首页|铜死亡相关基因的分子分型在肾透明细胞癌中的预后特征

铜死亡相关基因的分子分型在肾透明细胞癌中的预后特征

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目的 探讨铜死亡相关基因在肾透明细胞癌(ccRCC)中的临床影响.方法 检索TCGA数据库中ccRCC患者的RNA表达数据和临床数据,检索时限为建库起至2022年.通过Limma软件包分析10种铜死亡分子的表达情况.采用Pheatmap和Corrplot软件包生成热图和表达相关图.患者样本按照5∶5的比率随机分为测试组和训练组,采用Cox回归筛选预后分子,根据平均风险得分将ccRCC样本分为低风险组和高风险组,然后进行进一步的一系列模型验证,以评估该特征的预后价值.采用logistic回归分析临床病理学特征与CDKN2A表达的关系.结果 TCGA队列中共发现9个基因在肿瘤组织和正常组织之间有差异表达,随后通过Cox回归分析筛选出5个独立预后因子,通过构建预后模型进一步鉴定出4个风险基因,其中CDKN2A为唯一的高风险基因.logistic回归分析结果显示CDKN2A在ccRCC中的表达与临床分期和组织浸润深度显著相关(均P<0.05).该基因的GSEA富集分析结果显示与铜中毒的代谢机制一致.结论 本研究的铜死亡相关风险评分模型被证明有助于预测ccRCC预后,可以扩大ccRCC的潜在治疗靶点范围,并可为揭示ccRCC中铜死亡的新机制提供巨大潜力.
Molecular subtyping based on cuproptosis-related genes and prognostic characteristics of clear cell renal carcinoma
Objective To investigate the clinical effect of copper death related genes in clear cell renal cell carcinoma(ccRCC).Methods RNA expression data and clinical data of patients with ccRCC were downloaded from TCGA database,and the retrieval period was from the establishment of the database to 2022.The expression of 10 cuproptosis molecules was analyzed by Limma software package.Heat-maps and expression correlation maps were generated using Pheatmap and Corrplot soft-ware packages.The patient samples were randomly divided into the test group and the training group at a ratio of 5∶5.Cox regression annlysis was used to screen prognostic molecules,and the ccRCC sam-ples were divided into low risk and high risk groups according to the average risk score,and a series of further model validation was conducted to evaluate the prognostic value of this feature.Results In the TCGA cohort,9 genes were differentially-expressed between tumor tissues and normal tissues.After grouping,we screened 5 independent prognostic factors by Cox regression analysis.Finally,4 risk genes by constructing a prognostic model were further identified,of which CDKN2A,as the only high-risk gene,was worthy of further study,logistic regression analysis showed that the expression of CD-KN2A in ccRCC was significantly correlated with clinical stage and depth of tissue invasion(all P<0.05).Finally,the gene was enriched by GSEA.Conclusions The cuproptosis related risk score model proposed in this paper has been proved to be helpful in predicting prognosis,expanding the range of potential therapeutic targets for ccRCC,and also providing great potential for revealing the new mechanism of cuproptosis in ccRCC.

Kidney NeoplasmsCopper DeathGenesCDKN2A

胡滨滨、王梦梦、夏祥伟

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高邮市人民医院肿瘤科,高邮 225600

肾肿瘤 铜死亡 基因 CDKN2A

2024

国际泌尿系统杂志
中华医学会,湖南省医学会

国际泌尿系统杂志

CSTPCD
影响因子:0.414
ISSN:1673-4416
年,卷(期):2024.44(2)
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