Zou Ya-Wen, Cheng Yun, Liu Zhi-Lin, Wang Hai-Tao
Department of Gastrointestinal Surgery, Third Affiliated Hospital of Soochow University, Changzhou, China.
Department of Gastrointestinal Surgery, Changzhou Geriatric Hospital Affiliated to Soochow University, Changzhou, China.
Medicine (Baltimore). 2025 Jan 17;104(3):e39815. doi: 10.1097/MD.0000000000039815.
Gastric and colorectal cancers are common malignancies with high incidence and mortality worldwide. Early detection and individualized treatment are crucial to improving patient outcomes. Glutathione peroxidase-8 (GPX8), a member of the glutathione peroxidase family, emerges as a potential target for intervention in the treatment of various cancers. This study investigated the potential of GPX8 as a prognostic marker in patients with gastric and colorectal adenocarcinoma. The study employed a multi-omics approach to analyze GPX8 expression in both tumor and adjacent normal tissue of stomach adenocarcinoma (STAD), colon adenocarcinoma (COAD) and rectum adenocarcinoma patients. The Cancer Genome Atlas database was used to download the microarray data of GPX8 and clinical information for cancer patients. The TIMER database and TNMplot database were used to systematically evaluate the association of GPX8 with tumor-infiltrating lymphocytes in adenocarcinoma. Immunohistochemistry is used to detect GPX8 expression in clinical tumors and adjacent normal tissues. Univariate Cox analysis was performed to explore the relationship between GPX8 expression, immune cell levels, and the prognosis in cancer patients. GPX8 was significantly upregulated in tumor tissue and was associated with a poor prognosis in STAD and COAD patients. Furthermore, high GPX8 expression was found to be correlated with a higher degree of CD4+ T cell-infiltrating in COAD and neutrophil-infiltrating in STAD, indicating that GPX8 may play a role in immune evasion in cancer progression. This study highlights the potential of GPX8 as a prognostic marker in STAD and COAD, providing valuable insight into the development of personalized treatment strategies for cancer patients.
胃癌和结直肠癌是全球发病率和死亡率都很高的常见恶性肿瘤。早期检测和个体化治疗对于改善患者预后至关重要。谷胱甘肽过氧化物酶8(GPX8)是谷胱甘肽过氧化物酶家族的一员,已成为各种癌症治疗中潜在的干预靶点。本研究调查了GPX8作为胃腺癌和结直肠癌患者预后标志物的潜力。该研究采用多组学方法分析了胃腺癌(STAD)、结肠腺癌(COAD)和直肠腺癌患者肿瘤组织及相邻正常组织中GPX8的表达。利用癌症基因组图谱数据库下载了GPX8的微阵列数据和癌症患者的临床信息。使用TIMER数据库和TNMplot数据库系统评估GPX8与腺癌中肿瘤浸润淋巴细胞的相关性。采用免疫组织化学法检测临床肿瘤组织及相邻正常组织中GPX8的表达。进行单因素Cox分析以探讨GPX8表达、免疫细胞水平与癌症患者预后之间的关系。GPX8在肿瘤组织中显著上调,与STAD和COAD患者的不良预后相关。此外,发现高GPX8表达与COAD中较高程度的CD4 + T细胞浸润以及STAD中较高程度的中性粒细胞浸润相关,表明GPX8可能在癌症进展的免疫逃逸中发挥作用。本研究突出了GPX8作为STAD和COAD预后标志物的潜力,为癌症患者个性化治疗策略的制定提供了有价值的见解。