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. 2020 Jul 7;4:20. doi: 10.1038/s41698-020-0125-y

Fig. 6. The molecular model of hepatoblastoma tumorigenesis and genetic/clinical heterogeneity.

Fig. 6

All hepatoblastoma cells are commonly derived from immature hepatocytes with aberrant activation of the Wnt signaling pathway, whereas heterogeneity among cases arises from the diversity of the differentiation stage of the origins. Clusters E1/E2 are derived from liver progenitor cells at an earlier differentiation stage and consequently harbor hypermethylation of HNF4A/CEBPA-binding regions that leads to expression profiles mimicking fetal liver, which explain the poorly differentiated pathology and aggressive cell proliferation. In addition, clusters E1/E2 highly express NQO1 due to promoter hypomethylation, which induces chemoresistance. Cluster F arises from hepatoblasts at a relatively mature stage, harbors genetic features that are opposite of those observed in clusters E1/E2, and represents good prognosis.