Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China.
MyGene Diagnostics Co., Ltd, Guangzhou 510000, China.
Aging (Albany NY). 2021 Oct 12;13(19):23262-23283. doi: 10.18632/aging.203618.
Locally recurrent rectal cancer (LRRC) leads to a poor prognosis and appears as a clinically predominant pattern of failure. In this research, whole-exome sequencing (WES) was performed on 21 samples from 8 patients to search for the molecular mechanisms of LRRC. The data was analyzed by bioinformatics. Gene Expression Profiling Interactive Analysis (GEPIA) and Human Protein Atlas (HPA) were performed to validate the candidate genes. Immunohistochemistry was used to detect the protein expression of LEF1 and CyclinD1 in LRRC, primary rectal cancer (PRC), and non-recurrent rectal cancer (NRRC) specimens. The results showed that LRRC, PRC, and NRRC had 668, 794, and 190 specific genes, respectively. and have copy number variants (CNVs) in PRC and LRRC, respectively. LRRC specific genes were mainly enriched in positive regulation of transcription from RNA polymerase II promoter, plasma membrane, and ATP binding. The specific signaling pathways of LRRC were Wnt signaling pathway, gap junction, and glucagon signaling pathway, etc. The transcriptional and translational expression levels of genes including NFATC1, PRICKLE1, SOX17, and WNT6 related to Wnt signaling pathway were higher in rectal cancer (READ) tissues than normal rectal tissues. The mutation (c.C875T) and mutation (c.G629A) were predicted as "D (deleterious)". Expression levels of LEF1 and cytokinin D1 proteins: LRRC > PRC > NRRC > normal rectal tissue. Gene variants in the Wnt signaling pathway may be critical for the development of LRRC. The present study may provide a basis for the prediction of LRRC and the development of new therapeutic drugs.
局部复发性直肠癌 (LRRC) 预后不良,是临床上主要的失败模式。本研究对 8 例患者的 21 个样本进行了全外显子测序 (WES),以寻找 LRRC 的分子机制。对数据进行了生物信息学分析。通过基因表达谱交互分析 (GEPIA) 和人类蛋白质图谱 (HPA) 对候选基因进行验证。免疫组织化学法检测 LEF1 和 CyclinD1 在 LRRC、原发性直肠癌 (PRC) 和非复发性直肠癌 (NRRC) 标本中的蛋白表达。结果显示,LRRC、PRC 和 NRRC 分别有 668、794 和 190 个特异性基因。在 PRC 和 LRRC 中, 和 分别有拷贝数变异 (CNVs)。LRRC 特异性基因主要富集于 RNA 聚合酶 II 启动子、质膜和 ATP 结合的正转录调控。LRRC 的特异性信号通路有 Wnt 信号通路、缝隙连接和胰高血糖素信号通路等。与 Wnt 信号通路相关的基因 NFATC1、PRICKLE1、SOX17 和 WNT6 的转录和翻译表达水平在直肠癌 (READ) 组织中高于正常直肠组织。 突变 (c.C875T) 和 突变 (c.G629A) 预测为“D (有害)”。LEF1 和细胞分裂素 D1 蛋白的表达水平:LRRC>PRC>NRRC>正常直肠组织。Wnt 信号通路中的基因变异可能对 LRRC 的发生发展至关重要。本研究可为 LRRC 的预测和新治疗药物的开发提供依据。