Jiang Peng, Huo Xingfa, Dong Bowen, Zhou Na, Zhang Xiaochun
Precision Medicine Center of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, 266071, China.
Qingdao University, Qingdao, 266071, China.
J Cancer Res Clin Oncol. 2023 Nov;149(14):12791-12806. doi: 10.1007/s00432-023-05075-5. Epub 2023 Jul 17.
Our study first explored the expression differences and prognostic significance of Cx genes in pan-cancer and then focused on LUAD. Our objectives were to conducted a comprehensive analysis of the expression profile, prognostic significance, genetic alterations, potential biological functions and drug sensitivity of the Connexin gene family in LUAD.
We developed a comprehensive prognostic model for LUAD by combining risk scores with clinical features and created a nomogram to predict 1-, 3-, and 5-year overall survival. Using single-cell sequencing, we examined the expression and biological functions of the identified prognostic markers.
Our risk model revealed that GJB2-5 play a critical role in the prognosis of LUAD patients, associated with many biological processes such as cell cycle, DNA damage, EMT, hypoxia, invasion, and metastasis. Furthermore, the connexin gene family is linked to transcriptional mechanisms such as the extracellular matrix (ECM), migration, mobility, angiogenesis, and the epithelial-mesenchymal transition (EMT) genetic program.
The risk model can be used as a potential prognostic factor for LUAD patients and may provide new insights into cancer treatment from perspective of the expression of Cx genes.
我们的研究首先探讨了Cx基因在泛癌中的表达差异及预后意义,随后聚焦于肺腺癌(LUAD)。我们的目标是对LUAD中连接蛋白(Connexin)基因家族的表达谱、预后意义、基因改变、潜在生物学功能及药物敏感性进行全面分析。
我们通过将风险评分与临床特征相结合,开发了一种用于LUAD的综合预后模型,并创建了列线图以预测1年、3年和5年总生存率。利用单细胞测序,我们研究了所鉴定的预后标志物的表达及生物学功能。
我们的风险模型显示,GJB2 - 5在LUAD患者的预后中起关键作用,与细胞周期、DNA损伤、上皮 - 间质转化(EMT)、缺氧、侵袭和转移等许多生物学过程相关。此外,连接蛋白基因家族与细胞外基质(ECM)、迁移、移动性、血管生成以及上皮 - 间质转化(EMT)遗传程序等转录机制有关。
该风险模型可作为LUAD患者潜在的预后因素,并可能从Cx基因表达的角度为癌症治疗提供新的见解。