Gao Qiannan, Fan Luyun, Chen Yutong, Cai Jun
State Key Laboratory of Cardiovascular Disease, FuWai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Health Science Center, Peking University International Cancer Institute, Peking University, Beijing, China.
Front Mol Biosci. 2022 Sep 29;9:1000847. doi: 10.3389/fmolb.2022.1000847. eCollection 2022.
Hepatocellular carcinoma (HCC) is a common malignancy. However, the molecular mechanisms of the progression and prognosis of HCC remain unclear. In the current study, we merged three Gene Expression Omnibus (GEO) datasets and combined them with The Cancer Genome Atlas (TCGA) dataset to screen differentially expressed genes. Furthermore, protein‒protein interaction (PPI) and weighted gene coexpression network analysis (WGCNA) were used to identify key gene modules in the progression of HCC. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses indicated that the terms were associated with the cell cycle and DNA replication. Then, four hub genes were identified ( and ) and validated via the expression of proteins and transcripts using online databases. In addition, we established a prognostic model using univariate Cox proportional hazards regression and least absolute shrinkage and selection operator (LASSO) regression. Eight genes were identified as prognostic genes, and four genes ( and ) were detrimental gens. The areas under the curves (AUCs) at 1, 3 and 5 years were 0.622, 0.69, and 0.684 in the test dataset, respectively. The effective of prognostic model was also validated using International Cancer Genome Consortium (ICGC) dataset. Moreover, we performed multivariate independent prognostic analysis using multivariate Cox proportional hazards regression. The results showed that the risk score was an independent risk factor. Finally, we found that all prognostic genes had a strong positive correlation with immune infiltration. In conclusion, this study identified the key hub genes in the development and progression of HCC and prognostic genes in the prognosis of HCC, which was significant for the future diagnosis and prognosis of HCC.
肝细胞癌(HCC)是一种常见的恶性肿瘤。然而,HCC进展和预后的分子机制仍不清楚。在本研究中,我们合并了三个基因表达综合数据库(GEO)数据集,并将它们与癌症基因组图谱(TCGA)数据集相结合,以筛选差异表达基因。此外,利用蛋白质-蛋白质相互作用(PPI)和加权基因共表达网络分析(WGCNA)来识别HCC进展中的关键基因模块。基因本体论(GO)和京都基因与基因组百科全书(KEGG)通路富集分析表明,这些术语与细胞周期和DNA复制相关。然后,鉴定出四个枢纽基因(和),并通过在线数据库使用蛋白质和转录本的表达进行验证。此外,我们使用单变量Cox比例风险回归和最小绝对收缩与选择算子(LASSO)回归建立了一个预后模型。八个基因被鉴定为预后基因,四个基因(和)是有害基因。在测试数据集中,1年、3年和5年的曲线下面积(AUC)分别为0.622、0.69和0.684。还使用国际癌症基因组联盟(ICGC)数据集验证了预后模型的有效性。此外,我们使用多变量Cox比例风险回归进行多变量独立预后分析。结果表明,风险评分是一个独立的风险因素。最后,我们发现所有预后基因与免疫浸润均呈强正相关。总之,本研究鉴定了HCC发生发展中的关键枢纽基因以及HCC预后中的预后基因,这对HCC未来的诊断和预后具有重要意义。