Liu Tao, Xia Rongmu, Li Chenmeng, Chen Xiaocong, Cai Xuemin, Li Wengang
Department of Hepatobiliary Surgery, Xiang'an Hospital of Xiamen University, Xiamen, Fujian 361102, P.R. China.
School of Medicine, Xiamen University, Xiamen, Fujian 361102, P.R. China.
Exp Ther Med. 2021 Sep;22(3):1023. doi: 10.3892/etm.2021.10455. Epub 2021 Jul 15.
Drug resistance severely affects the clinical efficacy of therapeutic agents in patients with colon cancer. The aim of the present study was to identify genes involved in drug resistance in colon cancer using bioinformatics analysis and to identify the underlying mechanisms . Genes associated with cancer recurrence and chemotherapy resistance were identified using data mining. Immunohistochemistry was performed to analyze the protein expression level of genes of interest in human colon cancer tissues. Reverse transcription-quantitative PCR analysis was performed to analyze the gene expression level in patient samples and in colon cancer cell lines (HCT116 and LoVo). Cell viability was evaluated using the Cell Counting Kit-8 assay in the colon cancer cell lines. Apoptosis was measured using PI staining. The results from the present study revealed 602 genes using both 'cancer recurrence' and 'chemoresistance' terms on the GenCLiP3 website. Gene functional annotation was performed using the Database for Annotation, Visualization and Integrated Discovery then, the protein-protein interaction networks of the 602 genes were analyzed using STRING analysis. Further, in the GEPIA database, 14 genes (, , , , , , , , , , , , and ) were found to be upregulated in colon cancer tissue and were associated with poor prognosis in patients with colon cancer. Further analysis of 33 paired human colon cancer tissues revealed that 8 genes (, , , , , , and ) were significantly upregulated, which was consistent with the results obtained from the earlier analysis and 5 genes (, , , and ) were associated with patient prognosis. Silencing of these 5 genes using small interfering RNAs significantly enhanced the sensitivity of colon cancer cells to the chemotherapeutic agent, 5-fluorouracil (5-FU). Taken together, the results suggested that , , , and might play a role in chemotherapeutic resistance in colon cancer and represent potential targets for overcoming 5-FU resistance in colon cancer.
耐药性严重影响结肠癌患者治疗药物的临床疗效。本研究的目的是通过生物信息学分析确定参与结肠癌耐药的基因,并确定其潜在机制。通过数据挖掘确定与癌症复发和化疗耐药相关的基因。进行免疫组织化学分析人结肠癌组织中感兴趣基因的蛋白表达水平。进行逆转录定量PCR分析以分析患者样本和结肠癌细胞系(HCT116和LoVo)中的基因表达水平。使用细胞计数试剂盒-8法在结肠癌细胞系中评估细胞活力。使用PI染色测量细胞凋亡。本研究结果在GenCLiP3网站上使用“癌症复发”和“化疗耐药”术语共揭示了602个基因。然后使用注释、可视化和综合发现数据库进行基因功能注释,使用STRING分析分析这602个基因的蛋白质-蛋白质相互作用网络。此外,在GEPIA数据库中,发现14个基因(,,,,,,,,,,,,和)在结肠癌组织中上调,并且与结肠癌患者的不良预后相关。对33对人结肠癌组织的进一步分析显示,8个基因(,,,,,,和)显著上调,这与早期分析结果一致,并且5个基因(,,,和)与患者预后相关。使用小干扰RNA沉默这5个基因可显著增强结肠癌细胞对化疗药物5-氟尿嘧啶(5-FU)的敏感性。综上所述,结果表明,,,和可能在结肠癌化疗耐药中起作用,并代表克服结肠癌5-FU耐药的潜在靶点。