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急性髓系白血病中预后相关基因的鉴定:基于TCGA数据分析的研究

Identification of Prognostic-Related Genes in Acute Myeloid Leukemia: A Study Based on TCGA Data Analysis.

作者信息

Shafiei Fatemeh Sadat, Abroun Saeid, Vahdat Sadaf, Anoushirvani Ali Arash, Rafiee Mohammad

机构信息

Department of Medical Laboratory Sciences, School of Paramedical Sciences, Zanjan University of Medical Sciences, Zanjan, Zanjan Province, Iran.

Department of Hematology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

出版信息

Biochem Genet. 2025 Jul 23. doi: 10.1007/s10528-025-11193-1.

Abstract

Acute myeloid leukemia (AML) is the most common type of leukemia in adults, primarily caused by multiple gene mutations and abnormal gene expression. Molecular heterogeneity among AML patients can lead to the variation of treatment outcomes, and the prognostic significance of genetic disruptions is crucial for treatment decisions. Therefore, in this study, we intended to identify novel potential prognosis-related genes in AML patients. This study comprehensively assessed transcriptomic data of primary AML patients from TARGET and BEAT-AML cohorts from the TCGA database. The common differentially expressed mRNAs (DEmRNAs) of the study groups were determined and screened to identify genes that indicated a correlation between their expression levels and the overall survival (OS) of AML patients. Moreover, RT-PCR was used to compare the expression of the identified prognosis-related genes between AML patients and non-leukemic groups to confirm the obtained bioinformatics data. The analysis resulted in the identification of 39 common significant DEmRNAs in both cohorts. Moreover, among the identified common genes, the expression levels of two genes, MME and RBM11, significantly correlated with the OS of AML patients; it was revealed that there was a significant negative correlation between a higher survival rate in AML patients and the lower expression of MME (log-rank P = 1.3*10 and Hazard Ratio (HR = 1.38 (1.22-1.56)) and RBM11 (log-rank P = 0.016 and HR = 1.25 (1.04-1.5)). Furthermore, RT-PCR data confirmed the expected differential expression of identified genes between patient and control samples. In conclusion, our investigation resulted in the identification of two potential prognosis-related genes that can be used in further prognostic evaluation studies.

摘要

急性髓系白血病(AML)是成人中最常见的白血病类型,主要由多种基因突变和基因表达异常引起。AML患者之间的分子异质性可导致治疗结果的差异,而基因破坏的预后意义对于治疗决策至关重要。因此,在本研究中,我们旨在识别AML患者中与预后相关的新的潜在基因。本研究全面评估了来自TCGA数据库中TARGET和BEAT-AML队列的原发性AML患者的转录组数据。确定并筛选了研究组的常见差异表达mRNA(DEmRNA),以识别其表达水平与AML患者总生存期(OS)之间存在相关性的基因。此外,使用RT-PCR比较AML患者与非白血病组之间已识别的预后相关基因的表达,以确认获得的生物信息学数据。分析结果在两个队列中鉴定出39个常见的显著DEmRNA。此外,在已识别的常见基因中,MME和RBM11这两个基因的表达水平与AML患者的OS显著相关;结果显示,AML患者较高的生存率与MME较低的表达(对数秩P = 1.3×10,风险比(HR = 1.38(1.22 - 1.56)))和RBM11(对数秩P = 0.016,HR = 1.25(1.04 - 1.5))之间存在显著负相关。此外,RT-PCR数据证实了患者样本与对照样本之间已识别基因的预期差异表达。总之,我们的研究鉴定出两个潜在的与预后相关的基因,可用于进一步的预后评估研究。

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