Neuroblastoma is the most common extracranial solid tumour in children, with highly variable clinical outcomes ranging from spontaneous regression to aggressive, treatment-resistant disease. MYCN amplification is the strongest genetic marker of poor prognosis in neuroblastoma, driving a transcriptional program that promotes proliferation, dedifferentiation, and metastasis. While MYCN's effects on the linear transcriptome were well characterised, its impact on the circular RNA landscape — and the broader relationship between circRNA expression and neuroblastoma biology — remained largely unknown. Given the emerging roles of circRNAs in cancer, understanding how oncogenic drivers such as MYCN shape the circular transcriptome could reveal new biomarkers and therapeutic targets.
Figure 1. Study design for whole-transcriptome circRNA sequencing of neuroblastoma.
Total RNA was extracted from 104 primary neuroblastoma tissues spanning all clinical risk groups (high-risk MYCN-amplified, high-risk non-amplified, intermediate-risk, low-risk). Ribosomal RNA was depleted, and strand-specific libraries were sequenced on Illumina NovaSeq (PE150). Bioinformatic analysis identified circRNAs using CIRCexplorer2 and CIRI2, with validation by RNase R treatment, qRT-PCR, and Sanger sequencing. Functional experiments confirmed the MYCN-DHX9-circRNA regulatory axis. Adapted from Fuchs et al. 2023 (CC BY 4.0).
Whole-transcriptome circRNA sequencing approach: The authors collected 104 primary neuroblastoma tumour specimens representing all clinical risk groups, including MYCN-amplified (MNA) and non-amplified tumours. Total RNA was extracted from snap-frozen tissues and subjected to rRNA depletion (Ribo-Zero Gold) to remove cytoplasmic and mitochondrial rRNAs. Strand-specific RNA-seq libraries were constructed using a dUTP-based approach and sequenced on Illumina NovaSeq 6000 with PE150 read length, generating 60–100 million reads per sample. circRNA identification was performed using two independent algorithms: CIRCexplorer2 (which uses an annotation-guided approach to identify back-splice junctions) and CIRI2 (which detects junction-spanning reads from CIGAR alignment strings). Only circRNAs detected by both tools were retained for downstream analysis. Validation experiments included RNase R treatment (to confirm circular structure), qRT-PCR with divergent primers, and Sanger sequencing of back-splice junction products. Functional experiments involved MYCN knockdown and DHX9 perturbation in neuroblastoma cell lines (IMR-32, NGP, SK-N-SH) followed by circRNA expression analysis. The study also integrated RNA-seq, ChIP-seq (H3K27ac, MYCN), and ATAC-seq data to characterise the chromatin landscape around circRNA-producing genes.
Figure 2. MYCN globally suppresses circRNA biogenesis through DHX9.
Neuroblastomas with MYCN amplification showed globally reduced circRNA expression compared with non-amplified tumours. MYCN directly upregulates DHX9, an RNA helicase that binds to inverted Alu repeats flanking circRNA-producing exons and inhibits back-splicing. Knockdown of MYCN or DHX9 rescued circRNA expression. The circARID1A circRNA was identified as significantly upregulated in neuroblastoma and promotes tumour cell growth. Adapted from Fuchs et al. 2023 (CC BY 4.0).
Key findings: (1) circRNA expression was systematically lower in MYCN-amplified (MNA) neuroblastomas compared with non-amplified tumours, revealing a global suppressive effect of MYCN on circRNA biogenesis. (2) DHX9, an RNA helicase that resolves RNA secondary structures, was identified as a key mediator of MYCN-dependent circRNA suppression. MYCN directly binds the DHX9 promoter and activates its transcription. DHX9 then binds to inverted Alu repeat elements flanking circRNA-producing exons, destabilising base-pairing interactions required for back-splicing and thereby inhibiting circRNA formation. (3) This MYCN-DHX9-circRNA axis was not unique to neuroblastoma — the same suppressive effect was observed in MYCN-amplified medulloblastoma, suggesting a general mechanism by which oncogenic transcription factors suppress circRNA biogenesis. (4) Despite the global suppression, 25 circRNAs were specifically upregulated in neuroblastoma relative to other cancer types. Among these, circARID1A (derived from the ARID1A tumour suppressor gene) was identified as a functionally important circRNA that promotes neuroblastoma cell growth and survival through direct interaction with the KHSRP RNA-binding protein. (5) circARID1A expression was associated with poor prognosis in neuroblastoma, and its growth-promoting function was confirmed by knockdown experiments in multiple cell lines. This study demonstrates the power of whole-transcriptome circRNA sequencing for discovering clinically relevant circRNA regulatory mechanisms and identifying functionally important circular transcripts in cancer.

circRNA identification and genomic distribution
Back-splice junction validation
circRNA classification and annotation
Differential circRNA expression analysis
circRNA-miRNA-ceRNA interaction network
circRNA expression heatmap and functional enrichment