D-F) LINC01554 is negatively correlated with IL6/JAK/STAT3 signaling, Bile acid metabolism and Fatty acid metabolism.</p></caption>
<graphic xlink:href="OR-44-05-2185-g05.tif"/>
</fig>
<fig id="f7-or-44-05-2185" position="float">
<label>Figure 7.</label>
<caption><p>Gene Ontology (GO) and Kyoto Encyclopaedia of Genes and Genomes (KEGG) pathway analyses of genes co-expressed with <italic>LINC01554</italic>. Three GO categories: Biological process (A) cellular component (B) and molecular function (C) (D) KEGG pathway analysis of genes co-expressed with <italic>LINC01554</italic>.</p></caption>
<graphic xlink:href="OR-44-05-2185-g06.tif"/>
</fig>
<fig id="f8-or-44-05-2185" position="float">
<label>Figure 8.</label>
<caption><p><italic>LINC01554</italic> overexpression affects the expression of proteins related to Wnt and PI3K-Akt signalling in HCC cells. Expression levels of proteins related to Wnt and PI3K-Akt signalling (Akt, p-Akt, Gsk3&#x03B2;, p-Gsk3&#x03B2;, and &#x03B2;-catenin) in HCC cells are analysed by western blotting in the <italic>LINC01554</italic>-overexpressing HCCLM9 (A) and SK-Hep1 (B) cells. HCC, hepatocellular carcinoma; PI3K, phosphoinositide 3-kinase; Gsk3&#x03B2;, glycogen synthase kinase 3&#x03B2;; Akt, protein kinase B or (PKB); p-, phosphorylated.</p></caption>
<graphic xlink:href="OR-44-05-2185-g07.tif"/>
</fig>
<table-wrap id="tI-or-44-05-2185" position="float">
<label>Table I.</label>
<caption><p>Diluted concentrations and supplier information for the antibodies used for western blotting.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Antibodies</th>
<th align="center" valign="bottom">Catalog no.</th>
<th align="center" valign="bottom">Company/Supplier</th>
<th align="center" valign="bottom">Dilution</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">ZO-1</td>
<td align="left" valign="top">21773-1-AP</td>
<td align="left" valign="top">Wuhan Proteintech Group</td>
<td align="center" valign="top">1:1,000</td>
</tr>
<tr>
<td align="left" valign="top">E-cadherin</td>
<td align="left" valign="top">AF0131</td>
<td align="left" valign="top">Affinity Biosciences</td>
<td align="center" valign="top">1:1,000</td>
</tr>
<tr>
<td align="left" valign="top">N-cadherin</td>
<td align="left" valign="top">GB11135</td>
<td align="left" valign="top">Wuhan Servicebio Biotechnology</td>
<td align="center" valign="top">1:1,000</td>
</tr>
<tr>
<td align="left" valign="top">Vimentin</td>
<td align="left" valign="top">GB11192</td>
<td align="left" valign="top">Wuhan Servicebio Biotechnology</td>
<td align="center" valign="top">1:1,000</td>
</tr>
<tr>
<td align="left" valign="top">AKT</td>
<td align="center" valign="top">10176-2-AP</td>
<td align="left" valign="top">Wuhan Proteintech Group</td>
<td align="center" valign="top">1:1,000</td>
</tr>
<tr>
<td align="left" valign="top">p-AKT</td>
<td align="left" valign="top">AF0908</td>
<td align="left" valign="top">Affinity Biosciences</td>
<td align="center" valign="top">1:1,000</td>
</tr>
<tr>
<td align="left" valign="top">GSK3&#x03B2;</td>
<td align="left" valign="top">GB11099</td>
<td align="left" valign="top">Wuhan Servicebio Biotechnology</td>
<td align="center" valign="top">1:1,000</td>
</tr>
<tr>
<td align="left" valign="top">p-GSK3&#x03B2;</td>
<td align="left" valign="top">5558</td>
<td align="left" valign="top">Cell Signaling Technology</td>
<td align="center" valign="top">1:1,000</td>
</tr>
<tr>
<td align="left" valign="top">&#x03B2;-catenin</td>
<td align="left" valign="top">GB11015</td>
<td align="left" valign="top">Wuhan Servicebio Biotechnology</td>
<td align="center" valign="top">1:1,000</td>
</tr>
<tr>
<td align="left" valign="top">GAPDH</td>
<td align="left" valign="top">GB12002</td>
<td align="left" valign="top">Wuhan Servicebio Biotechnology</td>
<td align="center" valign="top">1:1,000</td>
</tr>
<tr>
<td align="left" valign="top">Goat anti-rabbit IgG</td>
<td align="left" valign="top">GB23303</td>
<td align="left" valign="top">Wuhan Servicebio Biotechnology</td>
<td align="center" valign="top">1:3,000</td>
</tr>
<tr>
<td align="left" valign="top">Goat anti-mouse IgG</td>
<td align="left" valign="top">GB23301</td>
<td align="left" valign="top">Wuhan Servicebio Biotechnology</td>
<td align="center" valign="top">1:3,000</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="tII-or-44-05-2185" position="float">
<label>Table II.</label>
<caption><p>Associations of <italic>LINC1554</italic> expression with clinicopathological parameters in HCC.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="2"><italic>LINC01554</italic> expression</th>
<th/>
</tr>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="2"><hr/></th>
<th/>
</tr>
<tr>
<th align="left" valign="bottom">Variable</th>
<th align="center" valign="bottom">No. of cases</th>
<th align="center" valign="bottom">Low (n=20)</th>
<th align="center" valign="bottom">High (n=20)</th>
<th align="center" valign="bottom">P-value</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Sex</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">0.4075</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Male</td>
<td align="center" valign="top">33</td>
<td align="center" valign="top">15</td>
<td align="center" valign="top">18</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Female</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">2</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Age (years)</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">0.2351</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;&#x2264;50</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">2</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;&#x003E;50</td>
<td align="center" valign="top">32</td>
<td align="center" valign="top">14</td>
<td align="center" valign="top">18</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">HBV infection</td>
<td/>
<td/>
<td/>
<td align="center" valign="top"><bold>0.0044<sup><xref rid="tfn2-or-44-05-2185" ref-type="table-fn">a</xref></sup></bold></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Negative</td>
<td align="center" valign="top">19</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">14</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Positive</td>
<td align="center" valign="top">21</td>
<td align="center" valign="top">15</td>
<td align="center" valign="top">6</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Serum AFP (ng/ml)</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">0.1274</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;&#x2264;8.78</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">7</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;&#x003E;8.78</td>
<td align="center" valign="top">31</td>
<td align="center" valign="top">18</td>
<td align="center" valign="top">13</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Pathological stage</td>
<td/>
<td/>
<td/>
<td align="center" valign="top"><bold>0.0079<sup><xref rid="tfn2-or-44-05-2185" ref-type="table-fn">a</xref></sup></bold></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;I&#x002B;II</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">17</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;III&#x002B;IV</td>
<td align="center" valign="top">15</td>
<td align="center" valign="top">12</td>
<td align="center" valign="top">3</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Cirrhosis</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">0.7233</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;No</td>
<td align="center" valign="top">11</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">5</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Yes</td>
<td align="center" valign="top">29</td>
<td align="center" valign="top">14</td>
<td align="center" valign="top">15</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Tumour number</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">0.1274</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Singular</td>
<td align="center" valign="top">31</td>
<td align="center" valign="top">18</td>
<td align="center" valign="top">13</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Multifocal</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">7</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Tumour size (cm)</td>
<td/>
<td/>
<td/>
<td align="center" valign="top"><bold>0.0252<sup><xref rid="tfn2-or-44-05-2185" ref-type="table-fn">a</xref></sup></bold></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;&#x2264;5</td>
<td align="center" valign="top">23</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">15</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;&#x003E;5</td>
<td align="center" valign="top">17</td>
<td align="center" valign="top">12</td>
<td align="center" valign="top">5</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">PVTT</td>
<td/>
<td/>
<td/>
<td align="center" valign="top"><bold>0.0471<sup><xref rid="tfn2-or-44-05-2185" ref-type="table-fn">a</xref></sup></bold></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;No</td>
<td align="center" valign="top">35</td>
<td align="center" valign="top">15</td>
<td align="center" valign="top">20</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Yes</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">0</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">TNM (AJCC)</td>
<td/>
<td/>
<td/>
<td align="center" valign="top"><bold>0.0022<sup><xref rid="tfn2-or-44-05-2185" ref-type="table-fn">a</xref></sup></bold></td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;I&#x002B;II</td>
<td align="center" valign="top">26</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">18</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;III&#x002B;IV</td>
<td align="center" valign="top">14</td>
<td align="center" valign="top">12</td>
<td align="center" valign="top">2</td>
<td/>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-or-44-05-2185"><p>HCC, hepatocellular carcinoma; HBV, hepatitis B virus; AFT, &#x03B1;-fetoprotein; PVTT, portal vein tumour thrombus; AJCC, American Joint Committee on Cancer.</p></fn>
<fn id="tfn2-or-44-05-2185"><label>a</label><p>P&#x003C;0.05, significant difference (in bold print).</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>