Sevim Nalkiran Hatice, Biri Ilknur, Nalkiran Ihsan, Uzun Hakki, Durur Sumeyye, Bedir Recep
Department of Medical Biology, Faculty of Medicine, Recep Tayyip Erdogan University, 53100 Rize, Türkiye.
Department of Urology, Faculty of Medicine, Recep Tayyip Erdogan University, 53100 Rize, Türkiye.
Diagnostics (Basel). 2024 Dec 29;15(1):59. doi: 10.3390/diagnostics15010059.
Bladder cancer (BC) is one of the ten most common cancers worldwide, with a high recurrence rate and significant variation in clinical outcomes based on tumor grade and stage. This study aimed to investigate the gene expression profiles at different cancer stages to assess their potential prognostic value. RNA was extracted from paraffin-embedded BC tissues and the gene expression levels of CDC20 and CCNB1 were analyzed using qRT-PCR. A total of 54 BC patient samples were included in the analysis and categorized into low-grade (LG) ( = 23) and high-grade (HG) ( = 31) tumors, as well as stages pTa, pT1, and pT2. CDC20 gene expression was significantly higher in the HG group (mean fold-change: 16.1) compared to the LG group (mean fold-change: 10.54), indicating a significant association with tumor grade ( = 0.039). However, no significant differences were observed in CDC20 expression across the cancer stages. For CCNB1, while gene expression was significantly elevated in higher-stage tumors (pT2 vs. pTa; = 0.038), no significant association was found between CCNB1 expression and tumor grade. Survival analysis revealed that increased CCNB1 expression and advanced cancer stage were associated with poorer overall survival, whereas no significant impact of CDC20 expression or tumor grade on survival was observed. Correlation analysis indicated a positive relationship between CDC20 expression and tumor grade (r = 0.284, = 0.038) and between CCNB1 expression and tumor stage (r = 0.301, = 0.027). Our findings suggest that CDC20 overexpression is linked to higher tumor grades, while CCNB1 overexpression is associated with more advanced cancer stages in BC. These results underscore the potential utility of CDC20 and CCNB1 as biomarkers for tumor prognosis and as therapeutic targets. Further studies with larger cohorts are needed to validate these findings and better understand the molecular mechanisms driving BC progression.
膀胱癌(BC)是全球十大最常见癌症之一,复发率高,临床结局因肿瘤分级和分期存在显著差异。本研究旨在调查不同癌症阶段的基因表达谱,以评估其潜在的预后价值。从石蜡包埋的BC组织中提取RNA,使用qRT-PCR分析CDC20和CCNB1的基因表达水平。分析共纳入54例BC患者样本,分为低级别(LG)(n = 23)和高级别(HG)(n = 31)肿瘤,以及pTa、pT1和pT2期。与LG组(平均倍数变化:10.54)相比,HG组中CDC20基因表达显著更高(平均倍数变化:16.1),表明与肿瘤分级显著相关(P = 0.039)。然而,在不同癌症阶段的CDC20表达中未观察到显著差异。对于CCNB1,虽然在较高级别肿瘤(pT2与pTa相比;P = 0.038)中基因表达显著升高,但未发现CCNB1表达与肿瘤分级之间存在显著关联。生存分析显示,CCNB1表达增加和癌症分期进展与较差的总生存期相关,而未观察到CDC20表达或肿瘤分级对生存有显著影响。相关性分析表明CDC20表达与肿瘤分级之间呈正相关(r = 0.284,P = 0.038),CCNB1表达与肿瘤分期之间呈正相关(r = 0.301,P = 0.027)。我们的研究结果表明,CDC20过表达与更高的肿瘤分级相关,而CCNB1过表达与BC中更晚期的癌症分期相关。这些结果强调了CDC20和CCNB1作为肿瘤预后生物标志物和治疗靶点的潜在效用。需要更大样本量的进一步研究来验证这些发现,并更好地理解驱动BC进展的分子机制。