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MicroRNA 
Profiling 
of 
Hepatocellular 
Carcinomas 
in 
B6C3F1 
Mice 
Treated 
with 
Ginkgo 
biloba 
Extract 
by 
gavage 
1Cellular 
& 
Molecular 
Pathology 
Branch, 
NaPonal 
Toxicology 
Program, 
NaPonal 
InsPtute 
of 
Environmental 
Health 
Sciences 
(NIEHS), 
Research 
Triangle 
Park, 
NC, 
United 
States, 
2Taisho 
PharmaceuPcal 
Co. 
Ltd., 
Saitama, 
Japan, 
3Experimental 
Pathology 
Laboratories, 
Research 
Triangle 
Park, 
NC, 
United 
States, 
4BiostaPsPcs 
Branch, 
NIEHS, 
Research 
Triangle 
Park, 
NC, 
United 
States, 
5Molecular 
Genomics 
Core 
Laboratory, 
NIEHS, 
Research 
Triangle 
Park, 
NC, 
United 
States. 
Abstract 
Ginkgo 
biloba 
Yamashita 
H1,2, 
Pandiri 
AR1,3, 
Bhusari 
S1, 
Shockley 
KR4, 
Peddada 
SD4, 
Gerrish 
KE5, 
Rider 
CV1, 
Hoenerhoff 
MJ1, 
Sills 
RC1. 
leaf 
extract 
(GBE) 
has 
been 
used 
for 
centuries 
in 
tradiPonal 
Chinese 
medicine 
and 
today 
is 
used 
as 
an 
herbal 
supplement 
touted 
for 
improving 
neural 
funcPon 
and 
for 
its 
anPoxidant 
and 
anPcancer 
effects. 
Exposure 
of 
B6C3F1 
mice 
to 
GBE 
in 
the 
2-­‐year 
NaPonal 
Toxicology 
Program 
(NTP) 
bioassay 
resulted 
in 
a 
dose-­‐dependent 
increase 
in 
hepatocellular 
carcinomas 
(HCC). 
We 
have 
previously 
reported 
increased 
and 
alteraPons 
in 
Wnt/Ctnnb1 
signaling 
in 
GBE-­‐induced 
HCC 
compared 
to 
spontaneous 
HCC 
in 
vehicle 
controls. 
MicroRNAs 
(miRNAs) 
are 
small 
non-­‐ 
coding 
RNAs 
that 
are 
ogen 
dysregulated 
in 
various 
diseases 
including 
cancer. 
To 
idenPfy 
key 
miRNAs 
that 
modulate 
GBE-­‐induced 
hepatocarcinogenesis, 
we 
examined 
global 
miRNA 
expression 
using 
Affymetrix 
GeneChip® 
miRNA 
3.0 
arrays 
and 
two 
pairwise 
analyses 
(n=5/group) 
comparing 
GBE-­‐induced 
HCCs 
and 
spontaneous 
HCCs 
with 
vehicle 
control 
age-­‐matched 
normal 
livers 
from 
B6C3F1 
mice. 
Using 
a 
false 
discovery 
rate 
threshold 
of 
5%, 
we 
observed 
16 
and 
3 
unique 
differenPally 
expressed 
miRNAs 
in 
GBE-­‐induced 
HCC 
and 
spontaneous 
HCC, 
respecPvely. 
Ingenuity 
Pathway 
Analysis 
of 
the 
miRNA 
and 
mRNA 
array 
data 
from 
these 
tumors 
demonstrated 
altered 
molecular 
pathways 
associated 
with 
hepatocarcinogenesis, 
cell 
cycle 
progression, 
cell 
migraPon 
and 
cell 
proliferaPon. 
AddiPonally, 
miRs-­‐31, 
145, 
329 
and 
433-­‐3p, 
which 
were 
uniquely 
expressed 
in 
GBE-­‐induced 
HCC, 
are 
known 
or 
predicted 
to 
regulate 
Wnt/Ctnnb1 
signaling. 
In 
the 
miRNA 
expression 
analysis 
in 
livers 
from 
the 
90-­‐day 
GBE 
mouse 
study, 
miRs-­‐411, 
300, 
127 
and 
134 
were 
upregulated 
more 
than 
double 
in 
GBE-­‐treated 
group 
compared 
to 
vehicle 
control 
group, 
indicaPng 
that 
these 
miRNAs 
could 
serve 
as 
potenPal 
biomarkers 
for 
GBE 
exposure 
or 
hepatocellular 
carcinogenesis. 
It 
has 
become 
increasingly 
apparent 
that 
epigenePc 
mechanisms 
are 
at 
play 
in 
the 
mechanisms 
of 
carcinogenesis. 
MicroRNAs 
(miRNAs) 
have 
been 
idenPfied 
as 
a 
new 
layer 
of 
gene 
regulatory 
mechanisms 
(Lujambio 
and 
Lowe, 
2012). 
The 
importance 
of 
miRNAs 
in 
cancer 
is 
highlighted 
by 
the 
observaPon 
that 
half 
of 
the 
known 
aberrant 
expressions 
of 
miRNAs 
are 
located 
in 
cancer 
associated 
genomic 
regions 
(Wiklund 
et 
al., 
2010). 
On 
the 
relaPonship 
between 
miRNAs 
and 
hepatocellular 
carcinoma 
(HCC) 
in 
humans, 
several 
studies 
have 
detected 
the 
aberrant 
expression 
of 
specific 
miRNAs 
in 
malignant 
HCC, 
compared 
to 
normal 
hepatocyte 
(Masaki, 
2009). 
There 
is 
widespread 
and 
unregulated 
use 
of 
GBE 
as 
a 
dietary 
supplement 
by 
the 
American 
public, 
and 
thus 
is 
a 
significant 
public 
health 
concern. 
NTP’s 
Ginkgo 
biloba 
leaf 
extract 
(GBE) 
bioassay 
has 
indicated 
that 
chronic 
GBE 
exposure 
to 
B6C3F1 
mouse 
resulted 
in 
a 
dose 
dependent 
increase 
in 
hepatocarcinogenicity. 
Recent 
transcriptomic 
studies 
on 
GBE-­‐induced 
HCC 
indicated 
dysregulated 
cancer 
gene 
expression. 
In 
AddiPon, 
increased 
Ctnnb1 
mutaPons 
and 
alteraPons 
in 
Wnt/Ctnnb1 
signaling 
were 
demonstrated 
in 
GBE-­‐induced 
HCC 
compared 
to 
spontaneous 
HCC 
(Hoenerhoff 
et 
al., 
2013). 
Determining 
the 
mechanisms 
of 
GBE-­‐induced 
hepatocarcinogenicity 
in 
rodents 
may 
aid 
in 
assessing 
the 
health 
risks 
of 
human 
exposure. 
We 
hypothesize 
that 
genePc 
and 
epigenePc 
pathways 
dysregulated 
in 
GBE-­‐induced 
mouse 
HCC 
may 
reflect 
key 
pathways 
altered 
in 
human 
HCC. 
The 
objecPve 
of 
this 
study 
is 
to 
characterize 
the 
pamern 
of 
dysregulated 
miRNAs 
occurring 
in 
spontaneous 
and 
GBE-­‐induced 
HCC 
and 
compare 
it 
to 
the 
corresponding 
mRNA 
alteraPons 
in 
HCC. 
Tissue 
collec*on 
and 
miRNA 
extrac*on 
for 
miRNA 
array: 
Ctnnb1 
mutaPons 
Frozen 
samples 
from 
GBE-­‐induced 
HCCs, 
spontaneous 
HCCs 
and 
vehicle 
control 
age-­‐matched 
normal 
livers 
from 
B6C3F1 
mice 
from 
the 
2-­‐year 
NTP 
bioassay 
were 
used 
for 
miRNA 
array 
analysis 
(n=5/group). 
miRNA 
extracPon 
was 
performed 
using 
mirVana 
miRNA 
IsolaPon 
Kit 
(Life 
technologies, 
Carlsbad, 
CA) 
and 
RNA 
integrity 
was 
measured 
with 
Bioanalyzer 
(Agilent 
Technologies, 
Santa 
Clara, 
CA). 
miRNA 
array 
hybridiza*on 
& 
data 
analysis: 
miRNA 
expression 
analysis 
was 
conducted 
using 
Affymetrix 
GeneChip® 
miRNA 
3.0 
Array 
(Affymetrix, 
Santa 
Clara, 
CA) 
following 
manufacturer’s 
direcPons. 
miRNA 
expression 
data 
were 
normalized 
across 
all 
samples 
using 
the 
robust 
mulParray 
analysis 
(RMA) 
(Guo 
et 
al., 
2010). 
RMA-­‐normalized 
data 
were 
used 
for 
idenPfying 
differenPally 
expressed 
miRNAs 
using 
two 
pairwise 
analyses 
comparing 
GBE-­‐ 
induced 
HCCs 
and 
spontaneous 
HCCs 
with 
vehicle 
control 
age-­‐matched 
normal 
livers 
from 
B6C3F1 
mice. 
Using 
Ingenuity 
Pathway 
Analysis 
(IPA), 
we 
have 
analyzed 
the 
differenPally 
expressed 
miRNAs 
together 
with 
the 
corresponding 
transcriptomic 
data 
that 
we 
have 
previously 
obtained 
from 
these 
samples 
(Hoenerhoff 
et 
al., 
2013). 
miRNA 
array 
data 
valida*on: 
QuanPtaPve 
RT-­‐PCR 
(QRT-­‐PCR) 
was 
used 
to 
validate 
miRNA 
array 
results. 
QRT-­‐PCR 
was 
performed 
using 
TaqMan® 
MicroRNA 
Assay 
(Life 
technologies, 
Carlsbad, 
CA) 
on 
ABI 
PRISM 
7900HT 
Sequence 
DetecPon 
System 
(Applied 
Biosystems, 
Foster 
City, 
CA). 
snoRNA202 
was 
used 
as 
the 
endogenous 
control 
for 
normalizaPon 
of 
miRNA 
levels. 
miRNA 
expression 
analysis 
in 
livers 
from 
90-­‐day 
GBE 
mouse 
study: 
miRNA 
was 
isolated 
and 
extracted 
from 
two 
20 
μm 
secPons 
of 
formalin-­‐fixed, 
paraffin-­‐embedded 
(FFPE) 
livers 
from 
control 
mice 
and 
from 
mice 
treated 
with 
2000 
mg/kg 
GBE 
for 
90 
days 
(n=6/group) 
with 
RecoverAll™ 
Total 
Nucleic 
Acid 
IsolaPon 
Kit 
for 
FFPE 
(Life 
technologies, 
Carlsbad, 
CA). 
QRT-­‐PCR 
was 
performed 
as 
described 
above. 
In 
the 
NTP 
2-­‐year 
mouse 
GBE 
bioassay, 
there 
was 
a 
dose 
dependent 
increase 
in 
HCC 
(NTP 
TR 
578, 
Table 
1). 
Using 
the 
Affymetrix 
GeneChip® 
miRNA 
3.0 
Array 
plaoorm, 
when 
compared 
to 
normal 
livers, 
there 
were 
3 
and 
16 
unique 
differenPally 
expressed 
mouse 
miRNAs 
in 
spontaneous 
HCC 
and 
GBE-­‐induced 
HCC, 
respecPvely, 
at 
FDR 
≤ 
0.05 
(Figure 
1 
and 
2, 
Table 
2). 
Analyzing 
miRNA 
and 
the 
corresponding 
mRNA 
array 
data 
in 
IPA, 
we 
have 
found 
several 
differenPally 
altered 
molecular 
pathways 
associated 
with 
HCC 
development 
in 
both 
GBE-­‐ 
induced 
HCCs 
and 
spontaneous 
HCCs 
(Tables 
3, 
4, 
and 
5). 
Therefore, 
these 
data 
show 
that 
GBE-­‐induced 
HCCs 
are 
disPnguishable 
from 
spontaneous 
HCC 
in 
terms 
of 
their 
miRNA 
expression 
profile. 
We 
have 
previously 
reported 
increased 
Ctnnb1 
mutaPons 
and 
alteraPons 
in 
Wnt/Ctnnb1 
signaling 
in 
GBE-­‐induced 
HCC 
compared 
to 
spontaneous 
HCC 
in 
vehicle 
controls. 
In 
addiPon, 
in 
GBE-­‐induced 
HCC, 
there 
was 
cytoplasmic 
accumulaPon 
of 
CTNNB1 
and 
loss 
of 
normal 
CDH1 
membrane 
immunoreacPvity, 
with 
accumulaPon 
of 
the 
protein 
in 
the 
cytoplasm 
that 
suggests 
disrupPon 
of 
CTNNB1/CDH1 
complexes 
within 
adherens 
juncPons, 
which 
is 
associated 
with 
a 
more 
malignant 
phenotype 
(Hoenerhoff 
et 
al., 
2013). 
In 
this 
study, 
we 
found 
4 
miRNAs 
that 
were 
uniquely 
expressed 
in 
GBE-­‐ 
induced 
HCC 
and 
known 
or 
predicted 
to 
regulate 
Wnt/Ctnnb1 
signaling 
(Table 
5). 
One 
of 
them, 
miR-­‐31 
was 
strongly 
downregulated 
(83-­‐fold 
by 
QRT-­‐PCR) 
in 
GBE-­‐induced 
HCC 
with 
no 
change 
in 
spontaneous 
HCC 
compared 
to 
normal 
livers 
and 
predicted 
to 
regulate 
Cdk1, 
which 
was 
upregurated 
in 
GBE 
induced 
HCC. 
CDK1 
plays 
a 
key 
role 
in 
cell 
cycle 
regulaPon 
and 
increases 
Src 
kinase 
acPvity 
(Roskoski, 
2005). 
PhosphorylaPon 
by 
Src 
kinase 
disrupts 
binding 
of 
CTNNB1/CDH1 
and 
results 
in 
loss 
of 
the 
complexes 
from 
the 
cell 
surface 
(Nelson 
and 
Nusse, 
2004). 
Therefore, 
miR-­‐31 
seems 
to 
indirectly 
modulate 
Wnt/Ctnnb1 
signaling 
in 
GBE-­‐induced 
HCC. 
However, 
further 
studies 
are 
needed 
to 
evaluate 
the 
effect 
of 
miR-­‐31 
on 
Wnt/Ctnnb1 
signaling. 
In 
order 
to 
determine 
if 
there 
are 
any 
miRNAs 
that 
could 
potenPally 
serve 
as 
a 
biomarker 
for 
GBE 
exposure 
and/or 
early 
biomarkers 
of 
hepatocellular 
carcinogenesis, 
we 
have 
also 
analyzed 
the 
miRNA 
expression 
in 
livers 
from 
the 
90-­‐day 
GBE 
mouse 
study. 
The 
expression 
of 
miRs-­‐411, 
300, 
127 
and 
134 
more 
than 
doubled 
in 
GBE-­‐treated 
group 
compared 
to 
vehicle 
control 
group 
(Figure 
3). 
In 
the 
90-­‐day 
GBE 
study, 
although 
hepatocellular 
hypertrophy 
and 
focal 
necrosis 
were 
found 
in 
the 
livers, 
there 
were 
no 
preneoplasPc 
hepaPc 
foci 
(NTP 
TR 
578, 
Table 
1). 
Since 
these 
miRNAs 
were 
uniquely 
expressed 
in 
livers 
from 
90-­‐day 
exposures 
and 
in 
HCCs 
from 
GBE 
exposure 
or 
arising 
spontaneously, 
they 
could 
serve 
as 
potenPal 
biomarkers 
for 
GBE 
exposure 
or 
hepatocellular 
carcinogenesis. 
These 
results 
suggest 
that 
these 
miRNAs 
might 
be 
useful 
as 
biomarkers 
of 
exposure 
and 
apical 
endpoints. 
However, 
further 
validaPons 
in 
prospecPve 
studies 
are 
necessary 
in 
order 
to 
validate 
these 
findings. 
In 
addiPon, 
although 
this 
QRT-­‐PCR 
analysis 
was 
performed 
using 
miRNA 
extracted 
from 
secPons 
of 
FFPE 
livers, 
all 
the 
miRNAs 
analyzed 
were 
amplified 
with 
relaPve 
ease, 
indicaPng 
that 
archival 
FFPE 
Pssues 
can 
be 
leveraged 
for 
miRNA-­‐based 
biomarker 
idenPficaPon. 
Introduc.on 
Materials 
and 
Methods 
Result 
Results 
and 
Discussion 
Table 
1 
Table 
1. 
Incidences 
of 
select 
hepaPc 
lesions 
in 
B6C3F1 
mice 
treated 
with 
Ginkgo 
biloba 
leaf 
extract 
(GBE) 
by 
gavage 
in 
subchronic 
(90-­‐day) 
and 
chronic 
(2-­‐year) 
NaPonal 
Toxicology 
Program 
studies 
(NTP 
TR 
578). 
Figure 
1 
Figure 
1. 
Normal 
liver 
Spontaneous 
HCC 
(A) 
Principal 
component 
analysis 
(PCA) 
of 
global 
miRNA 
expression 
profiles 
demonstrated 
nearly 
disPnct 
clustering 
of 
normal 
liver 
(blue), 
spontaneous 
HCC 
(green) 
and 
GBE-­‐induced 
HCC 
(red) 
samples. 
(B) 
Using 
a 
false 
discovery 
rate 
threshold 
of 
5%, 
3 
and 
16 
unique 
mouse 
miRNAs 
were 
differenPally 
expressed 
in 
spontaneous 
HCC 
and 
GBE-­‐induced 
HCC, 
respecPvely. 
The 
number 
in 
the 
parenthesis 
indicates 
the 
number 
of 
differenPally 
expressed 
miRNAs 
from 
other 
species 
besides 
mice. 
Conclusions 
• GBE-­‐induced 
mouse 
HCCs 
are 
markedly 
different 
from 
spontaneous 
HCCs 
in 
terms 
of 
their 
global 
miRNA 
expression 
profile. 
• The 
miRNA 
and 
mRNA 
array 
data 
from 
these 
tumors 
demonstrated 
altered 
molecular 
pathways 
associated 
with 
hepatocellular 
carcinogenesis. 
• miRs-­‐31, 
145, 
329 
and 
433 
that 
were 
uniquely 
expressed 
in 
GBE-­‐induced 
HCC 
are 
known 
or 
predicted 
to 
regulate 
Wnt/Ctnnb1 
signaling. 
• miRs-­‐411, 
300, 
127 
and 
134 
were 
upregulated 
in 
the 
livers 
from 
GBE-­‐ 
treated 
group 
compared 
to 
vehicle 
control 
group 
from 
90-­‐day 
GBE 
mouse 
study 
and 
these 
miRNAs 
could 
serve 
as 
potenPal 
biomarkers 
for 
GBE 
exposure 
or 
hepatocellular 
carcinogenesis. 
References 
Acknowledgements 
We 
would 
like 
to 
thank 
DNTP 
and 
DIR, 
NIEHS 
for 
funding 
this 
project. 
We 
would 
also 
like 
to 
thank 
the 
NIEHS 
Microarray 
core 
and 
the 
Histology 
core 
Laboratory 
in 
the 
Cellular 
and 
Molecular 
Pathology 
Branch 
for 
their 
technical 
assistance 
on 
this 
project. 
Table 
2 
Table 
2. 
DifferenPally 
expressed 
miRNAs 
and 
their 
target 
genes 
in 
spontaneous 
and 
GBE-­‐induced 
HCC 
compared 
to 
age-­‐matched 
normal 
livers. 
Table 
3 
ê: 
Known 
to 
decrease 
the 
diseases 
or 
funcPon 
and 
is 
down-­‐regulated 
in 
the 
dataset. 
é: 
Known 
to 
increase 
the 
diseases 
or 
funcPon 
and 
is 
up-­‐regulated 
in 
the 
dataset. 
êé: 
Literature 
indicates 
this 
gene 
is 
involved 
in 
the 
diseases 
or 
funcPon 
but 
does 
not 
indicate 
whether 
it 
increases 
or 
decreases 
it. 
And 
the 
gene 
is 
down-­‐ 
or 
up-­‐regulated 
in 
the 
dataset. 
#1 
Target 
genes 
that 
showed 
relaPonship 
with 
the 
respecPve 
miRNA 
in 
IPA 
analysis 
(experimentally 
observed 
or 
predicted) 
and 
down-­‐ 
or 
up-­‐regulated 
in 
GBE-­‐induced 
HCC 
microarray 
analysis. 
Table 
3. 
RepresentaPve 
altered 
miRNA-­‐mRNA 
interacPons 
and 
molecular 
pathways. 
Ingenuity 
Pathway 
Analysis 
of 
target 
mRNAs 
of 
differenPally 
altered 
miRNAs 
in 
spontaneous 
and 
GBE-­‐induced 
HCC 
demonstrated 
dysregulated 
molecular 
pathways 
associated 
with 
hepatocarcinogenesis, 
cell 
cycle 
progression, 
cell 
migraPon 
and 
cell 
proliferaPon. 
Table 
4. 
DifferenPally 
altered 
miRNAs 
from 
other 
species 
that 
are 
staPsPcally 
significant 
(but 
not 
in 
mice) 
and 
that 
play 
a 
role 
in 
human 
hepatocellular 
carcinogenesis. 
These 
miRNA 
sequences 
are 
typically 
conserved 
across 
species 
and 
are 
likely 
to 
be 
relevant 
even 
in 
mouse 
hepatocellular 
carcinogenesis. 
Table 
5 
Table 
5. 
miRs-­‐329, 
31, 
145 
and 
433-­‐3p, 
which 
were 
uniquely 
expressed 
in 
GBE-­‐induced 
HCC, 
are 
known 
or 
predicted 
to 
regulate 
Wnt/Ctnnb1 
signaling. 
Figure 
2 
Figure 
2. 
QuanPtaPve 
RT-­‐PCR 
validaPon 
of 
miRNA 
array 
expression 
changes 
observed 
in 
spontaneous 
HCC 
and 
GBE-­‐induced 
HCC 
normalized 
to 
normal 
livers. 
Figure 
3. 
QuanPtaPve 
RT-­‐PCR 
of 
miRNAs 
in 
livers 
from 
B6C3F1 
mice 
treated 
with 
2000 
mg/kg 
GBE 
for 
90 
days. 
The 
miRNA 
expression 
in 
GBE 
livers 
was 
normalized 
to 
normal 
livers. 
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A, 
Lowe 
SW. 
2012. 
The 
microcosmos 
of 
cancer. 
482(7385):347-­‐55. 
2. Wiklund 
ED, 
Kjems 
J, 
Clark 
SJ. 
2010. 
EpigenePc 
architecture 
and 
miRNA: 
reciprocal 
regulators. 
Epigenomics. 
2(6):823-­‐40. 
3. Masaki 
T. 
2009. 
MicroRNA 
and 
hepatocellular 
carcinoma. 
Hepatol 
Res. 
39(8):751-­‐2. 
4. Hoenerhoff 
MJ, 
Pandiri 
AR, 
Snyder 
SA, 
et 
al. 
2013. 
Hepatocellular 
carcinomas 
in 
B6C3F1 
mice 
treated 
with 
Ginkgo 
biloba 
extract 
for 
two 
years 
differ 
from 
spontaneous 
liver 
tumors 
in 
cancer 
gene 
mutaPons 
and 
genomic 
pathways. 
Toxicol 
Pathol. 
41(6):826-­‐41. 
5. Guo 
W, 
Sarkar 
SK, 
Peddada 
SD. 
2010. 
Controlling 
false 
discoveries 
in 
mulPdimensional 
direcPonal 
decisions, 
with 
applicaPons 
to 
gene 
expression 
data 
on 
ordered 
categories. 
Biometrics. 
66(2):485-­‐92. 
6. NTP 
TR 
578. 
2013. 
NTP 
technical 
report 
on 
the 
toxicology 
and 
carcinogenesis 
studies 
of 
Ginkgo 
Biloba 
Extract 
(CAS 
NO. 
90045-­‐36-­‐6) 
in 
F344/N 
rats 
and 
B6C3F1/N 
mice 
(Gavage 
studies) 
7. Li 
J, 
Fu 
H, 
Xu 
C, 
et 
al. 
2010. 
miR-­‐183 
inhibits 
TGF-­‐beta1-­‐induced 
apoptosis 
by 
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in 
human 
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Cancer. 
10:354. 
8. Ura 
S, 
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M, 
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T, 
et 
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B 
and 
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C 
leading 
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progression 
to 
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49(4):1098-­‐112. 
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X, 
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Y, 
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C, 
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TT, 
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oncogenic 
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2011. 
140(5):1618-­‐28. 
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PT, 
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AK, 
Chan 
AW, 
et 
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2012. 
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33(6):1134-­‐41. 
12. Sachdeva 
M, 
Mo 
YY. 
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MicroRNA-­‐145 
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2011. 
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R 
Jr. 
2005. 
Src 
kinase 
regulaPon 
by 
phosphorylaPon 
and 
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Biophys 
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15. Nelson 
WJ, 
Nusse 
R. 
2004. 
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of 
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beta-­‐catenin, 
and 
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303(5663):1483-­‐7. 
(B) 
a 
10 
male 
and 
female 
B6C3F1 
mice 
were 
exposed 
to 
0, 
125, 
250, 
500, 
1,000, 
and 
2,000 
mg/kg 
GBE 
by 
gavage, 
once 
daily, 
5 
days 
per 
week 
for 
90 
days. 
b 
Severity 
grade 
based 
on 
0–4 
grading 
scale 
(0 
= 
no 
significant 
lesion, 
1 
= 
minimal, 
2 
= 
mild, 
3 
= 
moderate, 
4 
= 
severe). 
c 
50 
male 
and 
female 
B6C3F1 
mice 
were 
exposed 
to 
0, 
200, 
600, 
and 
2,000mg/kg 
GBE 
by 
gavage, 
once 
daily, 
5 
days 
per 
week 
for 
two 
years. 
d 
StaPsPcal 
analysis 
not 
available 
for 
metastaPc 
lesions. 
Significantly 
different 
from 
controls 
*p 
< 
.05, 
**p 
< 
.01 
by 
the 
poly-­‐3 
test. 
#1 
Target 
genes 
that 
showed 
relaPonship 
with 
the 
respecPve 
miRNA 
in 
IPA 
analysis 
(experimentally 
observed 
or 
predicted) 
and 
down-­‐ 
or 
up-­‐regulated 
in 
GBE-­‐induced 
HCC 
microarray 
analysis. 
#2 
No 
informaPon 
on 
the 
target 
genes 
was 
found 
in 
IPA 
knowledge 
base 
on 
these 
miRNAs. 
Figure 
3 
Table 
4 
(A) 
GBE-­‐induced 
HCC

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MicroRNA Profiling of Hepatocellular Carcinomas in B6C3F1 Mice Treated with Ginkgo biloba Extract by Gavage for 2 Years

  • 1. MicroRNA Profiling of Hepatocellular Carcinomas in B6C3F1 Mice Treated with Ginkgo biloba Extract by gavage 1Cellular & Molecular Pathology Branch, NaPonal Toxicology Program, NaPonal InsPtute of Environmental Health Sciences (NIEHS), Research Triangle Park, NC, United States, 2Taisho PharmaceuPcal Co. Ltd., Saitama, Japan, 3Experimental Pathology Laboratories, Research Triangle Park, NC, United States, 4BiostaPsPcs Branch, NIEHS, Research Triangle Park, NC, United States, 5Molecular Genomics Core Laboratory, NIEHS, Research Triangle Park, NC, United States. Abstract Ginkgo biloba Yamashita H1,2, Pandiri AR1,3, Bhusari S1, Shockley KR4, Peddada SD4, Gerrish KE5, Rider CV1, Hoenerhoff MJ1, Sills RC1. leaf extract (GBE) has been used for centuries in tradiPonal Chinese medicine and today is used as an herbal supplement touted for improving neural funcPon and for its anPoxidant and anPcancer effects. Exposure of B6C3F1 mice to GBE in the 2-­‐year NaPonal Toxicology Program (NTP) bioassay resulted in a dose-­‐dependent increase in hepatocellular carcinomas (HCC). We have previously reported increased and alteraPons in Wnt/Ctnnb1 signaling in GBE-­‐induced HCC compared to spontaneous HCC in vehicle controls. MicroRNAs (miRNAs) are small non-­‐ coding RNAs that are ogen dysregulated in various diseases including cancer. To idenPfy key miRNAs that modulate GBE-­‐induced hepatocarcinogenesis, we examined global miRNA expression using Affymetrix GeneChip® miRNA 3.0 arrays and two pairwise analyses (n=5/group) comparing GBE-­‐induced HCCs and spontaneous HCCs with vehicle control age-­‐matched normal livers from B6C3F1 mice. Using a false discovery rate threshold of 5%, we observed 16 and 3 unique differenPally expressed miRNAs in GBE-­‐induced HCC and spontaneous HCC, respecPvely. Ingenuity Pathway Analysis of the miRNA and mRNA array data from these tumors demonstrated altered molecular pathways associated with hepatocarcinogenesis, cell cycle progression, cell migraPon and cell proliferaPon. AddiPonally, miRs-­‐31, 145, 329 and 433-­‐3p, which were uniquely expressed in GBE-­‐induced HCC, are known or predicted to regulate Wnt/Ctnnb1 signaling. In the miRNA expression analysis in livers from the 90-­‐day GBE mouse study, miRs-­‐411, 300, 127 and 134 were upregulated more than double in GBE-­‐treated group compared to vehicle control group, indicaPng that these miRNAs could serve as potenPal biomarkers for GBE exposure or hepatocellular carcinogenesis. It has become increasingly apparent that epigenePc mechanisms are at play in the mechanisms of carcinogenesis. MicroRNAs (miRNAs) have been idenPfied as a new layer of gene regulatory mechanisms (Lujambio and Lowe, 2012). The importance of miRNAs in cancer is highlighted by the observaPon that half of the known aberrant expressions of miRNAs are located in cancer associated genomic regions (Wiklund et al., 2010). On the relaPonship between miRNAs and hepatocellular carcinoma (HCC) in humans, several studies have detected the aberrant expression of specific miRNAs in malignant HCC, compared to normal hepatocyte (Masaki, 2009). There is widespread and unregulated use of GBE as a dietary supplement by the American public, and thus is a significant public health concern. NTP’s Ginkgo biloba leaf extract (GBE) bioassay has indicated that chronic GBE exposure to B6C3F1 mouse resulted in a dose dependent increase in hepatocarcinogenicity. Recent transcriptomic studies on GBE-­‐induced HCC indicated dysregulated cancer gene expression. In AddiPon, increased Ctnnb1 mutaPons and alteraPons in Wnt/Ctnnb1 signaling were demonstrated in GBE-­‐induced HCC compared to spontaneous HCC (Hoenerhoff et al., 2013). Determining the mechanisms of GBE-­‐induced hepatocarcinogenicity in rodents may aid in assessing the health risks of human exposure. We hypothesize that genePc and epigenePc pathways dysregulated in GBE-­‐induced mouse HCC may reflect key pathways altered in human HCC. The objecPve of this study is to characterize the pamern of dysregulated miRNAs occurring in spontaneous and GBE-­‐induced HCC and compare it to the corresponding mRNA alteraPons in HCC. Tissue collec*on and miRNA extrac*on for miRNA array: Ctnnb1 mutaPons Frozen samples from GBE-­‐induced HCCs, spontaneous HCCs and vehicle control age-­‐matched normal livers from B6C3F1 mice from the 2-­‐year NTP bioassay were used for miRNA array analysis (n=5/group). miRNA extracPon was performed using mirVana miRNA IsolaPon Kit (Life technologies, Carlsbad, CA) and RNA integrity was measured with Bioanalyzer (Agilent Technologies, Santa Clara, CA). miRNA array hybridiza*on & data analysis: miRNA expression analysis was conducted using Affymetrix GeneChip® miRNA 3.0 Array (Affymetrix, Santa Clara, CA) following manufacturer’s direcPons. miRNA expression data were normalized across all samples using the robust mulParray analysis (RMA) (Guo et al., 2010). RMA-­‐normalized data were used for idenPfying differenPally expressed miRNAs using two pairwise analyses comparing GBE-­‐ induced HCCs and spontaneous HCCs with vehicle control age-­‐matched normal livers from B6C3F1 mice. Using Ingenuity Pathway Analysis (IPA), we have analyzed the differenPally expressed miRNAs together with the corresponding transcriptomic data that we have previously obtained from these samples (Hoenerhoff et al., 2013). miRNA array data valida*on: QuanPtaPve RT-­‐PCR (QRT-­‐PCR) was used to validate miRNA array results. QRT-­‐PCR was performed using TaqMan® MicroRNA Assay (Life technologies, Carlsbad, CA) on ABI PRISM 7900HT Sequence DetecPon System (Applied Biosystems, Foster City, CA). snoRNA202 was used as the endogenous control for normalizaPon of miRNA levels. miRNA expression analysis in livers from 90-­‐day GBE mouse study: miRNA was isolated and extracted from two 20 μm secPons of formalin-­‐fixed, paraffin-­‐embedded (FFPE) livers from control mice and from mice treated with 2000 mg/kg GBE for 90 days (n=6/group) with RecoverAll™ Total Nucleic Acid IsolaPon Kit for FFPE (Life technologies, Carlsbad, CA). QRT-­‐PCR was performed as described above. In the NTP 2-­‐year mouse GBE bioassay, there was a dose dependent increase in HCC (NTP TR 578, Table 1). Using the Affymetrix GeneChip® miRNA 3.0 Array plaoorm, when compared to normal livers, there were 3 and 16 unique differenPally expressed mouse miRNAs in spontaneous HCC and GBE-­‐induced HCC, respecPvely, at FDR ≤ 0.05 (Figure 1 and 2, Table 2). Analyzing miRNA and the corresponding mRNA array data in IPA, we have found several differenPally altered molecular pathways associated with HCC development in both GBE-­‐ induced HCCs and spontaneous HCCs (Tables 3, 4, and 5). Therefore, these data show that GBE-­‐induced HCCs are disPnguishable from spontaneous HCC in terms of their miRNA expression profile. We have previously reported increased Ctnnb1 mutaPons and alteraPons in Wnt/Ctnnb1 signaling in GBE-­‐induced HCC compared to spontaneous HCC in vehicle controls. In addiPon, in GBE-­‐induced HCC, there was cytoplasmic accumulaPon of CTNNB1 and loss of normal CDH1 membrane immunoreacPvity, with accumulaPon of the protein in the cytoplasm that suggests disrupPon of CTNNB1/CDH1 complexes within adherens juncPons, which is associated with a more malignant phenotype (Hoenerhoff et al., 2013). In this study, we found 4 miRNAs that were uniquely expressed in GBE-­‐ induced HCC and known or predicted to regulate Wnt/Ctnnb1 signaling (Table 5). One of them, miR-­‐31 was strongly downregulated (83-­‐fold by QRT-­‐PCR) in GBE-­‐induced HCC with no change in spontaneous HCC compared to normal livers and predicted to regulate Cdk1, which was upregurated in GBE induced HCC. CDK1 plays a key role in cell cycle regulaPon and increases Src kinase acPvity (Roskoski, 2005). PhosphorylaPon by Src kinase disrupts binding of CTNNB1/CDH1 and results in loss of the complexes from the cell surface (Nelson and Nusse, 2004). Therefore, miR-­‐31 seems to indirectly modulate Wnt/Ctnnb1 signaling in GBE-­‐induced HCC. However, further studies are needed to evaluate the effect of miR-­‐31 on Wnt/Ctnnb1 signaling. In order to determine if there are any miRNAs that could potenPally serve as a biomarker for GBE exposure and/or early biomarkers of hepatocellular carcinogenesis, we have also analyzed the miRNA expression in livers from the 90-­‐day GBE mouse study. The expression of miRs-­‐411, 300, 127 and 134 more than doubled in GBE-­‐treated group compared to vehicle control group (Figure 3). In the 90-­‐day GBE study, although hepatocellular hypertrophy and focal necrosis were found in the livers, there were no preneoplasPc hepaPc foci (NTP TR 578, Table 1). Since these miRNAs were uniquely expressed in livers from 90-­‐day exposures and in HCCs from GBE exposure or arising spontaneously, they could serve as potenPal biomarkers for GBE exposure or hepatocellular carcinogenesis. These results suggest that these miRNAs might be useful as biomarkers of exposure and apical endpoints. However, further validaPons in prospecPve studies are necessary in order to validate these findings. In addiPon, although this QRT-­‐PCR analysis was performed using miRNA extracted from secPons of FFPE livers, all the miRNAs analyzed were amplified with relaPve ease, indicaPng that archival FFPE Pssues can be leveraged for miRNA-­‐based biomarker idenPficaPon. Introduc.on Materials and Methods Result Results and Discussion Table 1 Table 1. Incidences of select hepaPc lesions in B6C3F1 mice treated with Ginkgo biloba leaf extract (GBE) by gavage in subchronic (90-­‐day) and chronic (2-­‐year) NaPonal Toxicology Program studies (NTP TR 578). Figure 1 Figure 1. Normal liver Spontaneous HCC (A) Principal component analysis (PCA) of global miRNA expression profiles demonstrated nearly disPnct clustering of normal liver (blue), spontaneous HCC (green) and GBE-­‐induced HCC (red) samples. (B) Using a false discovery rate threshold of 5%, 3 and 16 unique mouse miRNAs were differenPally expressed in spontaneous HCC and GBE-­‐induced HCC, respecPvely. The number in the parenthesis indicates the number of differenPally expressed miRNAs from other species besides mice. Conclusions • GBE-­‐induced mouse HCCs are markedly different from spontaneous HCCs in terms of their global miRNA expression profile. • The miRNA and mRNA array data from these tumors demonstrated altered molecular pathways associated with hepatocellular carcinogenesis. • miRs-­‐31, 145, 329 and 433 that were uniquely expressed in GBE-­‐induced HCC are known or predicted to regulate Wnt/Ctnnb1 signaling. • miRs-­‐411, 300, 127 and 134 were upregulated in the livers from GBE-­‐ treated group compared to vehicle control group from 90-­‐day GBE mouse study and these miRNAs could serve as potenPal biomarkers for GBE exposure or hepatocellular carcinogenesis. References Acknowledgements We would like to thank DNTP and DIR, NIEHS for funding this project. We would also like to thank the NIEHS Microarray core and the Histology core Laboratory in the Cellular and Molecular Pathology Branch for their technical assistance on this project. Table 2 Table 2. DifferenPally expressed miRNAs and their target genes in spontaneous and GBE-­‐induced HCC compared to age-­‐matched normal livers. Table 3 ê: Known to decrease the diseases or funcPon and is down-­‐regulated in the dataset. é: Known to increase the diseases or funcPon and is up-­‐regulated in the dataset. êé: Literature indicates this gene is involved in the diseases or funcPon but does not indicate whether it increases or decreases it. And the gene is down-­‐ or up-­‐regulated in the dataset. #1 Target genes that showed relaPonship with the respecPve miRNA in IPA analysis (experimentally observed or predicted) and down-­‐ or up-­‐regulated in GBE-­‐induced HCC microarray analysis. Table 3. RepresentaPve altered miRNA-­‐mRNA interacPons and molecular pathways. Ingenuity Pathway Analysis of target mRNAs of differenPally altered miRNAs in spontaneous and GBE-­‐induced HCC demonstrated dysregulated molecular pathways associated with hepatocarcinogenesis, cell cycle progression, cell migraPon and cell proliferaPon. Table 4. DifferenPally altered miRNAs from other species that are staPsPcally significant (but not in mice) and that play a role in human hepatocellular carcinogenesis. These miRNA sequences are typically conserved across species and are likely to be relevant even in mouse hepatocellular carcinogenesis. Table 5 Table 5. miRs-­‐329, 31, 145 and 433-­‐3p, which were uniquely expressed in GBE-­‐induced HCC, are known or predicted to regulate Wnt/Ctnnb1 signaling. Figure 2 Figure 2. QuanPtaPve RT-­‐PCR validaPon of miRNA array expression changes observed in spontaneous HCC and GBE-­‐induced HCC normalized to normal livers. Figure 3. QuanPtaPve RT-­‐PCR of miRNAs in livers from B6C3F1 mice treated with 2000 mg/kg GBE for 90 days. The miRNA expression in GBE livers was normalized to normal livers. 1. Lujambio A, Lowe SW. 2012. The microcosmos of cancer. 482(7385):347-­‐55. 2. Wiklund ED, Kjems J, Clark SJ. 2010. EpigenePc architecture and miRNA: reciprocal regulators. Epigenomics. 2(6):823-­‐40. 3. Masaki T. 2009. MicroRNA and hepatocellular carcinoma. Hepatol Res. 39(8):751-­‐2. 4. Hoenerhoff MJ, Pandiri AR, Snyder SA, et al. 2013. Hepatocellular carcinomas in B6C3F1 mice treated with Ginkgo biloba extract for two years differ from spontaneous liver tumors in cancer gene mutaPons and genomic pathways. Toxicol Pathol. 41(6):826-­‐41. 5. Guo W, Sarkar SK, Peddada SD. 2010. Controlling false discoveries in mulPdimensional direcPonal decisions, with applicaPons to gene expression data on ordered categories. Biometrics. 66(2):485-­‐92. 6. NTP TR 578. 2013. 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(B) a 10 male and female B6C3F1 mice were exposed to 0, 125, 250, 500, 1,000, and 2,000 mg/kg GBE by gavage, once daily, 5 days per week for 90 days. b Severity grade based on 0–4 grading scale (0 = no significant lesion, 1 = minimal, 2 = mild, 3 = moderate, 4 = severe). c 50 male and female B6C3F1 mice were exposed to 0, 200, 600, and 2,000mg/kg GBE by gavage, once daily, 5 days per week for two years. d StaPsPcal analysis not available for metastaPc lesions. Significantly different from controls *p < .05, **p < .01 by the poly-­‐3 test. #1 Target genes that showed relaPonship with the respecPve miRNA in IPA analysis (experimentally observed or predicted) and down-­‐ or up-­‐regulated in GBE-­‐induced HCC microarray analysis. #2 No informaPon on the target genes was found in IPA knowledge base on these miRNAs. Figure 3 Table 4 (A) GBE-­‐induced HCC