Department of Urinary Surgery, Foshan Hospital of Traditional Chinese Medicine, Foshan, China.
Medicine (Baltimore). 2022 Dec 23;101(51):e32318. doi: 10.1097/MD.0000000000032318.
BACKGROUND: Bladder cancer (BC) is among the most frequent cancers globally. Although substantial efforts have been put to understand its pathogenesis, its underlying molecular mechanisms have not been fully elucidated. METHODS: The robust rank aggregation approach was adopted to integrate 4 eligible bladder urothelial carcinoma microarray datasets from the Gene Expression Omnibus. Differentially expressed gene sets were identified between tumor samples and equivalent healthy samples. We constructed gene co-expression networks using weighted gene co-expression network to explore the alleged relationship between BC clinical characteristics and gene sets, as well as to identify hub genes. We also incorporated the weighted gene co-expression network and robust rank aggregation to screen differentially expressed genes. RESULTS: CDH11, COL6A3, EDNRA, and SERPINF1 were selected from the key module and validated. Based on the results, significant downregulation of the hub genes occurred during the early stages of BC. Moreover, receiver operating characteristics curves and Kaplan-Meier plots showed that the genes exhibited favorable diagnostic and prognostic value for BC. Based on gene set enrichment analysis for single hub gene, all the genes were closely linked to BC cell proliferation. CONCLUSIONS: These results offer unique insight into the pathogenesis of BC and recognize CDH11, COL6A3, EDNRA, and SERPINF1 as potential biomarkers with diagnostic and prognostic roles in BC.
背景:膀胱癌(BC)是全球最常见的癌症之一。尽管已经做出了巨大的努力来了解其发病机制,但它的潜在分子机制尚未完全阐明。
方法:采用稳健排名聚合方法整合了来自基因表达综合数据库的 4 个合格的膀胱尿路上皮癌微阵列数据集。在肿瘤样本和等效的健康样本之间确定了差异表达的基因集。我们使用加权基因共表达网络构建了基因共表达网络,以探索 BC 临床特征与基因集之间的假设关系,以及识别枢纽基因。我们还将加权基因共表达网络和稳健排名聚合纳入筛选差异表达基因。
结果:从关键模块中选择了 CDH11、COL6A3、EDNRA 和 SERPINF1,并进行了验证。基于这些结果,在 BC 的早期阶段,枢纽基因的表达显著下调。此外,接收器操作特性曲线和 Kaplan-Meier 图表明,这些基因对 BC 具有良好的诊断和预后价值。基于单个枢纽基因的基因集富集分析,所有基因都与 BC 细胞增殖密切相关。
结论:这些结果为 BC 的发病机制提供了独特的见解,并将 CDH11、COL6A3、EDNRA 和 SERPINF1 识别为具有诊断和预后作用的 BC 潜在生物标志物。
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