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一种与结直肠癌淋巴转移及预后相关的联合四信使核糖核酸特征

A Combined four-mRNA Signature Associated with Lymphatic Metastasis for Prognosis of Colorectal Cancer.

作者信息

Li Xueping, Zhang Qiang, Zhao Lan, Jiang Longyang, Qi Aoshuang, Wei Qian, Song Xinyue, Wang Lin, Zhang Liwen, Zhao Yanyun, Lv Xuemei, Wei Minjie, Zhao Lin

机构信息

Department of Pharmacology, School of Pharmacy, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang City, 110122, Liaoning, China.

Liaoning Engineering Technology Research Center, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang City, 110122, Liaoning, China.

出版信息

J Cancer. 2020 Feb 3;11(8):2139-2149. doi: 10.7150/jca.38796. eCollection 2020.

Abstract

: Colorectal cancer (CRC) is one of the most common malignant tumors in the world. Lymph node metastasis (LNM) is a common mode of metastasis of CRC. However, the combined mRNA biomarkers associated with LNM of CRC that can effectively predict CRC prognosis have not been reported yet. : To identify biomarkers that are associated with LNM, we collected data from the The Cancer Genome Atlas (TCGA) database. The edgeR package was searched to seek LNM-related genes by comparisons between cancer samples and normal colorectal tissues and between LNM and non-LNM (NLNM) of CRC. Univariate and multivariate regression analysis of genes in the intersection to build gene signature associated with independent prognosis of CRC, and then verified by Kaplan-Meier curve and log-rank test, receiver operating characteristic (ROC) curve was used to determine the efficiency of survival prediction of our four-mRNA signature. Finally, the potential molecular mechanisms and properties of these gene signature were also explored with functional and pathway enrichment analysis. : 329 mRNAs were up-regulated in CRC tissues with LNM, and 8461 mRNAs were up-regulated in CRC tissues, the intersection is 100 mRNAs. After univariate and multivariate Cox regression analysis of 100 mRNAs, a novel four LNM related mRNAs (EPHA8, KRT85, GABRA3, and CLPSL1) were screened as independent prognostic indicators of CRC. Surprisingly, the four-mRNA signature can predict the prognosis of CRC patients independently of clinical factors andthe area under the curve (AUC) of the ROC is 0.730. The novel four-mRNA signature was used to identify high and low-risk groups. Stratified analysis indicated the risk score based on four-mRNA signature was an independent prognostic indicator for female, T3+T4, N1+N2 ,stage III+IV and patients with no new tumor event. Functional annotation of this risk model in high-risk patients revealed that pathways associated with neuroactive ligand-receptor interaction, estrogen signaling pathway, and steroid hormone biosynthesis. : By conducting TCGA data mining, our study demonstrated that a four-mRNA signature associated with LNM can be used as a combined biomarker for independent prognosis of CRC.

摘要

结直肠癌(CRC)是世界上最常见的恶性肿瘤之一。淋巴结转移(LNM)是CRC常见的转移方式。然而,尚未有能有效预测CRC预后的与LNM相关的联合mRNA生物标志物的报道。为了鉴定与LNM相关的生物标志物,我们从癌症基因组图谱(TCGA)数据库收集数据。通过比较癌症样本与正常结直肠组织以及CRC的LNM与非LNM(NLNM),使用edgeR软件包寻找与LNM相关的基因。对交集基因进行单变量和多变量回归分析以构建与CRC独立预后相关的基因特征,然后通过Kaplan-Meier曲线和对数秩检验进行验证,使用受试者工作特征(ROC)曲线确定我们的四mRNA特征的生存预测效率。最后,还通过功能和通路富集分析探索了这些基因特征的潜在分子机制和特性。在有LNM的CRC组织中有329个mRNA上调,在CRC组织中有8461个mRNA上调,交集为100个mRNA。对100个mRNA进行单变量和多变量Cox回归分析后,筛选出四个与LNM相关的新mRNA(EPHA8、KRT85、GABRA3和CLPSL1)作为CRC的独立预后指标。令人惊讶的是,四mRNA特征可独立于临床因素预测CRC患者的预后,ROC曲线下面积(AUC)为0.730。使用新的四mRNA特征识别高风险和低风险组。分层分析表明,基于四mRNA特征的风险评分是女性、T3 + T4、N1 + N2、III + IV期以及无新肿瘤事件患者的独立预后指标。对高危患者中该风险模型的功能注释显示,其与神经活性配体-受体相互作用、雌激素信号通路和类固醇激素生物合成相关的通路有关。通过对TCGA数据的挖掘,我们的研究表明,与LNM相关的四mRNA特征可作为CRC独立预后的联合生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d47/7052913/78cd4d167e03/jcav11p2139g001.jpg

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