首页|基于生物信息学方法和免疫组化分析FASN在宫颈癌组织的表达及临床意义

基于生物信息学方法和免疫组化分析FASN在宫颈癌组织的表达及临床意义

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目的 利用生物信息学方法和免疫组化分析脂肪酸合酶(FASN)在宫颈癌(CC)组织中的表达水平及相应的临床意义.方法 从癌症基因组图谱(TCGA)数据库中下载CC患者的RNA测序数据及临床信息,通过R4.2.2提取FASN表达数据,并结合患者的临床特征,探讨FASN在CC组织中的表达水平、与临床特征的相关性以及患者预后的关系.同时,通过基因集富集(GSEA)揭示FASN相关的生物学功能和信号通路.最后,通过免疫组化实验证实了FASN在CC组织中的表达,并分析了FASN表达的免疫组化(IHC)评分与临床特征的相关性.结果 (1)TCGA数据库及本研究的临床标本均证实,与癌旁组织相比,FASN在CC组织中呈现高表达(P<0.001,P=0.028 5),并与淋巴结转移和病理分级显著相关(P<0.001,P=0.029;P=0.012,P=0.047).(2)FASN在CC患者中表达水平较高者,其总生存期与无进展生存期明显缩短(P<0.001,P<0.001).(3)FASN表达的IHC高评分组CC患者的身体质量指数(BMI)显著高于低评分组(P<0.001).(4)HPV感染状态对于FASN表达的IHC评分高低具有显著差异性(P<0.001).(5)FASN高表达CC患者的基因富集在癌症途径、细胞外基质-受体相关作用、氮代谢、黑色素瘤和肌动蛋白细胞骨架等调节通路.结论 FASN在CC组织中高表达,且与患者淋巴结转移、病理分级、HPV感染状态、BMI和不良预后相关,有望成为诊断CC的新兴生物标志物及治疗靶点.
Expression and clinical significance of FASN in cervical cancer tissues based on bioinformatics methods and immunohistochemical analysis
Objective To analyze the expression level and clinical significance of fatty acid synthase(FASN)in cervical cancer(CC)tissues using bioinformatics methods and immunohistochemical analysis.Methods RNA sequencing data and clinical information of CC patients were obtained from The Cancer Genome Atlas(TCGA)database.FASN expression data were extracted using R4.2.2.Subsequently,taking into account the clinical characteristics of the patients,the study explored the expression levels of FASN in CC tissues,their correlation with clinical features,and the prognosis of the patient.Additionally,Gene Set Enrichment Analysis(GSEA)was employed to identify the biological functions and signaling pathways associated with FASN.Finally,the expression of FASN in CC tissues was validated through immunohistochemical experiments,and the correlation between immunohistochemistry(IHC)scores of FASN expression and clinical features was analyzed.Results(1)Both the TCGA database and the clinical specimens from this study verified that FASN was highly expressed in CC tissues compared to paracancerous tissues(P<0.001,P=0.028 5).Moreover,FASN expression was significantly associated with lymph node metastasis and pathological grading(P<0.001,P=0.029;P=0.012,P=0.047).(2)Both overall survival and progression-free survival were significantly shorter in CC patients with higher levels of FASN expression(P<0.001,P<0.001).(3)The body mass index(BMI)was notably higher in CC patients with high FASN IHC scores compared to those with low scores(P<0.001).(4)The human papillomavirus(HPV)infection status significantly varied between high and low IHC FASN expression(P<0.001).(5)Genes from CC patients with high FASN expression were enriched in regulatory pathways including cancer pathways,extracellular matrix-receptor interactions,nitrogen metabolism,melanoma,and actin cytoskeleton.Conclusion FASN exhibited high expression levels in CC tissues and demonstrated correlations with lymph node metastasis,pathological grade,HPV infection status,BMI,and poor prognosis.Consequently,These associations indicate its potential as a promising biomarker and therapeutic target for the diagnosis of CC.

Fatty acid synthaseCervical cancerImmunohistochemistryBioinformaticsClinical significance

徐欣、张珊、廖丽鑫、郭钰珍

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兰州大学第二医院(第二临床医学院),甘肃 兰州 730030

脂肪酸合酶 宫颈癌 免疫组化 生物信息学 临床意义

甘肃省自然科学基金

17JR5RA242

2024

生物医学转化
兰州大学

生物医学转化

CSTPCD
ISSN:2096-8965
年,卷(期):2024.5(1)
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