来自福尔马林固定石蜡包埋(FFPE)组织的全转录组分析及实验验证确定了在结直肠癌进展过程中区分腺瘤、原位癌和腺癌的阶段特异性基因表达谱。
Transcriptome-Wide Analysis and Experimental Validation from FFPE Tissue Identifies Stage-Specific Gene Expression Profiles Differentiating Adenoma, Carcinoma In-Situ and Adenocarcinoma in Colorectal Cancer Progression.
作者信息
Alhosani Faisal, Alhamidi Reem Sami, Ilce Burcu Yener, Altaie Alaa Muayad, Ali Nival, Hamad Alaa Mohamed, Künstner Axel, Khandanpour Cyrus, Busch Hauke, Al-Ramadi Basel, Harati Rania, Sayed Kadria, AlFazari Ali, Bendardaf Riyad, Hamoudi Rifat
机构信息
Research Institute of Medical and Health Sciences, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates.
Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates.
出版信息
Int J Mol Sci. 2025 Apr 28;26(9):4194. doi: 10.3390/ijms26094194.
Colorectal cancer (CRC) progression occurs through three stages: adenoma (pre-cancerous lesion), carcinoma in situ (CIS) and adenocarcinoma, with tumor stage playing a pivotal role in the prognosis and treatment outcomes. Despite therapeutic advancements, the lack of stage-specific biomarkers hinders the development of accurate diagnostic tools and effective therapeutic strategies. This study aims to identify stage-specific gene expression profiles and key molecular mechanisms in CRC providing insights into molecular alterations across disease progression. Our methodological approach integrates the use of absolute gene set enrichment analysis (absGSEA) on formalin-fixed paraffin-embedded (FFPE)-derived transcriptomic data, combined with large-scale clinical validation and experimental confirmation. A comparative whole transcriptomic analysis (RNA-seq) was performed on FFPE samples including adenoma ( = 10), carcinoma in situ (CIS) ( = 8) and adenocarcinoma ( = 11) samples. Using absGSEA, we identified significant cellular pathways and putative molecular biomarkers associated with each stage of CRC progression. Key findings were then validated in a large independent CRC patient cohort ( = 1926), with survival analysis conducted from 1336 patients to assess the prognostic relevance of the candidate biomarkers. The key differentially expressed genes were experimentally validated using real-time PCR (RT-qPCR). Pathway analysis revealed that in CIS, apoptotic processes and Wnt signaling pathways were more prominent than in adenoma samples, while in adenocarcinoma, transcriptional co-regulatory mechanisms and protein kinase activity, which are critical for tumor growth and metastasis, were significantly enriched compared to adenoma. Additionally, extracellular matrix organization pathways were significantly enriched in adenocarcinoma compared to CIS. Distinct gene signatures were identified across CRC stages that differentiate between adenoma, CIS and adenocarcinoma. In adenoma, , and were overexpressed, suggesting their involvement in early tumorigenesis, whereas in CIS, and were overexpressed, suggesting their involvement in the transition from benign to malignant stage. In adenocarcinoma, , , and were overexpressed, suggesting their involvement in advanced disease progression. Functional analysis confirmed that and /2 were associated with early tumor development, while and were involved in extracellular matrix remodeling and transcriptional regulation, respectively. Experimental validation with RT-qPCR confirmed the differential expression of the candidate biomarkers (, , , and across the three CRC stages reinforcing their potential as stage-specific biomarkers in CRC progression. These findings provide a foundation to distinguish between the CRC stages and for the development of accurate stage-specific diagnostic and prognostic biomarkers, which helps in the development of more effective therapeutic strategies for CRC.
结直肠癌(CRC)的进展通过三个阶段发生:腺瘤(癌前病变)、原位癌(CIS)和腺癌,肿瘤分期在预后和治疗结果中起关键作用。尽管治疗取得了进展,但缺乏阶段特异性生物标志物阻碍了准确诊断工具和有效治疗策略的开发。本研究旨在确定CRC中阶段特异性基因表达谱和关键分子机制,为疾病进展过程中的分子改变提供见解。我们的方法整合了对福尔马林固定石蜡包埋(FFPE)衍生的转录组数据进行绝对基因集富集分析(absGSEA),并结合大规模临床验证和实验确认。对包括腺瘤(n = 10)、原位癌(CIS)(n = 8)和腺癌(n = 11)样本的FFPE样本进行了比较全转录组分析(RNA-seq)。使用absGSEA,我们确定了与CRC进展各阶段相关的重要细胞途径和推定分子生物标志物。然后在一个大型独立CRC患者队列(n = 1926)中验证关键发现,并对1336名患者进行生存分析,以评估候选生物标志物的预后相关性。使用实时PCR(RT-qPCR)对关键差异表达基因进行实验验证。通路分析显示,在CIS中,凋亡过程和Wnt信号通路比腺瘤样本中更突出,而在腺癌中,与肿瘤生长和转移至关重要的转录共调节机制和蛋白激酶活性与腺瘤相比显著富集。此外,与CIS相比,腺癌中细胞外基质组织通路显著富集。在CRC各阶段鉴定出不同的基因特征,可区分腺瘤、CIS和腺癌。在腺瘤中,[具体基因1]、[具体基因2]和[具体基因3]过度表达,表明它们参与早期肿瘤发生,而在CIS中,[具体基因4]和[具体基因5]过度表达,表明它们参与从良性到恶性阶段的转变。在腺癌中,[具体基因6]、[具体基因7]、[具体基因8]和[具体基因9]过度表达,表明它们参与晚期疾病进展。功能分析证实,[具体基因10]和[具体基因11]/2与早期肿瘤发展相关,而[具体基因12]和[具体基因13]分别参与细胞外基质重塑和转录调控。RT-qPCR实验验证证实了候选生物标志物([具体基因10]、[具体基因11]、[具体基因12]、[具体基因13]和[具体基因14])在三个CRC阶段的差异表达,加强了它们作为CRC进展中阶段特异性生物标志物的潜力。这些发现为区分CRC阶段以及开发准确的阶段特异性诊断和预后生物标志物提供了基础,有助于开发更有效的CRC治疗策略。