Hu Wenmin, Shi Yongmei, Han Tongqin, Liu Caiyun, Cao Xipeng, Shi Guangjun, Zhu Wenjing
School of Medicine and Pharmacy, Ocean University of China, Department of Pulmonary and Critical Care Medicine, Qingdao Municipal Hospital, Qingdao, China.
Department of Gynecology, Qingdao Municipal Hospital, School of Medicine, Qingdao University, Qingdao, China.
Front Genet. 2022 May 3;13:879299. doi: 10.3389/fgene.2022.879299. eCollection 2022.
Hepatocellular carcinoma is one of the most malignant tumors, and the therapeutic effects of traditional treatments are poor. It is urgent to explore and identify new biomarkers and therapeutic targets to develop novel treatments which are individualized and effective. Three hallmarks, including E2F targets, G2M checkpoint and DNA repair, were collected by GSEA analysis. The panel of E2F-related gene signature consisted of five genes: HN1, KIF4A, CDCA3, CDCA8 and SSRP1. They had various mutation rates ranging from 0.8 to 5% in hepatocellular carcinoma, and patients with gene mutation had poorer prognosis. Among these genes, HN1 has the greatest mutation rate, and SSRP1 has the greatest impact on the model with a B (COX) value of 0.8842. Patients with higher expression of these genes had poorer prognosis. Kaplan-Meier curves in stratified survival analysis confirmed that patients with high risk scores had poor prognosis ( < 0.05). The results of univariate and multivariate COX survival analysis showed that risk score was closely related to the overall survival of patients with hepatocellular carcinoma. For clinical validation, we found that all the genes in the model were upregulated in hepatocellular carcinoma tissues compared to normal liver tissues, which was consistent with the previous results we obtained. Our study demonstrated that a panel of E2F target genes signature including five genes could predict the prognosis of hepatocellular carcinoma. This panel gene signature can facilitate the development of individualized and effective treatment for hepatocellular carcinoma.
肝细胞癌是最恶性的肿瘤之一,传统治疗方法的疗效较差。迫切需要探索和鉴定新的生物标志物和治疗靶点,以开发个性化且有效的新型治疗方法。通过基因集富集分析(GSEA)收集了三个特征,包括E2F靶点、G2M检查点和DNA修复。E2F相关基因特征组由五个基因组成:HN1、KIF4A、CDCA3、CDCA8和SSRP1。它们在肝细胞癌中的突变率各不相同,范围从0.8%到5%,基因发生突变的患者预后较差。在这些基因中,HN1的突变率最高,而SSRP1对模型的影响最大,其B(COX)值为0.8842。这些基因表达较高的患者预后较差。分层生存分析中的Kaplan-Meier曲线证实,高风险评分的患者预后较差(<0.05)。单因素和多因素COX生存分析结果表明,风险评分与肝细胞癌患者的总生存期密切相关。为了进行临床验证,我们发现与正常肝组织相比,模型中的所有基因在肝细胞癌组织中均上调,这与我们之前获得的结果一致。我们的研究表明,包含五个基因的E2F靶基因特征组可以预测肝细胞癌的预后。该特征组基因可以促进肝细胞癌个性化有效治疗的发展。