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Long-read sequencing reveals oncogenic mechanism of HPV-human fusion transcripts in cervical cancer

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单位: [1]Tongji Univ, Shanghai East Hosp, Sch Med, Dept Obstet & Gynecol, Shanghai, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Obstet & Gynecol, Wuhan, Peoples R China [3]Tongji Univ, Shanghai East Hosp, Res Ctr Translat Med, Sch Med, Shanghai, Peoples R China [4]Natl Inst Allergy & Infect Dis, NIH, Lab Malaria & Vector Res, Rockville, MD USA [5]Tongji Univ, Infant Hosp, Clin & Translat Res Ctr Shanghai Matern 1, Collaborat Innovat Ctr Brain Sci, Shanghai, Peoples R China [6]Genome decoding Biomed Technol Co Ltd, Nantong, Peoples R China [7]Virginia Commonwealth Univ, Sch Engn, Dept Chem & Life Sci Engn, Richmond, VA USA [8]Tongji Univ, Tongji Hosp, Clin Ctr Brain & Spinal Cord Res, Sch Med, Shanghai, Peoples R China [9]Tongji Univ, Shanghai East Hosp, Sch Med, Dept Obstet & Gynecol, 150 Jimo Rd, Shanghai 200120, Peoples R China [10]Tongji Univ, Tongji Hosp, Clin Ctr Brain & Spinal Cord Res, Sch Med, 1239 Siping Rd, Shanghai 200092, Peoples R China
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Integration of high-risk human papillomavirus (HPV) into the host genome is a crucial event for the development of cervical cancer, however, the underlying mechanism of HPV integration-driven carcinogenesis remains unknown. Here, we performed long-read RNA sequencing on 12 high-grade squamous intraepithelial lesions (HSIL) and cervical cancer patients, including 3 pairs of cervical cancer and corresponding para-cancerous tissue samples to investigate the full-length landscape of cross-species genome integrations. In addition to massive unannotated isoforms, transcrip-tional regulatory events, and gene chimerism, more importantly, we found that HPV-human fusion events were preva-lent in HPV-associated cervical cancers. Combined with the genome data, we revealed the existence of a universal transcription pattern in these fusion events, whereby structurally similar fusion transcripts were generated by specific splicing in E6 and a canonical splicing donor site in E1 linking to various human splicing acceptors. Highly expressed HPV-human fusion transcripts, eg, HPV16 E6*I-E7-E1SD880-human gene, were the key driver of cervical carcinogene-sis, which could trigger overexpression of E6*I and E7, and destroy the transcription of tumor suppressor genes CMAHP, TP63 and P3H2. Finally, evidence from in vitro and in vivo experiments demonstrates that the novel read -through fusion gene mRNA, E1-CMAHP (E1C, formed by the integration of HPV58 E1 with CMAHP), existed in the fusion transcript can promote malignant transformation of cervical epithelial cells via regulating downstream onco-genes to participate in various biological processes. Taken together, we reveal a previously unknown mechanism of HPV integration-driven carcinogenesis and provide a novel target for the diagnosis and treatment of cervical cancer.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 1 区 医学实验技术 2 区 医学:研究与实验 2 区 医学:内科
最新[2025]版:
大类 | 2 区 医学
小类 | 1 区 医学实验技术 2 区 医学:内科 2 区 医学:研究与实验
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出版当年[2021]版:
Q1 MEDICAL LABORATORY TECHNOLOGY Q1 MEDICINE, GENERAL & INTERNAL Q1 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q1 MEDICAL LABORATORY TECHNOLOGY Q1 MEDICINE, GENERAL & INTERNAL Q1 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者单位: [1]Tongji Univ, Shanghai East Hosp, Sch Med, Dept Obstet & Gynecol, Shanghai, Peoples R China
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通讯机构: [1]Tongji Univ, Shanghai East Hosp, Sch Med, Dept Obstet & Gynecol, Shanghai, Peoples R China [8]Tongji Univ, Tongji Hosp, Clin Ctr Brain & Spinal Cord Res, Sch Med, Shanghai, Peoples R China [9]Tongji Univ, Shanghai East Hosp, Sch Med, Dept Obstet & Gynecol, 150 Jimo Rd, Shanghai 200120, Peoples R China [10]Tongji Univ, Tongji Hosp, Clin Ctr Brain & Spinal Cord Res, Sch Med, 1239 Siping Rd, Shanghai 200092, Peoples R China
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