Department of Obstetrics and Gynecology, Peking University Third Hospital, No.49 Huayuanbei Rd., Haidian District, Beijing, 100191, People's Republic of China.
National Clinical Research Center for Obstetrics and Gynecology, Peking University Third Hospital), Beijing, China.
Eur J Med Res. 2024 Apr 12;29(1):231. doi: 10.1186/s40001-024-01814-7.
High-grade serous ovarian carcinoma (HGSOC) is the most aggressive and prevalent subtype of ovarian cancer and accounts for a significant portion of ovarian cancer-related deaths worldwide. Despite advancements in cancer treatment, the overall survival rate for HGSOC patients remains low, thus highlighting the urgent need for a deeper understanding of the molecular mechanisms driving tumorigenesis and for identifying potential therapeutic targets. Whole-exome sequencing (WES) has emerged as a powerful tool for identifying somatic mutations and alterations across the entire exome, thus providing valuable insights into the genetic drivers and molecular pathways underlying cancer development and progression.
Via the analysis of whole-exome sequencing results of tumor samples from 90 ovarian cancer patients, we compared the mutational landscape of ovarian cancer patients with that of TCGA patients to identify similarities and differences. The sequencing data were subjected to bioinformatics analysis to explore tumor driver genes and their functional roles. Furthermore, we conducted basic medical experiments to validate the results obtained from the bioinformatics analysis.
Whole-exome sequencing revealed the mutational profile of HGSOC, including BRCA1, BRCA2 and TP53 mutations. AP3S1 emerged as the most weighted tumor driver gene. Further analysis of AP3S1 mutations and expression demonstrated their associations with patient survival and the tumor immune response. AP3S1 knockdown experiments in ovarian cancer cells demonstrated its regulatory role in tumor cell migration and invasion through the TGF-β/SMAD pathway.
This comprehensive analysis of somatic mutations in HGSOC provides insight into potential therapeutic targets and molecular pathways for targeted interventions. AP3S1 was identified as being a key player in tumor immunity and prognosis, thus providing new perspectives for personalized treatment strategies. The findings of this study contribute to the understanding of HGSOC pathogenesis and provide a foundation for improved outcomes in patients with this aggressive disease.
高级别浆液性卵巢癌(HGSOC)是最具侵袭性和最常见的卵巢癌亚型,占全球卵巢癌相关死亡的很大一部分。尽管癌症治疗取得了进展,但 HGSOC 患者的总体生存率仍然较低,因此迫切需要更深入地了解驱动肿瘤发生的分子机制,并确定潜在的治疗靶点。全外显子组测序(WES)已成为识别整个外显子中体细胞突变和改变的强大工具,从而为癌症发生和发展的遗传驱动因素和分子途径提供了有价值的见解。
通过分析 90 名卵巢癌患者肿瘤样本的全外显子组测序结果,我们比较了卵巢癌患者和 TCGA 患者的突变图谱,以确定相似之处和不同之处。测序数据经过生物信息学分析,以探索肿瘤驱动基因及其功能作用。此外,我们进行了基础医学实验来验证生物信息学分析结果。
全外显子组测序揭示了 HGSOC 的突变谱,包括 BRCA1、BRCA2 和 TP53 突变。AP3S1 是权重最高的肿瘤驱动基因。进一步分析 AP3S1 突变和表达表明,它们与患者的生存和肿瘤免疫反应有关。在卵巢癌细胞中敲低 AP3S1 实验表明,它通过 TGF-β/SMAD 通路调节肿瘤细胞的迁移和侵袭。
这项对 HGSOC 体细胞突变的全面分析为靶向干预提供了潜在的治疗靶点和分子途径的见解。AP3S1 被确定为肿瘤免疫和预后的关键因素,为个性化治疗策略提供了新的视角。本研究的发现有助于理解 HGSOC 的发病机制,并为改善这种侵袭性疾病患者的预后提供了基础。