首页|细胞周期蛋白依赖性激酶4在胶质瘤中的表达及临床意义

细胞周期蛋白依赖性激酶4在胶质瘤中的表达及临床意义

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目的 探讨细胞周期蛋白依赖性激酶4(CDK4)在胶质瘤中的表达及临床意义.方法 对基因型-组织表达(GTEx)、癌症基因组图谱(TCGA)和中国脑胶质瘤基因组图谱(CGGA)数据库中的资料进行挖掘和分析,提取胶质瘤中CDK4的RNA转录组数据.比较胶质瘤组织和正常脑组织中CDK4 mRNA表达水平,分析CDK4表达水平与胶质瘤分级的关系.根据TCGA和CGGA数据库中CDK4表达水平中位数,将患者分为CDK4高表达组与CDK4低表达组,比较两组患者的生存情况.采用Cox回归模型分析胶质瘤患者预后的影响因素.绘制受试者工作特征(ROC)曲线,分析CDK4对胶质瘤患者预后的预测价值,构建列线图,并进行验证.根据TCGA数据库中CDK4表达水平中位数,将患者分为CDK4高表达组与CDK4低表达组,对两组患者进行差异基因分析,对差异基因进行基因本体(GO)和京都基因与基因组百科全书(KEGG)富集分析.结果 胶质瘤组织中CDK4 mRNA表达水平明显高于正常脑组织(P<0.01).CDK4表达水平与胶质瘤分级呈正相关.CDK4高表达组胶质瘤患者的总生存期短于CDK4低表达组.CDK4表达水平是胶质瘤患者预后的独立影响因素(P<0.01),对胶质瘤患者预后具有较好的预测效能.GO富集分析显示,差异基因与有丝分裂、离子通道、跨膜转运等有关,KEGG富集分析显示,差异基因主要富集于神经活性配体-受体相互作用、钙信号通路、环腺苷酸(cAMP)信号通路、细胞周期通路等.结论 CDK4基因在胶质瘤的诊断和临床治疗中具有重要意义.
Expression and clinical significance of cyclin-dependent kinase 4 in glioma
Objective To investigate the expression and clinical significance of cyclin-dependent kinase 4(CDK4)in glioma.Method The data in the Genotype-Tissue Expression(GTEx),The Cancer Genome Atlas(TCGA)and Chinese Glioma Genome Atlas(CGGA)databases were mined and analyzed to extract the RNA transcriptome data of CDK4 in gliom.The expression level of CDK4 mRNA in glioma tissues and normal brain tissues was compared,and the relation-ship between the expression level of CDK4 and glioma grade was analyzed.According to the median CDK4 expression levels in TCGA and CGGA databases,patients were divided into CDK4 high expression group and CDK4 low expression group,and the survival of the two groups was compared.Cox regression model was used to analyze the factors affecting the prognosis of glioma patients.The receiver operating characteristic(ROC)curve was plotted to analyze the predictive value of CDK4 for the prognosis of glioma patients,and the nomogram was constructed and verified.According to the median CDK4 expression level in the TCGA database,the patients were divided into CDK4 high expression group and CDK4 low expression group,differential gene analysis was performed for the patients in the two groups,and the Gene Ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)enrichment analysis were performed on differ-ential genes.Result The expression level of CDK4 mRNA in glioma tissues was significantly higher than that in normal brain tissues(P<0.01).The expression level of CDK4 was positively correlated with glioma grade.The overall survival of CDK4 high expression group was lower than that of CDK4 low expression group.CDK4 was an independent prognostic factor of glioma patients(P<0.01),and had a good predictive effect on prognostic of glioma patients.GO enrichment anal-ysis showed that differential genes were related to mitosis,ion channels,and transmembrane transport,KEGG enrichment analysis showed that differential genes were mainly concentrated in neural active ligand-receptor interactions,calcium sig-naling pathway,cyclic adenylic acid(cAMP)signaling pathway,and cell cycle.Conclusion CDK4 gene plays an impor-tant role in the diagnosis and clinical treatment of glioma.

gliomacyclin-dependent kinase 4differential geneprognosis

张一帆、胡旭磊、牛占锋

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宁夏医科大学总医院神经外科,银川 750003

山西省人民医院神经外科,太原 030012

胶质瘤 细胞周期蛋白依赖性激酶4 差异基因 预后

宁夏医科大学校级项目

XZ2020009

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(7)