Cancer Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Department of Pediatric Dentistry, Peking University School of Stomatology, Beijing, China.
Medicine (Baltimore). 2023 Dec 15;102(50):e36001. doi: 10.1097/MD.0000000000036001.
Tooth development is regulated by numerous genes and signaling pathways. Some studies suggest that mutations in these genes may be associated with several cancer types. However, the tooth agenesis mutated genes role in the prognosis and their clinical therapeutic potentials in pan-cancer have not been elaborately explored. Moreover, the intrinsic correlation between tooth agenesis and cancers also needs to be further verified. We preliminarily analyzed expression levels and prognostic values of causative genes of tooth agenesis, and explored the correlation between the expression of tooth agenesis mutated genes and TME, Stemness score, clinical characteristic, immune subtype, and drug sensitivity in pan-cancer, which based on updated public databases and integrated some bioinformatics analysis methods. In addition, we conducted the enrichment analysis of tooth agenesis mutant genes from KOBAS database. We observed that TA mutant genes had significant gene expression differences in multiple cancer types compared with normal tissues. The expression of causative genes of TA is associated with the prognosis in several cancers from different databases. For example, AXIN2 and MSX1 were correlated to the overall survival (OS) of uterine corpus endometrial carcinoma. PAX9 and TP63 were related to OS of lung squamous cell carcinoma. And TP63 was associated with OS in breast invasive carcinoma and pancreatic adenocarcinoma. Furthermore, the expression of TA mutant genes also has a significant correlation with stromal and immune scores, and RNA stemness score and DNA stemness score in pan-cancer. Besides, we observed that all causative genes of TA were significantly correlated with immune subtypes. Moreover, KEGG pathway analysis showed that causative genes of TA were associated with the development and progression of breast cancer, basal cell carcinoma, gastric cancer, and hepatocellular carcinoma. Finally, AXIN2 expression has a significantly positive or negative correlation with drug sensitivity. Our study indicates the great potential of TA mutant genes as biomarkers for prognosis and provides valuable strategies for further investigation of TA mutant genes as potential therapeutic targets in cancers. Our study can further verify that there may be an intrinsic correlation between tooth agenesis and the occurrence of multiple cancers.
牙齿发育受众多基因和信号通路的调节。一些研究表明,这些基因的突变可能与几种癌症类型有关。然而,牙齿缺失突变基因在泛癌中的预后作用及其临床治疗潜力尚未得到详细探讨。此外,牙齿缺失与癌症之间的内在相关性也需要进一步验证。我们初步分析了牙齿缺失的致病基因突变的表达水平和预后价值,并基于更新的公共数据库和综合运用一些生物信息学分析方法,探讨了泛癌中牙齿缺失突变基因与 TME、干性评分、临床特征、免疫亚型和药物敏感性之间的相关性。此外,我们还从 KOBAS 数据库中对牙齿缺失突变基因进行了富集分析。我们观察到,与正常组织相比,TA 突变基因在多种癌症类型中的基因表达存在显著差异。TA 的致病基因的表达与来自不同数据库的几种癌症的预后相关。例如,AXIN2 和 MSX1 与子宫体子宫内膜癌的总生存期(OS)相关。PAX9 和 TP63 与肺鳞状细胞癌的 OS 相关。而 TP63 与乳腺癌和胰腺腺癌的 OS 相关。此外,TA 突变基因的表达也与泛癌中的基质和免疫评分以及 RNA 干性评分和 DNA 干性评分具有显著相关性。此外,我们观察到 TA 的所有致病基因都与免疫亚型显著相关。此外,KEGG 通路分析表明,TA 的致病基因与乳腺癌、基底细胞癌、胃癌和肝细胞癌的发生和发展有关。最后,AXIN2 表达与药物敏感性呈显著正相关或负相关。我们的研究表明 TA 突变基因作为预后生物标志物具有巨大潜力,并为进一步研究 TA 突变基因作为癌症潜在治疗靶点提供了有价值的策略。我们的研究可以进一步验证牙齿缺失与多种癌症的发生之间可能存在内在相关性。
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