Li Yang, Wang Jin-Shen, Zhang Tao, Wang Hong-Chang, Li Le-Ping
Department of Gastrointestinal Surgery, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
Department of Biostatistics, School of Public Health, Shandong University, Jinan, China.
Front Genet. 2020 Aug 18;11:865. doi: 10.3389/fgene.2020.00865. eCollection 2020.
We aimed to identify new targets affecting gastric cancer (GC) prognosis. Six target genes were identified from hub genes based on their relationship with important factors affecting tumor progression, like immune infiltration, purity, tumor mutation burden (TMB), and tumor microenvironment (TME) score. The effect of target genes' somatic mutations and copy number alteration (CNA) was examined to determine their effect on GC prognosis. Six target genes (, , and ) were identified. Reduced expression of each target gene, except , indicated better prognosis and lower grade in GC. , and showed lower expression in stage I GC. Non-silencing mutations of the six genes played a role in significantly higher TMB and TME scores. mutation was associated with earlier stage GC, and mutation was associated with lower grade GC. However, patients with target gene CNA displayed higher tumor purity. , , and CNA was associated with lower grade GC, while CNA reflected earlier T stage. Additionally, the target genes may affect GC prognosis by influencing multiple oncogenic signaling pathways. , and may be new GC prognostic targets by affecting tumor purity, TMB, TME score, and multiple oncogenic signaling pathways.
我们旨在确定影响胃癌(GC)预后的新靶点。基于六个靶基因与影响肿瘤进展的重要因素(如免疫浸润、纯度、肿瘤突变负荷(TMB)和肿瘤微环境(TME)评分)的关系,从枢纽基因中鉴定出这六个靶基因。研究了靶基因的体细胞突变和拷贝数改变(CNA)的影响,以确定它们对GC预后的作用。鉴定出六个靶基因(、和)。除外,每个靶基因的表达降低表明GC的预后较好且分级较低。、和在I期GC中表达较低。这六个基因的非沉默突变在显著更高的TMB和TME评分中起作用。突变与早期GC相关,而突变与低级别GC相关。然而,具有靶基因CNA的患者显示出更高的肿瘤纯度。、和CNA与低级别GC相关,而CNA反映了更早的T分期。此外,靶基因可能通过影响多个致癌信号通路来影响GC预后。、和可能通过影响肿瘤纯度、TMB、TME评分和多个致癌信号通路成为新的GC预后靶点。