Cardoso Joana, Mesquita Marta, Dias Pereira António, Bettencourt-Dias Mónica, Chaves Paula, Pereira-Leal José B
Instituto Gulbenkian de Ciência, Oeiras, Portugal.
Ophiomics-Precision Medicine, Lisboa, Portugal.
PLoS One. 2016 Sep 1;11(9):e0161967. doi: 10.1371/journal.pone.0161967. eCollection 2016.
Barrett's esophagus is the major risk factor for esophageal adenocarcinoma. It has a low but non-neglectable risk, high surveillance costs and no reliable risk stratification markers. We sought to identify early biomarkers, predictive of Barrett's malignant progression, using a meta-analysis approach on gene expression data. This in silico strategy was followed by experimental validation in a cohort of patients with extended follow up from the Instituto Português de Oncologia de Lisboa de Francisco Gentil EPE (Portugal). Bioinformatics and systems biology approaches singled out two candidate predictive markers for Barrett's progression, CYR61 and TAZ. Although previously implicated in other malignancies and in epithelial-to-mesenchymal transition phenotypes, our experimental validation shows for the first time that CYR61 and TAZ have the potential to be predictive biomarkers for cancer progression. Experimental validation by reverse transcriptase quantitative PCR and immunohistochemistry confirmed the up-regulation of both genes in Barrett's samples associated with high-grade dysplasia/adenocarcinoma. In our cohort CYR61 and TAZ up-regulation ranged from one to ten years prior to progression to adenocarcinoma in Barrett's esophagus index samples. Finally, we found that CYR61 and TAZ over-expression is correlated with early focal signs of epithelial to mesenchymal transition. Our results highlight both CYR61 and TAZ genes as potential predictive biomarkers for stratification of the risk for development of adenocarcinoma and suggest a potential mechanistic route for Barrett's esophagus neoplastic progression.
巴雷特食管是食管腺癌的主要危险因素。其风险虽低但不可忽视,监测成本高昂且缺乏可靠的风险分层标志物。我们试图通过对基因表达数据进行荟萃分析,来识别预测巴雷特食管恶性进展的早期生物标志物。这一计算机模拟策略之后,在葡萄牙里斯本弗朗西斯科·根蒂尔葡萄牙肿瘤研究所(Instituto Português de Oncologia de Lisboa de Francisco Gentil EPE)进行了长期随访的患者队列中进行了实验验证。生物信息学和系统生物学方法筛选出了两个巴雷特食管进展的候选预测标志物,即CYR61和TAZ。尽管这两个基因此前与其他恶性肿瘤以及上皮-间质转化表型有关,但我们的实验验证首次表明CYR61和TAZ有可能成为癌症进展的预测生物标志物。通过逆转录定量PCR和免疫组织化学进行的实验验证证实,在与高级别异型增生/腺癌相关的巴雷特食管样本中,这两个基因均上调。在我们的队列中,CYR61和TAZ上调发生在巴雷特食管指数样本进展为腺癌前1至10年。最后,我们发现CYR61和TAZ的过表达与上皮-间质转化的早期局灶性体征相关。我们的研究结果突出了CYR61和TAZ基因作为腺癌发生风险分层潜在预测生物标志物的作用,并提示了巴雷特食管肿瘤进展的潜在机制途径。