Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.
Department of Pathology and Translational Research, Gifu University Graduate School of Medicine, Yanagido 1-1, Gifu 501-1194, Japan.
Int J Mol Sci. 2024 Feb 14;25(4):2270. doi: 10.3390/ijms25042270.
Malignant pleural mesothelioma (MPM) develops primarily from asbestos exposures and has a poor prognosis. In this study, The Cancer Genome Atlas was used to perform a comprehensive survival analysis, which identified the gene as a potential predictor of favorable overall survival for patients with MPM. An enrichment analysis of favorable prognostic genes, including , showed immune-related ontological terms, whereas an analysis of unfavorable prognostic genes indicated cell-cycle-related terms. mRNA expression in MPM was significantly correlated with Bindea immune-gene signatures. To validate the relationship between expression and prognosis, we performed an immunohistochemical analysis of protein expression in 23 surgical specimens from surgically treated patients with MPM who achieved macroscopic complete resection. The score calculated from the proportion and intensity staining was used to compare the intensity of gene expression, which showed that expression was stronger in patients with a better postoperative prognosis. The median overall postoperative survival was 107.8 months in the high-expression-score group and 38.0 months in the low-score group ( = 0.044, log-rank test). Survival after recurrence was also significantly improved by expression. These results suggest that is useful as a prognostic biomarker in MPM.
恶性胸膜间皮瘤(MPM)主要由石棉暴露引起,预后不良。本研究利用癌症基因组图谱进行了全面的生存分析,确定 基因为 MPM 患者总生存率的潜在预测因子。包括 在内的有利预后基因的富集分析显示了与免疫相关的本体论术语,而不利预后基因的分析则表明了与细胞周期相关的术语。MPM 中的 mRNA 表达与 Bindea 免疫基因特征显著相关。为了验证 表达与预后之间的关系,我们对 23 例接受手术治疗且达到肉眼完全切除的 MPM 患者的手术标本进行了 蛋白免疫组化分析。通过比例和强度染色计算的评分用于比较 基因表达的强度,结果表明,高表达评分组患者的 表达更强,术后预后更好。高表达评分组的中位总术后生存期为 107.8 个月,低评分组为 38.0 个月(=0.044,对数秩检验)。复发后的生存也因 表达而显著改善。这些结果表明, 可作为 MPM 的预后生物标志物。