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通过多组学方法鉴定CWH43作为透明细胞肾细胞癌的新型预后生物标志物和治疗靶点及其与自噬进展的相关性

Identification of CWH43 as a novel prognostic biomarker and therapeutic target in clear cell renal cell carcinoma by a multi-omics approach and correlation with autophagy progression.

作者信息

Wu Ailian, Bai Peng, Qu Hui, Zhang Tao

机构信息

School of Medicine, Yangzhou Polytechnic College, Yangzhou, China.

Department of Ultrasonography, Ya'an People's Hospital, Yaan, 625000, China.

出版信息

Discov Oncol. 2025 Jun 15;16(1):1115. doi: 10.1007/s12672-025-02392-8.

Abstract

BACKGROUND

Clear cell renal cell carcinoma (ccRCC) poses significant challenges due to its asymptomatic nature and poor prognosis at advanced stages. Identifying novel biomarkers is essential for enhancing prognostic accuracy and therapeutic strategies. This study explores the CWH43 gene, utilizing multi-omics data to determine its role in ccRCC.

METHODS

Genomic, transcriptomic, and methylation data from TCGA-KIRC and GEO databases were analyzed to evaluate CWH43 expression and clinical impact. Bioinformatics tools assessed correlations with patient outcomes and pathway involvement.

RESULTS

CWH43 expression was significantly reduced in ccRCC tissues and correlated with advanced disease stages and poor patient survival. Enrichment analyses revealed CWH43's involvement in critical cancer pathways, such as autophagy and immune response modulation, suggesting its significant role in ccRCC pathophysiology. Lower CWH43 levels were associated with increased tumor progression and immune evasion, impacting the tumor microenvironment.

CONCLUSION

This study highlights the utility of multi-omics data in identifying CWH43 as a novel prognostic biomarker for ccRCC. Integrating CWH43 into clinical practice could refine prognostic assessments and guide personalized therapy strategies, aligning with advancements in modern oncology. Further research is warranted to explore CWH43's mechanisms and therapeutic potential.

摘要

背景

透明细胞肾细胞癌(ccRCC)因其无症状性和晚期预后不良而带来重大挑战。识别新型生物标志物对于提高预后准确性和治疗策略至关重要。本研究利用多组学数据探索CWH43基因在ccRCC中的作用。

方法

分析来自TCGA-KIRC和GEO数据库的基因组、转录组和甲基化数据,以评估CWH43的表达及其临床影响。生物信息学工具评估其与患者预后和通路参与情况的相关性。

结果

CWH43在ccRCC组织中的表达显著降低,且与疾病晚期和患者生存率低相关。富集分析显示CWH43参与自噬和免疫反应调节等关键癌症通路,表明其在ccRCC病理生理学中具有重要作用。较低的CWH43水平与肿瘤进展和免疫逃逸增加相关,影响肿瘤微环境。

结论

本研究强调了多组学数据在将CWH43鉴定为ccRCC新型预后生物标志物方面的作用。将CWH43纳入临床实践可以完善预后评估并指导个性化治疗策略,与现代肿瘤学的进展相一致。有必要进行进一步研究以探索CWH43的机制和治疗潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3e1/12167738/a15db0fb9d3c/12672_2025_2392_Fig1_HTML.jpg

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