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基于CDK家族基因的相关模型预测子宫内膜癌预后

Endometrial cancer prognosis prediction using correlation models based on CDK family genes.

作者信息

Gu Xianhua, Shen Honghong, Bai Wenqi, Xiang Zheng, Li Xinwei, Zhang Rong, Shi Fan, Li Huiyuan, Zhu Guangzheng, Guo Suyang

机构信息

Department of Gynecological Oncology, First Affiliated Hospital of Bengbu Medical College, Bengbu, China.

Department of Medical Oncology, First Affiliated Hospital of Bengbu Medical College, Bengbu, China.

出版信息

Front Genet. 2022 Oct 10;13:1021600. doi: 10.3389/fgene.2022.1021600. eCollection 2022.

Abstract

Cyclin-dependent kinases (CDKs) play an important role in cell division. Given that abnormal cell proliferation caused by dysregulation of cell division is one of the major causes of endometrial cancer (EC), it is important to elucidate the role of CDK family genes in the diagnosis and prognosis of EC. In this study, The Cancer Genome Atlas (TCGA) database was used to analyze the frequency of copy number variations and somatic mutations in 26 CDK family genes. Subsequently, the expression of these genes in EC was assessed, and their relationship with overall survival (OS) was examined Kaplan-Meier analysis to assess their prognostic significance. A prognostic model based on seven CDK genes was constructed using Lasso and Cox regression, and the predictive performance of the model was analyzed using Kaplan-Meier analysis and column line plots. The correlation between CDK genes and immune cells was also examined. Patients with EC in the high-risk group had a poorer prognosis. The results of qRT-PCR and immunohistochemical analyses validated that is highly expressed in EC tissues. Patients with EC with high expression had worse 10-year OS than patients with low expression. These findings suggest that the prognostic model constructed based on CDK genes can help to develop individualized and targeted treatment strategies for patients with EC.

摘要

细胞周期蛋白依赖性激酶(CDKs)在细胞分裂中起重要作用。鉴于细胞分裂失调导致的异常细胞增殖是子宫内膜癌(EC)的主要病因之一,阐明CDK家族基因在EC诊断和预后中的作用至关重要。在本研究中,利用癌症基因组图谱(TCGA)数据库分析了26个CDK家族基因的拷贝数变异和体细胞突变频率。随后,评估了这些基因在EC中的表达,并通过Kaplan-Meier分析检查它们与总生存期(OS)的关系,以评估其预后意义。使用Lasso和Cox回归构建了基于7个CDK基因的预后模型,并通过Kaplan-Meier分析和柱状线图分析了该模型的预测性能。还检查了CDK基因与免疫细胞之间的相关性。高危组的EC患者预后较差。qRT-PCR和免疫组化分析结果证实,其在EC组织中高表达。高表达的EC患者10年总生存期比低表达患者差。这些发现表明,基于CDK基因构建的预后模型有助于为EC患者制定个体化和靶向治疗策略。

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