Department of Oncology, Guoyang County People’s Hospital, Guoyang Branch of Anhui Provincial Hospital, Guoyang 233607, Anhui, China.
Department of Oncology, Fuyang Hospital of Anhui Medical University, Fuyang 236000, Anhui, China.
Aging (Albany NY). 2023 Dec 10;15(23):13901-13919. doi: 10.18632/aging.205273.
BACKGROUND: Cuproptosis is a new type of programmed cell death involved in the regulation of neuroendocrine tumors, immune microenvironment, and substance metabolism. However, the role of cuproptosis-related genes (CRGs) in Hepatocellular carcinoma (HCC) remains unclear. METHOD: Through multiple bioinformatics analysis, we constructed a prognostic gene model and competing endogenous RNA (ceRNA) network. The correlation between CRGs and prognosis, immune infiltration, immune checkpoints, microsatellite instability (MSI) and tumor mutational burden (TMB) was analyzed by Kaplan-Meier curve, univariate Cox, multivariate regression, and Spearman's analysis in HCC patients. Besides, the qRT-PCR and immunohistochemistry assays were used to determine prognostic CRGs mRNA and protein expression in HCC. RESULTS: We established a novel 3-gene signature related to CRGs for evaluating the prognosis of HCC patients. HCC patients with high risk scores had a poor prognosis with an area under the curve of 0.737, 0.646, and 0.634 on 1-year, 3-year, and 5-year receiver operating characteristic curves. Significant correlation was observed between prognostic CRGs and immune infiltration, immune checkpoints, MSI and TMB. We also developed five ceRNA networks to regulate the occurrence and progression of HCC. CDKN2A, DLAT, and PDHA1 protein expression was up-regulated in HCC versus normal tissues. Besides, the mRNA expression levels of CDKN2A, DLAT, GLS, and PDHA1 were elevated in the HCC cell lines compared to the normal liver cell lines. CONCLUSIONS: This novel prognostic CRGs signature could be accurately predict the prognosis of patients with HCC. The ceRNA regulatory network might be potential prognostic biomarkers and therapeutic targets for HCC patients.
背景:铜死亡是一种新的程序性细胞死亡方式,涉及神经内分泌肿瘤、免疫微环境和物质代谢的调控。然而,铜死亡相关基因(CRGs)在肝细胞癌(HCC)中的作用尚不清楚。 方法:通过多种生物信息学分析,构建了一个预后基因模型和竞争内源性 RNA(ceRNA)网络。通过 Kaplan-Meier 曲线、单因素 Cox、多因素回归和 Spearman 分析,分析了 HCC 患者中 CRGs 与预后、免疫浸润、免疫检查点、微卫星不稳定性(MSI)和肿瘤突变负荷(TMB)的相关性。此外,qRT-PCR 和免疫组织化学检测用于确定 HCC 中预后 CRGs mRNA 和蛋白表达。 结果:我们建立了一个与 CRGs 相关的新型 3 基因标志,用于评估 HCC 患者的预后。风险评分高的 HCC 患者预后不良,1 年、3 年和 5 年的曲线下面积分别为 0.737、0.646 和 0.634。预后 CRGs 与免疫浸润、免疫检查点、MSI 和 TMB 之间存在显著相关性。我们还构建了五个 ceRNA 网络来调节 HCC 的发生和进展。与正常组织相比,CDKN2A、DLAT 和 PDHA1 蛋白在 HCC 中表达上调。此外,与正常肝细胞系相比,HCC 细胞系中 CDKN2A、DLAT、GLS 和 PDHA1 的 mRNA 表达水平升高。 结论:这个新的预后 CRGs 标志可以准确预测 HCC 患者的预后。ceRNA 调控网络可能是 HCC 患者潜在的预后生物标志物和治疗靶点。
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