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Transcriptome profiling identifies a recurrent CRYL1-IFT88 chimeric transcript in hepatocellular carcinoma

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Oncotarget. 2017; 8:40693-40704. https://doi.org/10.18632/oncotarget.17244

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Yi Huang, Jiaying Zheng, Dunyan Chen, Feng Li, Wenbing Wu, Xiaoli Huang, Yanan Wu, Yangyang Deng and Funan Qiu _

Abstract

Yi Huang1,2,*, Jiaying Zheng1,2,*, Dunyan Chen1,2, Feng Li1,3, Wenbing Wu1,2, Xiaoli Huang1,2, Yanan Wu1,2, Yangyang Deng4 and Funan Qiu1,5

1Provincial Clinical College, Fujian Medical University, Fuzhou 350001, Fujian, China

2Department of Clinical Laboratory, Fujian Provincial Hospital, Fuzhou 350001, Fujian, China

3Department of Pathology, Fujian Provincial Hospital, Fuzhou 350001, Fujian, China

4Department of Bioinformatics, MyGene Diagnostics Co., Ltd, Guangzhou 510300, Guangdong, China

5Department of Hepatobiliary Surgery, Fujian Provincial Hospital, Fuzhou 350001, Fujian, China

*These authors contributed equally to this work

Correspondence to:

Funan Qiu, email: [email protected]

Yi Huang, email: [email protected]

Keywords: HCC, transcriptome sequencing, fusion transcript, CRYL1-IFT88, tumorigenesis

Received: January 28, 2017     Accepted: April 05, 2017     Published: April 19, 2017

ABSTRACT

We performed transcriptome sequencing for hepatocellular carcinoma (HCC) and adjacent non-tumorous tissues to investigate the molecular basis of HCC. Nine HCC patients were recruited and differentially expressed genes (DEGs) were identified. Candidate fusion transcripts were also identified. A total of 1943 DEGs were detected, including 690 up-regulated and 1253 down-regulated genes, and enriched in ten pathways including cell cycle, DNA replication, p53, complement and coagulation cascades, etc. Seven candidate fusion genes were detected and CRYL1-IFT88 was successfully validated in the discovery sequencing sample and another 5 tumor samples with the recurrent rate of about 9.52% (6/63). The full length of CRYL1-IFT88 was obtained by 3′ and 5′ RACE. The function of the fusion transcript is closed to CRYL1 because it contained most of domain of CRYL1. According to the bioinformatics analysis, IFT88, reported as a tumor suppressor, might be seriously depressed in the tumor cell with this fusion because the transcript structure of IFT88 was totally changed. The function depression of IFT88 caused by gene fusion CRYL1-IFT88 might be associated with tumorigenesis or development of HCC.


INTRODUCTION

Hepatocellular carcinoma (HCC) is one of the most common malignancies worldwide [13]. About 745,000 deaths per year can be attributed to HCC [4]. Hepatic resection is currently the most optimal choice for HCC treatment. However, surgical resection is not applicable in most patients, and its long-term prognosis remains unsatisfactory [5]. To date, it is known that both cellular changes and etiological agents (i.e., virus infection and alcohol) are responsible for the cause of HCC [6, 7]. However, like any other complex diseases [8], the molecular pathogenesis of HCC remains poorly understood [9]. The lack of good diagnostic markers and therapeutic targets has rendered HCC a major challenge.

Recently, with dramatically increased throughput, next-generation sequencing provides an efficient tool to illustrate the transcriptome characteristics of cancers, including HCC. Transcriptome sequencing has been used to identify latent biomarkers for HCC [1012], implicating its great potential in exploring the molecular basis of HCC. Of note, by using transcriptome sequencing, a recurrent chimeric transcript DNAJB1-PRKACA [13] was identified in fibrolamellar HCC (FL-HCC) patients, suggesting that this fusion transcript contributes to the pathogenesis of the FL-HCC and may represent a therapeutic target. Therefore, transcriptome sequencing is a revolutionary tool to investigate the cancer transcriptome and identify possible therapeutic targets [14].

In this study, we performed transcriptome sequencing for HCC and adjacent non-tumorous tissues to investigate the molecular basis of HCC. Nine patients diagnosed as primary HCC were recruited and differentially expressed genes (DEGs) were identified. Candidate fusion transcripts were also identified by using defuse [15]. Further RT-PCR and Sanger sequencing experiments were performed to validate potential recurrent fusion transcripts in other 54 pairs of tumor and adjacent non-tumor samples. Our investigation may shed light on the molecular event responsible for the progression of HCC and offer new possibilities for clinical management of HCC patients.

RESULTS

Overview of transcriptome sequencing statistics

Pair-end second-generation transcriptome sequencing was performed in nine HCC patients. Sample characteristics are list in Table 1. An average of 35,772,695 pair-end 125 bp clean reads was generated (Table 2). The average mapping rate was 93.17%, resulting an average coverage of depth of 32x (Table 2).

Table 1: Sample characteristics

Patient

Age

Gender

Hepatitis

Serum AFP level(ng/mL)

Metastasis

Glisson capsule invasion

Tumor size (mm)

Multiple liver nodules

P10

59

M

HBV

670.10

No

35

-

P14

50

M

HBV

12483

No

+

50

-

P17

37

M

HBV

4.47

No

+

41

-

P21

62

M

HBV

266.5

No

+

32

-

P24

76

M

HCV

5.84

No

+

70

-

P26

59

M

HBV

3.73

No

6

-

P29

69

M

HBV

6.90

No

+

160

synchronous

P36

61

M

NBNC

1.11

No

+

80

-

P40

19

F

NBNC

2.85

No

29

-

L24

63

M

HBV

2975

No

+

70

synchronous

L26

47

M

HBV

5375

Yes

+

130

-

L44

72

M

HBV

303.8

No

+

40

synchronous

L134

66

M

HBV

60500

No

+

50

-

H19

59

M

NBNC

54.84

No

+

26

-

L6

48

M

NBNC

55.1

Yes

+

180

-

L21

41

M

HBV

4.70

Yes

+

50

-

L25

72

M

HBV

1110

No

+

80

-

L30

50

M

HBV

260.9

No

25

-

L36

64

M

HBV

244.6

Yes

+

65

synchronous

L39

67

M

HBV

321.1

No

+

55

synchronous

L45

71

M

HBV

4606

Yes

+

12

-

L46

18

F

HBV

37979

No

+

70

-

L49

45

M

HBV

6528

No

+

60

synchronous

L52

50

M

HBV

3.03

Yes

+

55

synchronous

L53

61

M

HBV

1.90

No

+

30

-

L54

52

M

HBV

26.53

No

+

20

-

L55

55

M

HBV

1.82

No

+

34

-

L57

58

F

HBV

2.55

Yes

+

55

synchronous

L61

42

M

HBV

3.38

No

+

20

synchronous

L64

64

M

HBV

774.2

No

+

10

-

L68

54

F

NBNC

23784

No

+

22

-

L72

40

M

HBV

1816

No

+

30

-

L73

74

M

NBNC

5.90

No

+

30

-

L85

76

M

NBNC

2.10

No

+

34

-

L154

47

M

HBV

62.47

Yes

+

105

-

L195

67

M

NBNC

3.01

Yes

+

80

-

H1

37

M

HBV

1810

No

55

-

H2

67

M

HBV

3103

No

+

40

-

H3

48

M

HBV

2.07

No

35

-

H4

68

M

HBV

15.87

No

+

35

-

H5

71

M

HBV

11.65

No

+

35

-

H6

56

M

HBV

33571

No

+

57

-

H7

52

M

HBV

2100

Yes

35

-

H8

52

M

NBNC

5.30

No

+

65

-

H9

37

M

HBV

>60500

Yes

95

-

H11

46

M

HBV

4.64

No

45

-

H13

52

F

NBNC

2.45

No

+

22

-

H16

75

M

NBNC

4.14

Yes

+

87

synchronous

H22

47

M

HBV

5.78

No

+

40

-

H25

60

M

HBV

61.54

No

25

-

H27

65

M

HBV

5.34

No

+

70

-

H28

63

M

HBV

3396

No

+

40

-

H29

52

M

HBV

66.50

No

+

22

-

H30

58

M

HBV

6.52

Yes

+

58

synchronous

H31

42

M

HBV

3.31

No

+

30

-

H32

62

M

HBV

570

No

+

28

-

H33

46

M

HBV

3780

No

+

21

synchronous

H34

64

M

HBV

36541

Yes

+

140

-

H35

47

F

HCV

250.5

No

22

-

H36

39

M

HBV

8.10

Yes

+

22

synchronous

H37

63

M

HBV

208

No

+

40

-

H38

48

M

NBNC

3.07

No

+

33

-

H39

66

M

HBV

82.81

No

+

34

-

Note: The nine samples used for sequencing are shown in bold. The six samples with validated fusion CRYL1-IFT88 are shown in italic.

Table 2: Summary statistics of the transcriptome sequencing

Patient

Sample type

Total reads

Mapped reads

Total base (bp)

Mapped base (bp)

Mappping ratio

Coverage (X)

P10

T

35,930,408

33,819,287

4,491,301,000

4,227,410,875

94.12%

33

N

34,902,228

32,863,973

4,362,778,500

4,107,996,625

94.16%

32

P14

T

35,315,378

33,125,921

4,414,422,250

4,140,740,125

93.80%

32

N

34,383,802

32,279,443

4,297,975,250

4,034,930,375

93.88%

31

P17

T

35,532,658

33,258,212

4,441,582,250

4,157,276,500

93.60%

32

N

34,537,914

32,152,860

4,317,239,250

4,019,107,500

93.09%

31

P21

T

34,762,386

32,701,011

4,345,298,250

4,087,626,375

94.07%

31

N

35,314,918

33,021,170

4,414,364,750

4,127,646,250

93.50%

32

P24

T

35,610,444

32,509,118

4,451,305,500

4,063,639,750

91.29%

31

N

34,637,398

31,280,461

4,329,674,750

3,910,057,625

90.31%

30

P26

T

34,566,526

32,670,216

4,320,815,750

4,083,777,000

94.51%

31

N

35,384,486

33,407,169

4,423,060,750

4,175,896,125

94.41%

32

P29

T

34,564,642

32,385,294

4,320,580,250

4,048,161,750

93.69%

31

N

34,771,048

32,792,475

4,346,381,000

4,099,059,375

94.31%

32

P36

T

35,371,920

32,571,695

4,421,490,000

4,071,461,875

92.08%

31

N

35,959,532

32,990,753

4,494,941,500

4,123,844,125

91.74%

32

P40

T

42,279,434

39,097,967

5,284,929,250

4,887,245,875

92.50%

38

N

40,083,384

36,852,292

5,010,423,000

4,606,536,500

91.90%

35

Average

35,772,695

33,321,073

4,471,586,847

4,165,134,146

93.17%

32

Total

643,908,506

599,779,317

80,488,563,250

74,972,414,625

DEGs analyses results

We next detected DEGs between tumor and non-tumor samples. A total of 1943 DEGs were detected, including 690 up-regulated and 1253 down-regulated genes.

DEGs were subjected to KEGG pathway analyses. As shown in Table 3, with the cut off of FDR < 0.05, DEGs were enriched in ten pathways, including cell cycle (hsa04110), DNA replication (hsa03030), p53 (hsa04115) and complement and coagulation cascades pathway (hsa04610), as well as retinol, xenobiotics by cytochrome P450, drug, arachidonic acid, tyrosine and fatty acid metabolism pathway (hsa00830, 00980, 00982, 00590, 00350, 00071). The GO category enrichment analyses resulted extensive items overrepresented with DEGs. As shown in Table 3, GO items (FDR < 10–3) enriched with DEGs were associated with cell cycle and other processes, such as immune response, DNA replication, complement activation, oxidation, metabolism, and so on.

Table 3: KEGG pathway and gene ontology biological process items enrichment analyses result for the DEGs

Term

DEG Count

FDR

KEGG pathway

hsa04110:Cell cycle

31

6.10 × 10–6

hsa00830:Retinol metabolism

17

1.82 × 10–4

hsa00980:Metabolism of xenobiotics by cytochrome P450

17

7.69 × 10–4

hsa03030:DNA replication

12

2.97 × 10–3

hsa00982:Drug metabolism

16

4.21 × 10–3

hsa04610:Complement and coagulation cascades

15

9.85 × 10–3

hsa00590:Arachidonic acid metabolism

13

1.03 × 10–2

hsa00350:Tyrosine metabolism

11

3.96 × 10–2

hsa00071: Fatty acid metabolism

10

4.17 × 10–2

hsa04115:p53 signaling pathway

13

4.58 × 10–2

GO item

GO:0022403~cell cycle phase

84

5.15 × 10–16

GO:0000278~mitotic cell cycle

77

4.11 × 10–15

GO:0000279~M phase

70

3.45 × 10–14

GO:0007067~mitosis

54

1.87 × 10–13

GO:0000280~nuclear division

54

1.87 × 10–13

GO:0048285~organelle fission

55

2.72 × 10–13

GO:0000087~M phase of mitotic cell cycle

54

4.11 × 10–13

GO:0007049~cell cycle

118

1.26 × 10–12

GO:0022402~cell cycle process

94

3.43 × 10–12

GO:0009611~response to wounding

87

6.60 × 10–11

GO:0006954~inflammatory response

61

7.36 × 10–10

GO:0051301~cell division

57

1.09 × 10–9

GO:0007059~chromosome segregation

26

8.40 × 10–9

GO:0006952~defense response

90

1.38 × 10–8

GO:0006955~immune response

97

2.41 × 10–8

GO:0051726~regulation of cell cycle

53

4.06 × 10–6

GO:0006260~DNA replication

36

9.33 × 10–6

GO:0002526~acute inflammatory response

24

1.13 × 10–5

GO:0002253~activation of immune response

23

2.07 × 10–5

GO:0050778~positive regulation of immune response

29

4.88 × 10–5

GO:0007051~spindle organization

15

5.21 × 10–5

GO:0031960~response to corticosteroid stimulus

21

5.78 × 10–5

GO:0051384~response to glucocorticoid stimulus

20

5.84 × 10–5

GO:0048545~response to steroid hormone stimulus

34

9.52 × 10–5

GO:0055114~oxidation reduction

79

1.70 × 10–4

GO:0010033~response to organic substance

86

2.60 × 10–4

GO:0002684~positive regulation of immune system process

38

2.84 × 10–4

GO:0002252~immune effector process

26

3.08 × 10–4

GO:0051329~interphase of mitotic cell cycle

22

3.60 × 10–4

GO:0045087~innate immune response

26

5.19 × 10–4

GO:0000079~regulation of cyclin-dependent protein kinase activity

15

5.37 × 10–4

GO:0000226~microtubule cytoskeleton organization

27

5.58 × 10–4

GO:0051325~interphase

22

5.67 × 10–4

GO:0006956~complement activation

13

6.96 × 10–4

GO:0008203~cholesterol metabolic process

20

7.33 × 10–4

GO:0000070~mitotic sister chromatid segregation

12

7.35 × 10–4

GO:0009719~response to endogenous stimulus

54

7.58 × 10–4

GO:0000819~sister chromatid segregation

12

9.75 × 10–4

Fusion genes detection and validation

To detect fusion transcripts that might be the potential cause for tumorigenesis, the software defuse was used and after the filtering process as described in the methods section. Seven candidate fusion genes were detected (Table 4). Using RT-PCR and Sanger sequencing, the fusion gene CRYL1-IFT88 was successfully validated in the discovery sequencing sample (P10 tumor sample) and it was also validated in another 5 tumor samples (Figures 12). Therefore, this fusion gene is considered as a recurrent fusion transcript related to HCC with the recurrent rate of about 9.52% (6/63). To investigate how the gene fusion CRYL1-IFT88 affected their expression and proteins, we observed the reads coverage in genomes by IGV (Integrative Genomics Viewer) and domains by NCBI CD-search (Conserved Domains search). We found that quite a lot RNA-Seq reads covered in the intron between exon 15 and exon 16 of IFT88 in tumor sample of P10, but this was not observed in the matched normal sample (Figure 3 top), which indicated that the transcription structure of IFT88 was very likely changed in the tumor cells with this fusion. This break was just occurred in the middle of IFT88 protein sequence ((Figure 3 bottom), which might totally destroy the function of IFT88. However, the change of reads coverage was not observed in the genes CRYL1, it might be the high expression of wild-type CRYL1 masked the change of expression structure.

Table 4: Information of the identified fusion genes

Sample id

Sample type

Gene1-Gene2

Break point1

Break point2

Break point1 location

Break point2 location

P10

tumor

CRYL1-IFT88

chr13:21063509

chr13:21184715

coding

intron

P14

tumor

BRD9-OR4N2

chr5:886707

chr14:20230047

coding

5′-UTR

P14

tumor

MPV17-TRIM54

chr2:27545315

chr2:27527827

coding

coding

P24

tumor

BHMT-MTATP6P1

chr5:78427385

chr1:569753

3′-UTR

exon

P26

tumor

NOMO3-XYLT1

chr16:16372646

chr16:17323802

coding

intron

P26

tumor

NOMO3-XYLT1

chr16:16372646

chr16:17318037

coding

intron

P29

tumor

TNFSF14-C3

chr19:6664861

chr19:6677181

3′-UTR

downstream

Detection and Sanger sequencing validation of a recurrent fusion transcript CRYL1-IFT88.

Figure 1: Detection and Sanger sequencing validation of a recurrent fusion transcript CRYL1-IFT88. (A) Illustration of the CRYL1-IFT88 fusion gene (top) and Sanger sequencing validation result for the transcriptome tumor sequencing sample (P10) (bottom). (B) Sanger sequencing validation result for the other five tumor samples. The IDs of samples corresponded to Table 1. The fusion point was marked with dash line.

The agarose gel electrophoresis of the six samples with successfully validated fusion transcript CRYL1-IFT88.

Figure 2: The agarose gel electrophoresis of the six samples with successfully validated fusion transcript CRYL1-IFT88. The RT-PCR product for the fusion gene was 230 bp. The IDs of samples corresponded to Table 1. T and N represented tumor and adjacent non-tumor tissue, respectively.

The RNA-Seq reads coverage and functional domains of IFT88.

Figure 3: The RNA-Seq reads coverage and functional domains of IFT88. The RNA-Seq reads coverage of gene IFT88 by IGV in the samples of patient P10 was shown at the top, and the functional domains of IFT88 according to NCBI CD-search was shown at the bottom. The red dotted line indicated the breakpoint.

To discover the function of the fusion transcript, we performed both 3′ and 5′ RACE (rapid-amplification of cDNA ends) experiments and obtained the full-length CRYL1-IFT88 fusion sequence (779 bp). The longest ORF was 279 bp (predicted by NCBI ORF-finder) and corresponding to a 92 aa protein sequence (see Supplementary File.docx). And the fusion protein contained most of the domain of CRYL1, including 3-hydroxybutyryl-CoA dehydrogenase domain, NAD binding domain, and so on, which indicated that the functional of the CRYL1-IFT88 were similar with CRYL1 (see Supplementary File.docx).

DISCUSSION

We have applied the transcriptome sequencing approach to illustrate the gene expression characteristics of HCC. Pathway analyses showed that ten pathways, including cell cycle, DNA replication, p53 and complement and coagulation cascades as well as six metabolism processes, were overrepresented with DEGs. Deregulation of the cell cycle [16], DNA replication [17] and p53 pathways [18] are expected since uncontrolled cell division and aberrant tumor suppressor are the major character of cancer cells. As for the complement and coagulation cascades pathway, consistent with our results, both gene expression [19] and proteomics [20] analyses have shown that this pathway is related to the pathogenesis of HCC.

Gene fusion is an important event involved in the development of various types of malignancies, which is the consequence of the genomic rearrangements with a deletion, insertion, translocation or inversion of distal intra- or inter-chromosomal sequences [21]. The oncogenic activation may be triggered by the gene activation or repression due to gene fusion. The Philadelphia chromosome found in chronic myelogenous leukemia (CML) consisting of the BCR-ABL fusion gene is a classical example of gene fusion, an activated tyrosine kinase that drives CML [22]. Recent technology advances especially transcriptome sequencing and bioinformatics strategy for processing cancer profiling data, make the discovery of more fusion genes in cancers, including a recurrent chimeric transcript DNAJB1-PRKACA in FL-HCC [9] and SLC45A3-ELK4 in prostate cancers [23], etc. These known fusion genes provide key insights into tumor biology and have significant clinical impact by serving as potential diagnostic markers or therapeutic targets. In our study, we detected seven chimeric transcripts in total by transcriptome sequencing. Fusion genes were subjected to validation and successfully confirmed that CRYL1-IFT88 is a recurrent fusion transcript related with HCC. To our knowledge, this fusion gene was first reported and validated in HCC. Protein encoded by CRYL1 catalyzes the dehydrogenation of L-gulonate into dehydro-L-gulonate in the uronate cycle, which is an alternative glucose metabolic pathway. Reduced expression of CRYL1 in HCC has been observed in many studies [2426]. Moreover, it was reported that reduced CRYL1 expression in HCC confers cell growth advantages and correlates with adverse patient prognosis [26]. Protein encoded by IFT88 is a member of the tetratrico peptide repeat (TPR) family, and is involved in liver oval cell proliferation, differentiation, and ploidy control [27]. Tumor suppression activity of this gene was demonstrated and this gene was reported as a liver neoplasia tumor suppressor gene in a previous study [28]. According to our bioinformatics analysis, the protein function of IFT88 might be suppressed due to the gene fusion. Considering the potential involvement of these two genes in HCC, the fusion transcript we identified here might be responsible for the tumorigenesis and serve as potential targets for further therapeutic strategy by the overexpression of IFT88 to overcome the function inhibition due to gene fusion CRYL1-IFT88.

In conclusion, we used transcriptome sequencing approach to illustrate the gene expression characteristics of HCC. Cell cycle, DNA replication, p53 and complement and coagulation cascades pathways as well as some metabolism processes were overrepresented with DEGs. Of note, we detected and successfully validated CRYL1-IFT88 as a recurrent fusion transcript in HCC with the recurrent rate of about 9.52% (6/63).

MATERIALS AND METHODS

Ethics statement

Our study design was approved by the institutional review board of the Fujian provincial hospital. Written informed consent was obtained from all subjects.

Subjects

Sixty-three subjects aged from 18 to 76 were diagnosed as primary HCC in the Fujian provincial hospital during the period from 03/01/2014 to 12/31/2015. Hepatitis B virus (HBV) related tumors were defined according to the presence of HB surface antigen (HBsAg) in serum, and hepatitis C virus (HCV) related tumors were according to the presence of antibody to HCV (HCVAb) in serum. NBNC tumor was defined according to the absence of both HBsAg and HCVAb in serum. Primary tumor and adjacent non-tumorous samples were obtained from all patients who underwent surgical tumor resection. All samples were frozen immediately at –80°C until RNA extraction. Total RNA was isolated by using RecoverAll™ Total Nucleic Acid Isolation Kit (Life Technologies, Carlsbad, CA, USA). Integrity of RNA was assessed by Agilent 2100 bioanalyzer (Agilent, Santa Clara, CA, USA). RNA from nine samples was subjected to sequencing and other samples were used in the validation experiments.

Transcriptome sequencing

Sequencing libraries were prepared by using prepared by using TruSeq RNA Sample Prep Kit (Illumina, San Diego, CA, USA) according to standard protocols. Briefly, total RNA was firstly randomly fragmented and poly-A-selected. Secondly, the RNA fragments were reverse transcribed to cDNA, end-repaired and ligated with adapters. The libraries then underwent size selection, PCR and purification. The quality of libraries was assessed by using Bioanalyzer 2100 (Agilent, Santa Clara, CA, USA). Sequencing was then performed on an Illumina HiSeq 2500 sequencer with 125 bp pair-end reads. All raw data have been deposited in the NIH Short Read Archive database (Access number: SRP 102722).

Reads processing

Raw sequencing reads were firstly filtered for adapters and ribosomal RNA. Reads containing five or more low quality (quality score < 20) bases were also removed. The remained high-quality reads were then aligned to human genome (hg19) by using Tophat [29]. The mapped reads were then subjected to alignment against the the human transcriptome (Ensembl, GRCh37.73). Gene expression level measured by FPKM (fragments per kilobase per million) was calculated by Cufflinks [30]. All processed expression data have been submitted to GEO database (Access number: GSE 97214).

Differentially expressed genes (DEGs) analysis

For each group, DEGs between the tumor and matched non-tumor tissues were selected with pair-wise t test and the significant threshold was set as p-value of less than 0.05 and |log2(fold change, FC)| > = 1. DAVID [31] was used to do the Gene Ontology (GO) and KEGG pathway annotation and enrichment analyses. The significant threshold for enrichment was set as false discovery rate (FDR) < 0.05.

Fusion gene detection

Fusion transcripts were identified by defuse [15]. The default filtering processes of defuse were carried out as previously described [15]. The results of deFuse were further filtered to reduce false positives with the following criteria: 1) predictions supported by less than eight reads were removed; 2) predictions between adjacent genes were filtered unless implied in genomic inversion or eversion; 3) predictions related to ribosomal proteins or small nuclear ribosomal proteins were removed.

Fusion gene validation

Selected fusion transcripts were subjected to validation using RT-PCR and Sanger sequencing. For the RT-PCR reactions, total RNA was converted to cDNA with random hexamer primers using the High-Capacity cDNA Reverse Transcription kit (Applied Biosystems, Foster City, CA, USA). The RT-PCR products were gel purified and sequenced by Sanger sequencing using an ABI 3730 DNA Sequencer (Applied Biosystems, Foster City, CA, USA).

5′ RACE and 3′ RACE

5′ RACE. RLM-RACE was performed with the SMARTerTM RACE cDNA Amplification Kit (Clontech). Total RNA (10 mg) was first treated with calf intestinal alkaline phosphatase (CIP) to remove 5′ phosphate groups, followed by tobacco acid pyrophosphatase to remove 5′ cap structures. After RNA linker ligation, mRNA transcripts were reverse-transcribed with SMARTScribeTM reverse transcriptase. To amplify first-strand cDNAs, we performed NEST PCR. Firstly, outer 5′ PCR using 5′ RACE outer primers (provided in kit) and a IFT88 intron 15 primer (TAGGGAATGACAGGAAACGGGGAT) with SuperTaq Plus polymerase (Applied Biosystems). Subsequently, inner 5′ PCR was performed with a 5′ RACE inner primer (provided in kit) and a CYRL1 exon 3 primer (TTCCA CACTCAGGGAGCCTTTCA). After gel electrophoresis, PCR bands of interest were excised and cloned. The PCR production were sequenced bidirectionally on an ABI 3730 automated sequencer (Applied Biosystems). A minimum of 3 independent colonies were sequenced in each experiment.

3′ RACE

RLM-RACE was performed with the SMARTerTM RACE cDNA Amplification Kit (Clontech). Total RNA (10 mg) was first treated with calf intestinal alkaline phosphatase (CIP) to remove 3′ phosphate groups, followed by tobacco acid pyrophosphatase to remove 3′ cap structures. After RNA linker ligation, mRNA transcripts were reverse-transcribed with SMARTScribeTM reverse transcriptase. To amplify first-strand cDNAs, we performed NEST PCR , firstly, outer 3′ PCR using 3′ RACE outer primers (provided in kit) and a CYRL1 exon 2 primer (GAGGCTTCCAGGTGAAACTCTATGA) with SuperTaq Plus polymerase (Applied Biosystems). Subsequently, inner 3′ PCR was performed with a 3′ RACE inner primer (provided in kit) and a IFT88 intron 15 primer (TTATCC CCGTTTCCTGTCATTCCCT). After gel electrophoresis, PCR bands of interest were excised and cloned. The PCR production were sequenced bidirectionally on an ABI 3730 automated sequencer (Applied Biosystems). A minimum of 3 independent colonies were sequenced in each experiment.

Abbreviations

HCC (hepatocellular carcinoma); DEGs (differentially expressed genes) RACE (Rapid-Amplification of cDNA Ends); RLM-RACE (RNA Ligase-Mediated-Rapid Amplification of cDNA Ends); FL-HCC (fibrolamellar hepatocellular carcinoma); GO enrichment analyses ( Gene Ontology-based statistical enrichment analysis); FDR(false discovery rate); IGV (Integrative Genomics Viewer); CD-search (Conserved Domains search); ORF (open reading frame); NAD (Nicotinamide adenine dinucleotide); TPR (tetratrico peptide repeat); HBV (Hepatitis B virus); HBsAg (HB surface antigen); HCV (Hepatitis C virus); NBNC tumor (non-B non-C tumor); FPKM (fragments per kilobase per million); CIP (calf intestinal alkaline phosphatase); CRYL1 (crystallin, lambda 1); IFT88 (intraflagellar transport 88); BRD9 (bromodomain containing 9); OR4N2 (olfactory receptor, family 4, subfamily N, member 2); MPV17 (MpV17 mitochondrial inner membrane protein); TRIM54 (tripartite motif containing 54); BHMT (betaine-homocysteine S-methyltransferase); MTATP6P1 (mitochondrially encoded ATP synthase 6 pseudogene 1); NOMO3 (NODAL modulator 3); XYLT1 (xylosyltransferase I); TNFSF14 (tumor necrosis factor (ligand) superfamily, member 14); C3 (complement component 3)

Authors’ contributions

Yi Huang guarantor of integrity of the entire study, study concepts, study design, definition of intellectual content, literature research, experimental studies, data acquisition, data analysis, statistical analysis, manuscript preparation, manuscript editing, manuscript review; Jiaying Zheng guarantor of integrity of the entire study, study concepts, study design, definition of intellectual content, literature research, experimental studies, data acquisition, data analysis, statistical analysis, manuscript preparation; Dunyan Chen experimental studies, data acquisition, data analysis, statistical analysis; Feng Li experimental studies, data acquisition, data analysis; Wenbing Wu experimental studies, data acquisition; Xiaoli Huang data analysis, statistical analysis; Yanan Wu data analysis, statistical analysis; Yangyang Deng bioinformatics analysis and data submittion; Funan Qiu guarantor of integrity of the entire study, study concepts, study design, definition of intellectual content, literature research, manuscript editing, manuscript review; all authors read and approved the final manuscript. Yi Huang and Jiaying Zheng contributed equally to this study.

ACKNOWLEDGMENTS

We thank AIC biotechnology for their support in transcriptome sequencing and analysis.

CONFLICTS OF INTEREST

The authors have no financial conflicts of interest.

FUNDING

This study is supported by the Middle-young age backbone talent cultivation program of Fujian health system (No. 2013-ZQN-JC-2); Key projects of science and technology plan of Fujian province (No. 2014Y0009).

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