首页|PCNA在子宫内膜癌组织中的表达及临床意义

PCNA在子宫内膜癌组织中的表达及临床意义

扫码查看
目的 探讨增殖细胞核抗原(PCNA)基因在子宫内膜癌(UCEC)组织中的表达及与临床病理特征及潜在的生物学功能的关系.方法 通过肿瘤基因组图谱(TCGA)数据库获取PCNA mRNA在UCEC中的表达数据及相关病理参数.收集2020年1月至2022年12月通过术后病理确诊的UCEC组织标本20例和正常内膜组织标本20例.免疫组化技术检测PCNA蛋白在上述组织中的表达.采用单因素Cox回归、多因素Cox回归分析PCNA基因在UCEC患者中的预后价值.利用TIMER数据库分析PCNA基因与免疫细胞浸润的关系.利用基因集富集分析(GSEA)预测PCNA表达的相关通路.利用STRING在线分析以PCNA为中心相关蛋白之间的相互作用.结果 PCNA基因mRNA和编码蛋白在UCEC组织中表达水平上调(P<0.001),且具有诊断价值.免疫组化染色显示,PCNA蛋白在UCEC细胞核中高表达.Cox回归分析结果显示年龄、临床分期、主要治疗结果、病理分级、残留组织、组织学分级、肿瘤侵袭度、放射治疗可作为UCEC潜在的预后因素.PCNA表达水平与免疫浸润细胞的丰度相关.GSEA预测结果显示PCNA高表达富集于细胞周期、同源重组、DNA修复等通路.结论 PCNA基因可能是UCEC潜在的诊断和预后标志物.
Expression of PCNA in Uterine Corpus Endometrial Carcinoma and Its Clinical Significance
Objective To investigate the value of proliferating cell nulcear antigen(PCNA)gene in uterine corpus endometrial carcinoma(UCEC)tissue,and to analyze its relationship with clinicopathological features and potential biological functions.Methods The expression data of PCNA mRNA in UCEC and related pathological parameters were obtained from The Cancer Genome Atlas(TCGA)data.A total of 20 UCEC tissue samples and 20 normal endometrial tissue samples cured in the First Affiliated Hospital of Zhengzhou University from January 2020 to December 2022 were selected.Immunohistochemistry was used to detect the expression of PCNA protein in the above tissues.Univariate and multivariate Cox regression were used to analyze the prognostic value of PCNA in UCEC patients.The relationship between PCNA expression and immune cell infiltration was analyzed using TIMER database.The gene set enrichment analysis(GSEA)software was used to predict the related pathways of PCNA gene expression.STRING database was used to investigate the interaction between related proteins.Results The expression levels of PCNA gene mRNA and encoded protein were up-regulated in UCEC tissues(P<0.001),and had diagnostic value.Immunohistochemical staining showed that PCNA protein was highly expressed in the nucleus of UCEC.The results of Cox regression analysis showed that age,clinical stage,primary therapy outcome,histological type,residual tumor,histological grade,tumor invasion,radiation therapy were potential prognostic factors for UCEC(P<0.001).PCNA gene expression levels were correlated with the abundance of immune-infiltrating cells.GSEA analysis showed that the high expression of PCNA was enriched in the cell cycle,homologous recombination,DNA repair and other pathways.Conclusion PCNA gene may be a potential diagnostic and prognostic marker for UCEC.

proliferating cell nulcear antigenuterine corpus endometrial carcinomagene set enrichment analysisimmune cell infiltration

郑春兰、王文文、何政霞、张婵丽、唐智华、王艳、马骞、郭红军

展开 >

郑州大学第一附属医院妇科,河南郑州 450052

增殖细胞核抗原 子宫内膜癌 基因集富集分析 免疫细胞浸润

河南省医学科技攻关计划省部共建项目

SBGJ202103081

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(4)
  • 23