Long Noncoding RNA RMRP Suppresses the Tumorigenesis of Hepatocellular Carcinoma Through Targeting microRNA-766

Introduction

Hepatocellular carcinoma (HCC) is the most prevalent subtype of liver cancer, accounting for 70–85% of liver cancer in the world.^1,2 In recent years, surgical resection is still the predominant therapeutic strategy for HCC, while it does not has a desirable outcome with an overall survival rate of approximately 50% within 5 years.^3,4 The most effective therapeutic method for early stage HCC is liver transplantation or curative surgery, while therapeutic options for advanced HCC are very limited.^5,6 Therefore, exploring novel therapeutic targets is urgently needed to ameliorate the prognosis of HCC patients.^7–9

Long noncoding RNAs (lncRNAs) are a major class of noncoding RNA transcripts with length over 200 nucleotides.¹⁰ LncRNAs are involved in diverse biological processes, such as genomic imprinting, epigenetic regulation, and the regulation of cell cycle, apoptosis, and differentiation, via interacting with DNA, RNA molecules or proteins.¹¹ Recently, many researches have suggested that lncRNAs play a critical role in the occurrence and metastasis of cancers.^12,13 For example, lncRNA HULC accelerates the tumor invasion and metastasis of HCC.^14,15 LncRNA UCA1 is up-regulated in HCC tissues, and UCA1 depletion represses the metastasis of HCC.¹⁶ LncRNA RNA component of mitochondrial RNA processing endoribonuclease (RMRP) is widely expressed in murine and human tissues.¹⁷ Meng et al¹⁸ have demonstrated that ectopic expression of RMRP promotes the proliferation and invasion of lung adenocarcinoma cells. Feng et al¹⁹ have indicated that RMRP serves as an oncogene and a therapeutic target for glioma. Wang et al²⁰ have revealed that RMRP accelerates the proliferation and invasion of non-small cell lung cancer (NSCLC) cells through targeting miR‐1‐3p. However, the knowledge on the regulatory effect and mechanism of RMRP on HCC remains limited.

LncRNAs are involved in the development and progression of various types of cancers through binding to specific microRNAs (miRNAs).²¹ For example, lncRNA MIR4435-2HG accelerates the proliferation of HCC cells through up-regulating miR-487a.²² LncRNA DGCR5 suppresses the progression of HCC through targeting miR-346.²³ MiRNAs play key roles in the pathogenesis of HCC, and a large number of miRNAs are dysregulated in HCC, such as miR-1, 21, −25, −26a, −375, −206, −223, −224, −92a, −222, and -let-7f.^24–28 MiR-766 is a novel defined metastasis-related miRNA in human, which is identified through the comparison between a primary xenograft model and a metastasis model.²⁹ Increasing researches have demonstrated that miR-766 serves as either a tumor-promoter or a tumor-suppressor in different cancers, such as renal cell carcinoma,³⁰ colorectal cancer,³¹ breast cancer,³² and lung cancer.³³ Chen et al have proved that DNA methylation-modulated suppression of miR-766-3p accelerates the proliferation of renal cell carcinoma cells.³⁰ Bai et al³³ have indicated that lncRNA CASC15 accelerates the proliferation and invasion of lung cancer cells via modulating miR-766-5p/KLK12 axis. However, the regulatory relationship between RMRP and miR-766 in HCC remains unclear.

In the present study, we first detected the expression of RMRP in HCC tissues, and the effects of RMRP overexpression on the proliferation, migration, invasion and apoptosis of HCC cells. The regulatory relationship between miR-766 and RMRP was then predicted and confirmed. A xenografted tumor model was established in rats to analyze the anti-tumor effect of RMRP on HCC in vivo. Our research revealed the regulatory effect of RMRP on the development of HCC and provided a potential therapeutic target for HCC.

Materials and Methods

Clinical Specimens

Totally 40 tumor tissues and adjacent normal tissues were obtained from HCC patients (28 males, 12 females) receiving surgical resection from April 2013 to May 2014. HCC tissues were histopathologically confirmed. These patients did not receive preoperative adjuvant chemotherapy, radiotherapy, targeted therapy or immunotherapy before surgical resection. This study was permitted by the Ethics Committee of Dongying People’s Hospital and written informed consents were obtained from all patients.

Cell Culture

HCC cell lines (Hep3B, HepG2, MHCC97H and HuH7) and human hepatic cell line HL-7702 (L02) were obtained from Cell Bank of Type Culture Collection (CBTCC, Shanghai, China). All cell lines were cultured in Dulbecco’s modified Eagle’s medium (DMEM) (Gibco, Waltham, MA, USA) and maintained in an incubator (MCO-15AC, Sanyo, JAPAN) at 37°C with 5% CO₂. When growing to 80% confluence, cells were digested with 0.25% trypsin and then passaged every other day.

Cell Transfection

Cells were seeded into 6-well cell plates (6×10⁵ cells/well) and cultured at 37°C overnight. Transfection was conducted using Lipofectamine 2000 (Invitrogen, Waltham, MA, USA) following manufacturer’s instructions. MHCC97H and HuH7 cells were transfected with pcDNA3.1-RMRP or pcDNA3.1 negative control, and grouped as the pcDNA3.1-RMRP or pcDNA3.1-NC group, respectively. MHCC97H cells were further co-transfected with miR-766 mimics or mimics-NC (GenePharma Co., Ltd, Shanghai, China) and pcDNA3.1-RMRP or pcDNA3.1-NC, and grouped as the mimics-NC, miR-766 mimics, NC + mimics-NC, RMRP + mimics-NC, NC + miR-766 mimics, and RMRP + miR-766 mimics group. Cells without transfection were considered as the Mock group.

qRT-PCR

Trizol reagent (Invitrogen) was used to isolate the total RNA from cells in each group. RNA reverse transcription was conducted using reverse transcription kit (Takara, Otsu, Japan). qRT-PCR was conducted on ABI 7500HT Fast Real-Time PCR System (Applied Biosystems, Waltham, MA, USA) under the following reaction conditions: 95°C for 10 min, 40 cycles at 95°C for 15 s, 60°C for 30 s and 72°C for 20 s. The expression level of mRNA was calculated according to the 2^−ΔΔCt method.³⁴ The primer sequences are shown in Table 1. U6 or β-actin was used as the internal reference of miR-766 or RMRP, respectively.

Table 1 Primer Sequences

MTT Analysis

Cell viability was assessed by MTT assay as previously reported.³⁵ Cells were seeded in 96-well plates (6 ×10³ cells/well) and cultured for 0, 24, 48, and 72 h, respectively. Subsequently, 20 μL MTT (5 mg/mL, Sigma-Aldrich, St. Louis, MO, USA) was pipetted into each well. After 4 h of incubation, 150 μL DMSO was added to terminate the reaction. The absorbance at 495 nm (A495) was measured by a microplate reader (Applied Biosystems).

Colony Formation Assay

Cell proliferation was assessed by colony formation assay as previously reported.³⁶ After transfected for 48 h, cells were seeded in 6-well plates (600 cells/well, 2.5 mL medium/well) and cultured for 14 d. Cells were then stained with crystal violet for 15 min. The stained colonies (more than 50 cells) were photographed under a microscope (OlympusCkx53, Japan) and were counted using ImageJ (1.48V) software.

AnnexinV-PI Double Staining

Cell proliferation was assessed by AnnexinV-PI double staining as previously reported.³⁷ A total of 1×10⁵ cells were suspended in 500 µL binding buffer. Cells were then stained with 5 µL Annexin V-EGFP and 5mL Propidium Iodide (Invitrogen). Cell apoptosis rate was examined by a MUSE^TM flow cytometer (Merck Millipore, USA).

Wound Healing Assay

Cell migration was assessed by wound healing assay as previously reported.³⁸ Cells were seeded into 6-well plates (5×10⁵ cells/well). When cells were grown to 90% confluence, an artificial scratch was created using a 10 μL pipette tip. Cells were then cultured for 24 h and observed under an inverted microscope (Olympus). Wound healing rate was calculated by the fraction of cell coverage across the line.

Transwell Assay

Cell invasion was assessed using transwell membranes (BD, Franklin Lakes, NJ, USA) coated with Matrigel as previously reported.³⁸ Totally 100 μL cells (1×10⁵/100 μL) were seeded into the upper chamber, and 500 μL medium containing 10% FBS was added to the lower chamber as a chemoattractant. After 48 h of incubation, the invasive cells were stained with crystal violet for 10 min. Positive stained cells were counted under a microscope (Olympus) at five random fields.

Dual-Luciferase Reporter Gene Assay

The miRNA targets of RMRP were predicated by StarBase3.0. MiR-766 was chosen because of high rank and its tumor-promoting role in HCC.³⁹ A binding site of RMRP on miR-766 was predicated. According to the predication, the fragments containing the binding site and the mutant site were cloned into pmirGLO vector (Promega, Madison, WI, USA), and separately named RMRP-Wt and RMRP-Mut. MHCC97H cells were then co-transfected with RMRP-Mut or RMRP-Wt and miR-766 mimics or miR-766-NC (GenePharma Co., Ltd) using Lipofectamine 3000 (L3000015, Thermo Fisher Scientific, Waltham, MA, USA). After transfected for 48 h, dual-luciferase reporter gene assay system (Promega) was used to detect the luciferase activity.⁴⁰

Xenografted Tumor Model

Male nude rats (BALB/c) at 4 weeks old were obtained from Shanghai experimental animal center, Chinese academy of sciences (Shanghai, China). Rats were randomly divided into two groups (5 rats in each group). MHCC97H cells at the logarithmic growth phase were collected and subcutaneous injected into the left axilla of rats (1×10⁷cells/rat). The longest diameter (L) and the shortest diameter (W) of the tumor were measured with vernier caliper every 7 days after injection. Tumor volume was calculated using the following formula: V=L×W²/2. At the end of the 4th week, the tumor was completely dissected and weighted.⁴¹ All animal experimental procedures were permitted by the Ethics Committee of Dongying People’s Hospital, and were performed in accordance with the Guide for the Care and Use of Laboratory Animals (eighth edition, 2011, National Institutes of Health, USA).

Statistical Analysis

All assays were conducted for at least three times. Data were analyzed by SPSS 22.0 statistical software and GraphPad Prism 7.0. Data were presented as mean ± standard deviation (SD). Student’s t-test was used to compare the significant difference of two groups. One-way ANOVA followed by Tukey’s post hoc test was applied to compare the significant difference of more than two groups. Difference was regarded statistically significant at P < 0.05.

Results

The Expression of RMRP Was Decreased in HCC Tissues

As presented in Figure 1A, the expression of RMRP in tumor tissues was significantly lower than that in normal tissues (P < 0.0001). Patients with HCC were classified into high and low expression groups according to the median expression of RMRP. The correlation between the RMRP expression and the clinicopathological features is shown in Table 2. The down-regulation of RMRP was significantly associated with the TNM stage, tumor size, and metastasis (P < 0.05). In addition, Kaplan-Meier survival assay showed that the 5-year survival rate of patients in the high RMRP expression group was 29% and the median survival time was 40 months. The 5-year survival rate of patients in the low RMRP expression group was 16% and the median survival time was 17 months (P = 0.0047, Figure 1B).

Table 2 Relation Between RMRP Expression and Clinicopathological Features in HCC

Figure 1 The expression of RMRP was down-regulated in HCC tissues. (A) The expression of RMRP was determined by qRT-PCR in HCC tissues (tumor) and adjacent tissues (Adjacent). (B) The correlation between the expression of RMRP and percent survival in patients with HCC was analyzed using Kaplan–Meier method.

Up-Regulation of RMRP Inhibited the Proliferation and Induced the Apoptosis of HCC Cells

Compared with normal human hepatic cell line L02, the expression of RMRP was significantly decreased in Hep3B, HepG2, MHCC97H and HuH7 cells (all P < 0.01, Figure 2A). MHCC97H and HuH7 cells with relatively low expression of RMRP were used in subsequent assays. The expression of RMRP expression significantly up-regulated in the pcDNA3.1-RMRP group compared with that in the Mock group (P < 0.01, Figure 2B). MTT and colony formation assay showed that the A495 value and the colony number were significantly lower in the pcDNA3.1-RMRP group than that in the Mock group (P < 0.05, Figure 2C and D). In addition, the apoptosis rate was significantly increased in the pcDNA3.1-RMRP group compared to the Mock group (Figure 2E, P < 0.01). There was no significant difference between the pcDNA3.1-NC group and the Mock group.

Figure 2 Overexpression of RMRP inhibited the proliferation and promoted the apoptosis of HCC cells. (A) The expression of RMRP was examined by qRT-PCR in HCC cell lines (Hep3B, HepG2, MHCC97H and HuH7) and hepatic cell line HL-7702 (L02). (B) The expression of RMRP was determined by qRT-PCR in pcDNA3.1-RMRP-transfected HuH7 and MHCC97H cells. (C) MTT assay was performed to analyze the proliferation of HuH7 and MHCC97H cells. (D) Colony formation assay was performed to detect the relative colony numbers in HuH7 and MHCC97H cells. (E) The apoptosis of HuH7 and MHCC97H cells was assessed by flow cytometry. Mock, HuH7 or MHCC97H cells without transfection; pcDNA3.1-NC, HuH7 or MHCC97H cells transfected with pcDNA3.1 negative control; pcDNA3.1-RMRP, HuH7 or MHCC97H cells transfected with pcDNA3.1-RMRP. **P < 0.01 vs L02 (A); *P < 0.05, **P < 0.01 vs Mock and pcDNA3.1-NC (B–E).

Up-Regulation of RMRP Inhibited the Migration and Invasion of HCC Cells

Wound healing and transwell assay showed that the migration rate and the relative number of invasive cells were markedly decreased in the pcDNA3.1-RMRP group compared with the Mock group (P < 0.01, Figure 3A and B). There was no significant change in the pcDNA3.1-NC group compared with the Mock group.

Figure 3 Overexpression of RMRP inhibited the migration and invasion of HCC cells. (A) Wound healing assay was performed to determine the migration of HuH7 and MHCC97H cells. (B) Transwell assay was performed to determine the invasion of HuH7 and MHCC97H cells. Mock, HuH7 or MHCC97H cells without transfection; pcDNA3.1-NC, HuH7 or MHCC97H cells transfected with pcDNA3.1 negative control; pcDNA3.1-RMRP, HuH7 or MHCC97H cells transfected with pcDNA3.1-RMRP. **P < 0.01 vs Mock and pcDNA3.1-NC.

MiR-766 Was the Target of RMRP

The expression of miR-766 in tumor tissues was significantly higher than that in normal tissues (P < 0.0001, Figure 4A). Spearman correlation assay showed that the expression of miR-766 was negatively correlated with the expression of RMRP in tumor tissues (r =﹣0.4939, P =0.0012, Figure 4B). In addition, the expression of miR-766 was significantly higher in HCC cell lines (Hep3B, HepG2, MHCC97H and HuH7) than that in normal hepatocyte cell line L02 (P < 0.01, Figure 4C). As presented in Figure 4D, the expression of miR-766 was significantly decreased in the pcDNA3.1-RMRP group compared with that in the Mock group (P < 0.05, Figure 4D). To investigate the regulatory effect of miR-766 on RMRP, miR-766 mimics or miR-766 inhibitor was transfected into MHCC97H cells. The expression of RMRP was significantly decreased in the miR-766 mimics group compared with the mimics-NC group, and was significantly increased in the miR-766 inhibitor group compared with the inhibitor-NC group (P < 0.05, Figure 4E). Furthermore, StarBase3.0 predicted a binding site of RMRP on miR-766 (Figure 4F). Dual-luciferase reporter gene assay showed that the co-transfection of miR-766 mimics and RMRP Wt significantly decreased the luciferase activity of MHCC97H cells, and co-transfection of miR-766 mimics and RMRP Mut did not influence the luciferase activity (P < 0.01, Figure 4G). The above results revealed that miR-766 was a target of RMRP.

Figure 4 MiR-766 was a target of RMRP. (A) The expression of miR-766 was determined by qRT-PCR in HCC tissues (Tumor) and adjacent tissues (Adjacent). (B) Spearman correlation analysis was used to determine the correlation between the expression of miR-766 and RMRP in tumor tissues. (C) The expression of miR-766 was examined by qRT-PCR in HCC cell lines (Hep3B, HepG2, MHCC97H and HuH7) and hepatic cell line HL-7702 (L02). (D) The expression of miR-766 was determined by qRT-PCR in pcDNA3.1-RMRP-transfected MHCC97H cells. (E) The expression of RMRP was determined by qRT-PCR in miR-766 mimics- and miR-766 inhibitor-transfected MHCC97H cells. (F) StarBase3.0 was used to predict the binding site of miR-766 on RMRP. (G) Dual-luciferase reporter assay was performed to determine the luciferase activity of MHCC97H cells. Mock, MHCC97H cells without transfection; pcDNA3.1-NC, MHCC97H cells transfected with pcDNA3.1 negative control; pcDNA3.1-RMRP, MHCC97H cells transfected with pcDNA3.1-RMRP; mimics-NC, MHCC97H cells transfected with mimics-NC; miR-766 mimics, MHCC97H cells transfected with miR-766 mimics; inhibitor-NC, MHCC97H cells transfected with inhibitor-NC; miR-766 inhibitor, MHCC97H cells transfected with miR-766 inhibitor. **P < 0.01 vs L02 (C); **P < 0.01 vs Mock and pcDNA3.1-NC (D); **P < 0.01 vs Mock and mimics-NC or inhibitor-NC (E); **P < 0.01 vs mimics-NC (G).

MiR-766 Eliminated the Effect of RMRP on HCC Cells

To investigate the regulatory relationship between miR-766 and RMRP on HCC cells, miR-766 mimics were transfected into MHCC97H cells. The expression of miR-766 in the miR-766 mimics group was significantly increased compared with the Mock group (P < 0.01, Figure 5A). The miR-766 mimics and pcDNA3.1-RMRP were then co-transfected into MHCC97H cells. As shown in Figure 5C, E and F, the cell proliferation, migration and invasion were significantly enhanced in the NC + miR-766 mimics group, and were significantly inhibited in the RMRP + mimics-NC group compared with the NC + mimics-NC group (P < 0.01). The results of cell apoptosis were opposite to those of cell proliferation (P < 0.01, Figure 5D). Notably, miR-766 mimics eliminated the anti-tumor effects of RMRP on HCC cells (P < 0.05, Figure 5B–F).

Figure 5 MiR-766 eliminated the anti-tumor effect of RMRP on HCC cells. (A) The expression of miR-766 was determined by qRT-PCR in miR-766 mimics-transfected MHCC97H cells. (B) MTT assay was performed to analyze the proliferation of MHCC97H cells. (C) Colony formation assay was performed to detect the relative colony numbers in MHCC97H cells. (D) Flow cytometry was utilized to analyze the apoptosis of MHCC97H cells. (E) Wound healing assay was performed to detect the migration of MHCC97H cells. (F) Transwell assay was performed to detect the invasion of MHCC97H cells. Mock, MHCC97H cells without transfection; mimics-NC, MHCC97H cells transfected with mimics-NC; miR-766 mimics, MHCC97H cells transfected with miR-766 mimics; NC + mimics-NC, MHCC97H cells co-transfected with pcDNA3.1-NC and mimics-NC; NC + miR-766 mimics, MHCC97H cells co-transfected with pcDNA3.1-NC and miR-766 mimics; RMRP + mimics-NC, MHCC97H cells co-transfected with pcDNA3.1-RMRP and mimics-NC; RMRP + miR-766 mimics, MHCC97H cells co-transfected with pcDNA3.1-RMRP and miR-766 mimics. **P < 0.01 vs Mock and mimics-NC (A); *P < 0.05, **P < 0.01 vs NC + mimics-NC; # P < 0.05 vs NC + miR-766 mimics; &, P < 0.05 vs RMRP + mimics-NC (B–F).

Up-Regulation of RMRP Repressed the Xenograft Tumor Growth in Rats

To further evaluate the anti-tumor effect of RMRP on HCC in vivo, xenograft tumor model was established in rats. The tumor volume and weight were significantly decreased in the pcDNA3.1-RMRP group compared with those in the pcDNA3.1-NC group (P < 0.05, Figure 6A and B). qRT-PCR showed that the expression of miR-766 in the pcDNA3.1-RMRP group was significantly lower than that in the pcDNA3.1-NC group (P < 0.01, Figure 6C). The above results indicated that the up-regulation of RMRP inhibited the xenograft tumor growth in rats by down-regulating miR-766.

Figure 6 Overexpression of RMRP inhibited the xenograft tumor growth in rats. (A) Tumor volume was measured at the 1, 2, 3, and 4th week post-injection; (B) Tumor weight was measured at the 4th week post-injection. (C) The expression of miR-766 was determined by qRT-PCR in tumors. Mock, rats injected with MHCC97H cells without transfection; pcDNA3.1-NC, rats injected with pcDNA3.1 negative control-transfected MHCC97H cells; pcDNA3.1-RMRP, rats injected with pcDNA3.1-RMRP-transfected MHCC97H cells. *P < 0.05, **P < 0.01 vs Mock and pcDNA3.1-NC.

Discussion

HCC is a type of malignant tumor with poor prognosis and high mortality worldwide.⁴² Over the past ten years, HCC has become one of the most frequently occurring cancers. There about one-third of cancer-related deaths are caused by HCC around the world.⁴³ The high recurrence of HCC leads to a poor prognosis, which promotes the exploration of novel therapeutic targets for HCC.

The deregulation of lncRNAs plays a key role in the development of HCC.⁴⁴ Many lncRNAs have been identified to be down-regulated in HCC, such as 00364,⁴⁵ DGCR5,⁴⁶ MEG3,⁴⁷ and RP1130-1.⁴⁸ In consistent with these lncRNAs, RMRP was significantly down-regulated in HCC tissues and cells in this study. Previous studies have confirmed that some lncRNAs are potential prognostic markers for HCC. Huang et al have shown that the low expression of DGCR5 is correlated with a poor survival of patients with HCC.⁴⁶ Xiao et al have proved that the low expression of RP1130-1 is associated with the clinical stage, tumor number, microvascular invasion, and short recurrence-free survival in HCC.⁴⁸ In this study, the down-regulation of RMRP was significantly associated with the TNM stage, tumor size, metastasis, and poor survival in patients with HCC. These findings indicate that RMRP is a potential prognostic marker for HCC.

The roles of lncRNAs on cancers are mainly reflected in the regulation of cellular biological processes, such as cell proliferation, apoptosis, migration and invasion. Some lncRNAs have been considered to be potential therapeutic targets for HCC by regulating these processes. Tang et al have shown that the overexpression of 00364 represses the proliferation and induces the apoptosis of HCC cells.⁴⁵ Mo et al have proved that the overexpression of FAM99B significantly inhibits the proliferation, migration, and invasion of HCC cells.⁴⁹ Zhuang et al have demonstrated that DRHC suppresses the proliferation, migration, and invasion of HCC cells.⁵⁰ In this study, we found that the up-regulation of RMRP inhibited the proliferation, migration and invasion, and induced the apoptosis of HCC cells. These results illustrate that RMRP is a tumor suppressor in HCC cells. RMRP exhibits a similar anti-tumor effect on HCC with the lncRNAs mentioned above. To further identify the anti-tumor role of RMRP in vivo, a xenografted tumor model was established in rats. We found that the overexpression of RMRP repressed the xenograft tumor growth in rats. These results further confirmed that RMRP can inhibit the tumorigenesis of HCC in vivo.

MiRNAs are usually acted as the regulatory targets of lncRNAs that involved in the development of human cancers. In this study, a binding site of RMRP on miR-766 was predicted by StarBase3.0. MiR-766 was further identified as a target of RMRP by dual-luciferase reporter gene assay. MiR-766 is known as a human metastasis-related miRNA that is up-regulated in diverse types of cancers, including colorectal cancer,⁵¹ cutaneous squamous cell carcinoma,⁵² lung adenocarcinoma⁵³ and acute promyelocytic leukemia.⁵⁴ In consistent with previous researches, the expression of miR-766 was significantly up-regulated in HCC tissues and cells in this study. Li et al have found that the ectopic expression of miR-766 promotes cell growth and anchorage-independent growth of colorectal cancer cells.⁵¹ Because RMRP could negatively regulated miR-766 in HCC cells, we speculate that RMRP may inhibit the tumorigenesis of HCC via down-regulating miR-766. This speculation was further confirmed by our following feedback assays. The results showed that miR-766 overexpression eliminated the anti-tumor effect of RMRP on HCC cells. Our findings demonstrate that RMRP can repress the proliferation, migration and invasion of HCC cells via targeting miR-766.

Conclusions

In conclusion, RMRP was down-regulated in HCC tissues and correlated with the poor prognosis of HCC patients. Overexpression of RMRP inhibited the proliferation, migration and invasion, and promoted the apoptosis of HCC cells via targeting miR-766. Overexpression of RMRP also repressed the xenograft tumor growth in rats. RMRP may serve as a potential prognostic biomarker and a therapeutic target for HCC.