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Methods RNA Extraction and RNA-seq Tumors collected on necropsy were snap frozen and stored at -80’C. Douncers were used to homogenize tumors in RLT buffer from Qiagen RNeasy Mini Prep Kit. The slurry was then passed through a 20-gauge needle 5 times. RNA extract was then conducted as recommended by the Qiagen RNeasy Mini Prep Kit. Quality control determined all samples had RIN values 8.8-10, demonstrating high quality RNA. Beckman Coulter conducted sequencing with paired-end sequencing of 100bp fragment length. Sequencing depth was 25 million reads on average per sample. Results Five liver and nine tumor samples underwent RNA-sequencing (RNA-seq). These tumors had a range of therapies and some increased in tumor burden over the 6 cycles of treatment while others shrank in size (Table 1). Variation in tumor gene expression due to treatment should be negated across the tumor group. Each sample had 20-39 million reads after filtering to remove adaptor sequences and low scoring sections. One tumor was sequenced twice as an internal control (2c and 2d). These samples clustered together throughout our analysis. When tumors were compared to normal liver, 452 genes were differentially expressed (p<0.01). Pathway analysis identified cell cycle, amino sugar and nucleotide sugar metabolism, drug metabolism, p53 signaling, TGF-beta signaling, and others (Figure 1A). When tumors that increased in size were compared to normal liver, 938 differentially expressed genes were identified (p<0.01), while regressing tumors vs. normal liver had 147 genes that were differentially expressed (p<0.01). These two lists had 103 genes in common. Similar pathways were enriched for grow vs. liver as were identified with tumor vs. liver, including cell cycle, drug metabolism, TGF-beta signaling, p53 signaling, amino sugar and nucleotide sugar metabolism and others (Figure 1B). Regress vs. liver pathway analysis shows a smaller p value for pathways like bladder cancer and melanoma while still enriching for the same pathways observed in the other two analyses (Figure 1C). However, none of the 452 differentially expressed genes in tumor vs. liver were differentially expressed in grow regress. When we directly compare grow vs. regressing tumors, nine genes were differentially expressed (Table 2). Four of these genes have been previously identified to play a role in HCC while two others have been associated with other types of cancer. To assess the similarities between HCC that develops in C3HeB/FeJ mice and humans, we chose two human HCC datasets from the National Center for Biotechnology Information (NCBI) Gene Expression Omnibus (GEO) Database. GSE62232 has 81 HCC samples and 10 non-matched normal liver samples. According to the GEO database, most of the HCC had hepatitis B or C viral infection or cirrhosis, most commonly due to chronic alcohol use (1). When comparing HCC vs. normal liver, 6148 genes were differentially expressed. GSE63898 has 228 HCC samples and 168 non-matched cirrhosis samples. This data set also had a mix of etiology including hepatitis B or C infection and chronic alcohol use (2). When comparing HCC vs. cirrhosis, 5514 genes were differentially expressed. When the 452 differentially expressed genes from mouse HCC were compared to the differentially expressed genes from GSE62232, there were 158 genes in common. When compared to GSE63898, there were 198 genes in common. Between these two lists of genes differentially expressed in a human dataset and in our mouse dataset, there were 105 genes in common. Pathway analysis of these genes identified the recurrent cell cycle, p53 signaling, amino sugar and nucleotide sugar metabolism and drug metabolism pathways as expected (Figure 2). Several pathways related to meiosis were enriched but include the same genes as the cell cycle pathway. To look at gene expression in a more comprehensive manner, we have generated the concept of eigengenes. Eigengenes are calculated using a Bayesian network to identify modules of genes that are regulated in a similar manner based on their gene expression patterns. Principal component analysis is used to give weight to each gene within a module. The weights are multiplied by the gene expression and then added together to give a single value to represent each module. We did not have sufficient number of samples to do a complete eigengene analysis so we combined the 452 differentially expressed genes into one module and calculated the eigengene values for each sample (Figure 3). With this method, tumor and liver samples are clustered with each other. One tumor sample, the tumor which had the greatest reduction in tumor volume (22773-5c), clustered with the liver samples. The two human datasets had sufficient samples to run a complete pigengene analysis. GSE62232 had 29 modules (Figure 4A). A cutoff of -0.023 on the eigengene value for Module 5 was sufficient to identify tumor vs. liver with no errors (Figure 4B). Module 5 contains 652 genes. When projected onto the mouse data, there is some separation of tumor and liver samples, but there are a few that cluster with the wrong group (Figure 4C). Therefore, this gene list is not as good at differentiating tumor vs. liver in mouse as in humans. Module 5 had an unusually high number of genes on chromosome 1 (Figure 4D), which is commonly amplified in human HCC and is homologous to mouse chromosome 1, where Hsc-7 is located (3). We projected each of the modules onto the mouse dataset to determine if any were good at differentiating tumor vs. liver. Of note, Module 14, with 154 genes, separated grow tumors from regress tumors and liver samples, with the exception of one regress tumor that clustered with the grow tumors (Figure 4E). The pathways enriched by this gene set include Gene Ontology (GO) terms related to angiogenesis and cell migration/cell motility. GSE63898 had 24 modules (Figure 5A). Module 15 with a cutoff of -0.006 for the pigengene value was the best single module for identifying tumor vs. cirrhosis, but makes 28 errors (7%) in classification (Figure 5B). When module 18 is used to divide the group of samples with Module 15 <-0.006, the error rate is reduce to 2.1% (Figure 5C). Module 15 contains 80 genes, a subset of which are metallothionen family members and are upregulated in cirrhosis vs. tumors, while the rest are upregulated in HCC. Module 15 is overrepresented on chromosome 1. When projected on the mouse dataset, regress and liver samples have lower eigengene values while grow tumors have higher eigengene values, with two exceptions (Figure 5D). Module 18 contains 68 genes, most of which have reduced expression in HCC samples compared to cirrhotic patients. These genes enrich in KEGG pathways including normal liver functions such as gastric acid secretion, bile secretion, and Wnt signaling. However, Module 18 does not do a good job differentiating between tumor and liver when projected onto the mouse dataset (Figure 5E). When we projected each of the other modules onto the mouse dataset to determine how they cluster the mouse dataset, Module 5 was of interest. Module 5 contains 428 genes with functions including amino acid metabolism, fatty acid metabolism, PPAR signaling, and Cytochrome P450 metabolism of xenobiotics. When projected onto the mouse dataset, tumors have lower pigengene values compared to liver samples, with the exception of two regress tumors with high pigengene values that cluster with the liver samples (Figure 5F). One of the regress samples (5c) that clustered with liver has the greatest reduction in tumor volume (-179.14%). Also of interest, one liver and regress tumor are from the same mouse (1i3a1b). However, these two samples did not cluster together in any of these analyses. This reinforces that there is a distinct difference in gene expression between liver and HCC within the same mouse, despite these tumors arising spontaneously from the liver within C3HeB/FeJ mice. Next, we projected a module containing the 452 differentially expressed in mouse tumors onto the human datasets (Figure 6). Of interest, there is variability in the pigengene values within the tumor samples of each human dataset. This supports the hypothesis that C3HeB/FeJ HCC is similar to a subset of human HCC. However, in both datasets, there is a subset of human HCC that would be classified as normal based on this gene set. Finally, we projected each human dataset back onto the other human dataset to determine how closely they were related. Of the differentially expressed gene in each dataset, 2,302 genes were differentially expressed in both. When GSE63898 eigengene modules were projected onto GSE62232, the normal liver samples clustered with a subset of the HCC samples (Figure 7A). When GSE62232 eigengene modules were projected onto GSE63898, most of the HCC samples clustered together with the exception of a few HCC samples that mixed in with cirrhosis samples (Figure 7B). Generally, these results show that while the datasets are diverse, they are not significantly differences. Some of the differences observed between the datasets may also be due to the difference in control tissue, normal liver for GSE62232 and cirrhotic liver for GSE63898. Both of these studies highlight the diversity in gene expression across HCC samples and support the need for a molecular subtype classification system for HCC. Discussion C3HeB/FeJ HCC has similarities in aberrant gene expression with human HCC. The main pathway enrichment that is observed in all comparisons between the mouse tumors and liver demonstrated significant changes in cell cycle. There are not many genes differentially expressed in tumors that are increasing in size vs. those that are regressing. This may be due to the fact that tumors were being treated with different agents and thus drug treatment specific gene expression changes are not detected. If the drugs were each working in independent mechanisms, we would not observe common gene expression changes across the group. However, it is surprising that apoptosis pathways are not enriched since all of the therapies are presumably inducing cell death one way or another. This could be because the cells were already dead at the timepoint when we collected tumors. The eigengene analysis gives us a unique way to look at gene expression in these datasets. When the differentially expressed genes from tumor vs. liver in the mouse dataset are combined into a single module, we can easily differentiate between mouse tumors and liver, with the exception of one tumor sample, which also had the greatest regression in size (Figure 3). Using the human datasets, we were able to identify several modules of genes that had some effectiveness in differentiating mouse tumor from liver. Interestingly, despite finding only 9 genes differentially expressed between grow vs. regress tumors, some of the regress tumors often clustered with the liver samples when eigengene modules were projected onto the mouse dataset. Of note, GSE62232 Module 14 (Figure 4E) was able to differentiate between grow tumors vs. regress or normal liver samples. When pathway analysis was conducted on the genes in this module, pathways related to angiogenesis and cell motility were enriched, which are features we would expect of growing tumors. When projecting the eigengene module generated from the differentially expressed genes in mouse tumors vs. liver, a subset of HCC in each of the human datasets has similar pigengene values. This supports that these genes are also differentially expressed and of importance in this subset of human HCC. Therefore it follows that there are features in common between these tumors and C3HeB/FeJ mouse model can be used to model this subset of human HCC. Also of note, GSE62232 Module 5 had a higher than predicted number of genes on chromosome 1 (Figure 4D). Human chromosome 1 is homologous to mouse chromosome 1, this is the location of one of the Hcs loci, Hcs-7, that predispose C3H mice with developing HCC (3, 4). Hsc loci were identified with quantitative trait loci mapping of microsatellite markers (3, 4). Therefore, it has only been narrowed down to a distal region of chromosome 1 but not on a gene specific level (3). Chromosome 1 is amplified in one half of human HCC (5). References 1. Zucman-Rossi J IS, Couchy G. Large-scale gene expression profiling of 81 hepatocellular carcinomas. 2014 [cited 2016 March 21]; Available from: http://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE62232 2. Villanueva A, Portela A, Sayols S, Battiston C, Hoshida Y, Mendez-Gonzalez J, et al. DNA methylationbased prognosis and epidrivers in hepatocellular carcinoma. Hepatology. 2015;61:1945-56. 3. Bilger A, Bennett LM, Carabeo RA, Chiaverotti TA, Dvorak C, Liss KM, et al. A potent modifier of liver cancer risk on distal mouse chromosome 1: linkage analysis and characterization of congenic lines. Genetics. 2004;167:859-66. 4. Drinkwater NR, Ginsler JJ. Genetic control of hepatocarcinogenesis in C57BL/6J and C3H/HeJ inbred mice. Carcinogenesis. 1986;7:1701-7. 5. Guan XY, Fang Y, Sham JS, Kwong DL, Zhang Y, Liang Q, et al. Recurrent chromosome alterations in hepatocellular carcinoma detected by comparative genomic hybridization. Genes Chromosomes Cancer. 2000;29:110-6. 6. Lu P, Wang ZP, Dang Z, Zheng ZG, Li X, Zhou L, et al. Expression of NEDD9 in hepatocellular carcinoma and its clinical significance. Oncology reports. 2015;33:2375-83. 7. Li X, Feng P, Ou J, Luo Z, Dai P, Wei D, et al. Dermatopontin is expressed in human liver and is downregulated in hepatocellular carcinoma. Biochemistry (Mosc). 2009;74:979-85. 8. Michel V, Bakovic M. The ubiquitous choline transporter SLC44A1. Cent Nerv Syst Agents Med Chem. 2012;12:70-81. 9. Miyaji K, Nakagawa Y, Matsumoto K, Yoshida H, Morikawa H, Hongou Y, et al. Overexpression of a DEAD box/RNA helicase protein, rck/p54, in human hepatocytes from patients with hepatitis C virus-related chronic hepatitis and its implication in hepatocellular carcinogenesis. J Viral Hepat. 2003;10:241-8. 10. Gaudet MM, Hunter K, Pharoah P, Dunning AM, Driver K, Lissowska J, et al. Genetic variation in SIPA1 in relation to breast cancer risk and survival after breast cancer diagnosis. International journal of cancer Journal international du cancer. 2009;124:1716-20. 11. Crawford NP, Ziogas A, Peel DJ, Hess J, Anton-Culver H, Hunter KW. Germline polymorphisms in SIPA1 are associated with metastasis and other indicators of poor prognosis in breast cancer. Breast Cancer Res. 2006;8:R16. 12. Yu G, Fang W, Xia T, Chen Y, Gao Y, Jiao X, et al. Metformin potentiates rapamycin and cisplatin in gastric cancer in mice. Oncotarget. 2015;6:12748-62. 13. Huang G, Kaufman AJ, Ramanathan Y, Singh B. SCCRO (DCUN1D1) promotes nuclear translocation and assembly of the neddylation E3 complex. J Biol Chem. 2011;286:10297-304. 14. Ma T, Shi T, Huang J, Wu L, Hu F, He P, et al. DCUN1D3, a novel UVC-responsive gene that is involved in cell cycle progression and cell growth. Cancer science. 2008;99:2128-35. 15. Mucha BE, Hennekam RCM, Sisodiya S, Campeau PM. TBC1D24-Related Disorders. In: Pagon RA, Adam MP, Ardinger HH, et al., editors. GeneReviews(R). Seattle (WA)1993. 16. Kim JB, Spiegelman BM. ADD1/SREBP1 promotes adipocyte differentiation and gene expression linked to fatty acid metabolism. Genes Dev. 1996;10:1096-107. 17. Roseweir AK, Qayyum T, Lim Z, Hammond R, MacDonald AI, Fraser S, et al. Nuclear expression of Lyn, a Src family kinase member, is associated with poor prognosis in renal cancer patients. BMC cancer. 2016;16:229. 18. Karur VG, Lowell CA, Besmer P, Agosti V, Wojchowski DM. Lyn kinase promotes erythroblast expansion and late-stage development. Blood. 2006;108:1524-32. Table 1. Samples Used for RNA-Seq Mouse ID % Change Log2 TTV 1i1k1a N/A – Liver 2b2c N/A – Liver 2a5a N/A – Liver 1i3a1b N/A – Liver 1k3b +333.21 3b +147.04 2c +128.73 1h4a +109.74 1h1a +104.11 5c -179.14 1i3a1b -145.25 1i3a2a -135.06 1j3b -44.47 Treatment PCB PCB PCB PCB DMSO SAHA+TMZ SAHA+TMZ DMSO SAHA TMZ (DMSO solv) PCB TMZ (PCB solv) DMSO Table 2. Differentially expressed genes in grow vs. regress tumors Gene Symbol Nedd9 Gene name neural precursor cell expressed, developmentally down-regulated gene 9 Function/Relationship with Cancer References (6) High NEDD9 expression associated with poor overall survival in HCC Dpt dermatopontin Silencing by hypermethylation leads to metastasis in HCC; downregulated in human HCC (7) Choline transporter; downregulated with choline deficiency (Choline deficient diet causes HCC in mouse models) (8) Slc44a1 solute carrier family 44, member 1 Ddx6 DEAD (Asp-Glu-AlaAsp) box polypeptide 6 Important in HCV; Overexpression of Dead box helicase involved in progression to HCC; HCV interacts with DEAD box proteins Sipa1 Dcun1d4 Tbc1d24 signal-induced proliferation associated gene 1 DCN1, defective in cullin neddylation 1, domain containing 4 (S. cerevisiae) TBC1 domain family, member 24 GTPase-activating protein; Polymorphisms associated with risk for sporadic breast cancer and metastasis Upregulated in gastric cancer; Dcun1d1 involved in E3 neddylation of cullin; Dcun1d3 involved in cell cycle progression and proliferation Part of BAF complex; Recessive genetic disorders Add1 adducin 1 (alpha) Also called SREBP1 when describing role in adipocyte diff and cholesterol homeostasis; helix-loop-helix transcription factor which binds E box and activates PGC1α Lyn Yamaguchi sarcoma viral (v-yes-1) oncogene homolog Important in erythroid differentiation; associated with poor prognosis in renal cancer (9) (10, 11) (12-14) (15) (16) (17, 18) Figure 1. Pathways analysis for Mouse Dataset A. Tumor vs. liver B. Grow vs. liver C. Regress vs. liver Figure 2. Pathway enrichment for Genes in Common Between Two Human HCC Datasets and Mouse Dataset Figure 3. Eigengene analysis of C3HeB/FeJ Liver and Tumor Samples Figure 4A. Eigengene Modules for GSE62232 Figure 4B. Decision Tree for GSE62232 Figure 4C. GSE62232 Module 5 Gene Set Projected onto Mouse Data ’ Figure 4D. Chromosomal Distribution of GSE62232 Module 5. Figure 4E. GSE62232 Module 14 Projected onto Mouse Dataset Figure 5A. GSE63898 Eigengene Modules Figure 5B. Decision Tree for Differentiating GSE63898 Tumor vs. Cirrhosis Using Only One Module 5C. Best Fit Decision Tree for Differentiating GSE63898 Tumor vs. Cirrhosis Figure 5D. GSE63898 Module 15 Projected onto Mouse Dataset Figure 5E. GSE63898 Module 18 Projected onto Mouse Dataset Figure 5F. GSE63898 Module 5 Projected on Mouse Dataset Figure 6. Mouse Differentially Expressed Gene Module Projected onto Human Datasets A. GSE63898 B. GSE62232 Figure 7. Human Dataset Eigengene Modules Projected Onto Other Human Dataset A. GSE63898 Modules Projected Onto GSE62232 Figure 7B. GSE62232 Eigengene Modules Projected Onto GSE63898