Volume 18, Issue 1 (March-2026 2026)                   Iranian Journal of Blood and Cancer 2026, 18(1): 64-84 | Back to browse issues page

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Nisa U, Astuti I, Martien R, Maulana D R, Ysrafil Y, Rizkita L D. Integrative In Silico and Experimental Analyses Reveal the Therapeutic Potential of miR-217-5p in Hepatocellular Carcinoma Through KRAS Suppression and p53 Activation. Iranian Journal of Blood and Cancer 2026; 18 (1) :64-84
URL: http://ijbc.ir/article-1-1814-en.html
1- Traditional health services unit of Sardjito Hospital, Tawangmangu, Indonesia.
2- Department of Pharmacology and Therapy, Faculty of Medicine Public Health and Nursing. Universitas Gadjah Mada, Yogyakarta, Indonesia
3- Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia.
4- Study Program of Biotechnology, Universitas Gadjah Mada, Yogyakarta, Indonesia.
5- Department of Pharmacotherapy, Faculty of Medicine, Universitas Palangka Raya, Palangka Raya, Indonesia , ysrafil@med.upr.ac.id
6- Department of Pharmacology, Faculty of Medicine, Universitas Ahmad Dahlan, Yogyakarta, Indonesia.
Abstract:   (587 Views)
Background:  Hepatocellular carcinoma (HCC) is one of the most lethal malignancies worldwide, and dysregulation of microRNAs has been increasingly recognized as a critical driver in its pathogenesis. Among them, miR-217-5p has been reported as a tumor-suppressive miRNA, yet its molecular role and therapeutic potential in HCC remain largely unclear.
Methods:  In silico analyses were performed using a network pharmacology approach to construct a protein–protein interaction (PPI) network of hepatocellular carcinoma (HCC)-associated genes targeted by miR-217-5p, followed by hub gene identification using CytoHubba. Functional enrichment analyses, including Gene Ontology (GO) and KEGG pathways, were conducted using ShinyGO, while expression and survival analyses were validated using UALCAN, GEPIA2, and the Human Protein Atlas. In vitro validation was performed by delivering miR-217-5p mimics into HepG2 cells using chitosan nanoparticles (CS-NPs), followed by qRT-PCR analysis of endogenous miRNA expression, KRAS suppression, and p53 restoration.
Results:  A total of 152 potential target genes of miR-217-5p in HCC were identified, which were predominantly enriched in key biological processes related to regulation of cell population proliferation, as well as cancer-associated pathways including PI3K–Akt signaling and hepatocellular carcinoma pathways. PPI analysis, following the removal of disconnected nodes, generated a highly interconnected network comprising 146 nodes and 1042 edges, indicating extensive molecular interactions among the identified targets. Furthermore, hub gene analysis of the PPI network identified PTEN, KRAS, ESR1, HIF1A, and CDH1 as central regulatory genes. Notably, in vitro validation demonstrated that miR-217-5p delivered via chitosan nanoparticles (CS-NPs) successfully restored endogenous miR-217-5p expression and significantly suppressed KRAS expression, exhibiting a strong inverse correlation (r = −0.937, p < 0.0001). In addition, p53 protein levels were markedly increased following treatment.
Conclusion:  Our findings demonstrate that miR-217-5p exerts tumor-suppressive effects in HCC by directly targeting KRAS and restoring p53 expression. Delivery of miR-217-5p using chitosan nanoparticles represents a promising miRNA replacement therapy strategy and highlights its potential as both a therapeutic agent in HCC.

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Full-Text [PDF 1445 kb]   (278 Downloads)    
: Original Article | Subject: Adults Hematology & Oncology
Received: 2025/12/16 | Accepted: 2026/03/15 | Published: 2026/03/31

References
1. Wang L, Yue Y, Wang X, Jin H. Function and clinical potential of microRNAs in hepatocellular carcinoma. Oncology letters. 2015;10(6):3345-53. [DOI:10.3892/ol.2015.3759]
2. Schwartz JM, Carithers RL, Sirlin CB. Clinical features and diagnosis of hepatocellular carcinoma. Wolters Kluwer; 2023.
3. Calderon-Martinez E, Landazuri-Navas S, Vilchez E, Cantu-Hernandez R, Mosquera-Moscoso J, Encalada S, et al. Prognostic Scores and Survival Rates by Etiology of Hepatocellular Carcinoma: A Review. Journal of clinical medicine research. 2023;15(4):200-7. [DOI:10.14740/jocmr4902]
4. Jasirwan COM, Hasan I, Sulaiman AS, Lesmana CRA, Kurniawan J, Kalista KF, et al. Risk factors of mortality in the patients with hepatocellular carcinoma: A multicenter study in Indonesia. Current problems in cancer. 2020;44(1):100480. [DOI:10.1016/j.currproblcancer.2019.05.003]
5. Rice A, Del Rio Hernandez A. The Mutational Landscape of Pancreatic and Liver Cancers, as Represented by Circulating Tumor DNA. Frontiers in oncology. 2019;9:952. [DOI:10.3389/fonc.2019.00952]
6. Wang W, Zhang H, Tang M, Liu L, Zhou Z, Zhang S, et al. MicroRNA-592 targets IGF-1R to suppress cellular proliferation, migration and invasion in hepatocellular carcinoma. Oncology letters. 2017;13(5):3522-8. [DOI:10.3892/ol.2017.5902]
7. Yang C, Yin M, Xu G, Lin WJ, Chen J, Zhang Y, et al. Biodegradable Polymers as a Noncoding miRNA Nanocarrier for Multiple Targeting Therapy of Human Hepatocellular Carcinoma. Advanced healthcare materials. 2019;8(8):e1801318. [DOI:10.1002/adhm.201801318]
8. Astuti I, Ysrafil. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): An overview of viral structure and host response. Diabetes & metabolic syndrome. 2020;14(4):407-12. [DOI:10.1016/j.dsx.2020.04.020]
9. Ysrafil Y, Astuti I. Chitosan nanoparticle-mediated effect of antimiRNA-324-5p on decreasing the ovarian cancer cell proliferation by regulation of GLI1 expression. Bioimpacts. 2022;12(3):195-202. [DOI:10.34172/bi.2021.22119]
10. Morishita A, Oura K, Tadokoro T, Fujita K, Tani J, Masaki T. MicroRNAs in the Pathogenesis of Hepatocellular Carcinoma: A Review. Cancers. 2021;13(3). [DOI:10.3390/cancers13030514]
11. Otmani K, Lewalle P. Tumor Suppressor miRNA in Cancer Cells and the Tumor Microenvironment: Mechanism of Deregulation and Clinical Implications. Frontiers in oncology. 2021;11:708765. [DOI:10.3389/fonc.2021.708765]
12. Zhang M, Li M, Li N, Zhang Z, Liu N, Han X, et al. miR-217 suppresses proliferation, migration, and invasion promoting apoptosis via targeting MTDH in hepatocellular carcinoma. Oncology reports. 2017;37(3):1772-8. [DOI:10.3892/or.2017.5401]
13. Tian YW, Shen Q, Jiang QF, Wang YX, Li K, Xue HZ. Decreased levels of miR-34a and miR-217 act as predictor biomarkers of aggressive progression and poor prognosis in hepatocellular carcinoma. Minerva medica. 2017;108(2):108-13. [DOI:10.23736/S0026-4806.16.04616-4]
14. Chou CH, Shrestha S, Yang CD, Chang NW, Lin YL, Liao KW, et al. miRTarBase update 2018: a resource for experimentally validated microRNA-target interactions. Nucleic acids research. 2018;46(D1):D296-d302.
15. Rennie W, Kanoria S, Liu C, Mallick B, Long D, Wolenc A, et al. STarMirDB: A database of microRNA binding sites. RNA biology. 2016;13(6):554-60. [DOI:10.1080/15476286.2016.1182279]
16. Zhou S, Zhu C, Pang Q, Liu HC. MicroRNA-217: A regulator of human cancer. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie. 2021;133:110943. [DOI:10.1016/j.biopha.2020.110943]
17. Turhal NS, Savaş B, Çoşkun Ö, Baş E, Karabulut B, Nart D, et al. Prevalence of K-Ras mutations in hepatocellular carcinoma: A Turkish Oncology Group pilot study. Molecular and clinical oncology. 2015;3(6):1275-9. [DOI:10.3892/mco.2015.633]
18. Luo YD, Liu XY, Fang L, Yu HQ, Zhang YJ, Chen M, et al. Mutant Kras and mTOR crosstalk drives hepatocellular carcinoma development via PEG3/STAT3/BEX2 signaling. Theranostics. 2022;12(18):7903-19. [DOI:10.7150/thno.76873]
19. Yang H, Xiang S, Kazi A, Sebti SM. The GTPase KRAS suppresses the p53 tumor suppressor by activating the NRF2-regulated antioxidant defense system in cancer cells. The Journal of biological chemistry. 2020;295(10):3055-63. [DOI:10.1074/jbc.RA119.011930]
20. Szczepanek J, Skorupa M, Tretyn A. MicroRNA as a Potential Therapeutic Molecule in Cancer. Cells. 2022;11(6). [DOI:10.3390/cells11061008]
21. Cai C, Xie Y, Wu L, Chen X, Liu H, Zhou Y, et al. PLGA-based dual targeted nanoparticles enhance miRNA transfection efficiency in hepatic carcinoma. Scientific reports. 2017;7:46250. [DOI:10.1038/srep46250]
22. Wardana T, Ysrafil Y, Sumadi FAN, Martien R, Astuti I, Mubarika S. Suitable reference gene for silencing methods using microRNA encapsulated nanoparticles chitosan for the ovarian cancer cell line. Gene Rep. 2023;33:101855. [DOI:10.1016/j.genrep.2023.101855]
23. Ysrafil Y, Astuti I, Anwar SL, Martien R, Sumadi FAN, Wardhana T, et al. MicroRNA-155-5p Diminishes in Vitro Ovarian Cancer Cell Viability by Targeting HIF1α Expression. Advanced pharmaceutical bulletin. 2020;10(4):630-7. [DOI:10.34172/apb.2020.076]
24. Galih P, Ronny M, Retno M. Chitosan nanoparticle as a delivery system for polyphenols from meniran extract (Phyllanthus niruri L.): formulation, optimization, and immunomodulatory activity. Int J Appl Pharm. 2019;11:50-8. [DOI:10.22159/ijap.2019v11i2.29999]
25. Ghadi A, Mahjoub S, Tabandeh F, Talebnia F. Synthesis and optimization of chitosan nanoparticles: Potential applications in nanomedicine and biomedical engineering. Caspian journal of internal medicine. 2014;5(3):156-61.
26. Rizkita L, Ysrafil Y, Martien R, Astuti I. Chitosan Nanoparticles Mediated Delivery of miR-106b-5b to Breast Cancer Cell Lines MCF-7 and T47D. Int J Appl Pharm. 2021;13(1):129-34. [DOI:10.22159/ijap.2021v13i1.39749]
27. Denizli M, Aslan B, Mangala LS, Jiang D, Rodriguez-Aguayo C, Lopez-Berestein G, et al. Chitosan Nanoparticles for miRNA Delivery. Methods in molecular biology (Clifton, NJ). 2017;1632:219-30. [DOI:10.1007/978-1-4939-7138-1_14]
28. Genedy HH, Delair T, Montembault A. Chitosan Based MicroRNA Nanocarriers. Pharmaceuticals (Basel, Switzerland). 2022;15(9). [DOI:10.3390/ph15091036]
29. Ning Q, Liu YF, Ye PJ, Gao P, Li ZP, Tang SY, et al. Delivery of Liver-Specific miRNA-122 Using a Targeted Macromolecular Prodrug toward Synergistic Therapy for Hepatocellular Carcinoma. ACS applied materials & interfaces. 2019;11(11):10578-88. [DOI:10.1021/acsami.9b00634]
30. Cai M, Xiang Y, Li Z, Xie J, Wen F. Network pharmacology and molecular docking predictions of the active compounds and mechanism of action of Huangkui capsule for the treatment of idiopathic membranous nephropathy. Medicine. 2023;102(37):e35214. [DOI:10.1097/MD.0000000000035214]
31. Liu C, Min L, Kuang J, Zhu C, Qiu XY, Zhu L. Bioinformatic Identification of miR-622 Key Target Genes and Experimental Validation of the miR-622-RNF8 Axis in Breast Cancer. Frontiers in oncology. 2019;9:1114. [DOI:10.3389/fonc.2019.01114]
32. Premnath V, Veerappapillai S. Unveiling miRNA-Gene Regulatory Axes as Promising Biomarkers for Liver Cirrhosis and Hepatocellular Carcinoma. ACS omega. 2024;9(44):44507-21. [DOI:10.1021/acsomega.4c06551]
33. Balasundaram A, Mitra TS, Tayubi IA, Zayed H, Doss GPC. Deciphering the miRNA-mRNA Interaction Landscape between Breast Cancer and Triple-Negative Breast Cancer: An Integrated Bioinformatics Approach. ACS omega. 2024;9(23):24379-95. [DOI:10.1021/acsomega.4c00011]
34. Alotaibi NM, Alotaibi MO, Alshammari N, Adnan M, Patel M. Network Pharmacology Combined with Molecular Docking, Molecular Dynamics, and In Vitro Experimental Validation Reveals the Therapeutic Potential of Thymus vulgaris L. Essential Oil (Thyme Oil) against Human Breast Cancer. ACS omega. 2023;8(50):48344-59. [DOI:10.1021/acsomega.3c07782]
35. Ma G, Dong Q, Li F, Jin Z, Pi J, Wu W, et al. Network pharmacology and in vivo evidence of the pharmacological mechanism of geniposide in the treatment of atherosclerosis. BMC complementary medicine and therapies. 2024;24(1):53. [DOI:10.1186/s12906-024-04356-x]
36. Suardi RB, Ysrafil Y, Sesotyosari SL, Martien R, Wardana T, Astuti I, et al. The Effects of Combination of Mimic miR-155-5p and Antagonist miR-324-5p Encapsulated Chitosan in Ovarian Cancer SKOV3. Asian Pacific journal of cancer prevention : APJCP. 2020;21(9):2603-8. [DOI:10.31557/APJCP.2020.21.9.2603]
37. Palomba G, Colombino M, Contu A, Massidda B, Baldino G, Pazzola A, et al. Prevalence of KRAS, BRAF, and PIK3CA somatic mutations in patients with colorectal carcinoma may vary in the same population: clues from Sardinia. Journal of translational medicine. 2012;10:178. [DOI:10.1186/1479-5876-10-178]
38. De Falco M, Fedele V, De Luca L, Penta R, Cottone G, Cavallotti I, et al. Evaluation of cyclin D1 expression and its subcellular distribution in mouse tissues. Journal of anatomy. 2004;205(5):405-12. [DOI:10.1111/j.0021-8782.2004.00347.x]
39. Dougherty U, Mustafi R, Wang Y, Musch MW, Wang CZ, Konda VJ, et al. American ginseng suppresses Western diet-promoted tumorigenesis in model of inflammation-associated colon cancer: role of EGFR. BMC complementary and alternative medicine. 2011;11:111. [DOI:10.1186/1472-6882-11-111]
40. Yudhani RD, Astuti I, Mustofa M, Indarto D, Muthmainah M. Metformin Modulates Cyclin D1 and P53 Expression to Inhibit Cell Proliferation and to Induce Apoptosis in Cervical Cancer Cell Lines. Asian Pacific journal of cancer prevention : APJCP. 2019;20(6):1667-73. [DOI:10.31557/APJCP.2019.20.6.1667]
41. Nisa U, Astuti I, Martien R, Maulana DR, Ysrafil Y, editors. Chitosan Nanoparticle as a Delivery System of miRNA 217 for Suppressing Hepatocellular Carcinoma Progressivity by Targeting AEG-1/P53. 1st Jenderal Soedirman International Medical Conference in conjunction with the 5th Annual Scientific Meeting (Temilnas) Consortium of Biomedical Science Indonesia; 2021; Purwokerto: SCITEPRESS. [DOI:10.5220/0010489001310138]
42. Khan I, Saeed K, Khan I. Nanoparticles: Properties, applications and toxicities. Arab J Chem. 2019;12(7):908-31. [DOI:10.1016/j.arabjc.2017.05.011]
43. Mahboobnia K, Beveridge DJ, Yeoh GC, Kabir TD, Leedman PJ. MicroRNAs in Hepatocellular Carcinoma Pathogenesis: Insights into Mechanisms and Therapeutic Opportunities. International journal of molecular sciences. 2024;25(17). [DOI:10.3390/ijms25179393]
44. O'Brien J, Hayder H, Zayed Y, Peng C. Overview of MicroRNA Biogenesis, Mechanisms of Actions, and Circulation. Frontiers in endocrinology. 2018;9:402. [DOI:10.3389/fendo.2018.00402]
45. Zhang JG, Shi Y, Hong DF, Song M, Huang D, Wang CY, et al. MiR-148b suppresses cell proliferation and invasion in hepatocellular carcinoma by targeting WNT1/β-catenin pathway. Scientific reports. 2015;5:8087. [DOI:10.1038/srep08087]
46. Matsumoto S, Harada A, Seta M, Akita M, Gon H, Fukumoto T, et al. Wnt Signaling Stimulates Cooperation between GREB1 and HNF4α to Promote Proliferation in Hepatocellular Carcinoma. Cancer research. 2023;83(14):2312-27. [DOI:10.1158/0008-5472.CAN-22-3518]
47. Tian LY, Smit DJ, Jücker M. The Role of PI3K/AKT/mTOR Signaling in Hepatocellular Carcinoma Metabolism. International journal of molecular sciences. 2023;24(3). [DOI:10.3390/ijms24032652]
48. Saliani M, Mirzaiebadizi A, Javadmanesh A, Siavoshi A, Ahmadian MR. KRAS-related long noncoding RNAs in human cancers. Cancer gene therapy. 2022;29(5):418-27. [DOI:10.1038/s41417-021-00381-x]
49. Sun Y, Kou Y, He X, Yan Y, Guo X, Yang X, et al. Efficient delivery of Echinococcus multilocularis miRNAs using chitosan nanoparticles. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie. 2022;150:112945. [DOI:10.1016/j.biopha.2022.112945]
50. Freier T, Shan H, Kazazian K, Shoichet M. Controlling cell adhesion and degradation of chitosan films by N -acetylation. Biomaterials. 2005;26:5872-8. [DOI:10.1016/j.biomaterials.2005.02.033]
51. Zhou K, Luo X, Wang Y, Cao D, Sun G. MicroRNA-30a suppresses tumor progression by blocking Ras/Raf/MEK/ERK signaling pathway in hepatocellular carcinoma. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie. 2017;93:1025-32. [DOI:10.1016/j.biopha.2017.07.029]
52. Nussinov R, Tsai CJ, Jang H. Is Nanoclustering essential for all oncogenic KRas pathways? Can it explain why wild-type KRas can inhibit its oncogenic variant? Seminars in cancer biology. 2019;54:114-20. [DOI:10.1016/j.semcancer.2018.01.002]
53. Xu W, Deng B, Lin P, Liu C, Li B, Huang Q, et al. Ribosome profiling analysis identified a KRAS-interacting microprotein that represses oncogenic signaling in hepatocellular carcinoma cells. Science China Life sciences. 2020;63(4):529-42. [DOI:10.1007/s11427-019-9580-5]
54. Li WF, Ou Q, Dai H, Liu CA. Lentiviral-Mediated Short Hairpin RNA Knockdown of MTDH Inhibits Cell Growth and Induces Apoptosis by Regulating the PTEN/AKT Pathway in Hepatocellular Carcinoma. International journal of molecular sciences. 2015;16(8):19419-32. [DOI:10.3390/ijms160819419]

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