潍坊医学院学报2024,Vol.46Issue(1) :5-10.DOI:10.16846/j.issn.1004-3101.2024.01.002

坏死性凋亡相关miRNA预测胃癌患者的预后研究

Necroptosis-related miRNA signatures predict the prognosis of patients with gastric cancer

王昊辰 尹丽倩 王会东 苗霞 王阳
潍坊医学院学报2024,Vol.46Issue(1) :5-10.DOI:10.16846/j.issn.1004-3101.2024.01.002

坏死性凋亡相关miRNA预测胃癌患者的预后研究

Necroptosis-related miRNA signatures predict the prognosis of patients with gastric cancer

王昊辰 1尹丽倩 2王会东 3苗霞 3王阳3
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作者信息

  • 1. 昆明理工大学临床医学院,云南 昆明 650031
  • 2. 山东第二医科大学医学检验学院
  • 3. 潍坊市人民医院乳甲外科
  • 折叠

摘要

目的 旨在探讨坏死性凋亡相关miRNA在胃癌(GC)中的预后价值.方法 从癌症基因组图谱数据库(TCGA)中下载胃腺癌(STAD)miRNA测序数据和临床资料,首先通过miRNA与坏死性凋亡相关基因共表达及差异表达分析确定与坏死性凋亡相关的miRNA,随后使用单因素Cox回归分析筛选STAD预后相关miRNA,进一步利用多因素Cox回归分析建立最优风险预后模型.通过Kaplan-Meier分析、诺模图、临床病理特征相关分析和受试者工作特征(ROC曲线)评价预后能力.结果 鉴定4个差异表达的miRNA(miR-885-5p,miR-1306-3p,miR-29c-5p,miR-148a-5p)用于建模,根据4个miRNAs产生的风险评分将患者分为高、低风险组,低风险组患者的生存时间明显长于高风险组,受试者工作特征曲线预测1年、3年、5年生存率的曲线AUC分别为0.707,0.705,0.761.结论 鉴定的4个坏死性凋亡相关miRNA可以作为STAD患者的独立预后指标.

Abstract

Objective To investigate the potential prognostic value of necroptosis-related miRNA and their relationship with the tumor microenvironment(TME)in GC.Methods miRNA sequencing and clinical data related to gastric adenocarcinoma(STAD)were downloaded from the Cancer Genome Atlas database.First,necroptosis-related miRNAs were identified via co-expression and differential expression analysis of miRNA and necroptosis-related genes.Subsequently,a univariate Cox regression analysis was employed to screen for prognostic STAD miRNAs.Furthermore,multivariate Cox regression analysis was used to establish the optimal prognostic risk model.The Kaplan-Meier method,nomogram,clinicopathological correlation analysis,and receiver operating characteristic curve are used to evaluate the miRNA prognostic ability.Results Four differentially expressed miRNAs(miR-885-5p,miR-1306-3p,miR-29c-5p,and miR-148a-5p)were obtained from a database for modeling.The risk score generated by the four miRNAs divided patients into high-and low-risk groups.The patients in the high-risk group had worse prognoses than those in the low-risk group.The area under the curve values for predicting the 1,3,and 5-year survival time were 0.707,0.705,and 0.761,respec-tively.Conclusion The study identified four necroptosis-related miRNAs that predicted the prognosis of STAD.These miRNAs may serve as an independent prognostic markers for STAD.

关键词

胃肿瘤/坏死性凋亡/miRNA/预后模型

Key words

Gastric cancer/Necroptosis/miRNA/Prognostic model

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基金项目

潍坊市科技发展项目(2021YX040)

潍坊市卫生健康委科研项目(WFWSJK-2021-066)

出版年

2024
潍坊医学院学报
潍坊医学院

潍坊医学院学报

影响因子:0.185
ISSN:1004-3101
参考文献量28
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