Expression of METTL5 and VIRMA in hepatocellular carcinoma and their relationship with clinical prognosis
10.3969/j.issn.1673-4130.2025.09.008
- VernacularTitle:METTL5、VIRMA在肝细胞肝癌中的表达及与临床预后的关系
- Author:
Hong CHEN
1
;
Lei LIU
;
Huayou ZHOU
;
Hua YANG
;
Rui YANG
Author Information
1. 汉中市中心医院:肝胆胰脾外科,陕西汉中 723000
- Keywords:
hepatocellular carcinoma;
methyltransferase like protein 5;
virus like m6A methyltrans-ferase;
prognosis
- From:
International Journal of Laboratory Medicine
2025;46(9):1060-1065
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the expression of methyltransferase like protein 5(METTL5)and Vi-ral like m6A methyltransferase associated(VIRMA)in hepatocellular carcinoma(HCC)and their relationship with clinical prognosis.Methods A total of 89 HCC patients who visited the hospital from March 2018 to March 2021 were enrolled in the study.Immunohistochemistry and fluorescence quantitative PCR were con-ducted to analyze the expression of METTL5,VIRMA protein and mRNA in tissues.Kaplan-Meier curve and COX regression were used to analyze the impact of METTL5 and VIRMA proteins on the prognosis of HCC.Results The METTL5 mRNA(3.23±0.55 vs.0.61±0.20)and VIRMA mRNA(2.97±0.42 vs.0.58±0.17)in HCC cancer tissue were higher than those in adjacent tissues,and the differences were statistically significant(t=42.234,49.762,both P<0.001).METTL5 and VIRMA proteins were located in the cyto-plasm and cell membrane,with some in the nucleus.The positive rates of METTL5[71.91%(64/89)vs.5.62%(5/89)]and VIRMA[69.66%(62/89)vs.6.74%(6/89)]in HCC cancer tissues were higher than those in adjacent tissues,and the differences were statistically significant(x2=82.385,74.627,P<0.001,P=0.001).The expression of METTL5 and VIRMA proteins in HCC were related to China Liver Cancer Staging(CNLC)stages,maximum tumor diameter,and vascular invasion,and the positive rates of METTL5 and VIRMA proteins were higher in HCC cancer tissues with CNLC stage Ⅱ-Ⅲ,maximum tumor diameter≥ 5 cm,and vascular invasion(P<0.05).The 3-year survival rates of METTL5 positive and negative groups were 34.88%(15/43)and 67.39%(31/46),with statistically significant differences(Log-rank x2=7.893,P=0.005).The 3-year survival rates of the VIRMA positive and negative groups were 36.36%(16/44)and 66.67%(30/45),with statistically significant differences(Log-rank x2=9.828,P=0.002).CNLC staging stages Ⅱ-Ⅲ,maximum tumor diameter ≥5 cm,vascular invasion,METTL5 positivity,and VIRMA positivi-ty were risk factors for poor prognosis in HCC patients(P<0.05).Conclusion The upregulation of MET-TL5 and VIRMA expression in HCC are associated with CNLC stage Ⅱ-Ⅲ,maximum tumor diameter and vascular invasion,and both of them are tumor markers for evaluating the prognosis of HCC.