Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, 330006, China.
Department of Neurosurgery, Affiliated Hospital of Nantong University, Nantong, 226001, China.
Sci Rep. 2023 May 9;13(1):7560. doi: 10.1038/s41598-023-34519-8.
The transcription factor BarH-like homeobox 2 (BARX2), a member of the Bar-like homeobox gene family, is involved in cell proliferation, differentiation, immune responses and tumorigenesis. However, the potential role of BARX2 in the development of liver hepatocellular carcinoma (LIHC) remains unclear. Therefore, we aimed to study the biological role of BARX2 in hepatocellular carcinoma. Through the UALCAN, GTEx PORTAL, TIMER 2.0, LinkedOmics, SMART, MethSurv, Metascape, GSEA and STRING public databases, the BARX2 mRNA level, prognostic value, coexpressed genes, associated differentially expressed genes, DNA methylation and functional enrichment of LIHC patients were studied. The relationships between BARX2 expression and various clinical or genetic parameters of LIHC patients were determined using data from The Cancer Genome Atlas (TCGA), Gene Expression Omnibus (GEO), and BEAT LIHC databases. In addition, the biological function of BARX2 in LIHC was studied in vitro. Through large-scale data mining, our study showed that BARX2 was differentially expressed between different normal and tumour tissues.BARX2 expression in LIHC tissues was significantly lower than that in corresponding controls, especially in patients with T2-4 stage disease. In patients with LIHC, overexpression of BARX2 was an independent poor prognostic factor associated with poor cytogenetic risk and gene mutations. Genomic hypermethylation of the BARX2 gene was associated with upregulated BARX2 expression and poor overall survival (OS) in LIHC. Functional enrichment analysis showed that BARX2 had an immunomodulatory role and was involved in the inflammatory response in LIHC occurrence. In conclusion, the oncogene BARX2 may serve as a new biomarker and prognostic factor for patients with LIHC. The immunomodulatory function of BARX2 deserves further validation in LIHC.
转录因子 BarH 样同源盒 2(BARX2)是 Bar 样同源盒基因家族的成员,参与细胞增殖、分化、免疫反应和肿瘤发生。然而,BARX2 在肝癌(LIHC)发展中的潜在作用尚不清楚。因此,我们旨在研究 BARX2 在肝细胞癌中的生物学作用。通过 UALCAN、GTEx PORTAL、TIMER 2.0、LinkedOmics、SMART、MethSurv、Metascape、GSEA 和 STRING 公共数据库,研究了 LIHC 患者的 BARX2 mRNA 水平、预后价值、共表达基因、相关差异表达基因、DNA 甲基化和功能富集。通过 The Cancer Genome Atlas(TCGA)、Gene Expression Omnibus(GEO)和 BEAT LIHC 数据库中的数据,确定了 BARX2 表达与 LIHC 患者各种临床或遗传参数之间的关系。通过大规模数据挖掘,我们的研究表明 BARX2 在不同正常和肿瘤组织之间存在差异表达。LIHC 组织中 BARX2 的表达明显低于相应对照,尤其是在 T2-4 期疾病患者中。在 LIHC 患者中,BARX2 的过表达是与不良细胞遗传学风险和基因突变相关的独立不良预后因素。BARX2 基因的基因组高甲基化与 BARX2 表达上调和 LIHC 患者总生存期(OS)不良相关。功能富集分析表明,BARX2 具有免疫调节作用,并参与 LIHC 发生中的炎症反应。总之,癌基因 BARX2 可能成为 LIHC 患者的新生物标志物和预后因素。BARX2 的免疫调节功能值得在 LIHC 中进一步验证。