Published online Jun 25, 2023. doi: 10.5501/wjv.v12.i3.209
Peer-review started: December 28, 2022
First decision: January 17, 2023
Revised: February 12, 2023
Accepted: April 12, 2023
Article in press: April 12, 2023
Published online: June 25, 2023
Processing time: 174 Days and 17 Hours
Many hepatitis B virus (HBV)-infected patients suffer from hepatocellular carcinoma (HCC), but a little focus is given to detect HBV integration pattern in the treatment of HCC. Detection of HBV integration can be improved by introducing a reliable detection method.
HBV frequently integrates at the 11q13.3 region, where the CCND1 gene is located, and this region is frequently amplified in several types of cancer, including HCC.
We aimed to analyze the features of HBV integration in HCC using a new reference database and integration detection method.
Published data, consisting of 426 liver tumor samples and 426 paired adjacent non-tumor samples, were re-analyzed to identify the integration sites. Updated human reference genomes, Genome Reference Consortium Human Build 38 (GRCh38), and Telomere-to-Telomere Consortium CHM13 (T2T-CHM13 (v2.0)) were used. In addition, GRIDSS VIRUSBreakend, which utilizes a virus-centric variant calling and assembly approach, was used to detect HBV integration sites.
A total of 5361 integration sites were detected using T2T-CHM13. In the tumor samples, integration hotspots in the cancer driver genes, such as TERT and KMT2B, were consistent with those in the original study. GRIDSS VIRUSBreakend detected integrations in more samples than original analysis. Enrichment of integration was observed at chromosome 11q13.3, including the CCND1 promoter, in tumor samples. Recurrent integration sites were observed in mitochondrial genes.
GRIDSS VIRUSBreakend using T2T-CHM13 is accurate and sensitive in detecting HBV integration and provides new insights into the regions of HBV integration and their potential roles in HCC development.
Further research is needed to examine how HBV integration interacts with driver gene expression and copy number alteration.
