Abstract
Background: Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide and a large number of genetic alterations are involved in the carcinogenetic process. A G1–G6 transcriptomic classification was previously proposed in a French study, and Korean and Singaporean groups indicated its potential application in Asian HCC patients. However, the genomic profiles of Chinese patients are distinct from patients of other regions, and therefore the suitability of this method in Chinese HCC patients has remained unknown.Materials/Methods: In this study, we tested the transcriptomic group classification from the French cohort on a cohort of HCC patients from China. a total of 107 HCC cases from China were selected for the G1–G6 transcriptomic molecular classification. The correlation between the G1–G6 molecular classification and clinicopathological features were analyzed. RNA sequencing and bioinformatics analysis were performed to screen related targets and molecular signaling pathways.Results: We investigated the G1–G6 signatures in 107 Chinese HCC patients. HCC cases from China (n=107) were distributed as follows: G1 (17.76%), G2 (1.87%), G3 (18.69%), G4 (9.35%), G5 (23.36%), and G6 (28.97%) groups. We observed concordance between the genetic profiles and clinical features of Chinese HCC patients and French HCC patients. We found that the G1–G3 subgroups were associated with high serum alpha-fetoprotein (AFP) level, high copy number of hepatitis B virus (HBV) DNA, complex histopathological structure, macrovascular invasion, negative or weak Hep-Par1 expression, programmed death-ligand 1 expression, and liver cancer stemness. The G1 subgroup was mainly related to liver cancer stemness, and G3 subgroup showed the worst prognosis. The G5 and G6 subgroups were associated with activation of the Wnt/β-catenin pathway. Compared with the G1–G4 group, the G1–G3 group showed significantly higher expression levels of regenerating family member 1 beta (REG1B), regenerating family member 3 gamma (REG3G), and inositol 1,4,5-trisphosphate receptor type 1 (ITPR1), and enriched calcium signaling pathway.Conclusions: Our results clarify the correlation between G1–G6 molecular classification and molecular markers and molecular signaling pathways in the Chinese HCC population and initially established a link between the phenotype and molecular characteristics. This study enhances our understanding of the heterogenicity of China HCC and indicates that the G1–G6 signatures can be used to identify potential therapeutic biomarkers against HCC patients in China.