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GJB2作为一种与卵巢癌免疫浸润和铜死亡相关的新型预后生物标志物。

GJB2 as a novel prognostic biomarker associated with immune infiltration and cuproptosis in ovarian cancer.

作者信息

Lei Han, Guo Ke, Shu Guang, Wang Maonan, Li Yu, Tan Zhihui, Pan Qiong, Yin Gang

机构信息

Department of Pathology, Xiangya Hospital, School of Basic Medical Sciences, Central South University, Changsha, China.

Department of Neurology, The Third Xiangya Hospital of Central South University, Changsha, China.

出版信息

Apoptosis. 2025 May 15. doi: 10.1007/s10495-025-02119-8.


DOI:10.1007/s10495-025-02119-8
PMID:40375037
Abstract

Cuproptosis, a recently identified copper-dependent cell death mechanism, remains poorly unexplored in ovarian cancer (OC). This study systematically evaluates clinically significant cuproptosis-related genes (CRGs) as potential prognostic biomarkers in OC. Cox regression analysis and LASSO algorithms were used to develop a prognostic risk model incorporating 5 CRGs (CD8B2, GJB2, GRIP2, MELK, and PLA2G2D) within the TCGA cohort. This model stratified OC patients into high-risk and low-risk groups, with the high-risk group exhibiting significantly shorter overall survival compared to the low-risk group. The model's predictive accuracy for prognosis in OC patients was validated in the TCGA training cohort, TCGA testing cohort, and ICGC external validation cohorts. Among these 5 signature genes, the number of cuproptosis genes associated with GJB2 is the largest, so we selected GJB2 for further validation. qPCR revealed that GJB2 was highly expressed in OC cells and tumor tissues. The high expression of GJB2 was closely associated with poor prognosis in OC patients. Functionally, GJB2 silencing suppressed OC cell proliferation and migration while its overexpression promoted malignant progression and EMT. Furthermore, GJB2 regulated copper homeostasis and reduced cuproptosis sensitivity, while also facilitating immune escape by inhibiting CD8 T cell infiltration and cytokine secretion, revealing its multiple roles in OC progression. In conclusion, we established a novel prognostic model incorporating 5 CRGs that effectively predicts clinical outcomes and characterizes the immune microenvironment in OC. Our findings particularly highlight GJB2 as a key regulator of cuproptosis with significant potential as both a prognostic biomarker and therapeutic target for OC management.

摘要

铜死亡是一种最近发现的依赖铜的细胞死亡机制,在卵巢癌(OC)中的研究仍很少。本研究系统评估了具有临床意义的铜死亡相关基因(CRGs)作为OC潜在的预后生物标志物。使用Cox回归分析和LASSO算法在TCGA队列中建立了一个包含5个CRGs(CD8B2、GJB2、GRIP2、MELK和PLA2G2D)的预后风险模型。该模型将OC患者分为高风险和低风险组,高风险组的总生存期明显短于低风险组。该模型对OC患者预后的预测准确性在TCGA训练队列、TCGA测试队列和ICGC外部验证队列中得到了验证。在这5个特征基因中,与GJB2相关的铜死亡基因数量最多,因此我们选择GJB2进行进一步验证。qPCR显示GJB2在OC细胞和肿瘤组织中高表达。GJB2的高表达与OC患者的不良预后密切相关。在功能上,GJB2沉默抑制了OC细胞的增殖和迁移,而其过表达促进了恶性进展和EMT。此外,GJB2调节铜稳态并降低铜死亡敏感性,同时还通过抑制CD8 T细胞浸润和细胞因子分泌促进免疫逃逸,揭示了其在OC进展中的多重作用。总之,我们建立了一个包含5个CRGs的新型预后模型,该模型能有效预测临床结果并描绘OC中的免疫微环境。我们的研究结果特别强调GJB2是铜死亡的关键调节因子,作为OC管理的预后生物标志物和治疗靶点具有巨大潜力。

相似文献

[1]
GJB2 as a novel prognostic biomarker associated with immune infiltration and cuproptosis in ovarian cancer.

Apoptosis. 2025-5-15

[2]
Interplay between tumor mutation burden and the tumor microenvironment predicts the prognosis of pan-cancer anti-PD-1/PD-L1 therapy.

Front Immunol. 2025-7-24

[3]
Prognostic and Immunological Significance of the Molecular Subtypes and Risk Signatures Based on Cuproptosis in Hepatocellular Carcinoma.

Mediators Inflamm. 2023

[4]
Construction and validation of a lipid metabolism-related genes prognostic signature for skin cutaneous melanoma.

Biochem Biophys Res Commun. 2025-5-29

[5]
Identification of a 5-Gene Cuproptosis Signature Predicting the Prognosis for Colon Adenocarcinoma Based on WGCNA.

Technol Cancer Res Treat. 2024

[6]
Metabolic reprogramming and prognostic insights in molecular landscapes driven by glycolysis in ovarian cancer.

Sci Rep. 2025-7-24

[7]
A novel copper-induced cell death-related lncRNA prognostic signature associated with immune infiltration and clinical value in gastric cancer.

J Cancer Res Clin Oncol. 2023-9

[8]
A novel cuproptosis-related gene signature of prognosis and immune microenvironment in head and neck squamous cell carcinoma cancer.

J Cancer Res Clin Oncol. 2023-1

[9]
Systematic Analysis of an Immune-Related Gene Signature for Predicting Prognosis and Immune Characteristics in Primary Lower Grade Glioma.

Biomed Res Int. 2025-8-12

[10]
CST2 promotes cell proliferation and regulates cell cycle by activating Wnt-β-catenin signalling pathway in serous ovarian cancer.

J Obstet Gynaecol. 2024-12

本文引用的文献

[1]
Metabolic reprogramming in cancer and senescence.

MedComm (2020). 2025-3-4

[2]
GJB2 Promotes HCC Progression by Activating Glycolysis Through Cytoplasmic Translocation and Generating a Suppressive Tumor Microenvironment Based on Single Cell RNA Sequencing.

Adv Sci (Weinh). 2024-10

[3]
Cellular elasticity in cancer: a review of altered biomechanical features.

J Mater Chem B. 2024-6-5

[4]
Biomarker Identification and Risk Prediction Model Development for Differentiated Thyroid Carcinoma Lung Metastasis Based on Primary Lesion Proteomics.

Clin Cancer Res. 2024-7-15

[5]
Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.

CA Cancer J Clin. 2024

[6]
Cancer statistics, 2024.

CA Cancer J Clin. 2024

[7]
A novel defined risk signature of cuproptosis-related long non-coding RNA for predicting prognosis, immune infiltration, and immunotherapy response in lung adenocarcinoma.

Front Pharmacol. 2023-8-21

[8]
Cuproptosis related gene PDHB is identified as a biomarker inversely associated with the progression of clear cell renal cell carcinoma.

BMC Cancer. 2023-8-28

[9]
Targeting copper death genotyping associated gene RARRES2 suppresses glioblastoma progression and macrophages infiltration.

Cancer Cell Int. 2023-5-29

[10]
Cuproptosis: mechanisms and links with cancers.

Mol Cancer. 2023-3-7

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