RT Journal Article T1 miR-200c-3p, miR-222-5p, and miR-512-3p Constitute a Biomarker Signature of Sorafenib Effectiveness in Advanced Hepatocellular Carcinoma. A1 de la Cruz-Ojeda, Patricia A1 Schmid, Tobias A1 Boix, Loreto A1 Moreno, Manuela A1 Sapena, Víctor A1 Praena-Fernández, Juan M A1 Castell, Francisco J A1 Falcón-Pérez, Juan Manuel A1 Reig, María A1 Brüne, Bernhard A1 Gómez-Bravo, Miguel A A1 Giráldez, Álvaro A1 Bruix, Jordi A1 Ferrer, María T A1 Muntané, Jordi K1 Sorafenib K1 extracellular vesicle K1 hepatocellular carcinoma K1 liquid biopsy K1 miRNA AB Sorafenib constitutes a suitable treatment alternative for patients with advanced hepatocellular carcinoma (HCC) in whom atezolizumab + bevacizumab therapy is contraindicated. The aim of the study was the identification of a miRNA signature in liquid biopsy related to sorafenib response. miRNAs were profiled in hepatoblastoma HepG2 cells and tested in animal models, extracellular vesicles (EVs), and plasma from HCC patients. Sorafenib altered the expression of 11 miRNAs in HepG2 cells. miR-200c-3p and miR-27a-3p exerted an anti-tumoral activity by decreasing cell migration and invasion, whereas miR-122-5p, miR-148b-3p, miR-194-5p, miR-222-5p, and miR-512-3p exerted pro-tumoral properties by increasing cell proliferation, migration, or invasion, or decreasing apoptosis. Sorafenib induced a change in EVs population with an increased number of larger EVs, and promoted an accumulation of miR-27a-3p, miR-122-5p, miR-148b-3p, miR-193b-3p, miR-194-5p, miR-200c-3p, and miR-375 into exosomes. In HCC patients, circulating miR-200c-3p baseline levels were associated with increased survival, whereas high levels of miR-222-5p and miR-512-3p after 1 month of sorafenib treatment were related to poor prognosis. The RNA sequencing revealed that miR-200c-3p was related to the regulation of cell growth and death, whereas miR-222-5p and miR-512-3p were related to metabolic control. The study showed that Sorafenib regulates a specific miRNA signature in which miR-200c-3p, miR-222-5p, and miR-512-3p bear prognostic value and contribute to treatment response. YR 2022 FD 2022-08-28 LK http://hdl.handle.net/10668/20935 UL http://hdl.handle.net/10668/20935 LA en DS RISalud RD Apr 8, 2025