Department of Otorhinolaryngology Head and Neck Surgery, Central Hospital of Chaoyang, Liaoning, 122000, China.
Sci Rep. 2024 Jun 14;14(1):13796. doi: 10.1038/s41598-024-64162-w.
To explore the hub comorbidity genes and potential pathogenic mechanisms of hypopharyngeal carcinoma with esophageal carcinoma, and evaluate their diagnostic value for hypopharyngeal carcinoma with co-morbid esophageal carcinoma. We performed gene sequencing on tumor tissues from 6 patients with hypopharyngeal squamous cell carcinoma with esophageal squamous cell carcinoma (hereafter referred to as "group A") and 6 patients with pure hypopharyngeal squamous cell carcinoma (hereafter referred to as "group B"). We analyzed the mechanism of hub genes in the development and progression of hypopharyngeal squamous cell carcinoma with esophageal squamous cell carcinoma through bioinformatics, and constructed an ROC curve and Nomogram prediction model to analyze the value of hub genes in clinical diagnosis and treatment. 44,876 genes were sequenced in 6 patients with group A and 6 patients with group B. Among them, 76 genes showed significant statistical differences between the group A and the group B.47 genes were expressed lower in the group A than in the group B, and 29 genes were expressed higher. The top five hub genes were GABRG2, CACNA1A, CNTNAP2, NOS1, and SCN4B. GABRG2, CNTNAP2, and SCN4B in the hub genes have high diagnostic value in determining whether hypopharyngeal carcinoma patients have combined esophageal carcinoma (AUC: 0.944, 0.944, 0.972). These genes could possibly be used as potential molecular markers for assessing the risk of co-morbidity of hypopharyngeal carcinoma combined with esophageal carcinoma.
为了探索下咽鳞癌合并食管癌的枢纽共病基因和潜在发病机制,并评估其对合并食管癌的下咽鳞癌的诊断价值。我们对 6 例下咽鳞癌合并食管鳞癌患者(以下简称“A 组”)和 6 例单纯下咽鳞癌患者(以下简称“B 组”)的肿瘤组织进行了基因测序。我们通过生物信息学分析了枢纽基因在下咽鳞癌合并食管鳞癌发生发展中的作用机制,并构建了 ROC 曲线和 Nomogram 预测模型,分析了枢纽基因在临床诊治中的价值。对 A 组和 B 组的 6 例患者进行了 44876 个基因的测序。其中,76 个基因在 A 组和 B 组之间存在显著的统计学差异。A 组中 47 个基因的表达低于 B 组,29 个基因的表达高于 B 组。前 5 个枢纽基因分别为 GABRG2、CACNA1A、CNTNAP2、NOS1 和 SCN4B。枢纽基因中的 GABRG2、CNTNAP2 和 SCN4B 在判断下咽癌患者是否合并食管癌方面具有较高的诊断价值(AUC:0.944、0.944、0.972)。这些基因可能可以作为评估下咽癌合并食管癌发病风险的潜在分子标志物。