Chen Xiaomei, Dong Xunhu, Li Hong, Wu Tingting, Liu Haoyin, Wu Jie, Ge Wei, Hao Lingji, Zhang Zhe
Nursing Department, Medical Centre Hospital of Qionglai City, Qionglai, 611530, Sichuan, China.
Institute of Toxicology, School of Military Preventive Medicine, Third Military Medical University (Army Medical University), 30 Gaotanyan Street, Shapingba District, Chongqing, 400038, China.
Cancer Cell Int. 2024 Feb 21;24(1):80. doi: 10.1186/s12935-024-03257-w.
Cervical squamous cell carcinoma and endocervical adenocarcinoma (CESC) still present a huge threaten to women's health, especially the local advanced patients. Hence, developing more effectiveness prognostic signatures is urgently needed. This study constructed and verified a robust RNA-binding proteins (RBPs) related signature through a series of bioinformatics methods and explored the biological function of hub RBP in vitro experiments. As a result, the 10 RBPs signature was successfully established and could act as an independent prognostic biomarker in CESC patients, which displayed the highest sensitivity and specificity in prognosis prediction compared with other clinicopathological parameters. The risk model also presented good performance in risk stratification among CESC patients. Besides, a nomogram was constructed based on pathological stage and the risk signature and exhibited satisfactory accuracy in prognosis prediction. Functional enrichment indicated that the risk signature mainly participated in immune-related pathways and cancer-related pathways, and the infiltration level of immune cells and immune checkpoints showed a significantly higher degree in low-risk patients compared with high-risk patients. Notably, the 10 RBPs signature act as a novel biomarker in immunotherapy and chemotherapy response. In addition, PRPF40B was selected as hub RBP and its transcription and translation levels were obviously increased in CESC tissues, as well as Hela and Siha cells. Knockdown of PRPF40B inhibits the proliferation, migration and invasion of Hela and Siha cells in vitro. In conclusion, our research provides a noticeable strategy in prognostic prediction among CESC patients, which may illuminate the prospect of CESC patients' clinical outcome.
宫颈鳞状细胞癌和宫颈管腺癌(CESC)仍然对女性健康构成巨大威胁,尤其是局部晚期患者。因此,迫切需要开发更有效的预后特征。本研究通过一系列生物信息学方法构建并验证了一个稳健的RNA结合蛋白(RBPs)相关特征,并在体外实验中探索了核心RBP的生物学功能。结果,成功建立了10个RBPs特征,其可作为CESC患者的独立预后生物标志物,与其他临床病理参数相比,在预后预测中显示出最高的敏感性和特异性。风险模型在CESC患者的风险分层中也表现良好。此外,基于病理分期和风险特征构建了列线图,在预后预测中显示出令人满意的准确性。功能富集表明,风险特征主要参与免疫相关途径和癌症相关途径,与高危患者相比,低危患者的免疫细胞浸润水平和免疫检查点明显更高。值得注意的是,10个RBPs特征可作为免疫治疗和化疗反应的新型生物标志物。此外,选择PRPF40B作为核心RBP,其在CESC组织以及Hela和Siha细胞中的转录和翻译水平明显升高。敲低PRPF40B可在体外抑制Hela和Siha细胞的增殖、迁移和侵袭。总之,我们的研究为CESC患者的预后预测提供了一个值得关注的策略,这可能为CESC患者的临床结局指明方向。