Fei Yuchang, Yu Huan, Huang Shuo, Chen Peifeng, Pan Lei
The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, China.
Ningbo Yinzhou Second Hospital, Ningbo, Zhejiang Province, China.
PeerJ. 2019 Dec 9;7:e8183. doi: 10.7717/peerj.8183. eCollection 2019.
Early growth response proteins (EGRs), as a transcriptional regulatory family, are involved in the process of cell growth, differentiation, apoptosis, and even carcinogenesis. However, the role of EGRs in tumors, their expression levels, and their prognostic value remain unclear.
Using the Oncomine database, Kaplan-Meier Plotter, bcGenExMiner v4.2, cBioPortal, and other tools, the association between the survival data of breast carcinoma (BC) patients and transcriptional levels of four EGRs was investigated.
According to the Oncomine database, in comparison to normal tissues, the expression level of EGR2/3 mRNA in BC tissues was decreased, but there was no difference in the expression level of EGR4 mRNA. On the basis of the Scarff-Bloom-Richardson (SBR) grading system, the downregulated expression level of EGR1/2/3 and upregulated expression level of EGR4 were correlated with an increased histological differentiation level, with significant differences ( < 0.05). Kaplan-Meier curves suggest that a reduction in EGR2/3 mRNA expression is related to recurrence-free survival (RFS) in BC patients. In addition, the mRNA expression level of EGR1/2/3 was related to metastatic relapse-free survival (MRFS) in BC patients with metastatic recurrence ( < 0.05).
EGR1/2/3 can be utilized as an important factor for evaluating prognosis and may be relevant to diagnosis. EGR4 may play a role in the occurrence and development of BC. The specific function and mechanism of EGRs in BC deserve further study.
早期生长反应蛋白(EGRs)作为一个转录调节家族,参与细胞生长、分化、凋亡甚至癌变过程。然而,EGRs在肿瘤中的作用、其表达水平及其预后价值仍不清楚。
使用Oncomine数据库、Kaplan-Meier Plotter、bcGenExMiner v4.2、cBioPortal等工具,研究乳腺癌(BC)患者生存数据与四种EGRs转录水平之间的关联。
根据Oncomine数据库,与正常组织相比,BC组织中EGR2/3 mRNA的表达水平降低,但EGR4 mRNA的表达水平没有差异。根据斯卡夫-布鲁姆-理查森(SBR)分级系统,EGR1/2/3表达水平下调和EGR4表达水平上调与组织学分化水平增加相关,差异有统计学意义(P<0.05)。Kaplan-Meier曲线表明,EGR2/3 mRNA表达降低与BC患者无复发生存期(RFS)相关。此外,EGR1/2/3的mRNA表达水平与发生转移复发的BC患者的无转移复发生存期(MRFS)相关(P<0.05)。
EGR1/2/3可作为评估预后的重要因素,可能与诊断有关。EGR4可能在BC的发生发展中起作用。EGRs在BC中的具体功能和机制值得进一步研究。