首页|CLDN7在胶质母细胞瘤中的表达及临床意义

CLDN7在胶质母细胞瘤中的表达及临床意义

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目的 探讨胶质母细胞瘤(GBM)组织内封闭蛋白7(CLDN7)的表达水平及临床意义。方法 从癌症基因组图谱计划(TCGA)和基因型-组织表达(GTEx)数据库分别获得GBM与正常脑组织相关的基因表达数据,借助R软件比较两组内CLDN7基因的表达差异,分析CLDN7与临床数据的相关性。用Kaplan-Meier生存分析、受试者工作特征(ROC)曲线分析及列线图评估CLDN7在GBM患者的预后。使用STRING数据库评估CLDN7的相互作用基因及信号通路。结果 共收集689份正常样本和1 157例胶质瘤样本。GBM组织内CLDN7的表达高于正常脑组织[1。029(0。642,1。546)]比[0。475(0。275,0。740)],差异有统计学意义(Z=-20。004,P<0。001)。年龄>60岁、WHO病理学分级高、1p/19q非共缺失患者的CLDN7表达量高于年龄≤60岁、WHO病理学分级低、1p/19q共缺失患者,差异有统计学意义(Z/H=-20。683、154。210、-2。699,均P<0。001)。生存分析显示,CLDN7高表达组较低表达组生存期缩短,差异有统计学意义(P<0。001)。ROC曲线结果显示,CLDN7诊断GBM患者的曲线下面积为0。776。京都基因和基因组数据库(KEGG)分析结果显示,CLDN7相关联的蛋白质主要参与紧密连接、黏附链接、细胞黏附分子及白细胞跨内皮迁移等信号通路。结论 CLDN7在GBM组织中高表达,可能成为诊断GBM的指标,是预后不良的相关指标。
Expression and clinical significance of CLDN7 in glioblastoma
Objective To explore the expression level and clinical significance of claudin 7(CLDN7)in glioblastoma(GBM)tissues.Methods The gene expression data related to GBM and normal brain tissues were obtained from The Cancer Genome Atlas(TCGA)and Genotype-Tissue Expression(GTEx)databases,respectively,and the correlation between CLDN7 and clinical data was analyzed by comparing the differences in CLDN7 gene expression within the two groups with the help of R software.The prognosis of CLDN7 in patients with human GBM was assessed using Kaplan-Meier survival analysis,receiver operating characteristic(ROC)curve analysis,and nomogram.STRING database was used to evaluate the interacting genes and signaling pathways of CLDN7.Results A total of 689 normal samples and 1 157 GBM samples were collected.The expression of CLDN7 in GBM tissue was higher than that in normal brain tissue[1.029(0.642,1.546)]vs.[0.475(0.275,0.740)],and the difference was statistically significant(Z=-20.004,P<0.001).The expression level of CLDN7 in patients aged>60 years,with high WHO pathological grade and 1p/19q non co-deletion was higher than that in patients aged≤60 years,with low WHO pathological grade and 1p/19q co-deletion,and the difference was statistically significant(Z=-20.683,154.210,-2.699,all P<0.001).Survival analysis showed that CLDN7 high expression group had a shorter survival period compared to the low expression group,and the difference was statistically significant(P<0.001).ROC curve showed that the area under the curve for diagnosing glioblastoma patients with CLDN7 was 0.776.Kyoto Encyclopedia of Genes and Genomes(KEGG)analysis revealed that proteins associated with CLDN7 were mainly involved in signaling pathways such as tight junctions,adhesion links,cell adhesion molecules,and leukocyte transendothelial migration.Conclusions CLDN7 is highly expressed in GBM tissues and may be an indicator of diagnosis of GBM and poor prognosis.

GlioblastomaCLDN7Gene expressionPrognosisComputational biology

李允、毛轶青、钟宗烨、刘光华、刘邦忠

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200032 上海中医药大学附属龙华医院脾胃病科

200032 复旦大学附属中山医院康复医学科上海市中西医结合康复医学研究所

胶质母细胞瘤 封闭蛋白7 基因表达 预后 生物信息学

2025

神经疾病与精神卫生
齐齐哈尔医学院

神经疾病与精神卫生

影响因子:0.579
ISSN:1009-6574
年,卷(期):2025.25(1)