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1.香港大学深圳医院,感染性疾病医学部
2.中心实验室
3.科研部临床研究管理办公室,深圳 518000
陈晓玲,Email:xiaolingchen0222@163.com,研究方向:肿瘤、免疫、感染性疾病、器官移植等。
贾亦真,Email:jiayz@hku-szh.org。
收稿:2023-06-07,
修回:2024-01-05,
录用:2024-03-04,
纸质出版:2024-08-28
移动端阅览
陈晓玲,吕敏敏,李燕,等.双硫死亡相关基因在结直肠癌中的表达及其临床意义[J].重庆医科大学学报,2024,49(8):1018-1024.
Chen Xiaoling,Minmin Lü,Li Yan,et al.Expression and clinical significance of disulfidptosis-related genes in colorectal cancer[J].Journal of Chongqing Medical University,2024,49(8):1018-1024.
陈晓玲,吕敏敏,李燕,等.双硫死亡相关基因在结直肠癌中的表达及其临床意义[J].重庆医科大学学报,2024,49(8):1018-1024. DOI: 10.13406/j.cnki.cyxb.003566.
Chen Xiaoling,Minmin Lü,Li Yan,et al.Expression and clinical significance of disulfidptosis-related genes in colorectal cancer[J].Journal of Chongqing Medical University,2024,49(8):1018-1024. DOI: 10.13406/j.cnki.cyxb.003566.
目的
2
识别双硫死亡相关基因在结直肠癌中的表达模式。
方法
2
严格选出TCGA数据库中结直肠癌样本开展差异基因分析,并与已报道文献中的双硫基因取交集,筛选出双硫死亡相关结直肠癌差异基因,在GEO数据库和人类蛋白图谱(human protein atlas,HPA)数据库上进一步验证了双硫死亡相关基因的表达,对基因
SLC7A11
在人结直肠癌样本中的表达进行了qPCR验证。下载GSE184093数据集,利用上述筛选获得的基因作为标记,设置不同的阈值对癌症和对照样本进行分类,并使用ROC曲线下面积(area under the curve,AUC)评估分类效果。通过K-M生存分析,鉴定标记基因对患者总体生存率的影响,利用TIMER数据库分析标记基因的表达与免疫细胞浸润的相关性。
结果
2
识别出了2个与结直肠癌相关的双硫死亡相关基因。
SLC7A11
和
SLC3A2
这2个双硫死亡相关基因均在结直肠癌患者中高表达,并且
SLC7A11
高表达,结直肠癌患者预后良好,差异有统计学意义(
P
<
0.05);
SLC3A2
高表达,结直肠癌患者预后较差,但是差异无统计学意义(
P
=0.061)。使用
SLC7A11
和
SLC3A2
作为标记,对样本进行分类鉴别结直肠癌,通过ROC曲线图可以发现,
SLC7A11
和
SLC3A2
对结直肠癌鉴别诊断的AUC分别为0.840(95%CI=0.663~1.000)和0.667(95%CI=0.395~0.938),
SLC7A11
对鉴别诊断结直肠癌具有一定的准确性,
SLC3A2
对鉴别诊断结直肠癌具有较低的准确性。
SLC7A11
和
SLC3A2
在结直肠癌的免疫浸润中起着重要的作用,
SLC7A11
表达与结肠腺癌中的CD8
+
T细胞、中性粒细胞、树突状细胞浸润水平正相关(
P<
0.001),
SLC7A11
表达与直肠癌的CD8
+
T细胞、中性粒细胞浸润水平正相关(
P<
0.001)。
SLC3A2
表达与结肠腺癌的CD8
+
T细胞、B细胞浸润水平负相关(
P<
0.01),与结肠腺癌的CD4
+
T细胞正相关(
P<
0.05)。
结论
2
本研究发现,
SLC7A11
和
SLC3A2
这2个双硫死亡相关基因均在结直肠癌患者中高表达,并与结直肠癌免疫浸润密切相关,且
SLC7A11
对结直肠癌鉴别诊断具有一定的准确性,为结直肠癌提供了可靠和潜在的治疗靶点。
Objective
2
To identify the expression patterns of disulfidptosis-related genes in colorectal cancer.
Methods
2
Colorectal cancer samples in the TCGA database were selected for the analysis of differentially expressed genes,which were intersected with the disulfide genes reported in the literature to obtain the disulfidptosis-related differentially expressed genes in colorectal cancer. The expression of disulfidptosis-related genes was further verified based on GEO database and the human protein atlas database,and qPCR was used to verify the expression of the SLC7A11 gene in human colorectal cancer samples. The GSE184093 dataset was downloaded,and the genes obtained from the above screening were used as markers. Different thresholds were set to classify cancer and control samples,and the area under the ROC curve(AUC) was used to evaluate the classification effect. The Kaplan-Meier survival analysis was used to investigate the effect of marker genes on the overall survival rate of patients,and the TIMER database was used to investigate the correlation between the expression of marker genes and immune cell infiltration.
Results
2
Two disulfidptosis-related genes were identified to be associated with colorectal cancer. The two disulfidptosis-related genes
SLC7A11
and
SLC3A2
were highly expressed in colorectal cancer patients,and the colorectal cancer patients with a high expression level of
SLC7A11
tended to have a good prognosis(
P
<
0.05),while those with a high expression level of
SLC3A2
tended to have a poor prognosis(
P
=0.061). With
SLC7A11
and
SLC3A2
as markers,the samples were classified to identify colorectal cancer. The ROC curve showed that
SLC7A11
and
SLC3A2
had an AUC of 0.840(95%CI=0.663-1.000) and 0.667(95%CI=0.395-0.938),respectively,in the differential diagnosis of colorectal cancer,and
SLC7A11
showed a certain accuracy in the differential diagnosis of colorectal cancer,while
SLC3A2
showed a low accuracy.
SLC7A11
and
SLC3A2
played an important role in the immune infiltration of colorectal cancer; the expression of
SLC7A11
was positively correlated with the infiltration of CD8
+
T cells,neutrophils,and dendritic cells in colon adenocarcinoma(
P
<
0.001),and the expression of
SLC7A11
was positively correlated with the infiltration of CD8
+
T cells and neutrophils in rectal cancer(
P
<
0.001). The expression of
SLC3A2
was negatively correlated with the infiltration of CD8
+
T cells and B cells in colon adenocarcinoma(
P
<
0.01) and was positively correlated with CD4
+
T cells in colon adenocarcinoma(
P
<
0.05).
Conclusion
2
Our study shows that the two disulfidptosis-related genes
SLC7A11
and
SLC3A2
are highly expressed in colorectal cancer patients and are closely associated with the immune infiltration of colorectal cancer,and
SLC7A11
has a certain accuracy in the differential diagnosis of colorectal cancer,which provides reliable and potential therapeutic targets for colorectal cancer.
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