EHCO adapts the PLONE platform, an open source content management system (CMS) with a workflow engine, pre-configured security and a set of content types, to create an infrastructure to support flexible storage and presentation (Figure 1A). The advantage of using PLONE is that PLONE supports Wiki so that EHCO can be extended beyond the context of HCC research. One example is Liver Fibrosis 41, a sister site of EHCO, which provides liver necroinflammatory and fibrosis-related gene knowledge 38. Both sites shared the same server, same PLONE, the same mySQL database, and most of the python codes. The uniqueness of EHCO lies in its ability to allow registered users to contribute their own work to EHCO to create an integrated biological information portal for efficient information sharing and extensive aggregation of research-related topics. To achieve the uniqueness, EHCO uses ZWiki as its content management and presentation platform. ZWiki is one of many open-source Wiki platforms freely available online. With ZWiki, users can collaboratively create their new Web pages to enrich the contents of EHCO.

A fundamental part of EHCO is the collection of eight gene sets related to HCC either from PubMed or diverse high-throughput studies (Figure 2A). Since different labs obtained all gene sets independently at different time, they used a wide variety of gene IDs and appeared in many cases with different gene names, resulting in difficulty in gene ID comparisons. Therefore, we established Gene Name Service 49, a comprehensive gene name cross-reference database, to unify all of the aliases automatically. Since the amount of biomedical literatures available on the web is rapidly increasing, manual information extraction from search results is usually unable to identify articles of interest immediately. Therefore, in the PubMed section, we had extracted 1,084 genes (with HUGO-approved gene names) from approximately 4,500 abstracts in the PubMed category (Figure 1B) (detail in Methods section). For those genes that either do not have HUGO-approved gene names or fail to be included from PubMed search, they were placed under TableX when reading the articles. Among the HCC-related microarray studies, EHCO was further reorganized into five gene sets. Differentially expressed HCC-related gene sets were collected from four major studies, including Chen et al., 1 (referred to as SMD1648), Neo et al., 2 (referred to as GIS), Lee et al., 3 (referred to as Lee_NIH), and Kim et al., 4 (referred to as Kim_NIH), and ten additional reports 567891011121314, which were manually keyed in and are referred to as TableX_mRNA. The differentially expressed genes collected from these sets ranged from 199 (GIS) to 1,161 (SMD1648). Similarly, eight proteomics reports 1617181920212223, which represented relatively small collections of 104 proteins, were also manually keyed in and are referred to as TableX_protein. In addition, the SAGE dataset 48 was collected from CGAP library by using a 2-fold difference in tumor vs. non-tumor sample as criteria, resulting in a gene set of 391 genes.

Among the eight gene set collections, there are 2906 non-redundant genes in total. Figure 2A shows the intersection between each gene set. The biggest intersection, which contained 138 genes, appeared between SMD1648 and PubMed. Interestingly, 68.0% SMD1648 (790 out of 1,161) and 69.6% PubMed (754 out of 1,084) collections (referred to as distinct genes in Figure 2A) had not been reported in other gene sets. Similarly, a comparison was made that revealed 77% genes were only counted once among each gene set (Figure 2B), suggesting that tremendous efforts will be needed to characterize the relationship between HCC and these genes generated from diverse measurements. A cross-dataset comparison of SAGE and five microarray datasets (mRNA-based measurements) revealed the top 23 intersection genes, which appeared at least 4 times in EHCO, among each gene set. 19 out of the 23 genes shared consistent gene expression patterns (tumor vs. normal; up- or down-regulated) (shown as Up & Down) (Table 1). In contrast, 4 genes had discrepancies in HCC expression patterns (bold in Table 1). This might be the result of changes in gene expression associated with different pathophysiological states, the type of sample collected, etc. Fortunately, three out of four had PubMed records, including FABP1 (overexpression in HCC 24), IGFBP3 (down-regulation in HCC 25), and SGK (overexpression in HCC 10). Since we did not have an unbiased method to distinguish the accuracy of NNMT, Q-RT-PCR was applied to evaluate the expression patterns by using 21 pairwised HCC patient specimens. The down-regulation profiles were observed in 19 out of 21 paired samples analyzed (Figure 3A). In addition to NNMT, we chose PEG10 2627, which also had contradictory expression patterns in our collections, and performed Q-RT-PCR to validate the gene expression signatures. Figure 3B showed that overexpression of PEG10 was observed in 17 out of 21 HCC patient samples. Altogether, the majority of EHCO collections (~77%) appeared only once and there were some discrepancies among gene sets, indicative of a need for an immediate further validation of these different measurements by using different HCC samples. Therefore, we especially welcome other investigators to contribute their validation data to our EHCO data warehouse.

Pathway information is important for an understanding of the functionality of genes and proteins. EHCO integrated two well-known pathway databases, KEGG 28 and BioCarta 51. Figure 2C and 2D show the top five KEGG and BioCarta pathways that have the most HCC-related genes associated with them in these two public accessible pathway collections. Out of EHCO's current collections, 2385 genes were identified as part of the associated pathways from KEGG. The most associated pathway is cytokine-cytokine receptor interaction, which has 102 genes associated with it. The most associated pathway in BioCarta is the MAPK signaling pathway, which has 38 genes associated with it. Interestingly, these two public accessible pathway analyzers did not have a similar dataset for their top 5 collections except for the MAPK signaling pathway. This is probably due to the fact that the primary areas of KEGG collections are metabolic pathways whereas the coverage areas of BioCarta are signaling pathways. Moreover, analysis of chromosome distribution indicates that the largest proportion belongs to chromosome 1 (343 genes), whereas Y chromosome contains the least genes, namely only 2 EHCO genes (Figure 2E).

The disease specific gene/protein expression pattern can provide important clues about gene function. Currently, ~1000 genes-related to HCC are in our PubMed collections (or referred to as small scale studies). To date, EHCO has extended the HCC-related gene collections to 2,906 genes. The study of these genes can be accelerated by functional annotations.

To organize diverse HCC-related datasets, the annotation handler stepped in to annotate the EHCO collected gene sets. We use Softbots 29 to harvest gene annotations from various web resources. A softbot is an intelligent software robot that acts, on behalf of the user, to achieve certain goals. Given the resources, which can be online websites, databases, or documents, a softbot extracts the information that it has been targeted to. Since softbot can be fragile against changes to the online resources, we used a Java program, called Agent Toolbox 15 to create and maintain these softbots. Agent Toolbox 'learns' the information extraction rules from users' labels on the web page with a machine-learning algorithm 3637. As a result, we can efficiently repair and maintain our softbots. In this study, individual softbots were used to mine different targets. These programs will periodically update the latest information from NCBI databases and download them into EHCO. Finally, we created a presentation engine integrating all the information into a single user-friendly page view as "Gene Info" (Figure 1A). As a result, each gene annotation webpage displays the most up-to-date information from various databases, e.g. EBI 52, and SMART 30.

To rapidly interrogate the expression patterns of our collection, two gene sets (SMD1648 and PubMed) were used as templates to annotate our EHCO collections. Firstly, SMD-HCC dataset reports not only those differentially expressed gene in SMD1648, but also records the expression patterns of other genes (~16,000 genes), which are not statistically significant in the original data analysis. Inclusion of this on-line quantitative evaluation of gene expression provides a rapid visualization of global trends in gene expression. Secondly, we applied a natural language processing technique to extract information from the abstracts, followed by a summary table illustrating the gene and disease relationship. Toward this goal, we have developed a tool, as described in the Method section, to annotate genes, diseases, and other HCC-related information (i.e. HBV, HCV) from PubMed abstracts to provide a brief summary of each EHCO genes.

The availability of HCC-related gene catalogs now enables elucidation of molecular mechanisms governing hepatocarcinogenesis at the systems level. However, these gene catalogs give no direct clues, at least not immediately evident from the gene symbols, to the underlying carcinogenesis processes. Gene Ontology (GO) analysis 42, which allows the identification of functional related clusters, indicates that protein binding from molecular function (Figure 4A) and cellular physiological process from biological process (Figure 4B) represent the largest proportion (approximately 25%), respectively, in either category. This analysis raises the possibility that these HCC-related genes might not act alone randomly, but have a propensity to associate physically or functionally to perturb the fundamental biological processes of the liver.

To uncover the potential interaction networks or synergistic effects of these seemingly unrelated HCC-related genes, we employed each up-regulated gene set as queries and searched for their interaction partners by accessing our previously established protein-protein interaction (PPI) data 3132. Figure 4C summarizes the analysis results. We used GIS dataset as the first example because all tissue samples in the study were HBV-associated HCC patients. GIS consists of 161 overexpressed genes, but 22 of them have no PPI information. Of the remaining 139 queries, 45 of them (32.4%) could interact with each other (Figure 4C and 4D) and form 55 PPIs. Moreover, 28 queries serve as "hubs" (Figure 4D label with red circle), which are referred to as queries interact with more than one query in a given PPI network (see later). Next, we used Lee_NIH as the second example because this study was using mouse model to recapitulate the HCC and may provide novel insight toward the hepatocarcinogenesis. Similarly, of 149 queries with available PPI data, 52 of them (34.9%) can interact with each other to constitute 43 PPIs and 29 hubs can be revealed (Figure 4E label with red circle). Both queries in the inferred networks belong to primarily cellular physiological process and metabolism from biological process in GO. Together, transformation of these seemingly random genes into their corresponding PPI reveals the intrinsic dys-regulated biological network in HCC and highlights the potential new hubs for discovery of the potential HCC markers or therapeutic targets.

It has been illustrated using the yeast PPI network that this network is scale-free, in which some proteins have many more interactions than others 33. A survey of the yeast protein interaction network has revealed that proteins with more interactions are more important than those with fewer interacting proteins 34, suggesting that hub degree is an indicator for essentialness in a network. However, it is difficult to address the essentialness of these newly identified hubs (or potential new targets for hepatocarcinogenesis) from the inferred biological network as described in Figure 4D and 4E. Therefore, we employed the comparative genomics approach for the availability of knockout phenotype from various model organisms. To reduce the complexity, we focused on those genes only conserved in evolution, which may represent, at least in part, the dys-regulation of essential cellular physiological roles in hepatocarcinogenesis as concluded in GO analysis (Figure 4B). Based on the HomoloGene orthologues database (build50.1), 228 genes, consisting of 139 up- and 78 down-regulated genes, out of 2906 EHCO collections are conserved range from H. sapiens, M. musculus, C. elegans, D. melanogaster, to S. cerevisiae (Figure 5A). Of 139 queries, 120 queries with PPI data were individually subjected to search for their interaction partners. 47 out of 120 queries (~40%) were associated with each other and there were 18 hubs (Figure 5B, labeled in red) in this network. By using the available phenotypic information from WormBase 44, FlyBase 45, and SGD 46, the percentage of nonviable phenotypes, e.g. embryonic or larval lethality, or sterility, in these 18 hubs was higher than those 120 queries (Figure 5C). Moreover, of these 18 hubs with more interaction proteins, the ratio of nonviable phenotype in yeast seemed to be higher than those with fewer interaction proteins (Figure 5D). This analysis seems to be able to shed light on which research can be based to study potential new players in HCC research in the post-genomic era through the systems biology approach.

The fundamental part of EHCO is the collections of eight gene sets related to HCC. The text-mining method to acquire HCC-related literatures from PubMed used "hepatocellular carcinoma" as a keyword. This study used the latest approved human genome nomenclature from HUGO Gene Nomenclature Committee 47. A simple text-matching program was written to look for the presence of HUGO-approved gene names, symbols, and aliases, in the title and abstract part of HCC-related literatures, resulting in acquiring approximately 24,300 abstracts. Because one publication may contain several genes, we curated the results by removing redundancy and obtained 10,425 abstracts. These potential HCC-related abstracts and gene lists were further verified to remove unrelated abstracts by natural language processing, followed by manual read through by biology major graduate students, research associates and postdoctoral fellows. Finally, in the PubMed category, we had extracted 1,084 genes from 4,492 abstracts.

To elucidate the relationship between the EHCO collected genes and HCC, we applied a natural language processing (NLP) technique to extract information from the literature. We performed biological information retrieval (BioIR) to obtain PubMed abstracts that may contain gene-HCC relationships, followed by information extraction to reveal gene-HCC relationships. BioIR started with searching for keyword combinations, i.e. (gene symbol or aliases) and (hepatocellular carcinoma). 10,425 PubMed abstracts were scanned to search for HCC candidate genes. We filtered out abstracts irrelevant to gene-HCC relationships by eliminating those abstracts that HCC and genes did not co-occur in the same sentence since most NLP techniques only handled information in the same line. 5,942 abstracts were found to contain gene-HCC relationships. Biology majored associates were manually read through the abstracts, resulting in the validation of 4,492 abstracts. The accuracy (or precision in NLP terminology) is about 75%. Error analysis on the output and retrieved abstracts indicates that most of errors were caused by lack of sufficient syntactic patterns. The retrieved relevant PubMed abstracts were then subjected to automated information extraction.

To extract information related to a certain topic, the extraction tool needs to be capable of accomplishing two tasks: (1) Named Entity Recognition (NER): to recognize biomedical named entities (NEs) (e.g. afp, alb, mRNA and HCC); and (2) Named Entity Relation Recognition (NERR): to recognize relationships of interest between NEs (e.g. HCC and mRNA level). NER in biomedical domain is a challenging problem in natural language processing for the following reasons. Most biomedical named entities have no nomenclature. They may include long compound words (e.g. hepatocellular carcinoma), or unknown words that include hyphen, digit, Greek letter, or Roman numeral (e.g. 4'-mycarosyl isovaleryl-CoA transferase). Abbreviations and acronyms may also appear as unknown words and frequently cause ambiguity in their meanings. Moreover, named entities may involve variations in spelling (e.g. N-acetylcysteine, N-acetyl-cysteine, NacetylCysteine) or in expressions (e.g. EGF receptor and EGFR). To handle this NER problem, we constructed a NE dictionary that contains the following NEs and NE classes along with their aliases: gene, protein, mRNA, serum, hepatitis B virus (HBV), hepatitis C virus (HCV), methylation, liver regeneration, HCC, cirrhosis, fibrosis, and necrosis. We used dictionary-based method, i.e. a dictionary and a fast matching algorithm, to identify NEs of our interest occurring in the PudMed abstracts. Next, we proceeded to investigate the relationship between NEs by using a natural language parser to assign part-of-speech annotation, and co-occurrences of terms, and template-based methods. The overall automated procedure to extract gene-HCC relationships for our gene-HCC knowledge base system is shown in Figure 1B.

21 pairs of tumor and adjacent non-tumor liver tissues were collected from 1996 to 2000 at the Division of General Surgery of Kaohsiung Veterans General Hospital (VGH). No patients had previously received any treatment, e.g. chemotherapy, for HCC. The study protocol had the approval of the ethics committee at Kaohsiung-VGH. All patients gave informed consents. Study samples, including tumor and adjacent non-tumor liver tissues, were obtained during diagnostic biopsy, and non-tumor liver tissues were derived from neighboring site outside of the tumor. Both tumor and adjacent non-tumor liver tissues for subsequent studies were confirmed by pathologists and were used for quantitative RT-PCR (or Q-RT-PCR). The detailed protocols for RNA isolation and SYBR Green I based quantitative RT-PCR were as described previously 35.