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Original article
Long noncoding RNA LINC01189 is associated with HCV-hepatocellular carcinoma and regulates cancer cell proliferation and chemoresistance through hsa-miR-155-5p
Ying Yaob,1, Fang Shud,1, Fang Wanga, Xiaoqiang Wangc, Zhengshe Guoa, Haili Wanga, Lu Lia, Haigang Lva,
Corresponding author
doctorlhg@aol.com

Corresponding author.
a Anaesthesiology department, Honghui Hospital, Xi’an Jiaotong University, Xi’an, 710054, Shaanxi, China
b Clinical laboratory, Honghui Hospital, Xi’an Jiaotong University, Xi’an, 710054 Shaanxi, China
c Department of Cancer Biology, City of Hope National Medical Center, Duarte, CA, 91010, USA
d Clinical laboratory, Third Hospital of Xi’an, 710000, Shaanxi, China
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          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">LINC01189 attaches to hsa-miR-155-5p&#46; <span class="elsevierStyleBold">&#40;A&#41;</span> Two DNA sequences on wild-type LINC01189 3&#8217;-UTR were predicted to attach to hsa-miR-155-5p&#46; The binding sites were then point-mutated&#46; <span class="elsevierStyleBold">&#40;B&#41;</span> The wild type and mutant LINC01189 3&#8217;-UTRs were used to generate two luciferase reporter vectors&#44; WT&#95;1189 and MU&#95;1189&#46; Then&#44; hsa-miR-155-5p mimics &#40;mimics&#95;miR155&#41; or a non-specific miRNA mimics &#40;mimics&#95;NS&#41; were co-transfected with WT&#95;1189 or MU&#95;1189 in human HEK293T cells&#46; And a dual-luciferase activity assay was conducted 48<span class="elsevierStyleHsp" style=""></span>h later&#46; <span class="elsevierStyleBold">&#40;C&#41;</span> In pc&#95;1189- or pc&#95;NS- transfected Huh7 and Hep3B cells&#44; qRT-PCR was performed to compare hsa-miR-155-5p expressions levels &#40;&#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">1</span><span class="elsevierStyleSectionTitle" id="sect0040">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Hepatocellular carcinoma &#40;HCC&#41; is one of the most commonly diagnosed and most malignant types of liver cancers worldwide&#46; In USA&#44; there are approximately 42&#44;000 newly diagnosed cases of liver cancers and more than 30&#44;000 associated deaths every year &#91;<a class="elsevierStyleCrossRef" href="#bib0005">1</a>&#93;&#46; In China&#44; liver cancer is the fourth-most diagnosed cancer &#40;&#62;390&#44;000 cases &#47; year&#41; and third-most cause of cancer-related mortality &#40;&#62;360&#44;000 cases &#47; year&#41; in both male and female patients &#91;<a class="elsevierStyleCrossRef" href="#bib0010">2</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0015">3</a>&#93;&#46; While various risk factors may be associated with HCC or other liver cancer subtypes&#44; the most common conditions for patients to eventually develop into HCC are hepatitis B virus &#40;HBV&#41; or hepatitis C virus &#40;HCV&#41; infections &#91;<a class="elsevierStyleCrossRef" href="#bib0020">4</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0025">5</a>&#93;&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Long noncoding RNAs &#40;lncRNAs&#41; are families of long &#40;&#62;200 nucleotides&#41; and non-protein-coding transcripts that had been recently shown to exert broad ranges of regulatory roles in various types of human disease &#91;<a class="elsevierStyleCrossRef" href="#bib0030">6</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0035">7</a>&#93;&#46; Specifically&#44; lncRNAs have been demonstrated to be aberrantly expressed&#44; and exert promoting or suppressing functions in many types of human cancers &#91;<a class="elsevierStyleCrossRef" href="#bib0040">8</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0045">9</a>&#93;&#46; Recently&#44; a genomic study conducted by Yang and colleagues showed that there might be more than 1&#44;000 lncRNAs that are recurrently deregulated in HCC &#91;<a class="elsevierStyleCrossRef" href="#bib0050">10</a>&#93;&#46; In addition&#44; prognostic and functional roles of lncRNAs had been revealed in HCC &#91;<a class="elsevierStyleCrossRef" href="#bib0055">11</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0060">12</a>&#93;&#46; Particularly&#44; it has been noticed that lncRNAs may be closely associated with HCV progression and the pathological development of HCC among patients with chronic liver diseases &#91;<a class="elsevierStyleCrossRef" href="#bib0065">13</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0070">14</a>&#93;&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Similar to lncRNAs&#44; microRNAs &#40;miRNAs&#41; are other families of non-protein-coding&#44; but short &#40;&#8764;20 nucleotides&#41; transcripts that are also shown to be aberrantly expressed and playing critical roles in human cancer development &#91;<a class="elsevierStyleCrossRef" href="#bib0075">15</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0080">16</a>&#93;&#46; Moreover&#44; new lines of evidence have demonstrated that lncRNAs could act as competing endogenous RNAs &#40;ceRNAs&#41; of miRNAs&#44; so that the transcriptional regulations of lncRNAs-miRNAs axes could have even more significant impacts on regulating cancer cell oncogenesis&#44; progression&#44; apoptosis and metastasis &#91;<a class="elsevierStyleCrossRef" href="#bib0085">17</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0090">18</a>&#93;&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">In the current work&#44; we examined the expression of a newly identified lncRNA&#44; LINC01189 in HCC and its correlation with HCV-infected HCC&#46; We also ectopically overexpressed LINC01189 in HCC cancer cells to study its functions on HCV-associated HCC proliferation and 5-FU chemoresistance&#46; In addition&#44; we studied the possible ceRNA candidate of LINC01189&#44; hsa-miR-145-5p in HCC&#46; The goal of this work is to further our understanding on the epigenetic regulation of lncRNA in HCC&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2</span><span class="elsevierStyleSectionTitle" id="sect0045">Materials and methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;1</span><span class="elsevierStyleSectionTitle" id="sect0050">HCC human samples</span><p id="par0025" class="elsevierStylePara elsevierViewall">A total of 67-paired hepatocellular carcinoma &#40;HCC&#41; tissues and surrounding non-tumorous tissues were obtained from the participating hospital&#46; Among the HCC tissues&#44; 21 were diagnosed with hepatitis C virus &#40;HCV&#41; infection&#46; Human samples were immediately snap-frozen with liquid nitrogen and then stored at &#8722;75<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; until further processing&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;2</span><span class="elsevierStyleSectionTitle" id="sect0055">HCC cell lines and HCV-infection</span><p id="par0030" class="elsevierStylePara elsevierViewall">HCC cell lines of HeG2&#44; HuH7 and Hep3B were purchased from the American Type Culture Collection &#40;ATCC&#44; USA&#41;&#44; and incubated in GlutaMAX-RPMI 1640 Medium &#40;Thermo Fisher Scientific&#44; USA&#41; supplemented with 10&#37; fetal bovine serum &#40;FBS&#44; Beyotime&#44; China&#41; and 1X Penicillin-Streptomycin &#40;10&#44;000 U&#47;ml&#44; Thermo Fisher Scientific&#44; USA&#41; in a humidified environment at 37<span class="elsevierStyleHsp" style=""></span>&#176;C with 5&#37; CO<span class="elsevierStyleInf">2</span>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">The method of infecting HCC cell line with HCV was described in a previous publication with slight modifications &#91;<a class="elsevierStyleCrossRef" href="#bib0095">19</a>&#93;&#46; Briefly&#44; HepG2 cells were cultured in FBS-free medium and inoculated with human serum collected from HCV-infected patients&#46; After 2<span class="elsevierStyleHsp" style=""></span>hours&#44; HepG2 cells were replenished with FBS-containing medium&#44; supplemented with 4&#37; polyethylene glycol &#40;Beyotime&#44; China&#41; and cultured for another 24<span class="elsevierStyleHsp" style=""></span>hours&#46; QRT-PCR was then performed to examine the infection efficacy of HCV viral RNA&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;3</span><span class="elsevierStyleSectionTitle" id="sect0060">RNA extraction and quantitative real time-PCR</span><p id="par0040" class="elsevierStylePara elsevierViewall">Total RNA was extracted and purified using a PureLink&#8482; Pro 96 total RNA Purification Kit &#40;Thermo Fisher Scientific&#44; USA&#41; according to the manufacturer&#8217;s recommendation&#46; The quality of RNA were verified using a Vairoskan Lux uDrop kit &#40;Thermo Fisher Scientific&#44; USA&#41;&#44; and reverse transcription was performed using a SuperScript&#8482; VILO&#8482; cDNA Synthesis Kit &#40;Invitrogen&#44; USA&#41; according to the manufacturer&#8217;s recommendations&#46; An ABI PRISM&#174; 7000 Sequence Detection System &#40;Applied Biosystems&#44; USA&#41; was used for quantitative real time-PCR &#40;qRT-PCR&#41;&#46; To quantitatively compare HCV viral RNA&#44; the method was described in the previous publication &#91;<a class="elsevierStyleCrossRef" href="#bib0095">19</a>&#93;&#46; To compare lncRNA LINC01189 expression level&#44; a customized TaqMan&#8482; noncoding RNA Assay &#40;Invitrogen&#44; USA&#41; was used&#46; To measure hsa-miR-155-5p expression level&#44; a customized TaqMan&#8482; microRNA Assay &#40;Invitrogen&#44; USA&#41; was used&#46; Finally&#44; the relative expression levels were calculated by the 2<span class="elsevierStyleSup">&#40;&#8722;&#916;&#916;Ct&#41;</span> method&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;4</span><span class="elsevierStyleSectionTitle" id="sect0065">LINC01189 upregulation and downregulation assay</span><p id="par0045" class="elsevierStylePara elsevierViewall">The whole sequence of human LINC01189 was amplified and sub-cloned into the pcDNA&#47;3&#46;4 plasmid &#40;Addgene&#44; USA&#41; to generated a LINC01189 overexpressing vector&#44; pc&#95;1189&#46; An empty pcDNA&#47;3&#46;4 plasmid &#40;Addgene&#44; USA&#41; was used as the non-specific overexpression vector&#44; pc&#95;NS in this study&#46; Alternatively&#44; a siRNA specifically targeting human LINC01189&#44; si&#95;1189 and a non-specific lncRNA siRNA&#44; si&#95;NS&#44; were designed and manufactured by GenePharma &#40;Shanghai GenePharma&#44; Shanghai&#44; China&#41;&#46; In Hu7&#44; Hep3B&#44; and HCV-infected HepG2 &#40;HepG2-HCV&#41; cells&#44; they were transfected with pc&#95;1189&#44; pc&#95;NS&#44; si&#95;1189 and si&#95;NS for 48<span class="elsevierStyleHsp" style=""></span>hours using the Lipofectamine 3000 transfection reagent &#40;Thermo Fisher Scientific&#44; USA&#41;&#46; After that&#44; qRT-PCR was performed to examine the transfection efficacies&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;5</span><span class="elsevierStyleSectionTitle" id="sect0070">Proliferation assay</span><p id="par0050" class="elsevierStylePara elsevierViewall">HCC cell proliferation was measured using a CCK-8 Assay &#40;Dojindo&#44; Japan&#41; according to the manufacturer&#8217;s recommendation&#46; With the application of a highly water-soluble tetrazolium salt&#44; WST-8&#44; this assay produces a water-soluble formazan dye upon reduction in the presence of an electron mediator&#44; thus providing quantitative method to assess proliferating cells in the culture&#46; To do so&#44; HCC cells were cultured in a 96-well plate&#44; with a starting density of 1500 cells &#47;well&#44; for 5 days&#46; Every 24<span class="elsevierStyleHsp" style=""></span>h&#44; CCK-8 reagent &#40;10<span class="elsevierStyleHsp" style=""></span>&#956;L&#41; was mixed into tested wells for 2<span class="elsevierStyleHsp" style=""></span>hours at 37 C&#46; Then&#44; proliferating rates were directly estimated by measuring the optical absorbance at 570<span class="elsevierStyleHsp" style=""></span>nm using a Varioskan Lux microplate reader &#40;Thermo Fisher Scientific&#44; USA&#41; according to the manufacturer&#8217;s recommendation&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;6</span><span class="elsevierStyleSectionTitle" id="sect0075">5-FU chemoresistance assay</span><p id="par0055" class="elsevierStylePara elsevierViewall">The method of examining HCC fluorouracil &#40;5-FU&#41; chemoresistance was described in a previous publication with slight modification &#91;<a class="elsevierStyleCrossRef" href="#bib0100">20</a>&#93;&#46; Briefly&#44; HCC cells were cultured in a 96-well plate&#44; with a starting density of 5&#44;000 cells &#47;well&#46; 5-FU was added into cell culture at concentration &#40;&#956;M&#41; of 0&#44; 2&#44; 5&#44; 10&#44; 20 for 48<span class="elsevierStyleHsp" style=""></span>h&#46; The relative cell viability was then measured using the CCK-8 assay&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;7</span><span class="elsevierStyleSectionTitle" id="sect0080">Dual-luciferase reporter assay</span><p id="par0060" class="elsevierStylePara elsevierViewall">Using online bioinformatics database of StarBase 2&#46;0 &#91;<a class="elsevierStyleCrossRef" href="#bib0105">21</a>&#93;&#44; we identified two DNA sequences on LINC01189 3&#8217;-UTR that might be putative binding sites for human microRNA-155-5p &#40;hsa-miR-155-5p&#41;&#46; We thus constructed two pmiR-RB-REPORT vectors &#40;Shanghai GenePharma&#44; Shanghai&#44; China&#41;&#44; one containing the wild-type &#40;WT&#41; LINC01189 3&#8217;-UTR &#40;WT&#95;1189&#41;&#44; and the other containing a mutant LINC01189 3&#8217;-UTR &#40;MU&#95;1189&#41; to deactivate hsa-miR-155-5p binding&#46; In addition&#44; a synthetic hsa-miR-155-5p mimics &#40;mimics&#95;miR155&#41; and a non-specific human miRNA mimics &#40;mimics-NS&#41; were commercially bought from GenePharma &#40;Shanghai GenePharma&#44; Shanghai&#44; China&#41;&#46; Then&#44; a dual-luciferase reporter assay was conducted using the method described in our previous publication &#91;<a class="elsevierStyleCrossRef" href="#bib0110">22</a>&#93;&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;8</span><span class="elsevierStyleSectionTitle" id="sect0085">Hsa-miR-155-5p overexpression assay</span><p id="par0065" class="elsevierStylePara elsevierViewall">In Huh7 and Hep3B cells which were pre-transfected with pc&#95;1189&#44; they were secondary transfected with mimics&#95;miR155 or mimics-NS using the Lipofectamine 3000 reagent for 48<span class="elsevierStyleHsp" style=""></span>h&#46; QRT-PCR was then performed to examine the overexpression efficacy&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">2&#46;9</span><span class="elsevierStyleSectionTitle" id="sect0090">Statistical analysis</span><p id="par0070" class="elsevierStylePara elsevierViewall">All experiments were performed in at least three independent repeats&#46; The averaged data were presented as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard error of mean &#40;mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>S&#46;E&#46;M&#46;&#41;&#46; One-way analysis of variance &#40;ANOVA&#41; followed by Tukey&#8217;s multiple-comparison tests in a SPSS software &#40;SPSS&#44; version 16&#46;0&#44; USA&#41; was used for all analysis&#46; Significance was set at 0&#46;05 for all statistical tests&#46;</p></span></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">3</span><span class="elsevierStyleSectionTitle" id="sect0095">Results</span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">3&#46;1</span><span class="elsevierStyleSectionTitle" id="sect0100">LINC01189 is lowly expressed in HCV-infected HCC tumors and cell lines</span><p id="par0075" class="elsevierStylePara elsevierViewall">We used qRT-PCR to detect the expression pattern of LINC01189 in HCC tumors and cell lines&#46; It was demonstrated that LINC01189 expression is markedly lower in HCC tumors than in adjacent tissues &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; In addition&#44; LINC01189 expression was even lower in HCC tumors with HCV-infected &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#44; &#42;&#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">Next&#44; HCC cell line of HepG2 was infected with HCV virus&#46; QRT-PCR confirmed that HCV RNA expression was significantly upregulated in HCV-infected HepG2 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span> 0&#46;05&#59; Note&#58; expression level of 100&#37; was based on arbitrary value&#41;&#46; On the other hand&#44; LINC01189 expressed at a much lower level in HCV-infected HepG2 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Thus&#44; these data indicated that LINC01189 downregulation may be closely associated with HCV infection in HCC&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">3&#46;2</span><span class="elsevierStyleSectionTitle" id="sect0105">LINC01189 overexpression inhibited proliferation in HCV-infected HCC cell lines</span><p id="par0090" class="elsevierStylePara elsevierViewall">We either overexpressed or downregulated LINC01189 in HCV-infected HepG2 cells&#46; The result of qRT-PCR showed that&#44; in cells transfected with pc&#95;1189&#44; endogenous LINC01189 expression was much higher than in cells transfected with pc&#95;NS&#44; confirming the overexpression strategy &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; However&#44; LINC01189 expression levels were not different between cells transfected Si&#95;1189 and Si&#95;NS&#44; indicating that LINC01189 was unable to be downregulated in HCV-infected HepG2 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>B&#44; &#916; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; Then&#44; a CKK-8 assay was conducted for 5 consecutive days to compare proliferation between pc&#95;1189- and pc&#95;NS- transfected HCV-HepG2 cells&#46; It showed that LINC01189 overexpression significantly inhibited proliferation in HCV-infected HCC cells&#46; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>C&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">3&#46;3</span><span class="elsevierStyleSectionTitle" id="sect0110">LINC01189 overexpression reduced HCC proliferation and chemoresistance</span><p id="par0095" class="elsevierStylePara elsevierViewall">To further investigate the effects of LINC01189 on HCC development&#44; we either overexpressed or downregulated LINC01189 in two HCC cell lines&#44; Huh7 and Hep3B&#46; In one set of experiments&#44; HCC cells were transfected with either pc&#95;1189 or p&#95;NS&#46; QRT-PCR showed that&#44; in HCC cells transfected with pc&#95;1189&#44; endogenous LINC01189 expression was much higher than in those transfected with pc&#95;NS &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>A&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span> 0&#46;05&#41;&#46; In the other set of experiments&#44; Huh7 and Hep3B were transfect with either si&#95;1189 or si&#95;NS&#46; This time&#44; qRT-PCR did not show significantly difference in endogenous LINC01189 expressions &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>B&#44; &#916; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#44; suggesting that genetic modification was unable to knock down LINC01189 in Huh7 or Hep3B cells&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">Then&#44; pc&#95;1189- or pc&#95;NS- transfected Huh7 and Hep3B were examined by the CKK-8 assay for 5 days&#46; It showed that LINC01189 overexpression markedly reduced proliferation in HCC cells &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>C&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">In addition&#44; pc&#95;1189- or pc&#95;NS- transfected Huh7 and Hep3B were treated by low-to-high concentrations of 5-FU to compare their chemoresistance&#46; The results showed that LINC01189 overexpression also significantly reduced 5-FU chemoresistance in HCC cells &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>D&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">3&#46;4</span><span class="elsevierStyleSectionTitle" id="sect0115">Hsa-miR-155-5p is a downstream ceRNA candidate of LINC01189 in HCC</span><p id="par0110" class="elsevierStylePara elsevierViewall">We then explored the downstream ceRNA candidates of LINC01189&#46; Through bioinformatics research &#40;StarBase 2&#46;0&#41; &#91;<a class="elsevierStyleCrossRef" href="#bib0105">21</a>&#93;&#44; it was noticed that human microRNA-155-5p &#40;hsa-miR-155-5p&#41; may be attached to two complementary DNA sequences in the 3&#8242;-UTR of LINC01189 &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>A&#41;&#46; Based on this information&#44; two luciferase reporters were constructed&#46; One included the wild type LINC01189 3&#8217;-UTR&#44; WT&#95;1189&#46; The other included a mutant LINC01189 3&#8217;-UTR&#44; MU&#95;1189&#44; with hsa-miR-155-5p binding sequences point-mutated&#46; Then&#44; in a dual-luciferase activity assay&#44; it was confirmed that hsa-miR-155-5p is a downstream ceRNA candidate of LINC01189 &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>B&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#59; &#916; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; Moreover&#44; in Huh7 and Hep3B cells transfected with pc&#95;1189&#44; qRT-PCR demonstrated that their endogenous hsa-miR-155-5p expression levels were significantly lower than in HCC cells transfected with pc&#95;NS &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>C&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">3&#46;5</span><span class="elsevierStyleSectionTitle" id="sect0120">Upregulating hsa-miR-155-5p reversed the inhibitory effects of LINC01189 in HCC</span><p id="par0115" class="elsevierStylePara elsevierViewall">Finally&#44; we investigated the functional relationship between hsa-miR-155-5p and LINC01189 in HCC&#46; In Huh7 and Hep3B cells transfected with pc&#95;1189&#44; we double-transfected them with mimics&#95;miR155 to upregulate hsa-miR-155-5p expression&#46; QRT-PCR demonstrated that&#44; as compared to mimics&#95;NS transfection&#44; mimics&#95;miR155 transfection significantly drove up hsa-miR-155-5p expressions in pc&#95;1189-overexpressed HCC cells &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>A&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span> 0&#46;05&#41;&#46;</p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><p id="par0120" class="elsevierStylePara elsevierViewall">Then&#44; double-transfected Huh7 and Hep3B were examined by the CKK-8 assay for 5 days&#46; It showed that upregulating hsa-miR-155-5p markedly promoted proliferation in LINC01189-overexpessed HCC cells &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>C&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">In addition&#44; double-transfected Huh7 and Hep3B were examined by the 5-FU chemoresistance assay&#46; The results showed that upregulating hsa-miR-155-5p significantly increased 5-FU chemoresistance in LINC01189-overexpessed HCC cells &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>D&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span> 0&#46;05&#41;&#46;</p></span></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleLabel">4</span><span class="elsevierStyleSectionTitle" id="sect0125">Discussions</span><p id="par0130" class="elsevierStylePara elsevierViewall">Emerging evidence has demonstrated that&#44; lncRNAs may play critical roles in various aspects of human liver diseases&#44; including chronic HCV infection&#44; fibrosis and HCC &#91;<a class="elsevierStyleCrossRefs" href="#bib0060">12&#8211;14</a>&#44;<a class="elsevierStyleCrossRef" href="#bib0115">23</a>&#93;&#46; In the current study&#44; the main focus was to investigate the expression and functions of a novel lncRNA&#44; LINC01189 in HCC&#46; In a very recent clinical study&#44; it was demonstrated that LINC01189 was aberrantly regulated in peripheral blood mononuclear cells of patients with rheumatoid arthritis&#44; suggesting that LINC01189 may be a potential biomarker for rheumatoid arthritis &#91;<a class="elsevierStyleCrossRef" href="#bib0120">24</a>&#93;&#46; Other than that&#44; the expressing pattern or regulatory effects of LINC01189 in other human diseases have never been elucidated&#44; thus very much highlighting the clinical significance and importance of our study&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Firstly in the current study&#44; we applied quantitative qRT-PCR to measure LINC01189 expression pattern in HCC tumors&#44; as well as HCV-infected HCC tumors and cell lines&#46; We discovered that LINC01189 was predominantly downregulated in HCC&#44; especially in HCV-infected HCC tumors and cell lines&#46; Particularly&#44; we discovered that ectopically overexpressing LINC01189 could functionally regulation proliferation in HCV-infected HCC cancer cells&#46; In an early study&#44; Diaz and colleagues indicated that epigenetic transcripts&#44; miRNAs were closely correlated with HCV-related HCC &#91;<a class="elsevierStyleCrossRef" href="#bib0065">13</a>&#93;&#46; In another study&#44; it was demonstrated that lncRNA of LINC01419 was drastically upregulated in Hepatitis B Virus- and HCV-associated HCCs &#91;<a class="elsevierStyleCrossRef" href="#bib0065">13</a>&#93;&#46; Along with the discovery in our study&#44; it&#8217;s becoming more obvious that epigenetic factors&#44; including miRNAs and lncRNAs&#44; may have profound roles in the development of HCV-related HCC&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">An interesting observation in the current study is that&#44; we were not able to knock down LINC01189 expression in HCC cell lines&#44; either with or without HCV infection&#46; One may suspect that the reason we did not observe LINC01189 downregulation after siRNA transfection was due to technique difficulty&#46; Several lines of evidence argue against it&#46; First&#44; while we manufactured the LINC01189-specific siRNA&#44; we did not use single siRNA&#46; Instead&#44; we mixed four different siRNAs aiming at different targets on LINC01189&#44; which was confirmed by the manufacturer to be able to efficiently knock down &#62;&#8764;85&#37; gene expression of LINC01189 in various types of hosting cells &#40;data not shown&#41;&#46; Second&#44; besides siRNA&#44; we also tried other downregulating strategies&#44; such as lentiviral transfection of short hair-pin RNAs &#40;shRNAs&#41;&#46; However&#44; we discovered a large portion of transfected HCC cells was apoptotic or dead that we could not efficiently maintain them in the culture&#46; Thus&#44; while we could not rule out the possibility that other technique manipulations may achieve the goal of LINC01189 downregulation in HCC cell lines&#44; the possible explanation for the obtained results might be that LINC01189 was already maximally suppressed &#40;or at the minimal level of expression&#41;&#44; that any downregulation approach may not be sustainable to maintain cell health&#46; On the other hand&#44; it is worth-noting that&#44; our strategy of overexpressing LINC01189 was a success&#44; which allowed us to reveal functional roles of LINC01189 in regulating cancer cell development in both HCV-related and HCV-unrelated manners&#44; a novel discovery of biological implication of LINC01189 in human diseases&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Another important finding of our study is that we demonstrated that LINC01189 acted as a ceRNA to regulate downstream target of hsa-miR-155-5p in HCC&#46; Dual-luciferase assay and qRT-PCR assay demonstrated that LINC01189 did attach to hsa-miR-155-5p&#44; and inhibited hsa-miR-155-5p in HCC cells&#46; Moreover&#44; we showed that LINC01189 -mediated inhibition on cancer cell proliferation and 5-FU chemoresistance were reversed by hsa-miR-155-5p upregulation&#44; thus indicating the functional role of epigenetic axis of LINC01189 &#47; hsa-miR-155-5p in regulating HCC development&#46; In previous studies&#44; the prognostic implication and functional roles of hsa-miR-155 in HCC were well-documented &#91;<a class="elsevierStyleCrossRefs" href="#bib0125">25&#8211;27</a>&#93;&#46; However&#44; the current work is the first study to reveal a possible upstream regulatory mechanism of hsa-miR-155-5p&#46; Future works&#44; possibly focusing on the downstream upregulated or downregulated signaling pathways of LINC01189 &#47; hsa-miR-155-5p axis may further broaden our understanding on underlying mechanisms of modulations in HCC&#46;</p></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Ethics statement</span><p id="par0150" class="elsevierStylePara elsevierViewall">In this study&#44; the ethics approval was obtained from the Medical Research and Ethics Committees at the Xi&#8217;an Jiaotong University Medical College Red Cross hospital in Xi&#8217;an&#44; Shaanxi&#44; China&#46; Consent forms were signed by all participating patients&#46; Clinical and experimental procedures were performed according to the guideline of the WMA Declaration of Helsinki &#8212; ethical principles for medical research involving human subjects &#40;<a href="https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/">https&#58;&#47;&#47;www&#46;wma&#46;net&#47;policies-post&#47;wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects&#47;</a>&#41;&#46;</p></span><span id="sec0100" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Conflict of Interest</span><p id="par0155" class="elsevierStylePara elsevierViewall">None&#46;</p></span></span>"
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          "titulo" => "Abstract"
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              "identificador" => "abst0005"
              "titulo" => "Introduction and Objectives"
            ]
            1 => array:2 [
              "identificador" => "abst0010"
              "titulo" => "Patients or Materials and Methods"
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          "titulo" => "Keywords"
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        2 => array:2 [
          "identificador" => "xpalclavsec1403994"
          "titulo" => "Abbreviations"
        ]
        3 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        4 => array:3 [
          "identificador" => "sec0010"
          "titulo" => "Materials and methods"
          "secciones" => array:9 [
            0 => array:2 [
              "identificador" => "sec0015"
              "titulo" => "HCC human samples"
            ]
            1 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "HCC cell lines and HCV-infection"
            ]
            2 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "RNA extraction and quantitative real time-PCR"
            ]
            3 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "LINC01189 upregulation and downregulation assay"
            ]
            4 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Proliferation assay"
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            5 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "5-FU chemoresistance assay"
            ]
            6 => array:2 [
              "identificador" => "sec0045"
              "titulo" => "Dual-luciferase reporter assay"
            ]
            7 => array:2 [
              "identificador" => "sec0050"
              "titulo" => "Hsa-miR-155-5p overexpression assay"
            ]
            8 => array:2 [
              "identificador" => "sec0055"
              "titulo" => "Statistical analysis"
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          ]
        ]
        5 => array:3 [
          "identificador" => "sec0060"
          "titulo" => "Results"
          "secciones" => array:5 [
            0 => array:2 [
              "identificador" => "sec0065"
              "titulo" => "LINC01189 is lowly expressed in HCV-infected HCC tumors and cell lines"
            ]
            1 => array:2 [
              "identificador" => "sec0070"
              "titulo" => "LINC01189 overexpression inhibited proliferation in HCV-infected HCC cell lines"
            ]
            2 => array:2 [
              "identificador" => "sec0075"
              "titulo" => "LINC01189 overexpression reduced HCC proliferation and chemoresistance"
            ]
            3 => array:2 [
              "identificador" => "sec0080"
              "titulo" => "Hsa-miR-155-5p is a downstream ceRNA candidate of LINC01189 in HCC"
            ]
            4 => array:2 [
              "identificador" => "sec0085"
              "titulo" => "Upregulating hsa-miR-155-5p reversed the inhibitory effects of LINC01189 in HCC"
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          ]
        ]
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          "identificador" => "sec0090"
          "titulo" => "Discussions"
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        7 => array:2 [
          "identificador" => "sec0095"
          "titulo" => "Ethics statement"
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          "identificador" => "sec0100"
          "titulo" => "Conflict of Interest"
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        9 => array:2 [
          "identificador" => "xack548174"
          "titulo" => "Acknowledgement"
        ]
        10 => array:1 [
          "titulo" => "References"
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      ]
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    "tienePdf" => true
    "fechaRecibido" => "2020-08-25"
    "fechaAceptado" => "2020-09-22"
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1403993"
          "palabras" => array:5 [
            0 => "HCV"
            1 => "HCC"
            2 => "lncRNA"
            3 => "LINC01189"
            4 => "hsa-miR-155-5p"
          ]
        ]
        1 => array:4 [
          "clase" => "abr"
          "titulo" => "Abbreviations"
          "identificador" => "xpalclavsec1403994"
          "palabras" => array:4 [
            0 => "lncRNA"
            1 => "HCV"
            2 => "HCC"
            3 => "ceRNA"
          ]
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction and Objectives</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Emerging evidence has demonstrated that long noncoding RNAs &#40;lncRNAs&#41; may be closely associated with Hepatitis C virus &#40;HCV&#41; infection and the development of hepatocellular carcinoma &#40;HCC&#41;&#46; In this study&#44; we investigated the expression and functions of a lncRNA&#44; LINC01189&#44; in HCV-associated HCC&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Patients or Materials and Methods</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">LINC01189 expression was measured in HCC tumors&#44; HCV-infected HCC tumors and HCV-infected HCC cells&#46; LINC01189 was overexpressed in HCV-infected HepG2 cells to measure its function on HCV-correlated cancer proliferation&#46; In HCC cell lines of Huh7 and Hep3B&#44; LINC01189 was upregulated to investigate its effects on cancer cell proliferation and 5-FU chemoresistance&#46; The competing endogenous RNA &#40;ceRNA&#41; target of LINC01189&#44; human microRNA-155-5p &#40;hsa-miR-155-5p&#41; was probed by dual-luciferase assay and qRT-PCR&#46; Hsa-miR-155-5p was upregulated in LINC01189-overexpessed Huh7 and Hep3B cells to investigate their epigenetic correlation on HCC development regulation&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">LINC01189 is downregulated in HCV-infected HCC tumors and cell lines&#46; LINC01189 overexpression inhibited HCC cancer cell proliferation and 5-FU chemoresistance&#46; Hsa-miR-155-5p was confirmed to be a ceRNA target of LINC01189 in HCC&#46; Upregulating hsa-miR-155-5p reversed the LINC01189-mediated inhibition on HCC proliferation and 5-FU chemoresistance&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">LINC01189 downregulation is associated with HCV infection in HCC&#44; and it has tumor-suppressing effects on HCC development through hsa-miR-155-5p&#46;</p></span>"
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          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Upregulating LINC01189 suppressed HCC proliferation and chemoresistance&#46; <span class="elsevierStyleBold">&#40;A&#41;</span> HCC cell lines&#44; Huh7 and Hep3B cells&#44; were transfected with a LINC01189 overexpressing vector&#44; pc&#95;1189 or a non-specific overexpression vector&#44; pc&#95;NS&#46; After that&#44; relative LINC01189 expressions were detected by qRT-PCR &#40;&#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; <span class="elsevierStyleBold">&#40;B&#41;</span> Huh7 and Hep3B cells were transfected with a siRNA specifically targeting human LINC01189&#44; si&#95;1189 or a non-specific lncRNA siRNA&#44; si&#95;NS&#46; After that&#44; relative LINC01189 expressions were detected by qRT-PCR &#40;&#916; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; <span class="elsevierStyleBold">&#40;C&#41;</span> CCK-8 assay was conducted to compare proliferation in HCC cells transfected with pc&#95;1189 and those transfected with pc&#95;NS &#40;&#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span> 0&#46;05&#41;&#46; <span class="elsevierStyleBold">&#40;D&#41;</span> For Huh7 and Hep3B cells transfected with either pc&#95;1189 or pc&#95;NS&#44; they were incubated with 5-FU at 0&#44; 2&#44; 5&#44; 10 and 20<span class="elsevierStyleHsp" style=""></span>&#956;M for 24<span class="elsevierStyleHsp" style=""></span>h&#46; After that&#44; chemoresistance was compared using a viability assay &#40;&#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p>"
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          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">LINC01189 attaches to hsa-miR-155-5p&#46; <span class="elsevierStyleBold">&#40;A&#41;</span> Two DNA sequences on wild-type LINC01189 3&#8217;-UTR were predicted to attach to hsa-miR-155-5p&#46; The binding sites were then point-mutated&#46; <span class="elsevierStyleBold">&#40;B&#41;</span> The wild type and mutant LINC01189 3&#8217;-UTRs were used to generate two luciferase reporter vectors&#44; WT&#95;1189 and MU&#95;1189&#46; Then&#44; hsa-miR-155-5p mimics &#40;mimics&#95;miR155&#41; or a non-specific miRNA mimics &#40;mimics&#95;NS&#41; were co-transfected with WT&#95;1189 or MU&#95;1189 in human HEK293T cells&#46; And a dual-luciferase activity assay was conducted 48<span class="elsevierStyleHsp" style=""></span>h later&#46; <span class="elsevierStyleBold">&#40;C&#41;</span> In pc&#95;1189- or pc&#95;NS- transfected Huh7 and Hep3B cells&#44; qRT-PCR was performed to compare hsa-miR-155-5p expressions levels &#40;&#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46;</p>"
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          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">LINC01189 -mediated HCC proliferation and chemoresistance was regulated by hsa-miR-155-5p&#46; <span class="elsevierStyleBold">&#40;A&#41;</span> Pc&#95;1189-transfected Huh7 and Hep3B cells were double-transfected with a hsa-miR-155-5p mimics &#40;mimics&#95;miR155&#41; or a non-specific miRNA mimics &#40;mimics&#95;NS&#41;&#46; QRT-PCR was used to compare endogenous hsa-miR-155-5p expression levels &#40;&#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; <span class="elsevierStyleBold">&#40;B&#41;</span> CCK-8 assay was conducted to compare proliferation in HCC cells transfected with pc&#95;1189 &#47; mimics&#95;miR155 and those transfected with pc&#95;1189 &#47; mimics&#95;NS &#40;&#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#46; <span class="elsevierStyleBold">&#40;C&#41;</span> For double-transfected Huh7 and Hep3B cells&#44; they were incubated with 5-FU at 0&#44; 2&#44; 5&#44; 10 and 20<span class="elsevierStyleHsp" style=""></span>&#956;M for 24<span class="elsevierStyleHsp" style=""></span>h&#46; After that&#44; chemoresistance was compared using a viability assay &#40;&#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span> 0&#46;05&#41;&#46;</p>"
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    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:27 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "&#91;1&#93;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cancer statistics&#44; 2019"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;L&#46; Siegel"
                            1 => "K&#46;D&#46; Miller"
                            2 => "A&#46; Jemal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3322/caac.21551"
                      "Revista" => array:7 [
                        "tituloSerie" => "CA Cancer J Clin"
                        "fecha" => "2019"
                        "volumen" => "69"
                        "numero" => "1"
                        "paginaInicial" => "7"
                        "paginaFinal" => "34"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30620402"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "&#91;2&#93;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Current cancer situation in China&#58; good or bad news from the 2018 Global Cancer Statistics&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;M&#46; Feng"
                            1 => "Y&#46;N&#46; Zong"
                            2 => "S&#46;M&#46; Cao"
                            3 => "R&#46;H&#46; Xu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Cancer Commun &#40;Lond&#41;"
                        "fecha" => "2019"
                        "volumen" => "39"
                        "numero" => "1"
                        "paginaInicial" => "22"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
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