首页|基于铜代谢相关基因构建结直肠癌风险预测模型

基于铜代谢相关基因构建结直肠癌风险预测模型

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目的 探讨铜代谢相关基因在结直肠癌(CRC)中的表达情况及相关机制,并根据铜代谢相关基因建立预后预测模型,验证模型的预测效能,为结直肠癌的治疗提供新的策略及思路。方法 基于癌症基因组图谱(TCGA)数据库获取CRC癌组织与癌旁组织的转录组数据与临床资料,利用R软件比较CRC癌组织与癌旁组织铜代谢相关基因表达水平改变,使用LASSO-Cox回归分析筛选分子,并构建预后模型,使用Cox回归分析检验预后模型是否独立于其他临床特征,最后采用时间依赖性受试者工作特征(ROC)分析等方法对模型进行评估和检验。结果 基于TCGA中的CRC样本和来源于MSigDB数据库的111个铜代谢相关基因,我们确定了 80个铜代谢相关的差异基因,并依据此类基因通过共识聚类分析将CRC样本分为两组。采用LASOO-Cox回归分析进行分子的筛选和预后模型的建立,模型共纳入19个分子。分子表达水平乘以多元Cox回归分析的回归系数计算得出的预后特征(亦称为风险评分),用来评估患者的预后情况。单因素及多因素Cox回归分析结果显示本研究所构建的预后模型具有较好的预后指示意义。基因本体分析(GO)和京都基因与基因组百科全书分析(KEGG)分析表明组成模型的相关基因主要富集在肿瘤的细胞形态和肿瘤微环境形成。预后模型的单基因临床相关性分析获取4个基因为临床特征相关的独立预后基因。结论 本研究成功建立基于19个铜代谢相关基因的CRC预后模型,对CRC的预后研究具有一定的参考意义。
Construction of a colorectal cancer risk prediction model based on copper mechanism-related genes
Objective To explore the expression and mechanisms of copper metabolism-related genes in color-ectal cancer(CRC)and to develop a prognostic prediction model based on these genes,validating the model's predictive efficacy.This study aims to provide new strategies and insights for the treatment of CRC.Methods Transcriptome data and clinical information of CRC tissues and adjacent non-tumor tissues were obtained from The Cancer Genome Atlas(TCGA)database.Using R software,we compared changes in the expres-sion levels of copper metabolism-related genes between CRC and adjacent non-tumor tissues.A prognostic model was constructed using LASSO-Cox regression analysis to select molecules.Cox regression analysis was used to test whether the prognostic model was independent of other clinical features.Finally,the model was evaluated and validated using time-dependent receiver operating characteristic(ROC)analysis and other methods.Results Based on CRC samples from TCGA and 111 copper metabolism-related genes from the MSigDB database,we identified 80 differentially expressed copper metabolism-related genes.Using consen-sus clustering analysis based on these genes,CRC samples were divided into two groups.Molecules were screened and a prognostic model was established using LASSO-Cox regression analysis,incorporating 19 molecules.The prognostic feature(also known as risk score)was calculated using the expression levels of these molecules multiplied by the regression coefficients from multivariate Cox regression analysis to assess patient prognosis.Both univariate and multivariate Cox regression analysis indicated that the prognostic mod-el constructed in this study has significant prognostic value.Gene Ontology(GO)analysis and Kyoto Enc yclopedia of Genes and Genomes(KEGG)analysis revealed that the genes included in the model were mainly enriched in tumor cell morphology and tumor microenvironment formation.Single-gene clinical correlation a-nalysis of the prognostic model identified four genes as independent prognostic genes associated with clinical features.Conclusion This study successfully established a CRC prognostic model based on 19 copper metab-olism-related genes,providing valuable reference for prognostic research in CRC.

Colorectal cancerBioinformaticsCopper metabolismPredictive model

张超、钟轩、王红钰

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063000 河北省唐山市工人医院肿瘤外二科

唐山中心医院胃肠外科

结直肠癌 生物信息学 铜代谢 预测模型

河北省省级科技计划基金项目河北省医学科学研究课题项目

18277714520221797

2024

中国煤炭工业医学杂志
河北联合大学

中国煤炭工业医学杂志

CSTPCD
影响因子:0.692
ISSN:1007-9564
年,卷(期):2024.27(4)