Pain Management, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Gastroenterology Department, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
BMC Gastroenterol. 2023 Aug 10;23(1):273. doi: 10.1186/s12876-023-02896-z.
The most common cause of death for colon cancer patients is liver metastasis.
All the data enrolled in this study were downloaded from two public databases, The Cancer Genome Atlas Program, the TCGA-COAD project and Gene Expression Omnibus, GSE41258 project. All the analysis was performed in R software.
In our study, we systematically explored the molecules involved in the liver metastasis process of colon cancer. The biological role of these molecules was identified through the GO and KEGG analysis. Moreover, we identified that the molecules SERPINA3, SERPINA1, MMP3, ALDH1A3, PBK and CXCL14 were the independent factors for patients survival. The CXCL14 was selected for further analysis for its most significant P value. Single-cell analysis showed that the CXCL14 was mainly expressed in the fibroblasts. Meanwhile, the biological role of fibroblasts in the colon cancer microenvironment was investigated. Further, the clinical role of CXCL14 in colon cancer was also explored. The result showed that the CXCL14 is a protective factor against colon cancer independent of other clinical parameters like age, gender, clinical stage, and TNM classifications. Then, biological enrichment analysis indicated that the CXCL14 is predominantly involved in the activating of the WNT/β/catenin pathway, pancreas beta cells, peroxisome and bile acid metabolism. Immune infiltration analysis showed that for the patients with high CXCL14 levels, the plasma B cells, CD8 + T cells, neutrophil and NK cells might infiltrate more, in contrast to B cells, monocyte and macrophages. Furthermore, we found that the patients with low CXCL14 expression might be more sensitive to etoposide, rapamycin and sunitinib.
Our result could improve the understanding of the liver metastasis process in colon cancer. Also, CXCL14 was identified as an underlying therapeutic target for colon cancer.
结肠癌患者死亡的最常见原因是肝转移。
本研究所有数据均从两个公共数据库下载,即癌症基因组图谱计划(TCGA-COAD 项目)和基因表达综合数据库(GSE41258 项目)。所有分析均在 R 软件中进行。
在我们的研究中,我们系统地探讨了参与结肠癌肝转移过程的分子。通过 GO 和 KEGG 分析确定了这些分子的生物学作用。此外,我们发现分子 SERPINA3、SERPINA1、MMP3、ALDH1A3、PBK 和 CXCL14 是患者生存的独立因素。由于 CXCL14 的 P 值最显著,因此选择其进行进一步分析。单细胞分析表明,CXCL14 主要在成纤维细胞中表达。同时,还研究了成纤维细胞在结肠癌微环境中的生物学作用。进一步探讨了 CXCL14 在结肠癌中的临床作用。结果表明,CXCL14 是结肠癌的保护因素,与年龄、性别、临床分期和 TNM 分类等其他临床参数无关。然后,生物富集分析表明,CXCL14 主要参与激活 WNT/β/catenin 通路、胰腺β细胞、过氧化物酶体和胆汁酸代谢。免疫浸润分析表明,对于 CXCL14 水平较高的患者,血浆 B 细胞、CD8+T 细胞、中性粒细胞和 NK 细胞可能会更多地浸润,而 B 细胞、单核细胞和巨噬细胞则较少浸润。此外,我们发现低表达 CXCL14 的患者可能对依托泊苷、雷帕霉素和舒尼替尼更敏感。
我们的研究结果可以提高对结肠癌肝转移过程的认识。此外,CXCL14 被鉴定为结肠癌的潜在治疗靶点。