AP2M1 基因表达是预测肝细胞癌患者生存的有前途的生物标志物。
The AP2M1 gene expression is a promising biomarker for predicting survival of patients with hepatocellular carcinoma.
机构信息
Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
Department of Nuclear Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
出版信息
J Cell Biochem. 2019 Mar;120(3):4140-4146. doi: 10.1002/jcb.27699. Epub 2018 Sep 27.
There is a growing need for the discovery of new prognostic factors for cases where the scoring and staging system of hepatocellular carcinoma (HCC) does not result in a clear definition. We analyzed whether AP-2 complex subunit mu (AP2M1) expression could be a new prognostic marker for HCC based on the roles of AP2M1 in influencing hepatocyte growth factor (HGF) promoter regulation and hepatitis C virus (HCV) assembly. Patient data were extracted from cohorts of the Gene Expression Omnibus (GSE10186), International Cancer Genome Consortium (ICGC) and The Cancer Genome Atlas (TCGA). Differential expression value between matched cancer and normal liver was identified using ICGC cohort. Subsequently, we compared AP2M1 expression as a prognostic gene with other well-known prognostic genes for HCC, using the time-dependent area under the curve (AUC) of the Uno's C-index, the AUC value of the receiver operating characteristics at 5 years, Kaplan-Meier survival curve, and multivariate analysis. Particularly, TCGA and GSE10186 patients were divided into subgroups based on alcohol intake, hepatitis B, and C viral infections, and analyzed in the same methods. The AP2M1 expression values in patients with cancer were much higher than matched normal liver. The AP2M1 level showed excellent prognosis predictions in comparison with existing markers in the three independent cohorts (n = 647). In particular, it was more predictive of prognosis than other markers in alcohol intake and HCV infections. In conclusion, we were confident that AP2M1 provides sufficient value as a new prognostic marker for HCC especially patients with HCV infection and/or alcohol intake.
目前,人们越来越需要发现新的预后因素,以补充肝癌(HCC)的评分和分期系统无法明确界定的病例。我们分析了 AP-2 复合物亚基 μ(AP2M1)的表达是否可以成为 HCC 的新预后标志物,这是基于 AP2M1 影响肝细胞生长因子(HGF)启动子调节和丙型肝炎病毒(HCV)组装的作用。患者数据从基因表达综合数据库(GSE10186)、国际癌症基因组联盟(ICGC)和癌症基因组图谱(TCGA)的队列中提取。使用 ICGC 队列确定匹配的癌症和正常肝脏之间的差异表达值。随后,我们使用 Uno 的 C 指数时间依赖性曲线下面积(AUC)、5 年时的接收者操作特征 AUC 值、Kaplan-Meier 生存曲线和多变量分析,将 AP2M1 表达作为预后基因与其他著名的 HCC 预后基因进行比较。特别是,根据酒精摄入、乙型肝炎和丙型肝炎病毒感染,将 TCGA 和 GSE10186 患者分为亚组,并采用相同的方法进行分析。癌症患者的 AP2M1 表达值明显高于匹配的正常肝脏。与三个独立队列中的现有标志物相比(n = 647),AP2M1 水平显示出对预后的优异预测能力。特别是在酒精摄入和 HCV 感染中,其预测预后的能力优于其他标志物。总之,我们有信心 AP2M1 作为 HCC 的新预后标志物具有足够的价值,特别是对于 HCV 感染和/或酒精摄入的患者。