MicroRNAs (miRNAs) are well-known regulators of proliferation, apoptosis, and differentiation and are recognized to play an important role in the development of cancers. Here we aimed to identify the functional contribution of miRNAs to the biology of hepatoblastoma (HB), the most common malignant liver tumor in childhood. As overexpression of the oncogene PLAG1 (pleomorphic adenoma gene 1) is a characteristic phenomenon in HB, we used RNA interference and subsequent miRNA array analysis to identify miR-492 as most strongly influenced by PLAG1. We provide novel experimental evidence that miR-492 can originate from the coding sequence of the HB marker gene keratin 19 (KRT19). In agreement with these in vitro observations, significantly elevated levels of coexpressed KRT19 and miR-492 were particularly found in metastatic HB tumor samples. Stable overexpression of miR-492 in HB cell clones served to identify a broad range of differentially expressed transcripts, including several candidate targets of miR-492 predicted by computational algorithms. Among those the liver enzyme BAAT showed significant association with miR-492 expression in HB tumor samples. Conclusion: A close functional relationship between KRT19 and miR-492 was identified that may play an important role in the progression of malignant embryonal liver tumors. Additionally, miR-492 and its associated targets might serve as new HB biomarkers of clinical utility and could assist to explore targeted therapies, especially in metastatic HB with a poor prognosis. (HEPATOLOGY 2011;53:833-842) H epatoblastoma (HB) is the most common primary liver neoplasia in childhood.1 This highly malignant tumor derives from undifferentiated hepatic progenitor cells, which undergo malignant transformation during embryogenesis.
2With preoperative and postoperative chemotherapy, achievement of complete resection, event-free survival (EFS), and overall survival (OS) among children with standard-risk HB is quite excellent (3-year EFS and OS about 90%3 ). However, in high-risk HB patients with metastatic disease and low a-fetoprotein (AFP) levels, EFS and OS remains poor irrespective of the chemotherapy used (3-year EFS and OS about 50% 4,5 ). On the molecular level, mutations in the bcatenin gene leading to constitutive activation of the Wnt/b-catenin pathway have been detected in a large proportion of HB. 6,7 Moreover, activation of the insulin-like growth factor (IGF) axis 8-10 as well as amplification of the chromosomal region (8q11.2-q13) and up-regulation of the therein located transcription factor PLAG1 (pleomorphic adenoma gene 1) have been frequently found in HB.10 Overexpression of the oncogene PLAG1 is a characteristic phenomenon not only for HB but for several types of cancers.11 Ectopic PLAG1 expression has been demonstrated to induce uncontrolled cell proliferation. 12,13 Physiologically, PLAG1 is a transcription factor expressed during fetal development 14 and is known to activate several target