Xiang Siyang, Wei Mei, Zhao Limei, Lin Anping, Xiong Zhengai
Department of Obstetrics and Gynecology, Chongqing Medical University, Chongqing, China.
Department of Gynaecology, The First People's Hospital of Chongqing Liangjiang New District, Chongqing, China.
J Oncol. 2023 Apr 17;2023:2258906. doi: 10.1155/2023/2258906. eCollection 2023.
Among women, cervical cancer (CC) ranks as the third most frequent form of carcinoma and the fourth greatest cancer-related cause of deaths. There is increasing evidence that points to the dysregulation of EPH receptor B6 (EPHB6) in various cancers. On the other hand, neither the expression nor the function of EPHB6 in CC has been researched. In the first part of this investigation, we analyzed the data from the TCGA and discovered that the level of EPHB6 was much lower in CC tissues than in normal cervical tissues. ROC assays revealed that high EPHB6 expression had an AUC value of 0.835 for CC. The survival study revealed that both the overall and disease-specific survivals in this condition were considerably lower among patients who had a low EPHB6 level compared to those who had a high EPHB6 level. It is important to note that the multivariate COX regression analysis indicated that the expression of EPHB6 was an independent predictive factor. In addition to this, the C-indexes and calibration plots of a nomogram derived from multivariate assays revealed an accurate prediction performance among patients with CC. Immune infiltration analysis indicated that the expression of EPHB6 was positively associated with the levels of Tcm, TReg, B cells, T cells, iDC, T helper cells, cytotoxic cells, and DC, while negatively associated with NK CD56bright cells and neutrophils. In summary, the downregulation of EPHB6 was strongly linked to a more aggressive clinical development of CC, suggesting its potential utility as a diagnostic and therapeutic target in CC.
在女性中,宫颈癌(CC)是第三大常见癌症类型,也是癌症相关死亡的第四大原因。越来越多的证据表明,EPH受体B6(EPHB6)在各种癌症中存在失调。另一方面,EPHB6在宫颈癌中的表达和功能均未得到研究。在本研究的第一部分,我们分析了来自TCGA的数据,发现宫颈癌组织中EPHB6的水平远低于正常宫颈组织。ROC分析显示,EPHB6高表达对宫颈癌的AUC值为0.835。生存研究表明,与EPHB6水平高的患者相比,EPHB6水平低的患者在此情况下的总生存率和疾病特异性生存率均显著降低。值得注意的是,多变量COX回归分析表明EPHB6的表达是一个独立的预测因素。除此之外,多变量分析得出的列线图的C指数和校准图显示,对宫颈癌患者具有准确的预测性能。免疫浸润分析表明,EPHB6的表达与中央记忆性T细胞(Tcm)、调节性T细胞(TReg)、B细胞、T细胞、未成熟树突状细胞(iDC)、辅助性T细胞、细胞毒性细胞和树突状细胞(DC)的水平呈正相关,而与自然杀伤CD56bright细胞和中性粒细胞呈负相关。总之,EPHB6的下调与宫颈癌更具侵袭性的临床发展密切相关,表明其作为宫颈癌诊断和治疗靶点的潜在效用。