Yu Zhiling, Xu Qiuping, Wang Guixue, Rowe Molly, Driskell Cameron, Xie Qian, Wu Minhong, Jia Dongyu
Department of Urinary Surgery, The People's Hospital of Yichun City, Yichun, Jiangxi 336000, P.R. China.
Morphism Institute, Seattle, WA 98117, USA.
Oncol Lett. 2019 Jul;18(1):518-528. doi: 10.3892/ol.2019.10365. Epub 2019 May 17.
Cancer is essentially a genetic disease. Accumulated gene mutations accelerate genome instability, which eventually leads to uncontrollable growth of the tumor. Bladder cancer is the most common form of urinary tract cancer. This form of cancer has a poor prognosis due to its clinical heterogeneity and molecular diversity. Despite recent scientific advances, the knowledge and treatment of bladder cancer still lags behind that of other types of solid tumor. In the present study, available large data portals and other studies were used to obtain clinically relevant information, and the data were systematically processed to decipher the genes associated with bladder cancer. Genes associated with the survival time of patients with bladder cancer were successfully identified. The genes were enriched in common biological processes and pathways, and upregulated in tumor samples from patients. Among the top genes identified as associated with good or poor survival in bladder cancer, DNA topoisomerase IIα (TOP2α) and RAD21 cohesin complex component (RAD21) were also increased in bladder cancer tissues and cell lines. Therefore, TOP2α and RAD21 could be used as potential therapeutic targets in bladder cancer.
癌症本质上是一种基因疾病。累积的基因突变加速基因组不稳定,最终导致肿瘤的不可控生长。膀胱癌是泌尿系统癌症最常见的形式。由于其临床异质性和分子多样性,这种癌症预后较差。尽管最近有科学进展,但膀胱癌的知识和治疗仍落后于其他类型的实体瘤。在本研究中,利用现有的大型数据门户和其他研究来获取临床相关信息,并对数据进行系统处理以解读与膀胱癌相关的基因。成功鉴定出与膀胱癌患者生存时间相关的基因。这些基因在常见的生物学过程和途径中富集,并在患者的肿瘤样本中上调。在被确定为与膀胱癌生存良好或不良相关的顶级基因中,DNA拓扑异构酶IIα(TOP2α)和RAD21黏连蛋白复合体成分(RAD21)在膀胱癌组织和细胞系中也有所增加。因此,TOP2α和RAD21可作为膀胱癌潜在的治疗靶点。