Oncogenic Wnt3a is a promising sensitive biomarker for monitoring hepatocarcinogenesis

Background: The effective treatment for hepatocellular carcinoma (HCC) depends on early diagnosis. Pre-viously, the abnormal expression of Wnt3a as the key signaling molecule in the Wnt/beta-catenin pathway was found in HCC cells and could be released into the circulation. In this study, we used rat model of hepatocarcinogenesis to dynamically investigate the alteration of oncogenic Wnt3a and to explore its early monitor value for HCC. Methods: Sprague-Dawley rats (SD) were fed with diet 2-fluorenylacetamide (2-FAA, 0.05%) for inducing hepatocarcinogenesis, and grouped based on liver morphological alteration by Hematoxylin & Eosin (H&E) staining; rats fed with normal chow were used as normal control (NC). Total RNA and protein were puri-fied from rat livers. Differently expressed genes (DEGs) or Wnt3a mRNA, cellular distribution, and Wnt3a protein levels were analyzed by whole genome microarray with signal logarithm ratio (SLR log2 cy5/cy3), immunohistochemistry, and enzyme-linked immunosorbent assay, respectively.Results: Models of rat hepatocarcinogenesis were successfully established based on liver histopathological H&E staining. Rats were divided into the cell degeneration (rDeg), precancerosis (rPre-C) and HCC (rHCC) groups. Total numbers of the up-and down-regulated DEGs with SLR >= 8 were 55 and 48 in the rDeg group, 268 and 57 in the rPre-C group, and 312 and 201 in the rHCC group, respectively. Significantly altered genes were involved in cell proliferation, signal transduction, tumor metastasis, and apoptosis. Compared with the NC group, Wnt3a mRNA was increased by 4.6 folds ( P < 0.001) in the rDeg group, 7.4 folds ( P < 0.001) in the rPre-C group, and 10.4 folds ( P < 0.001) in the rHCC group; the positive rates of liver Wnt3a were 66.7% ( P = 0.001) in the rDeg group, 10 0% ( P < 0.0 01) in the rPre-C group, and 100% P < 0.001) in the rHCC group, respectively. Also, there were significant differences of liver Wnt3a ( P < 0.001) or serum Wnt3a ( P < 0.001) among different groups.Conclusions: Overexpression of Wnt3a was associated with rat hepatocarcinogenesis and it should be expected to be a promising monitoring biomarker for HCC occurrence at early stage.(c) 2022 First Affiliated Hospital, Zhejiang University School of Medicine in China. Published by Elsevier B.V. All rights reserved.