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UEG Week Berlin 2025 Recordings Gut Guide online

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Introduction

Hepatocellular carcinoma (HCC) constitutes a major global health burden, with its high metastatic potential and heterogeneous metastatic sites serving as critical determinants of postoperative survival outcomes. While recent research has elucidated the involvement of ncRNAs in the metastatic progression of HCC, the precise mechanisms underlying their regulation within the tumor immune microenvironment remain incompletely understood. This study employs cutting-edge spatial transcriptomics to investigate the spatial dynamics of these interactions in HCC.

Aims & Methods

To define the role of ncRNAs in facilitating metastasis within the HCC, we selected key ncRNAs for further investigation through BLAST homology analysis and differential expression profiling between primary and metastatic liver cancer specimens. Subsequently, utilizing spatial single-cell transcriptomic data, we conducted cell-cell communication and neighborhood analysis to explore the complex interactions among tumor cells, immune cells, and stromal cells.

Results

Our findings reveal that cancer-associated fibroblasts (CAFs) promote tumor metastasis through exosome-mediated communication with tumor cells and tumor-associated macrophages (TAMs), driving epithelial-mesenchymal transition (EMT) and enhancing the migratory and invasive capacities of cancer cells. Specifically, through the spatial interaction map, we identified hsa-miR-548d-5p and POT1-AS1 as critical molecular nodes involved in the metastatic process. Tumor cells exposed to both CAFs and TAMs exhibited significantly altered gene expression profiles that favored metastasis, with CAF-derived signals priming TAMs to release pro-metastatic factors that ultimately reprogrammed neighboring cancer cells. Furthermore, we validated our findings through transwell experiments and analysis of ncRNA sequencing.

Conclusion

This study utilized spatial transcriptomics to elucidate how CAFs influence tumor cells and TAMs through exosome-mediated ncRNA signaling, promoting EMT and enhancing the migratory and invasive potential of tumor cells. These findings suggest novel therapeutic strategies targeting CAFs and their interactions with TAMs, providing new avenues for optimizing HCC immunotherapy.

SPATIAL TRANSCRIPTOMICS UNVEILS NCRNA NETWORKS DRIVING HCC METASTASIS

Hongzhen Tang 1, Jingya Liu 1, Xueyou Zhong 1, Hongying Xie 1, Xiaohong Zheng 1, Zekai Feng 1

1 BioMega Spatiotemporal Pathology Research Center, Zhuhai, China

Conference

UEG Week Berlin 2025

Topics

Hepatobiliary

Submission format

Abstract

Session

DDM SUMMIT (Posters)

Citation

United European Gastroenterology Journal 2025; 13 (Supplement 8)

Published

2025

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FROM MISSED CHANCES TO MEANINGFUL CARE: INTEGRATING PSYCHIATRIC AND HEPATOLOGY NURSING TO DETECT AND TREAT HEPATITIS C IN HIGH-RISK GROUPS

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Introduction

The burden of Hepatitis C Virus (HCV) remains a critical public health issue, particularly among People Who Inject Drugs (PWID), who represent a high-risk and often underserved population. Psychiatric care settings—where PWID often seek support for mental health and substance use disorders are key points for opportunistic HCV screening and linkage to care.

Results & Findings

We analyzed two periods: before (2021-2022) and after (2023-2024) integrated hepatology-psychiatry care in the context of HCV treatment. During the whole 4 year period we treated 125 HCV patients, more (n=98) after integrated hepatology-psychiatry care compared to the period before (n=27), p<0.05. Overall, 55.2% (n=69) of patients were PWIDs, predominantly in the period after (92.7%) compared to the period before (7.3%; p<0.05). Majority of treated patients (84%) received their first DAA treatment, 3.3% were retreated due to previous treatment failure, while the rest were retreated due to reinfection.
Of 125 patients, 93% (n=117) were tested and all achieved end of treatment (EOT) response. Among them 63 were PWIDs. Of six PWIDs who were not EOT tested, 5 were lost to follow-up and 1 patient died. In the follow up, 100 patients were tested for sustained viral response (SVR) and 97% achieved SVR. Out of 17 who were not SVR tested, 6 still have not reached SVR period and 11 patients did not show up (90% of them were PWIDs).

Summary & Discussion

Our data indicate that integrated hepatology-psychiatry collaborations can increase treatment in PWID populations. An integrated model of care should help in reducing loss to follow-up in this difficult to treat population.

Conclusion

This practice underscore the importance of cross-specialty nursing cooperation in bridging healthcare gaps and support the development of access models that address both medical and psychosocial needs in vulnerable groups.

References

Dale CH, Smith E, Biondi MJ. Nurse practitioners as primary care site champions for the screening and treatment of hepatitis C virus. J Am Assoc Nurse Pract. 2022 Jan 21;34(4):688-695. doi: 10.1097/JXX.0000000000000689.
Clark CH, Ghalib RH. Hepatitis C: role of the advanced practice nurse. AACNClin Issues. 1999 Nov;10(4):455-63. doi: 10.1097/00044067-199911000-00005.