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LncRNA WEE2-AS1 是一种诊断生物标志物,可预测胶质瘤患者的预后不良。

LncRNA WEE2-AS1 is a diagnostic biomarker that predicts poor prognoses in patients with glioma.

机构信息

Department of Neurosurgery, The First Affiliated Hospital of Zhengzhou University, 450052, Zhengzhou, Henan, China.

Department of Neurosurgery, School of Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai Jiao Tong University, 200030, Shanghai, China.

出版信息

BMC Cancer. 2023 Feb 6;23(1):120. doi: 10.1186/s12885-023-10594-y.

Abstract

BACKGROUND

Glioma is characterized by high morbidity, high mortality, and poor prognosis. Despite tremendous advances in the treatment of glioma, the prognosis of patients with glioma is still unsatisfactory. There is an urgent need to discover novel molecular markers that effectively predict prognosis in patients with glioma. The investigation of the role of WEE2-AS1 in various tumors is an emerging research field, but the biological function and prognostic value of WEE2-AS1 in glioma have rarely been reported. This study aimed to assess the value of WEE2-AS1 as a potential prognostic marker of glioma.

METHODS

Gene expression (RNA-Seq) data of patients with glioma were extracted from The Cancer Genome Atlas (TCGA) and the Genotype-Tissue Expression (GTEx) databases. The Wilcoxon rank sum test was used to analyze the expression of WEE2-AS1 in the cells and tissues of glioma. The Kruskal-Wallis rank sum test, Wilcoxon rank sum test, and logistic regression were used to evaluate the relationship between clinical variables and expression of WEE2-AS1. Cox regression analysis and the Kaplan-Meier method were used to evaluate the prognostic factors in glioma. A nomogram based on Cox multivariate analysis was used to predict the impact of WEE2-AS1 on glioma prognosis. Gene Set Enrichment Analysis (GSEA) was used to identify key WEE2-AS1-associated signaling pathways. Spearman's rank correlation was used to elucidate the association between WEE2-AS1 expression and immune cell infiltration levels.

RESULTS

We found that WEE2-AS1 was overexpressed in a variety of cancers, including glioma. High expression of WEE2-AS1 was associated with glioma progression. We determined that the expression of WEE2-AS1 might be an independent risk factor for the survival and prognosis of patients with glioma. We further observed that the mechanism of WEE2-AS1-mediated tumorigenesis involved neuroactive ligand-receptor interaction, cell cycle, and the infiltration of immune cells into the glioma microenvironment.

CONCLUSION

These findings demonstrate that WEE2-AS1 is a promising biomarker for the diagnosis and prognosis of patients with glioma. An increased understanding of its effects on the regulation of cell growth may lead to the development of clinical applications that improve the prognostic status of patients with glioma.

摘要

背景

脑胶质瘤的发病率、死亡率和预后均较差。尽管在脑胶质瘤的治疗方面取得了巨大进展,但脑胶质瘤患者的预后仍不理想。因此,迫切需要发现新的分子标志物,以有效预测脑胶质瘤患者的预后。WEE2-AS1 在各种肿瘤中的作用研究是一个新兴的研究领域,但 WEE2-AS1 在脑胶质瘤中的生物学功能和预后价值鲜有报道。本研究旨在评估 WEE2-AS1 作为脑胶质瘤潜在预后标志物的价值。

方法

从癌症基因组图谱(TCGA)和基因-组织表达(GTEx)数据库中提取脑胶质瘤患者的基因表达(RNA-Seq)数据。采用 Wilcoxon 秩和检验分析 WEE2-AS1 在脑胶质瘤细胞和组织中的表达。采用 Kruskal-Wallis 秩和检验、Wilcoxon 秩和检验和逻辑回归分析临床变量与 WEE2-AS1 表达的关系。采用 Cox 回归分析和 Kaplan-Meier 法评估脑胶质瘤的预后因素。基于 Cox 多因素分析的诺莫图用于预测 WEE2-AS1 对脑胶质瘤预后的影响。采用基因集富集分析(GSEA)识别与 WEE2-AS1 相关的关键信号通路。采用 Spearman 秩相关分析阐明 WEE2-AS1 表达与免疫细胞浸润水平的关系。

结果

我们发现 WEE2-AS1 在多种癌症中过表达,包括脑胶质瘤。WEE2-AS1 的高表达与脑胶质瘤的进展有关。我们确定 WEE2-AS1 的表达可能是脑胶质瘤患者生存和预后的独立危险因素。我们进一步观察到,WEE2-AS1 介导的肿瘤发生机制涉及神经活性配体-受体相互作用、细胞周期以及免疫细胞浸润脑胶质瘤微环境。

结论

这些发现表明,WEE2-AS1 是脑胶质瘤患者诊断和预后的有前途的生物标志物。进一步了解其对细胞生长调控的影响可能会促进临床应用的发展,改善脑胶质瘤患者的预后状态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44ae/9901081/976f7683f529/12885_2023_10594_Fig1_HTML.jpg

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