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Original article
Pegylated interferon-α inhibits the proliferation of hepatocellular carcinoma cells by downregulating miR-155
Ying Zhanga,
Corresponding author
zy730302@aliyun.com

Corresponding author at: Sixth Department of Liver Diseases, Dalian Sixth People Hospital, Dalian Medical University, Dalian 116031, Liaoning, China.
, Xuefeng Lib, Yong Zhanga, Lin Wanga, Jiao Xua, Jinghua Dua, Yonghai Guanb
a Sixth Department of Liver Diseases, Dalian Sixth People Hospital, Dalian Medical University, Dalian, Liaoning, PR China
b Department of Infectious Diseases, The Second Hospital of Dalian Medical University, Dalian Medical University, Dalian, Liaoning, PR China
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Furthermore&#44; interferon therapy significantly reduces the risk for the development of HCC&#44; regardless of whether a sustained virological response occurs <a class="elsevierStyleCrossRefs" href="#bib0170">&#91;4&#44;5&#93;</a>&#46; Thus&#44; IFN may exert other antitumour effects in addition to decreasing the viral load in these patients&#44; potentially by inhibiting cancer cell proliferation <a class="elsevierStyleCrossRefs" href="#bib0180">&#91;6&#44;7&#93;</a>&#46; Although its molecular mechanisms of action are not yet completely understood&#44; the anti-proliferative activity of IFN makes it an intriguing option for the chemoprevention and chemotherapy of HCC&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">MicroRNAs &#40;miRs&#41;&#44; evolutionarily conserved gene expression regulators&#44; participate in many fundamental physiological processes&#46; In cancer development&#44; miR functions as a tumour suppressor or an oncogene by targeting specific genes in a 3&#8242;UTR-dependent manner&#46; The overexpression of oncogenic miRNAs &#40;oncomiRs&#41; downregulates the expression of tumour suppressors and&#47;or other genes involved in cell differentiation&#44; leading to tumour formation by stimulating proliferation&#44; angiogenesis and invasion <a class="elsevierStyleCrossRef" href="#bib0190">&#91;8&#93;</a>&#46; Among the known oncomiRs&#44; miR-155 has been reported to be involved in the development of a number of types of malignancies&#44; such as B cell malignancies&#44; breast cancer&#44; colon cancer and HCC <a class="elsevierStyleCrossRef" href="#bib0195">&#91;9&#93;</a>&#46; Notably&#44; miR-155 is an oncomiR that is frequently upregulated during the pathogenesis of HBV&#44; HCV and non-alcoholic steatohepatitis &#40;NASH&#41;-associated HCC <a class="elsevierStyleCrossRef" href="#bib0200">&#91;10&#93;</a>&#46; According to other studies&#44; miR-155 is involved in the initiation of hepatocarcinogenesis and is associated with poor clinicopathological features and reduced survival of patients with HCC <a class="elsevierStyleCrossRefs" href="#bib0205">&#91;11&#44;12&#93;</a>&#46; Moreover&#44; dysregulation of the Wnt&#47;&#946;-catenin signalling pathway is observed in HCC&#46; Accumulating evidence has indicated the importance of the regulatory network of miR-155 and the Wnt&#47;&#946;-catenin pathway in HCC development <a class="elsevierStyleCrossRef" href="#bib0215">&#91;13&#93;</a>&#46; The upregulation of miR-155 expression in patients with hepatitis and HCC has been shown to promote hepatocyte proliferation and HCC tumour growth by activating the Wnt&#47;&#946;-catenin signalling pathway <a class="elsevierStyleCrossRef" href="#bib0220">&#91;14&#93;</a>&#46; Based on these data&#44; miR-155 represents a promising target for the diagnosis and treatment of HCC&#46; Therefore&#44; new targeted therapeutic strategies for HCC based on the regulatory network of miR-155 and the Wnt&#47;&#946;-catenin pathway are urgently needed&#46; However&#44; the use of anti-miRs as therapeutic agents for miR-155-overexpressing cancers has been hindered by the instability of anti-miRs and by targeting issues with nanodelivery systems <a class="elsevierStyleCrossRefs" href="#bib0225">&#91;15&#8211;17&#93;</a>&#46; Pegylated interferon-&#945; &#40;PEG-IFN&#41; represents an attractive and stable alternative&#46; The expression of miR-155 is significantly decreased in patients with hepatitis C who are treated with IFN and ribavirin&#44; and the lowest miR-155 expression was detected in patients who lacked HCV RNA in both serum and peripheral blood mononuclear cells <a class="elsevierStyleCrossRef" href="#bib0240">&#91;18&#93;</a>&#46; As shown in our previous study&#44; PEG-IFN inhibits hepatic progenitor cell proliferation and hepatocarcinogenesis by modulating the Wnt&#47;&#946;-catenin pathway <a class="elsevierStyleCrossRef" href="#bib0245">&#91;19&#93;</a>&#46; However&#44; researchers have not clearly determined whether miR-55 is involved in the anti-proliferative effects of PEG-IFN&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Based on these findings&#44; we aimed to investigate the molecular mechanism underlying the anti-proliferative effects of PEG-IFN on HepG2 cells in vitro&#46; PEG-IFN inhibits HepG2 cell proliferation&#44; and this anti-proliferative effect is at least partially mediated by the downregulation of miR-155&#44; which may suggest a novel method for treating HCC&#46; A better understanding of its role in HCC cells may lead to the successful manipulation of liver biology for therapeutic purposes&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2</span><span class="elsevierStyleSectionTitle" id="sect0040">Materials and methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;1</span><span class="elsevierStyleSectionTitle" id="sect0045">Cell lines and culture</span><p id="par0020" class="elsevierStylePara elsevierViewall">The human HCC cell line HepG2 was obtained from the American Type Culture Collection &#40;Manassas&#44; VA&#41;&#46; Cells were cultured in DMEM&#44; which was adjusted to contain 4<span class="elsevierStyleHsp" style=""></span>mM <span class="elsevierStyleSmallCaps">l</span>-glutamine&#44; 1&#46;5<span class="elsevierStyleHsp" style=""></span>g&#47;L sodium bicarbonate&#44; 4&#46;5<span class="elsevierStyleHsp" style=""></span>g&#47;L glucose&#44; 10&#37; FBS&#44; 100<span class="elsevierStyleHsp" style=""></span>units&#47;mL penicillin&#44; and 65<span class="elsevierStyleHsp" style=""></span>units&#47;mL streptomycin&#46; All cell lines were maintained at 37<span class="elsevierStyleHsp" style=""></span>&#176;C in a humidified incubator containing 5&#37; CO<span class="elsevierStyleInf">2</span>&#46; Cultured cells were treated with PEG-IFN in complete DMEM&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;2</span><span class="elsevierStyleSectionTitle" id="sect0050">Drug treatments</span><p id="par0025" class="elsevierStylePara elsevierViewall">PEG-IFN &#40;Pegasys<span class="elsevierStyleSup">&#174;</span>&#59; Roche Pharmaceuticals Corp&#46;&#44; Shanghai&#44; China&#41; was added to cells at increasing concentrations &#40;3&#46;6&#8211;3600<span class="elsevierStyleHsp" style=""></span>ng&#47;mL&#41; for 48<span class="elsevierStyleHsp" style=""></span>h in serum-free medium&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;3</span><span class="elsevierStyleSectionTitle" id="sect0055">MTT assay</span><p id="par0030" class="elsevierStylePara elsevierViewall">Cell viability was determined using the MTT assay&#46; Briefly&#44; the cells were seeded in 96-well dishes at a density of 1<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">4</span> cells per well and treated with different concentrations of PEG-IFN&#46; Then&#44; each well was supplemented with 10<span class="elsevierStyleHsp" style=""></span>&#956;L of MTT &#40;Sigma&#8211;Aldrich&#41; and incubated at 37<span class="elsevierStyleHsp" style=""></span>C for 4<span class="elsevierStyleHsp" style=""></span>h&#46; The medium was then removed&#44; and 150<span class="elsevierStyleHsp" style=""></span>&#956;L of DMSO &#40;Sigma&#8211;Aldrich&#44; Shanghai&#44; China&#41; was added to solubilize the MTT formazan crystals&#46; The optical density was measured at 490<span class="elsevierStyleHsp" style=""></span>nm&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;4</span><span class="elsevierStyleSectionTitle" id="sect0060">Cell transfection</span><p id="par0035" class="elsevierStylePara elsevierViewall">The miR-155 mimics and negative controls &#40;NC&#41; were designed and synthesized by GenePharma &#40;Shanghai&#44; China&#41;&#46; HepG2 cells were seeded into each well of a 6-well plate&#44; incubated overnight and then transfected with the miR-155 mimic or negative control using Lipofectamine 2000 &#40;Invitrogen&#44; Shanghai&#44; China&#41; according to the manufacturer&#39;s instructions to selectively upregulate miR-155&#46; Cells were harvested 24<span class="elsevierStyleHsp" style=""></span>h after transfection for further analysis&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;5</span><span class="elsevierStyleSectionTitle" id="sect0065">Quantitative RT-PCR analysis of miR-155 expression</span><p id="par0040" class="elsevierStylePara elsevierViewall">After treatment with or without PEG-IFN for 48<span class="elsevierStyleHsp" style=""></span>h&#44; HepG2 cells were collected&#44; and miRNAs were extracted with Trizol reagent &#40;Qiagen&#44; Germany&#41; using a standard method&#46; PrimeScript&#8482; RT Master mix was used to reverse transcribe RNA samples into cDNAs according to the manufacturer&#39;s protocol&#46; qRT-PCR was performed using the miScript SYBR Green PCR Kit &#40;Qiagen&#44; Germany&#41; and an ABI PRISM 7700 cycler &#40;Applied Biosystems&#44; USA&#41;&#46; The amplification reactions were as follows&#58; 95<span class="elsevierStyleHsp" style=""></span>&#176;C for 15<span class="elsevierStyleHsp" style=""></span>min&#44; followed by 40 cycles of 94<span class="elsevierStyleHsp" style=""></span>&#176;C for 15<span class="elsevierStyleHsp" style=""></span>s&#44; 55<span class="elsevierStyleHsp" style=""></span>&#176;C for 30<span class="elsevierStyleHsp" style=""></span>s and 70<span class="elsevierStyleHsp" style=""></span>&#176;C for 30<span class="elsevierStyleHsp" style=""></span>s&#46; The primers used in this study were as follows&#58; miR-155&#44; forward 5&#8242;-CGGTTTAATGCTAATCGTGA-3&#8242; and reverse 5&#8242;-GAGCAGGGTCCGAGGT-3&#8242;&#59; U6&#44; forward 5&#8242;-CTCGCTTCGGCAGCACA-3&#8242; and reverse 5&#8242;-AACGCTTCACGAATTTGCGT-3&#8242;&#46; The relative level of miR-155 was calculated and subsequently converted to a fold change using the 2<span class="elsevierStyleSup">&#8211;&#916;&#916;CT</span> method&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;6</span><span class="elsevierStyleSectionTitle" id="sect0070">Transwell migration assay and Matrigel invasion assay</span><p id="par0045" class="elsevierStylePara elsevierViewall">For Transwell migration assays&#44; the cells were counted&#44; and 2<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">4</span> cells in 500<span class="elsevierStyleHsp" style=""></span>&#956;L of serum-free DMEM containing the indicated concentration of PEG-IFN were seeded into the upper part of each chamber&#44; whereas the lower compartments were filled with DMEM supplemented with 10&#37; foetal bovine serum as a chemo-attractant&#46; For invasion assays&#44; cells were plated in the top chamber on a Matrigel-coated &#40;100<span class="elsevierStyleHsp" style=""></span>&#956;g&#47;cm<span class="elsevierStyleSup">2</span>&#41; Transwell membrane &#40;8-&#956;m pore size&#44; BD Biosciences&#44; USA&#41;&#44; and the remaining procedures were similar to those of the Transwell migration assays&#46; Following an 18<span class="elsevierStyleHsp" style=""></span>h incubation at 37<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; cells on the upper surface of the filter that had not invaded the Matrigel were removed with a cotton swab&#46; The invaded cells on the lower surface of the filter were fixed with formaldehyde &#40;4&#37;&#41; and stained with 0&#46;1&#37; crystal violet in 2&#37; methanol&#46; Invasion was determined by counting the cells in five microscopic fields from each well&#44; and the extent of invasion was expressed as an average number of cells per microscopic field&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;7</span><span class="elsevierStyleSectionTitle" id="sect0075">Western blots</span><p id="par0050" class="elsevierStylePara elsevierViewall">After treatment with or without PEG-IFN for 48<span class="elsevierStyleHsp" style=""></span>h&#44; HepG2 cells were collected&#46; Proteins were extracted in lysis buffer &#40;50<span class="elsevierStyleHsp" style=""></span>mM Na<span class="elsevierStyleInf">2</span>HPO<span class="elsevierStyleInf">4</span>&#44; 50<span class="elsevierStyleHsp" style=""></span>mM NaH<span class="elsevierStyleInf">2</span>PO<span class="elsevierStyleInf">4</span>&#44; 0&#46;2<span class="elsevierStyleHsp" style=""></span>M NaCl&#44; 5<span class="elsevierStyleHsp" style=""></span>mM EDTA&#44; and 1&#37; Triton X-100&#44; pH 6&#46;0&#41;&#46; After a 30-minincubation on ice&#44; the samples were centrifuged &#40;13&#44;000<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">g</span>&#44; 20<span class="elsevierStyleHsp" style=""></span>min&#44; 4<span class="elsevierStyleHsp" style=""></span>&#176;C&#41;&#44; and 2-dithiothreitol &#40;DTT&#41; loading buffer &#40;0&#46;4<span class="elsevierStyleHsp" style=""></span>M Tris&#44; pH 6&#46;8&#59; 4&#37; SDS&#59; 20&#37; glycerol&#59; and 10&#37; DTT&#41; was added to the sample supernatants and incubated for 5<span class="elsevierStyleHsp" style=""></span>min at 95<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; Following electrophoretic separation by SDS-polyacrylamide gel electrophoresis&#44; proteins were electroblotted onto nitrocellulose membranes&#46; The membranes were blocked with NET buffer &#40;150<span class="elsevierStyleHsp" style=""></span>mM NaCl&#59; 5<span class="elsevierStyleHsp" style=""></span>mM EDTA&#44; pH 8&#46;0&#59; 50<span class="elsevierStyleHsp" style=""></span>mM Tris&#47;HCl&#44; pH 7&#46;5&#59; and 0&#46;05&#37; Triton X-100&#41; containing 2&#46;5&#37; gelatine &#40;Merck&#41; for 1 hat room temperature and then incubated with polyclonal antibodies against &#946;-catenin &#40;Santa Cruz&#44; CA&#44; USA&#41;&#44; cyclin D1 &#40;Santa Cruz&#44; CA&#44; USA&#41;&#44; <span class="elsevierStyleItalic">C-myc</span> &#40;Santa Cruz&#44; CA&#44; USA&#41;&#44; and adenomatous polyposis coli &#40;APC&#41; &#40;Santa Cruz&#44; CA&#44; USA&#41; for 1 hat room temperature&#46; Thereafter&#44; the membranes were washed with NET buffer and then incubated with a peroxidase-conjugated antibody at a dilution of 1&#58;20&#44;000&#46; Antibody binding was visualized using a Hydrogen Peroxidase-Chemiluminescence Detection Kit &#40;Frontier Laboratories&#44; Koriya-ma&#44; Japan&#41;&#46; A semiquantitative evaluation of the bands was performed by densitometry&#46; The levels of &#946;-catenin protein were normalized to the levels of the housekeeping protein &#946;-actin&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;8</span><span class="elsevierStyleSectionTitle" id="sect0080">Flow cytometry analysis</span><p id="par0055" class="elsevierStylePara elsevierViewall">The cell cycle was analyzed as previously described&#46; Briefly&#44; aliquots of cells &#40;1<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">6</span>&#41; were pelleted &#40;1300<span class="elsevierStyleHsp" style=""></span>rpm for 5<span class="elsevierStyleHsp" style=""></span>min at 4<span class="elsevierStyleHsp" style=""></span>&#176;C&#41; and washed twice with ice-cold phosphate-buffered saline &#40;PBS&#41;&#46; The cells were then fixed with 70&#37; ethanol overnight at 4<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; washed with PBS and then digested with DNase-free RNase A &#40;10<span class="elsevierStyleHsp" style=""></span>&#956;g&#47;mL&#41; at 37<span class="elsevierStyleHsp" style=""></span>&#176;C for 30<span class="elsevierStyleHsp" style=""></span>min&#46; Prior to FACS analysis&#44; the cells were resuspended in 200<span class="elsevierStyleHsp" style=""></span>&#956;L of propidium iodide &#40;PI&#44; 10<span class="elsevierStyleHsp" style=""></span>&#956;g&#47;mL&#59; Sigma&#44; St Louis&#44; MO&#44; United States&#41; to label the DNA&#46; A BD FACSCalibur &#40;Becton Dickinson&#44; Franklin Lakes&#44; NJ&#44; United States&#41; flow cytometer was used to analyze the cellular DNA contents&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;9</span><span class="elsevierStyleSectionTitle" id="sect0085">Immunofluorescence staining</span><p id="par0060" class="elsevierStylePara elsevierViewall">HepG2 cells cultured in the presence or absence of PEG-IFN &#40;3600<span class="elsevierStyleHsp" style=""></span>ng&#47;mL&#41; were fixed with 4&#37; paraformaldehyde at 37<span class="elsevierStyleHsp" style=""></span>&#176;C for 30<span class="elsevierStyleHsp" style=""></span>min&#46; Permeabilization of the cells was achieved after incubation with PBS containing 0&#46;2&#37; Triton X-100 for 30<span class="elsevierStyleHsp" style=""></span>min at 37<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; The cells were blocked with a buffer containing 1&#37; bovine serum albumin for 1<span class="elsevierStyleHsp" style=""></span>h to minimize nonspecific binding of the antibody&#46; The &#946;-catenin antibody &#40;Santa Cruz&#44; CA&#44; USA&#41; was applied at a 1&#58;25 dilution for 90<span class="elsevierStyleHsp" style=""></span>min at 37<span class="elsevierStyleHsp" style=""></span>&#176;C&#46; As a negative control&#44; PBS was used instead of the primary antibody to exclude nonspecific binding of the secondary antibody&#46; No fluorescent labelling was observed in the negative control&#46; After repeated washes with PBS&#44; cells were incubated with a goat-anti-mouse antibody labelled with fluorescein isothiocyanate &#40;1&#58;10&#41; for an additional 30<span class="elsevierStyleHsp" style=""></span>min&#46; Finally&#44; the cell nuclei were counterstained with DAPI&#46; Images were obtained using a confocal laser scanning microscope&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;10</span><span class="elsevierStyleSectionTitle" id="sect0090">Statistical analysis</span><p id="par0065" class="elsevierStylePara elsevierViewall">All results are reported as the means<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>SD&#46; Measurement data were analyzed using one-way analysis of variances &#40;ANOVA&#44; SPSS 11&#46;5&#41;&#46; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 was considered statistically significant&#46;</p></span></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">3</span><span class="elsevierStyleSectionTitle" id="sect0095">Results</span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">3&#46;1</span><span class="elsevierStyleSectionTitle" id="sect0100">PEG-IFN treatment downregulates miR-155 expression in HepG2 cells</span><p id="par0070" class="elsevierStylePara elsevierViewall">qRT-PCR was used to observe the effects of treatment with different PEG-IFN concentrations on miR-155 expression&#46; As shown in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#44; compared with the control&#44; miR-155 was downregulated in a dose-dependent manner after 48<span class="elsevierStyleHsp" style=""></span>h of treatment with 3&#46;6&#8211;3600<span class="elsevierStyleHsp" style=""></span>ng&#47;mL PEG-IFN&#44; and the lowest expression was observed in cells treated with 3600<span class="elsevierStyleHsp" style=""></span>ng&#47;mL PEG-IFN&#46; Thus&#44; PEG-IFN treatment downregulated miR-155 expression&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">3&#46;2</span><span class="elsevierStyleSectionTitle" id="sect0105">PEG-IFN-mediated inhibition of HepG2 cell proliferation&#44; migration and invasion</span><p id="par0075" class="elsevierStylePara elsevierViewall">We examined whether PEG-IFN suppressed cell growth by using the MTT assay to investigate the effects of PEG-IFN on HepG2 cells&#46; HepG2 cells were treated with different concentrations PEG-IFN &#40;3&#46;6&#8211;3600<span class="elsevierStyleHsp" style=""></span>ng&#47;mL&#41; for 48<span class="elsevierStyleHsp" style=""></span>h&#46; As shown in <a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#44; the PEG-IFN treatment markedly inhibited HepG2 cell proliferation&#46; We next performed a cell cycle analysis using flow cytometry in HepG2 cells that had been treated with PEG-IFN &#40;3600<span class="elsevierStyleHsp" style=""></span>ng&#47;mL&#41; for 48<span class="elsevierStyleHsp" style=""></span>h&#46; PEG-IFN increased the percentage of cells in the G1 subpopulation to 60&#46;79&#37; within 48<span class="elsevierStyleHsp" style=""></span>h&#44; compared to 48&#46;3&#37; of unexposed cells &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>B&#41;&#46; In addition&#44; PEG-IFN decreased the percentage of cells in the S phase subpopulation compared with unexposed cells&#46; Moreover&#44; we tested the effect of PEG-IFN on HepG2 cell migration and invasion by performing Transwell migration and invasion assays&#46; Treatment with various concentrations of PEG-IFN for 48<span class="elsevierStyleHsp" style=""></span>h significantly inhibited the migration of HepG2 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>C&#41;&#46; Similarly&#44; PEG-IFN treatment strongly inhibited the invasion of HepG2 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>D&#41;&#46; Based on these results&#44; PEG-IFN inhibited HepG2 cell growth&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">3&#46;3</span><span class="elsevierStyleSectionTitle" id="sect0110">Upregulation of miR-155 regulates the inhibitory effects of PEG-IFN on HepG2 cell growth</span><p id="par0080" class="elsevierStylePara elsevierViewall">Since PEG-IFN downregulated miR-155 expression and this small RNA is reported to affect the viability of cancer cells&#44; we were interested in determining whether alterations in the expression of miR-155 affected the PEG-IFN-induced inhibition of HepG2 cell growth&#46; To address this question&#44; we overexpressed miR-155 and observed the effects on the activity of PEG-IFN&#46; The expression of miR-155 was significantly elevated in cells transfected with miR-155 mimics&#44; suggesting that miR-155 mimics successfully penetrated the HepG2 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>A&#41;&#46; The transfection of miR-155 mimics reduced the PEG-IFN-mediated inhibition of HepG2 cell proliferation&#44; as evidenced by a significant increase in cell proliferation and a decrease in the population of cells in G1 phase compared to the controls &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>B and C&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">We investigated whether the inhibitory effects of PEG-IFN on HepG2 cell migration and invasion were associated with miR-155 expression and found that mimic-induced miR-155 overexpression reversed the PEG-IFN-induced inhibition of migration and invasion&#44; as revealed by the significant increases in these parameters compared to their values in the controls &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>D and E&#41;&#46; Therefore&#44; the upregulation of miR-155 regulates the inhibitory effects of PEG-IFN on HepG2 cell growth&#46;</p></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">3&#46;4</span><span class="elsevierStyleSectionTitle" id="sect0115">Upregulation of miR-155 regulates the anti-proliferative effect of PEG-IFN through the Wnt&#47;&#946;-catenin pathway</span><p id="par0090" class="elsevierStylePara elsevierViewall">The upregulation of miR-155 promotes hepatocyte proliferation and tumourigenesis by activating Wnt signalling&#44; while PEG-IFN exerts its anti-proliferative effect by inhibiting Wnt signalling&#46; Therefore&#44; this study also investigated whether miR-155 regulates the anti-proliferative effect of PEG-IFN on HepG2 cells through the Wnt&#47;&#946;-catenin pathway&#46; As shown in <a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>A and B&#44; miR-155 upregulation decreased the level of APC protein and increased the activity of the Wnt pathway by increasing the levels of nuclear &#946;-catenin and downstream target genes &#40;cyclin D1 and <span class="elsevierStyleItalic">C-myc</span>&#41;&#44; regardless of any effect of the PEG-IFN treatment&#46; In contrast&#44; the downregulation of miR-155 by PEG-IFN was associated with an increase in APC levels and reduced the activity of the Wnt pathway by decreasing the levels of nuclear &#946;-catenin and downstream target genes &#40;cyclin D1 and <span class="elsevierStyleItalic">C-myc</span>&#41;&#46; Based on these data&#44; the upregulation of miR-155 regulates the inhibitory effects of PEG-IFN on HepG2 cell proliferation through the Wnt&#47;&#946;-catenin signalling pathway&#46;</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">4</span><span class="elsevierStyleSectionTitle" id="sect0120">Discussion</span><p id="par0095" class="elsevierStylePara elsevierViewall">Sustained cell growth and proliferation&#44; which are hallmarks of cancer&#44; are responsible for cancer-related deaths by disrupting the balance of growth promotion and growth limitation&#46; The inhibition of cancer cell proliferation and migration has been confirmed as a core component of tumour therapy <a class="elsevierStyleCrossRef" href="#bib0250">&#91;20&#93;</a>&#46; An understanding of the molecular mechanisms will be crucial for the development of new therapeutic strategies to successfully address this challenge&#46; In our study&#44; PEG-IFN inhibited HepG2 cell proliferation through the Wnt&#47;&#946;-catenin pathway in a mechanism regulated by miR-155&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">We investigated the role of miR-155&#44; a well-established oncomiR&#44; in HCC to identify the novel mechanism underlying the anti-proliferative effects of PEG-IFN <a class="elsevierStyleCrossRef" href="#bib0255">&#91;21&#93;</a>&#46; In our study&#44; miR-155 was expressed in HepG2 cells&#44; and its expression was significantly decreased by PEG-IFN treatment in a dose-dependent manner&#44; reaching the maximum decrease at 48<span class="elsevierStyleHsp" style=""></span>h following treatment with 3600<span class="elsevierStyleHsp" style=""></span>ng&#47;mL PEG-IFN&#46; Furthermore&#44; PEG-IFN exerted potent inhibitory effects on HepG2 cell proliferation&#44; migration and invasion&#44; consistent with previous studies <a class="elsevierStyleCrossRefs" href="#bib0260">&#91;22&#44;23&#93;</a>&#46; However&#44; the precise regulatory mechanisms underlying the PEG-IFN-induced anti-proliferative effects on HepG2 cells and differential miR-155 expression remain unclear&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Notably&#44; miR-155 has been reported to be an important regulator of tumourigenesis&#44; as it is involved in mediating the proliferation and migration of HCC cells&#46; The silencing of miR-155 significantly reduces the proliferation and migration of cancer cells&#44; and conversely&#44; miR-155 overexpression significantly enhances cancer cell proliferation and migration&#44; indicating the importance of miR-155 in tumour growth <a class="elsevierStyleCrossRefs" href="#bib0270">&#91;24&#44;25&#93;</a>&#46; In our present study&#44; the overexpression of miR-155 in HepG2 cells reduced the effects of PEG-IFN on cell proliferation&#44; migration and invasion&#44; suggesting that miR-155 plays crucial roles in the PEG-IFN-induced anti-proliferative effect&#46; Although miR-155 was related to the PEG-IFN-induced anti-proliferative effect&#44; the precise regulatory mechanism has yet to be examined&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Since HCC is a heterogeneous and multi-step disease that is not successfully treated by targeting a single gene of interest&#44; an understanding of the regulatory networks of many molecules will aid in the exploration of effective therapeutic methods <a class="elsevierStyleCrossRef" href="#bib0280">&#91;26&#93;</a>&#46; The Wnt&#47;&#946;-catenin pathway is a signal transduction pathway with important roles in development and tumourigenesis&#46; This pathway affects cell cycle progression by controlling the activation of genes associated with proliferation&#59; therefore&#44; this pathway controls the growth and proliferation of cells <a class="elsevierStyleCrossRefs" href="#bib0285">&#91;27&#44;28&#93;</a>&#46; The tumour suppressor protein APC&#44; a direct functional target of miR-155&#44; was expressed in HepG2 cells and played a central role in regulating cell proliferation by targeting the proto-oncogene &#946;-catenin&#46; APC inhibition may affect downstream molecules in the Wnt&#47;&#946;-catenin pathway&#44; leading to stimulation of the growth&#44; invasion and metastasis of tumours&#46; However&#44; increased APC levels accelerate the nuclear export of &#946;-catenin&#44; which decreases the concentration of nuclear &#946;-catenin and its availability to TCF&#44; leading to the transcriptional repression of Wnt target genes and ultimately the inhibition of cellular proliferation <a class="elsevierStyleCrossRefs" href="#bib0295">&#91;29&#44;30&#93;</a>&#46; In this study&#44; the upregulation of miR-155 significantly decreased APC protein levels and increased the activity of the Wnt pathway in HepG2 cells treated with or without PEG-IFN&#46; In contrast&#44; the downregulation of miR-155 by PEG-IFN was associated with increased APC levels and reduced activity of the Wnt pathway&#46; Therefore&#44; miR-155 upregulation might regulate the inhibitory effects of PEG-IFN on HepG2 cell proliferation through the Wnt&#47;&#946;-catenin signalling pathway&#46; The detailed mechanisms remain unclear&#44; and further clarification is required&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">In conclusion&#44; PEG-IFN reduced the malignancy of HCC cells at least partially by downregulating miR-155&#46; Further studies are needed to validate the clinical relevance of PEG-IFN&#46;</p></span><span id="sec0950" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0950">Abbreviations</span><p id="par0190" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleDefList"><span class="elsevierStyleDefTerm">HCC</span><span class="elsevierStyleDefDescription"><p id="par0970" class="elsevierStylePara elsevierViewall">hepatolcellular carcinoma</p></span><span class="elsevierStyleDefTerm">IFN</span><span class="elsevierStyleDefDescription"><p id="par0975" class="elsevierStylePara elsevierViewall">interferon-&#945;</p></span><span class="elsevierStyleDefTerm">PEG-IFN</span><span class="elsevierStyleDefDescription"><p id="par0980" class="elsevierStylePara elsevierViewall">pegylated interferon-&#945;</p></span><span class="elsevierStyleDefTerm">miR-155</span><span class="elsevierStyleDefDescription"><p id="par0985" class="elsevierStylePara elsevierViewall">microRNA 155</p></span><span class="elsevierStyleDefTerm">qRT-PCR</span><span class="elsevierStyleDefDescription"><p id="par0880" class="elsevierStylePara elsevierViewall">quantitative real-time PCR</p></span><span class="elsevierStyleDefTerm">C-myc</span><span class="elsevierStyleDefDescription"><p id="par0780" class="elsevierStylePara elsevierViewall">v-myc avian myelocytomatosis viral oncogene homolog</p></span><span class="elsevierStyleDefTerm">APC</span><span class="elsevierStyleDefDescription"><p id="par0680" class="elsevierStylePara elsevierViewall">adenomatous polyposis coli</p></span></span></p></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Contributors</span><p id="par0155" class="elsevierStylePara elsevierViewall">Zhang Y&#44; Guan YH designed the research&#59; Zhang Y&#44; Wang L&#44; Xu J&#44; Du JH performed the research&#59; Zhang Y&#44; Li XF analyzed the data&#59; Zhang Y&#44; Li XF wrote the paper&#46;</p></span><span id="sec0100" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Conflict of interest</span><p id="par0160" class="elsevierStylePara elsevierViewall">The authors declare that they have no competing interest&#46;</p></span></span>"
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          "titulo" => "Introduction"
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          "titulo" => "Materials and methods"
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            0 => array:2 [
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              "titulo" => "Cell lines and culture"
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              "titulo" => "Drug treatments"
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              "titulo" => "Quantitative RT-PCR analysis of miR-155 expression"
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              "titulo" => "Transwell migration assay and Matrigel invasion assay"
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              "titulo" => "PEG-IFN treatment downregulates miR-155 expression in HepG2 cells"
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              "titulo" => "PEG-IFN-mediated inhibition of HepG2 cell proliferation&#44; migration and invasion"
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            2 => array:2 [
              "identificador" => "sec0080"
              "titulo" => "Upregulation of miR-155 regulates the inhibitory effects of PEG-IFN on HepG2 cell growth"
            ]
            3 => array:2 [
              "identificador" => "sec0085"
              "titulo" => "Upregulation of miR-155 regulates the anti-proliferative effect of PEG-IFN through the Wnt&#47;&#946;-catenin pathway"
            ]
          ]
        ]
        5 => array:2 [
          "identificador" => "sec0090"
          "titulo" => "Discussion"
        ]
        6 => array:2 [
          "identificador" => "sec0950"
          "titulo" => "Abbreviations"
        ]
        7 => array:2 [
          "identificador" => "sec0095"
          "titulo" => "Contributors"
        ]
        8 => array:2 [
          "identificador" => "sec0100"
          "titulo" => "Conflict of interest"
        ]
        9 => array:2 [
          "identificador" => "xack410021"
          "titulo" => "Acknowledgements"
        ]
        10 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2018-06-21"
    "fechaAceptado" => "2018-11-23"
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1117484"
          "palabras" => array:7 [
            0 => "PEG-IFN"
            1 => "Hepatocellular carcinoma"
            2 => "miR-155"
            3 => "Wnt pathway"
            4 => "Cell proliferation"
            5 => "Migration"
            6 => "Invasion"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:1 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction and aims</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Interferon-&#945; &#40;IFN&#41; has shown potential benefits in patients with hepatocellular carcinoma &#40;HCC&#41;&#44; and these effects may be mediated by inhibiting cancer cell proliferation&#46; However&#44; the detailed mechanisms underlying the anti-proliferative effects of IFN remain obscure&#46; In this study&#44; we evaluate the role of the novel oncogenic microRNA &#40;miRNA&#41; miR-155 in the anti-proliferative effects of pegylated interferon-&#945; &#40;PEG-IFN&#41; on HCC cells&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The effects of PEG-IFN on HepG2 cell proliferation&#44; migration and invasion were determined using the MTT assay&#44; flow cytometry analysis and the Transwell assay&#44; respectively&#46; Reverse transcription quantitative polymerase chain reaction was used to analyze miR-155 expression&#46; The levels of proteins involved in Wnt&#47;&#946;-catenin signal transduction were determined by western blot analysis and immunofluorescence staining&#46; Mimics of miR-155 were transfected into HepG2 cells to assess the role of miR-155 in the PEG-IFN-induced anti-proliferative effect&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">PEG-IFN significantly inhibited the proliferation&#44; migration and invasion of HepG2 cells in a dose-dependent manner by inhibiting cell cycle progression&#46; In parallel with reduced cell proliferation&#44; migration and invasion&#44; miR-155 was efficiently downregulated by PEG-IFN in a dose-dependent manner&#46; Moreover&#44; the transfection of miR-155 decreased the inhibitory effect of PEG-IFN on HepG2cell proliferation&#44; migration and invasion&#44; as well as the downregulation of proteins in the Wnt&#47;&#946;-catenin pathway&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The anti-proliferative effects of PEG-IFN on HCC are at least partially attributable to the downregulation of miR-155&#46;</p></span>"
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          2 => array:2 [
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        "etiqueta" => "Fig&#46; 1"
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          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">miR-155 was down-regulated by PEG-IFN treatment&#46; HepG2 cells were treated with various concentrations &#40;3&#46;6&#44; 36&#44; 360&#44; and 3600<span class="elsevierStyleHsp" style=""></span>ng&#47;ml&#41; of PEG-IFN for 48<span class="elsevierStyleHsp" style=""></span>h&#46; The data represent the means<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>SD derived from three independent experiments&#46; &#40;&#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; &#42;&#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;01&#44; vs&#46; HepG2 cells not given PEG-IFN&#41;&#46;</p>"
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          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">PEG-IFN-mediated inhibition of HepG2 cells proliferation&#44; migration and invasion&#46; &#40;A&#41; HepG2 cells were treated with various concentration of PEG-IFN for 48<span class="elsevierStyleHsp" style=""></span>h&#44; and the cell viability was measured using MTT assay &#40;&#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; &#42;&#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;01&#44; vs&#46; HepG2 cells not given PEG-IFN&#41;&#46; &#40;B&#41; Flow cytometry analysis showed that PEG-IFN induced G1-arrest of HepG2 cells&#46; &#40;C&#41; Exposure to various concentrations of PEG-IFN resulted in dose-dependent migration inhibition of HepG2 cells &#40;&#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; &#42;&#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;01&#44; vs&#46; HepG2 cells not given PEG-IFN&#41;&#46; &#40;D&#41; Exposure to various concentrations of PEG-IFN resulted in dose-dependent migration inhibition of HepG2 cells &#40;&#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; &#42;&#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;01&#44; vs&#46; HepG-2 cells not given PEG-IFN&#41;&#46;</p>"
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          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Upregulation of miR-155 abrogates the inhibitory effects of PEG-IFN on HepG2 cells growth&#46; &#40;A&#41; Transfection of miR-155 mimics significantly increased the expression of miR-155 in HepG2 cells&#46; &#42;&#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;01 indicate significant differences from the control groups B After transfected with miR-155 mimics&#44; the cells were treated with PEG-IFN &#40;3600<span class="elsevierStyleHsp" style=""></span>ng&#47;ml&#41;&#46; miR-155 significantly promoted proliferation in HepG2 cells with or without PEG-IFN treatment&#46; &#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 indicate significant differences from the respective control groups&#46; &#40;C&#41; Flow cytometry analysis showed that miR-155 mimics decreased G0&#47;G1 phase cell population with or without PEG-IFN treatment&#46; &#40;D&#41; miR-155 mimics significantly increased migration ability in HepG2 cells with or without PEG-IFN treatment&#46; &#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 indicate significant differences from the respective control groups&#46; &#40;E&#41; miR-155 mimics significantly increased invasion ability in HepG2 cells with or without PEG-IFN treatment&#46; &#42;<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#44; indicate significant differences from the respective control groups&#46;</p>"
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          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Upregulation of miR-155 regulated PEG-IFN-mediated inhibition of cells proliferation through wnt&#47;&#946;-catenin signaling pathway&#46; &#40;A&#41; After transfected with miR155 mimics&#44; the cells were treated with 3600<span class="elsevierStyleHsp" style=""></span>ng&#47;ml PEG-IFN&#46; miR-155 mimics significantly increased &#946;-catenin&#44; C-myc and Cyclin D1 protein expression and decreased APC protein expression in HepG2 cells with or without PEG-IFN treatment&#46; &#40;B&#41; miR-155 mimics significantly increased &#946;-catenin nuclear accumulation in HepG-2 cells with or without PEG-IFN treatment&#46; &#946;-Catenin signal was shown in red&#46; Nuclei was shown in blue &#40;DAPI&#41;&#46; Scale bars&#58; 50<span class="elsevierStyleHsp" style=""></span>&#956;m&#46;</p>"
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      "titulo" => "References"
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          "identificador" => "bibs0015"
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                      "titulo" => "Effects of interferon therapy on development of hepatocellular carcinoma in patients with hepatitis C-related cirrhosis&#58; a meta-analysis of randomized controlled trials"
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                          ]
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                      "titulo" => "Peginterferon is superior to nu-cleos&#40;t&#41;ide analogues for prevention of hepatocellular carcinoma in chronic hepatitis B"
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                            1 => "J&#46; Akiba"
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                      "titulo" => "Systematic review&#58; impact of interferon-based therapy on HCV-related hepatocellular carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                            0 => "C&#46;S&#46; Hsu"
                            1 => "Y&#46;C&#46; Chao"
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                      "titulo" => "MicroRNAs in cancer&#58; small molecules&#44; big chances"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                            0 => "M&#46; Abba"
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                      "titulo" => "MicroRNA dysregulation incancer&#58; diagnostics&#44; monitoring and therapeutics&#46; A comprehensive review"
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                        0 => array:2 [
                          "etal" => false
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                            0 => "M&#46;V&#46; Iorio"
                            1 => "C&#46;M&#46; Croce"
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Article information
ISSN: 16652681
Original language: English
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