Abstract 91: RalA is frequently up-regulated in human hepatocellular carcinoma and promotes metastasis and cancer stemness

RalA is a Ras-related small GTP binding protein A; however, its functional roles and regulatory mechanisms in hepatocellular carcinoma (HCC) are unclear. In this study, using the RNA-Seq data from TCGA database and our in-house HKU database, we observed that RalA expression was significantly up-regulated in human HCCs (P=0.001). This RalA over-expression was validated in a separate cohort of our HCC patients. Upon clinicopathological correlation of RalA in HCC, we found that over-expression of RalA was associated with more aggressive features of HCC patients, with more frequent tumor microsatellite formation (P=0.001), venous invasion (P=0.005) and absence of tumor encapsulation (P=0.005). The over-expression also correlated with poorer overall survival of HCC patients (P