Jiang Silin, Ren Xiaohan, Liu Shouyong, Lu Zhongwen, Xu Aiming, Qin Chao, Wang Zengjun
Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Front Genet. 2021 Feb 12;12:627508. doi: 10.3389/fgene.2021.627508. eCollection 2021.
RNA-binding proteins (RBPs) play significant roles in various cancer types. However, the functions of RBPs have not been clarified in renal papillary cell carcinoma (pRCC). In this study, we identified 31 downregulated and 89 upregulated differentially expressed RBPs on the basis of the cancer genome atlas (TCGA) database and performed functional enrichment analyses. Subsequently, through univariate Cox, random survival forest, and multivariate Cox regression analysis, six RBPs of SNRPN, RRS1, INTS8, RBPMS2, IGF2BP3, and PIH1D2 were screened out, and the prognostic model was then established. Further analyses revealed that the high-risk group had poor overall survival. The area under the curve values were 0.87 and 0.75 at 3 years and 0.78 and 0.69 at 5 years in the training set and test set, respectively. We then plotted a nomogram on the basis of the six RBPs and tumor stage with the substantiation in the TCGA cohort. Moreover, we selected two intersectant RBPs and evaluate their biological effects by GSEA and predicted three drugs, including STOCK1N-28457, pyrimethamine, and trapidil by using the Connectivity Map. Our research provided a novel insight into pRCC and improved the determination of prognosis and individualized therapeutic strategies.
RNA结合蛋白(RBPs)在多种癌症类型中发挥着重要作用。然而,RBPs在肾乳头状细胞癌(pRCC)中的功能尚未阐明。在本研究中,我们基于癌症基因组图谱(TCGA)数据库鉴定出31个下调和89个上调的差异表达RBPs,并进行了功能富集分析。随后,通过单变量Cox、随机生存森林和多变量Cox回归分析,筛选出6个RBPs,即SNRPN、RRS1、INTS8、RBPMS2、IGF2BP3和PIH1D2,然后建立了预后模型。进一步分析表明,高危组的总生存期较差。训练集和测试集在3年时的曲线下面积值分别为0.87和0.75,在5年时分别为0.78和0.69。然后,我们基于这6个RBPs和肿瘤分期绘制了列线图,并在TCGA队列中进行了验证。此外,我们选择了两个交叉的RBPs,并通过基因集富集分析(GSEA)评估它们的生物学效应,还使用连接图谱预测了三种药物,包括STOCK1N-28457、乙胺嘧啶和曲匹地尔。我们的研究为pRCC提供了新的见解,并改进了预后判定和个体化治疗策略。