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肺腺癌中细胞过程突变与疾病进展的意义。

Significance of Mutation in Cellular Process and Disease Progression in Lung Adenocarcinoma.

机构信息

Department of Cardio-Thoracic Surgery, Xuzhou Medical College Affiliated Hospital, Xuzhou, China.

出版信息

Genet Test Mol Biomarkers. 2021 May;25(5):346-354. doi: 10.1089/gtmb.2020.0304. Epub 2021 May 5.

Abstract

(tumor protein p53) is one of the most commonly mutanted genes in lung adenocarcinoma (LUAD). In this study, we used data from The Cancer Genome Atlas (TCGA) to evaluate the importance of mutations in cellular processes, disease progression, the prognosis in LUAD, and to identify critical hub genes and pathways associated with oncogenesis. Analysis of the TCGA data showed mutations in 22% of LUAD patients. Clinicopathological analyses demonstrated that mutation was correlated with the disease progression but not prognosis. We identified 1935 differentially expressed genes (DEGs). Functional enrichment analysis showed that the DEGs were mainly concentrated in metabolism, cell differentiation, and cancer-related pathways. The top hub genes were identified and disease analysis revealed the most critical genes related to disease progression and prognosis. The expression levels of several of these genes were then tested in tumor tissues. Our results showed that mutation plays a critical role in cellular process and the clinicopathological findings in LUAD. We also identified potential key genes, which could provide novel evidence for individualized treatment.

摘要

(肿瘤蛋白 p53)是肺腺癌(LUAD)中最常见的突变基因之一。在这项研究中,我们使用了来自癌症基因组图谱(TCGA)的数据,评估了细胞过程、疾病进展、LUAD 预后中突变的重要性,并确定了与肿瘤发生相关的关键枢纽基因和途径。TCGA 数据分析显示,22%的 LUAD 患者存在突变。临床病理分析表明,突变与疾病进展相关,但与预后无关。我们鉴定了 1935 个差异表达基因(DEGs)。功能富集分析表明,DEGs 主要集中在代谢、细胞分化和癌症相关途径中。鉴定出了顶级枢纽基因,并进行疾病分析揭示了与疾病进展和预后最相关的关键基因。然后在肿瘤组织中检测了这些基因中的几个基因的表达水平。我们的结果表明,突变在 LUAD 的细胞过程和临床病理表现中起着关键作用。我们还鉴定了潜在的关键基因,为个体化治疗提供了新的证据。

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