Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular

Detalhes bibliográficos
Autor(a) principal: Oliveira, André Rodrigueiro Clavisio Pereira
Data de Publicação: 2015
Tipo de documento: Tese
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da FAMERP
Texto Completo: http://bdtd.famerp.br/handle/tede/374
Resumo: Hepatocellular carcinoma (HCC) is a primary liver tumor and the sixth most common type of cancer. Liver cirrhosis (LC) and viral hepatitis are their main risk factors. Injured tissues and development process tissues need new blood vessels, i. e., angiogenic process, that initiates by means of vascular endothelial growth factors secretion, that is translated by VEGFA gene and regulated by non-coding RNA, miRNA, that consists of a single strand of approximately 22 nucleotides and has the function of binding to mRNA strand, to inhibit protein translation. Objectives: To quantify VEGFA gene expression and 17 miRNAs predicted as its regulator in HCC and liver cirrhosis; to assess VEGFA gene expression in relation to miRNAs expression and quantify VEGFA protein expression in HCC and liver cirrhosis tissues. Patients and methods: Sixteen samples of HCC tissue, 23 samples of liver cirrhosis tissue and 12 samples of normal liver tissue were collected. Total RNA and proteins were isolated by mirVana PARIS kit. VEGFA gene mRNA quantification and 17 miRNAs predicted as regulators expression was performed by real time quantitative PCR. Customized plates, TaqMan miRNA custom plate, were used for miRNAs. Statistical analysis was performed by one sample t test, Wilcoxon tests and Mann-Whitney test. Results: VEGFA gene expression was found downregulated in HCC and there is negative correlation between gene expression and tumor extension. MicroRNA hsa-miR-637 has showed significance and was down-regulated on samples (mean 0.2003, p=0.0004) in LC, whereas miRNAs hsa-miR-15b (median 0.04015; p=0.0005), hsa-miR-125b (median 0.01876; p=0.0005), hsa-miR-423 (median 0.02650; p=0.0005), hsa-miR-424 (median 0.00462; p=0.0156), hsa-miR-494 (median 0.00877; p=0.0010), hsa-miR-497 (median 0.04487; p=0.0005), hsa-miR-612 (median 0.00679; p=0.0039) and hsamiR-637 (median 0.00166; p=0.0039) are down-regulated in HCC. Conclusions: VEGFA gene expression is down-regulated in HCC. MicroRNA hsa-miR-637 is down-regulated in LC. MicroRNAs hsa-miR-15b, hsa-miR-125b, hsa-miR-423, hsa-miR-424, hsa-miR-494, hsa-miR-497, hsa-miR-612 e hsa-miR-637 are down-regulated in HCC. VEGFA protein expression is low in HCC, corroborating to gene expression found in HCC.
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spelling Silva, Renato Ferreira daGoloni-Bertollo, Eny MariaPavarino, Érika CristinaDuca, William JoséD´ Albuquerque, Luiz Augusto Pascios CarneiroMelo, Marcelo Maia Caixeta de326566927870http://lattes.cnpq.br/3601809492366496Oliveira, André Rodrigueiro Clavisio Pereira2017-08-03T12:25:59Z2015-11-27Oliveira, André Rodrigueiro Clavisio Pereira. Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular. 2015. 84 f. Tese (Programa de Pós-Graduação em Ciências da Saúde) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto.1265http://bdtd.famerp.br/handle/tede/374Hepatocellular carcinoma (HCC) is a primary liver tumor and the sixth most common type of cancer. Liver cirrhosis (LC) and viral hepatitis are their main risk factors. Injured tissues and development process tissues need new blood vessels, i. e., angiogenic process, that initiates by means of vascular endothelial growth factors secretion, that is translated by VEGFA gene and regulated by non-coding RNA, miRNA, that consists of a single strand of approximately 22 nucleotides and has the function of binding to mRNA strand, to inhibit protein translation. Objectives: To quantify VEGFA gene expression and 17 miRNAs predicted as its regulator in HCC and liver cirrhosis; to assess VEGFA gene expression in relation to miRNAs expression and quantify VEGFA protein expression in HCC and liver cirrhosis tissues. Patients and methods: Sixteen samples of HCC tissue, 23 samples of liver cirrhosis tissue and 12 samples of normal liver tissue were collected. Total RNA and proteins were isolated by mirVana PARIS kit. VEGFA gene mRNA quantification and 17 miRNAs predicted as regulators expression was performed by real time quantitative PCR. Customized plates, TaqMan miRNA custom plate, were used for miRNAs. Statistical analysis was performed by one sample t test, Wilcoxon tests and Mann-Whitney test. Results: VEGFA gene expression was found downregulated in HCC and there is negative correlation between gene expression and tumor extension. MicroRNA hsa-miR-637 has showed significance and was down-regulated on samples (mean 0.2003, p=0.0004) in LC, whereas miRNAs hsa-miR-15b (median 0.04015; p=0.0005), hsa-miR-125b (median 0.01876; p=0.0005), hsa-miR-423 (median 0.02650; p=0.0005), hsa-miR-424 (median 0.00462; p=0.0156), hsa-miR-494 (median 0.00877; p=0.0010), hsa-miR-497 (median 0.04487; p=0.0005), hsa-miR-612 (median 0.00679; p=0.0039) and hsamiR-637 (median 0.00166; p=0.0039) are down-regulated in HCC. Conclusions: VEGFA gene expression is down-regulated in HCC. MicroRNA hsa-miR-637 is down-regulated in LC. MicroRNAs hsa-miR-15b, hsa-miR-125b, hsa-miR-423, hsa-miR-424, hsa-miR-494, hsa-miR-497, hsa-miR-612 e hsa-miR-637 are down-regulated in HCC. VEGFA protein expression is low in HCC, corroborating to gene expression found in HCC.O Carcinoma hepatocelular (CHC) é o tipo de tumor primário do fígado e o quinto tipo de câncer mais comum. A cirrose hepática (CH) e as hepatites virais são seus principais fatores de risco. Tecidos lesionados e em processo de crescimento necessitam de novos vasos sanguíneos, ou seja, processo angiogênico, que é iniciado por meio da secreção de fatores de crescimento endoteliais vasculares. Este é produzido a partir do gene VEGFA e regulado por RNA não codificante, o microRNA, que é constituído por uma fita simples de aproximadamente 22 nucleotídeos e tem a função de ligação ao mRNA, para inibição da tradução de proteínas. Objetivos: Quantificar a expressão do gene VEGFA e 17 miRNAs preditos como seus reguladores em CHC e cirrose hepática; avaliar a expressão do gene VEGFA em relação à expressão dos miRNAs e quantificar a expressão das proteínas VEGFA em CHC e cirrose hepática. Casuística e métodos: Foram coletadas 16 amostras de tecido de CHC, 23 amostras de tecido cirrose hepática e 12 amostras de tecido hepático normal para controle. A extração de RNA e proteínas totais foi realizada por meio do kit mirVana PARIS. A quantificação do mRNA do gene VEGFA e dos 17 miRNAs selecionados preditos como reguladores do gene foi realizada por meio da técnica de PCR quantitativa em tempo real. Para os miRNAs foram utilizadas placas customizadas TaqMan miRNA custom plates. A análise estatística foi realizada por teste t de uma amostra, teste de Wilcoxon e teste de Mann-Whitney. Resultados: O gene VEGFA foi encontrado em expressão diminuída em CHC e há correlação negativa entre a expressão e a extensão do tumor. O miRNA hsa-miR-637 mostrou significância e sua expressão foi encontrada diminuída nas amostras (média=0,2003, p=0,0004) em CH, enquanto que os miRNAs hsa-miR-15b (mediana 0,04015; p=0,0005), hsa-miR-125b (mediana 0,01876; p=0,0005), hsa-miR-423 (mediana 0,02650; p=0,0005), hsa-miR-424 (mediana 0,00462; p=0,0156), hsa-miR-494 (mediana 0,00877; p=0,0010), hsa-miR-497 (mediana 0,04487; p=0,0005), hsa-miR-612 (mediana 0,00679; p=0,0039) e hsa-miR-637 (mediana 0,00166; p=0,0039) estão em expressão diminuída em CHC. Conclusão: A expressão do gene VEGFA encontra-se diminuída em CHC. O microRNA hsa-miR-637 encontra-se em expressão diminuída em CH. Os miRNAs hsa-miR-15b, hsa-miR-125b, hsa-miR- 423, hsa-miR-424, hsa-miR-494, hsa-miR-497, hsa-miR-612 e hsa-miR-637 encontram-se em expressão diminuída em CHC. A expressão das proteínas VEGFA está diminuída em carcinoma hepatocelular, corroborando com o encontrado para a expressão gênica em CHC.Submitted by Fabíola Silva (fabiola.silva@famerp.br) on 2017-08-03T12:25:59Z No. of bitstreams: 1 andrerodrigueirocpdeoliveira_tese.pdf: 1590220 bytes, checksum: c85526dbe8e00ebf97a87b9215d49485 (MD5)Made available in DSpace on 2017-08-03T12:25:59Z (GMT). No. of bitstreams: 1 andrerodrigueirocpdeoliveira_tese.pdf: 1590220 bytes, checksum: c85526dbe8e00ebf97a87b9215d49485 (MD5) Previous issue date: 2015-11-27Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES::2075167498588264571::600Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq::2555911436985713659::600Fundação de Amparo à Pesquisa do Estado de São Paulo - FAPESP::6491868300948288337::600application/pdfporFaculdade de Medicina de São José do Rio PretoPrograma de Pós-Graduação em Ciências da Saúde::6954410853678806574::600FAMERPBrasilFaculdade 1::Departamento 1::306626487509624506::500Liver NeoplasmsLiver CirrhosisLiver DiseasesGene ExpressionMicroRNAsNeoplasias HepáticasCirrose HepáticaHepatopatiasExpressão GênicaMicroRNAsCIENCIAS DA SAUDE::8765449414823306929::600Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelularinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da FAMERPinstname:Faculdade de Medicina de São José do Rio Preto (FAMERP)instacron:FAMERPLICENSElicense.txtlicense.txttext/plain; charset=utf-82165bd3efa91386c1718a7f26a329fdcb468MD51ORIGINALandrerodrigueirocpdeoliveira_tese.pdfandrerodrigueirocpdeoliveira_tese.pdfapplication/pdf1590220c85526dbe8e00ebf97a87b9215d49485MD52http://bdtd.famerp.br/bitstream/tede/374/1/license.txthttp://bdtd.famerp.br/bitstream/tede/374/2/andrerodrigueirocpdeoliveira_tese.pdftede/3742019-02-04 11:06:04.34oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bdtd.famerp.br/PUBhttps://bdtd.famerp.br/oai/requestsbdc@famerp.br||joao.junior@famerp.bropendoar:47112019-02-04T13:06:04Biblioteca Digital de Teses e Dissertações da FAMERP - Faculdade de Medicina de São José do Rio Preto (FAMERP)false
dc.title.por.fl_str_mv Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular
title Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular
spellingShingle Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular
Oliveira, André Rodrigueiro Clavisio Pereira
Liver Neoplasms
Liver Cirrhosis
Liver Diseases
Gene Expression
MicroRNAs
Neoplasias Hepáticas
Cirrose Hepática
Hepatopatias
Expressão Gênica
MicroRNAs
CIENCIAS DA SAUDE::8765449414823306929::600
title_short Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular
title_full Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular
title_fullStr Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular
title_full_unstemmed Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular
title_sort Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular
author Oliveira, André Rodrigueiro Clavisio Pereira
author_facet Oliveira, André Rodrigueiro Clavisio Pereira
author_role author
dc.contributor.advisor1.fl_str_mv Silva, Renato Ferreira da
dc.contributor.advisor-co1.fl_str_mv Goloni-Bertollo, Eny Maria
dc.contributor.referee1.fl_str_mv Pavarino, Érika Cristina
dc.contributor.referee2.fl_str_mv Duca, William José
dc.contributor.referee3.fl_str_mv D´ Albuquerque, Luiz Augusto Pascios Carneiro
dc.contributor.referee4.fl_str_mv Melo, Marcelo Maia Caixeta de
dc.contributor.authorID.fl_str_mv 326566927870
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/3601809492366496
dc.contributor.author.fl_str_mv Oliveira, André Rodrigueiro Clavisio Pereira
contributor_str_mv Silva, Renato Ferreira da
Goloni-Bertollo, Eny Maria
Pavarino, Érika Cristina
Duca, William José
D´ Albuquerque, Luiz Augusto Pascios Carneiro
Melo, Marcelo Maia Caixeta de
dc.subject.eng.fl_str_mv Liver Neoplasms
Liver Cirrhosis
Liver Diseases
Gene Expression
MicroRNAs
topic Liver Neoplasms
Liver Cirrhosis
Liver Diseases
Gene Expression
MicroRNAs
Neoplasias Hepáticas
Cirrose Hepática
Hepatopatias
Expressão Gênica
MicroRNAs
CIENCIAS DA SAUDE::8765449414823306929::600
dc.subject.por.fl_str_mv Neoplasias Hepáticas
Cirrose Hepática
Hepatopatias
Expressão Gênica
MicroRNAs
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::8765449414823306929::600
description Hepatocellular carcinoma (HCC) is a primary liver tumor and the sixth most common type of cancer. Liver cirrhosis (LC) and viral hepatitis are their main risk factors. Injured tissues and development process tissues need new blood vessels, i. e., angiogenic process, that initiates by means of vascular endothelial growth factors secretion, that is translated by VEGFA gene and regulated by non-coding RNA, miRNA, that consists of a single strand of approximately 22 nucleotides and has the function of binding to mRNA strand, to inhibit protein translation. Objectives: To quantify VEGFA gene expression and 17 miRNAs predicted as its regulator in HCC and liver cirrhosis; to assess VEGFA gene expression in relation to miRNAs expression and quantify VEGFA protein expression in HCC and liver cirrhosis tissues. Patients and methods: Sixteen samples of HCC tissue, 23 samples of liver cirrhosis tissue and 12 samples of normal liver tissue were collected. Total RNA and proteins were isolated by mirVana PARIS kit. VEGFA gene mRNA quantification and 17 miRNAs predicted as regulators expression was performed by real time quantitative PCR. Customized plates, TaqMan miRNA custom plate, were used for miRNAs. Statistical analysis was performed by one sample t test, Wilcoxon tests and Mann-Whitney test. Results: VEGFA gene expression was found downregulated in HCC and there is negative correlation between gene expression and tumor extension. MicroRNA hsa-miR-637 has showed significance and was down-regulated on samples (mean 0.2003, p=0.0004) in LC, whereas miRNAs hsa-miR-15b (median 0.04015; p=0.0005), hsa-miR-125b (median 0.01876; p=0.0005), hsa-miR-423 (median 0.02650; p=0.0005), hsa-miR-424 (median 0.00462; p=0.0156), hsa-miR-494 (median 0.00877; p=0.0010), hsa-miR-497 (median 0.04487; p=0.0005), hsa-miR-612 (median 0.00679; p=0.0039) and hsamiR-637 (median 0.00166; p=0.0039) are down-regulated in HCC. Conclusions: VEGFA gene expression is down-regulated in HCC. MicroRNA hsa-miR-637 is down-regulated in LC. MicroRNAs hsa-miR-15b, hsa-miR-125b, hsa-miR-423, hsa-miR-424, hsa-miR-494, hsa-miR-497, hsa-miR-612 e hsa-miR-637 are down-regulated in HCC. VEGFA protein expression is low in HCC, corroborating to gene expression found in HCC.
publishDate 2015
dc.date.issued.fl_str_mv 2015-11-27
dc.date.accessioned.fl_str_mv 2017-08-03T12:25:59Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
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dc.identifier.citation.fl_str_mv Oliveira, André Rodrigueiro Clavisio Pereira. Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular. 2015. 84 f. Tese (Programa de Pós-Graduação em Ciências da Saúde) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto.
dc.identifier.uri.fl_str_mv http://bdtd.famerp.br/handle/tede/374
dc.identifier.doi.por.fl_str_mv 1265
identifier_str_mv Oliveira, André Rodrigueiro Clavisio Pereira. Expressão e regulação do gene VEGFA por microRNAs em cirrose hepática e carcinoma hepatocelular. 2015. 84 f. Tese (Programa de Pós-Graduação em Ciências da Saúde) - Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto.
1265
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