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Identification of a novel immunogenic death-associated model for predicting the immune microenvironment in lung adenocarcinoma from single-cell and Bulk transcriptomes. 从单细胞和大体转录组中鉴定新型免疫原性死亡相关模型,以预测肺腺癌的免疫微环境。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.7150/jca.98659
Xinyu Pan, Huili Chen, Linxiang Zhang, Yiluo Xie, Kai Zhang, Chaoqun Lian, Xiaojing Wang

Background: Studies on immunogenic death (ICD) in lung adenocarcinoma are limited, and this study aimed to determine the function of ICD in LUAD and to construct a novel ICD-based prognostic model to improve immune efficacy in lung adenocarcinoma patients. Methods: The data for lung adenocarcinoma were obtained from the Cancer Genome Atlas (TCGA) database and the National Center for Biotechnology Information (GEO). The single-cell data were obtained from Bischoff P et al. To identify subpopulations, we performed descending clustering using TSNE. We collected sets of genes related to immunogenic death from the literature and identified ICD-related genes through gene set analysis of variance (GSVA) and weighted gene correlation network analysis (WGCNA). Lung adenocarcinoma patients were classified into two types using consistency clustering. The difference between the two types was analyzed to obtain differential genes. An immunogenic death model (ICDRS) was established using LASSO-Cox analysis and compared with lung adenocarcinoma models of other individuals. External validation was performed in the GSE31210 and GSE50081 cohorts. The efficacy of immunotherapy was assessed using the TIDE algorithm and the IMvigor210, GSE78220, and TCIA cohorts. Furthermore, differences in mutational profiles and immune microenvironment between different risk groups were investigated. Subsequently, ROC diagnostic curves and KM survival curves were used to screen ICDRS key regulatory genes. Finally, RT-qPCR was used to verify the differential expression of these genes. Results: Eight ICD genes were found to be highly predictive of LUAD prognosis and significantly correlated with it. Multivariate analysis showed that patients in the low-risk group had a higher overall survival rate than those in the high-risk group, indicating that the model was an independent predictor of LUAD. Additionally, ICDRS demonstrated better predictive ability compared to 11 previously published models. Furthermore, significant differences in biological function and immune cell infiltration were observed in the tumor microenvironment between the high-risk and low-risk groups. It is noteworthy that immunotherapy was also significant in both groups. These findings suggest that the model has good predictive efficacy. Conclusions: The ICD model demonstrated good predictive performance, revealing the tumor microenvironment and providing a new method for evaluating the efficacy of pre-immunization. This offers a new strategy for future treatment of lung adenocarcinoma.

背景:关于肺腺癌免疫原性死亡(ICD)的研究十分有限,本研究旨在确定ICD在LUAD中的功能,并构建基于ICD的新型预后模型,以提高肺腺癌患者的免疫疗效。研究方法肺腺癌数据来自癌症基因组图谱(TCGA)数据库和美国国家生物技术信息中心(GEO)。为了识别亚群,我们使用 TSNE 进行了降序聚类。我们从文献中收集了与免疫原性死亡相关的基因集,并通过基因集方差分析(GSVA)和加权基因相关网络分析(WGCNA)确定了ICD相关基因。利用一致性聚类将肺腺癌患者分为两种类型。分析两种类型之间的差异,以获得差异基因。利用 LASSO-Cox 分析建立了免疫原性死亡模型(ICDRS),并与其他个体的肺腺癌模型进行了比较。在 GSE31210 和 GSE50081 队列中进行了外部验证。使用 TIDE 算法和 IMvigor210、GSE78220 和 TCIA 队列评估了免疫疗法的疗效。此外,还研究了不同风险组之间突变谱和免疫微环境的差异。随后,利用 ROC 诊断曲线和 KM 生存曲线筛选 ICDRS 关键调控基因。最后,使用 RT-qPCR 验证了这些基因的差异表达。结果发现研究发现,8个ICD基因对LUAD预后具有高度预测性,并与之显著相关。多变量分析显示,低风险组患者的总生存率高于高风险组,表明该模型是 LUAD 的独立预测因子。此外,与之前发表的 11 个模型相比,ICDRS 显示了更好的预测能力。此外,在肿瘤微环境中,高危组和低危组的生物功能和免疫细胞浸润存在明显差异。值得注意的是,免疫疗法在两组中也有显著差异。这些发现表明,该模型具有良好的预测功效。结论ICD 模型显示了良好的预测性能,揭示了肿瘤微环境,为评估免疫前的疗效提供了一种新方法。这为未来肺腺癌的治疗提供了一种新策略。
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引用次数: 0
NEDD1 Promotes the Development of Lung Adenocarcinoma and Can be Used as a Prognostic Marker. NEDD1 促进肺腺癌的发展并可用作预后标志物
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.7150/jca.98238
Zhen Yang, Rongkun Huang, Yun Yang, Jing Cong, Xia Yang, Quan Zhou, Ruoyu Guo, Ying Ma, Xiangqian Gong, Fei Jiao, Youjie Li, Shugang Zhu, Lijun Kong, Jinxia Hu

Objective : To explore the roles of Neural precursor cell expressed developmentally down-regulated 1(NEDD1) in lung cancer tumorigenesis and the relationship between NEDD1 expression and clinicopathology of patients with lung adenocarcinoma (LUAD). Methods: Expression of NEDD1 or other proteins in tissues and cell lines were determined with immunohistochemistry or western blot, the data of patients with LUAD in The Cancer Genome Atlas (TCGA) datasets and LUAD tissue array were collected and analyzed, the effects of NEDD1 on proliferation, migration, cell cycle progression and apoptosis of cancer cells were detected with colony formation assay, transwell assay and Flow cytometry (FCM) analysis respectively. the impact of NEDD1 knockdown on DNA damage was analyzed using Immunofluorescence staining of H2AX and comet assay. Furthermore, the effect of NEDD1 on cancer cell proliferation in vivo was investigated in nude mice. Results : NEDD1 was upregulated in lung tissues and the NEDD1 immune score was an independent prognostic factor. Overexpression of NEDD1 promoted epithelial-mesenchymal transition, accelerated cell cycle progression, and enhanced the proliferation and migration of A549 and H1299 cells, while knockdown of NEDD1 resulted in the opposite phenotype and leaded to DNA damage. In addition, NEDD1 improved cell tumorigenicity in vivo. Conclusion : These findings suggest that NEDD1 plays important roles in lung cancer development and may therefore be a potential prognostic marker and promising therapeutic target for lung cancer therapy.

目的:探讨神经前体细胞表达发育下调1(NEDD1)在肺癌肿瘤发生中的作用,以及NEDD1表达与肺腺癌(LUAD)患者临床病理的关系。研究方法采用免疫组化或Western印迹法测定NEDD1或其他蛋白在组织和细胞系中的表达,收集并分析癌症基因组图谱(TCGA)数据集和LUAD组织阵列中的LUAD患者数据,分别采用集落形成试验、经孔试验和流式细胞术(FCM)分析检测NEDD1对癌细胞增殖、迁移、细胞周期进展和凋亡的影响。利用 H2AX 免疫荧光染色和彗星试验分析了 NEDD1 基因敲除对 DNA 损伤的影响。此外,还在裸鼠体内研究了 NEDD1 对癌细胞增殖的影响。结果:NEDD1在肺组织中上调,NEDD1免疫评分是一个独立的预后因素。过表达 NEDD1 促进上皮-间质转化,加速细胞周期进展,增强 A549 和 H1299 细胞的增殖和迁移,而敲除 NEDD1 则导致相反的表型并导致 DNA 损伤。此外,NEDD1 还能提高细胞在体内的致瘤性。结论:这些研究结果表明,NEDD1 在肺癌的发展过程中发挥着重要作用,因此可能是肺癌治疗的潜在预后标志物和治疗靶点。
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引用次数: 0
Erratum: TUG1 promotes the expression of IFITM3 in hepatocellular carcinoma by competitively binding to miR-29a: Erratum. 勘误:TUG1 通过与 miR-29a 竞争性结合促进肝细胞癌中 IFITM3 的表达:勘误。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-08 eCollection Date: 2024-01-01 DOI: 10.7150/jca.99135
Weiwei Liu, Qian Feng, Wenjun Liao, Enliang Li, Linquan Wu

[This corrects the article DOI: 10.7150/jca.57477.].

[此处更正了文章 DOI:10.7150/jca.57477]。
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引用次数: 0
The combination of single-cell and RNA sequencing analysis decodes the melanoma tumor microenvironment and identifies novel T cell-associated signature genes. 单细胞和 RNA 测序分析相结合,解码了黑色素瘤肿瘤微环境,并确定了新型 T 细胞相关特征基因。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-06 eCollection Date: 2024-01-01 DOI: 10.7150/jca.96484
Sihan Luo, Daiyue Wang, Jiajie Chen, Shaocheng Hong, Yuanyuan Fang, Lu Cao, Liang Yong, Shengxiu Liu

Skin cutaneous melanoma (SKCM), a malignant melanocyte-derived skin cancer, potentially leads to fatal outcomes without effective treatment. The variability in immunotherapy responses among melanoma patients is significantly influenced by the intricate immune microenvironment, particularly due to the status of tumor T cells, encompassing their activity, exhaustion levels, and antigen recognition capabilities. This study utilized single-cell RNA sequencing (scRNA-seq) to analyze 34 melanoma samples from two public datasets (GSE215120 and GSE115978). Herein, we extracted 706 marker genes associated with immune checkpoint (ICP) therapy from these T cells, 509 markers of T cells from 11 melanoma tissues, and eventually identified 33 candidate genes. These genes underwent LASSO and COX regression analyses to identify the signature genes. Of the initial 33 candidate genes, we successfully isolated six distinct T cell-associated immunotherapy-related genes (IRTGs). Additionally, the computation of each patient risk score proved beneficial in evaluating the immune cell infiltration level and functions as an independent prognostic factor for melanoma patient survival. The risk score results revealed promising predictive outcomes in determining the response of melanoma patients to immunotherapy. Notably, our study is the first to reveal the potential correlation between signature gene PEB4B and the immune microenvironment in melaoma, which was explored with multiple immunofluorescence (IF) and Immune Infiltration Assessment. In a conclusion, our findings demonstrate the potential utility of a risk score dependent on signature genes as a predictive tool for assessing the prognosis and response to immunotherapeutic interventions in melanoma patients.

皮肤黑色素瘤(SKCM)是一种源于黑色素细胞的恶性皮肤癌,如果得不到有效治疗,有可能导致死亡。黑色素瘤患者对免疫疗法反应的差异在很大程度上受到错综复杂的免疫微环境的影响,特别是肿瘤T细胞的状态,包括其活性、衰竭水平和抗原识别能力。本研究利用单细胞 RNA 测序(scRNA-seq)分析了两个公开数据集(GSE215120 和 GSE115978)中的 34 个黑色素瘤样本。在此,我们从这些T细胞中提取了706个与免疫检查点(ICP)疗法相关的标记基因,从11个黑色素瘤组织中提取了509个T细胞的标记基因,并最终确定了33个候选基因。对这些基因进行了LASSO和COX回归分析,以确定特征基因。在最初的 33 个候选基因中,我们成功分离出了 6 个不同的 T 细胞相关免疫治疗基因(IRTGs)。此外,计算每位患者的风险评分有利于评估免疫细胞浸润水平,并可作为黑色素瘤患者生存的独立预后因素。风险评分结果表明,在确定黑色素瘤患者对免疫疗法的反应方面,风险评分具有良好的预测效果。值得注意的是,我们的研究首次揭示了黑色素瘤特征基因 PEB4B 与免疫微环境之间的潜在相关性,并通过多重免疫荧光(IF)和免疫浸润评估进行了探讨。总之,我们的研究结果表明,依赖于特征基因的风险评分可作为一种预测工具,用于评估黑色素瘤患者的预后和对免疫治疗干预的反应。
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引用次数: 0
Dysregulation of transcripts SMAD4-209 and SMAD4-213 and their respective promoters in colon cancer cell lines. 结肠癌细胞系中转录本 SMAD4-209 和 SMAD4-213 及其各自启动子的失调。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-06 eCollection Date: 2024-01-01 DOI: 10.7150/jca.98911
Tamara Babic, Milena Ugrin, Sanja Jeremic, Milan Kojic, Jelena Dinic, Bojana Banovic Djeri, Jerome Zoidakis, Aleksandra Nikolic

Background: The pervasive role of alternative promoters in context-specific isoform expression and the importance of promoter choice over its level of transcriptional activity have been recently implied based on pan-cancer in silico studies. We aimed to explore this phenomenon at the cellular level on the example of a major tumor suppressor SMAD4 in search of molecular mechanisms in colorectal cancer that could be exploited for novel biomarkers or therapeutic approaches. Methods: Multi-omics technologies, in silico tools and in vitro functional assays were applied to analyze the transcripts expression and the alternative promoters' function of the SMAD4 gene in colon cell lines HCEC-1CT, HCT116, DLD-1, SW480 and SW620. Results: High expression of the transcript SMAD4-213 emerged as a hallmark of colon cancer cells, while in silico tools point to its possible additional role and potential for sponging miRNAs. Based on the observed dysregulation of SMAD4-209 and SMAD4-213 in malignant vs. non-malignant colon cells, we propose that their expression ratio might be a solid biomarker candidate for colorectal cancer detection. Conclusions: A differential pattern of the respective promoters' activity was observed that corresponds to the expression of transcripts, confirming the role of alternative promoters in context-specific isoform expression. The investigated SMAD4 promoters and transcripts harbor translational potential that should be further investigated.

背景:最近,基于泛癌症硅学研究的结果表明,替代启动子在上下文特异性同工酶表达中的普遍作用以及启动子选择对其转录活性水平的重要性。我们的目的是以主要的肿瘤抑制因子 SMAD4 为例,在细胞水平上探索这一现象,寻找结直肠癌的分子机制,从而开发新的生物标记物或治疗方法。研究方法应用多组学技术、硅学工具和体外功能测试分析结肠细胞系 HCEC-1CT、HCT116、DLD-1、SW480 和 SW620 中 SMAD4 基因的转录本表达和替代启动子的功能。结果SMAD4-213转录本的高表达是结肠癌细胞的一个特征,而硅学工具则指出了它可能发挥的额外作用和吸附miRNA的潜力。根据观察到的 SMAD4-209 和 SMAD4-213 在恶性与非恶性结肠细胞中的失调,我们认为它们的表达比可能是结直肠癌检测的可靠候选生物标志物。结论我们观察到各自启动子活性的不同模式与转录本的表达相对应,这证实了替代启动子在特异性同工酶表达中的作用。所研究的 SMAD4 启动子和转录本蕴藏着翻译潜力,应进一步研究。
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引用次数: 0
ELF4 was a prognostic biomarker and related to immune infiltrates in glioma. ELF4是一种预后生物标志物,与胶质瘤的免疫浸润有关。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-06 eCollection Date: 2024-01-01 DOI: 10.7150/jca.96886
Zhongwei Zhuang, Chunyu Zhang, Yinqiu Tan, Jing Zhang, Chunlong Zhong

ELF4 (E74-like factor 4) is a transcription factor, dysregulation of which has been associated with carcinogenesis and cancer development. Nevertheless, the precise role of ELF4 in glioma pathology and its impact on clinical outcomes remains to be investigated. In the present research, comprehensive analyses demonstrated that elevated expression of ELF4 in glioma tissues correlates with malignant phenotypes and adverse clinical outcomes. Multivariate Cox regression analysis determined that ELF4 expression could serve as a reliable predictor of glioma outcomes. (CGGA, hazard ratio [HR]: 1.21, 95% confidence interval [CI]: 1.09-1.34, p<0.001; TCGA, HR: 1.19, 95%CI: 1.01-1.41, p=0.043; and Gravendeel, HR: 1.44, 95%CI: 1.15-1.80, p=0.002). Knockdown of ELF4 reduced the cell viability and migration capacity of glioma cells in vitro. In addition to the tumor invasive role, enrichment analysis revealed the overexpressed ELF4 was involved in the immune regulation, characterized by the elevated activity of Il6/Jak/Stat3 signaling, interferon alpha (IFN-α) response, and IL2/Stat5 signaling. Single-cell RNA sequencing (scRNA)-seq and spatial transcriptome (ST)-seq analyses revealed that ELF4 could induce reprogramming of tumor-associated monocytes/macrophages (TAMMs). Molecular docking analysis revealed ELF4 might be targeted by drugs/compounds, including Veliparib (ABT-888), Motesanib (AMG 706), and EHT 1864. Genomic analysis revealed that, in LGG, in the low ELF4 expression subgroup, IDH1 demonstrated a higher mutation rate, and TP53 and ATRX Chromatin Remodeler (ATRX) displayed the lower mutation rates, than the high ELF4 expression group. Conclusion: Our research suggests that ELF4 may contribute to the prognostic assessment of glioma and personalized medicine.

ELF4(E74 样因子 4)是一种转录因子,其失调与癌变和癌症发展有关。然而,ELF4在胶质瘤病理学中的确切作用及其对临床结果的影响仍有待研究。本研究的综合分析表明,ELF4在胶质瘤组织中的高表达与恶性表型和不良临床结果相关。多变量Cox回归分析表明,ELF4的表达可作为胶质瘤预后的可靠预测因子。(CGGA,危险比 [HR]:1.21,95% 置信区间 [CI]:1.09-1.34,针状体外)。除了肿瘤侵袭作用外,富集分析显示,过表达的ELF4还参与了免疫调节,其特征是Il6/Jak/Stat3信号、干扰素α(IFN-α)反应和IL2/Stat5信号的活性升高。单细胞RNA测序(scRNA)-seq和空间转录组(ST)-seq分析显示,ELF4可诱导肿瘤相关单核细胞/巨噬细胞(TAMMs)重编程。分子对接分析显示,ELF4可能是药物/化合物的靶点,包括Veliparib(ABT-888)、Motesanib(AMG 706)和EHT 1864。基因组分析显示,在LGG中,ELF4低表达亚组的IDH1突变率较高,而TP53和ATRX染色质重塑因子(ATRX)的突变率低于ELF4高表达组。结论我们的研究表明,ELF4可能有助于胶质瘤的预后评估和个性化医疗。
{"title":"ELF4 was a prognostic biomarker and related to immune infiltrates in glioma.","authors":"Zhongwei Zhuang, Chunyu Zhang, Yinqiu Tan, Jing Zhang, Chunlong Zhong","doi":"10.7150/jca.96886","DOIUrl":"10.7150/jca.96886","url":null,"abstract":"<p><p>ELF4 (E74-like factor 4) is a transcription factor, dysregulation of which has been associated with carcinogenesis and cancer development. Nevertheless, the precise role of ELF4 in glioma pathology and its impact on clinical outcomes remains to be investigated. In the present research, comprehensive analyses demonstrated that elevated expression of ELF4 in glioma tissues correlates with malignant phenotypes and adverse clinical outcomes. Multivariate Cox regression analysis determined that ELF4 expression could serve as a reliable predictor of glioma outcomes. (CGGA, hazard ratio [HR]: 1.21, 95% confidence interval [CI]: 1.09-1.34, p<0.001; TCGA, HR: 1.19, 95%CI: 1.01-1.41, p=0.043; and Gravendeel, HR: 1.44, 95%CI: 1.15-1.80, p=0.002). Knockdown of ELF4 reduced the cell viability and migration capacity of glioma cells <i>in vitro</i>. In addition to the tumor invasive role, enrichment analysis revealed the overexpressed ELF4 was involved in the immune regulation, characterized by the elevated activity of Il6/Jak/Stat3 signaling, interferon alpha (IFN-α) response, and IL2/Stat5 signaling. Single-cell RNA sequencing (scRNA)-seq and spatial transcriptome (ST)-seq analyses revealed that ELF4 could induce reprogramming of tumor-associated monocytes/macrophages (TAMMs). Molecular docking analysis revealed ELF4 might be targeted by drugs/compounds, including Veliparib (ABT-888), Motesanib (AMG 706), and EHT 1864. Genomic analysis revealed that, in LGG, in the low ELF4 expression subgroup, IDH1 demonstrated a higher mutation rate, and TP53 and ATRX Chromatin Remodeler (ATRX) displayed the lower mutation rates, than the high ELF4 expression group. <b>Conclusion:</b> Our research suggests that ELF4 may contribute to the prognostic assessment of glioma and personalized medicine.</p>","PeriodicalId":15183,"journal":{"name":"Journal of Cancer","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11310870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COA6 promotes the oncogenesis and progression of breast cancer by oxidative phosphorylation pathway. COA6 通过氧化磷酸化途径促进乳腺癌的发生和发展。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-01 eCollection Date: 2024-01-01 DOI: 10.7150/jca.98570
Xiaoxia Jin, Xinyan Chen, Haiyan Yu, Yushan Liu, Xiaoyun Lu, Haibing Yin, Wencheng Dai

Mitochondrial oxidative phosphorylation (OXPHOS) has long been considered the primary energy source in breast cancer cells. Cytochrome c oxidase assembly factor 6 (COA6), which functions as a metal chaperone to transport copper to complex Ⅳ during the OXPHOS process, plays a crucial role in the carcinogenesis of lung adenocarcinoma. Nevertheless, its specific function in breast cancer is undefined. The present investigation aimed to clarify COA6's expression profile and regulatory functions in breast cancer, as well as to unveil its underlying mechanisms. Initially, our findings revealed a significant upregulation of COA6 in breast cancer, as evidenced by an analysis of the TCGA database and tissue microarrays. This upregulation correlated with tumor size and histological grade. Additionally, survival analysis revealed that elevated COA6 amounts were correlated with decreased overall survival (OS) in breast cancer. To delve deeper into the functions of COA6, both COA6-overexpressing and COA6-knockdown breast cancer cell models were established. These experiments demonstrated COA6 is pivotal in regulating cell proliferation, apoptosis, migration, and invasion, thereby promoting cancer progression in vitro. Notably, functional enrichment analysis indicated COA6 might be involved in breast cancer progression by modulating oxidative phosphorylation (OXPHOS). Collectively, this study reveals an overt tumorigenic role for COA6 in breast cancer and sheds light on its potential mechanisms, offering valuable therapeutic targets for breast cancer therapy.

线粒体氧化磷酸化(OXPHOS)一直被认为是乳腺癌细胞的主要能量来源。细胞色素 c 氧化酶组装因子 6(COA6)在 OXPHOS 过程中作为金属伴侣将铜输送到复合物Ⅳ,在肺腺癌的致癌过程中起着至关重要的作用。然而,它在乳腺癌中的具体功能尚不明确。本研究旨在阐明 COA6 在乳腺癌中的表达谱和调控功能,并揭示其潜在机制。通过对 TCGA 数据库和组织芯片的分析,我们发现 COA6 在乳腺癌中存在显著的上调。这种上调与肿瘤大小和组织学分级相关。此外,生存分析表明,COA6 量的升高与乳腺癌总生存期(OS)的降低相关。为了深入研究 COA6 的功能,我们建立了 COA6 表达过高和 COA6 敲除的乳腺癌细胞模型。这些实验表明,COA6 在调节细胞增殖、凋亡、迁移和侵袭方面起着关键作用,从而促进体外癌症进展。值得注意的是,功能富集分析表明 COA6 可能通过调节氧化磷酸化(OXPHOS)参与乳腺癌的进展。总之,这项研究揭示了 COA6 在乳腺癌中的明显致瘤作用,并阐明了其潜在机制,为乳腺癌治疗提供了有价值的治疗靶点。
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引用次数: 0
Development and Validation of an Interpretable Machine Learning Prediction Model for Total Pathological Complete Response after Neoadjuvant Chemotherapy in Locally Advanced Breast Cancer: Multicenter Retrospective Analysis. 局部晚期乳腺癌新辅助化疗后总病理完全缓解的可解释机器学习预测模型的开发与验证:多中心回顾性分析
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-01 eCollection Date: 2024-01-01 DOI: 10.7150/jca.97190
Ziran Zhang, Bo Cao, Jinghua Wu, Chengtian Feng

Objective: This study aims to develop an interpretable machine learning (ML) model to accurately predict the probability of achieving total pathological complete response (tpCR) in patients with locally advanced breast cancer (LABC) following neoadjuvant chemotherapy (NAC). Methods: This multi-center retrospective study included pre-NAC clinical pathology data from 698 LABC patients. Post-operative pathological outcomes divided patients into tpCR and non-tpCR groups. Data from 586 patients at Shanghai Ruijin Hospital were randomly assigned to a training set (80%) and a test set (20%). In comparison, data from our hospital's remaining 112 patients were used for external validation. Variable selection was performed using the Least Absolute Shrinkage and Selection Operator (LASSO) regression analysis. Predictive models were constructed using six ML algorithms: decision trees, K-nearest neighbors (KNN), support vector machine, light gradient boosting machine, and extreme gradient boosting. Model efficacy was assessed through various metrics, including receiver operating characteristic (ROC) curves, precision-recall (PR) curves, confusion matrices, calibration plots, and decision curve analysis (DCA). The best-performing model was selected by comparing the performance of different algorithms. Moreover, variable relevance was ranked using the SHapley Additive exPlanations (SHAP) technique to improve the interpretability of the model and solve the "black box" problem. Results: A total of 191 patients (32.59%) achieved tpCR following NAC. Through LASSO regression analysis, five variables were identified as predictive factors for model construction, including tumor size, Ki-67, molecular subtype, targeted therapy, and chemotherapy regimen. The KNN model outperformed the other five classifier algorithms, achieving area under the curve (AUC) values of 0.847 (95% CI: 0.809-0.883) in the training set, 0.763 (95% CI: 0.670-0.856) in the test set, and 0.665 (95% CI: 0.555-0.776) in the external validation set. DCA demonstrated that the KNN model yielded the highest net advantage through a wide range of threshold probabilities in both the training and test sets. Furthermore, the analysis of the KNN model utilizing SHAP technology demonstrated that targeted therapy is the most crucial factor in predicting tpCR. Conclusion: An ML prediction model using clinical and pathological data collected before NAC was developed and verified. This model accurately predicted the probability of achieving a tpCR in patients with LABC after receiving NAC. SHAP technology enhanced the interpretability of the model and assisted in clinical decision-making and therapy optimization.

研究目的本研究旨在开发一种可解释的机器学习(ML)模型,以准确预测局部晚期乳腺癌(LABC)患者在接受新辅助化疗(NAC)后获得总病理完全反应(tpCR)的概率。研究方法这项多中心回顾性研究纳入了698名局部晚期乳腺癌患者的新辅助化疗前临床病理学数据。术后病理结果将患者分为tpCR组和非tpCR组。来自上海瑞金医院 586 名患者的数据被随机分配到训练集(80%)和测试集(20%)中。相比之下,本医院剩余的 112 名患者的数据则用于外部验证。变量选择采用最小绝对收缩和选择操作符(LASSO)回归分析法。预测模型的构建采用了六种多层运算法则:决策树、K-近邻(KNN)、支持向量机、轻梯度提升机和极梯度提升。模型功效通过各种指标进行评估,包括接收者操作特征曲线(ROC)、精确度-召回曲线(PR)、混淆矩阵、校准图和决策曲线分析(DCA)。通过比较不同算法的性能,选出性能最佳的模型。此外,还使用 SHapley Additive exPlanations(SHAP)技术对变量相关性进行了排序,以提高模型的可解释性并解决 "黑箱 "问题。研究结果共有 191 名患者(32.59%)在接受 NAC 治疗后获得了 tpCR。通过 LASSO 回归分析,五个变量被确定为构建模型的预测因素,包括肿瘤大小、Ki-67、分子亚型、靶向治疗和化疗方案。KNN 模型的表现优于其他五种分类器算法,训练集的曲线下面积(AUC)值为 0.847(95% CI:0.809-0.883),测试集的曲线下面积(AUC)值为 0.763(95% CI:0.670-0.856),外部验证集的曲线下面积(AUC)值为 0.665(95% CI:0.555-0.776)。DCA 表明,在训练集和测试集中,KNN 模型在各种阈值概率下都能产生最高的净优势。此外,利用 SHAP 技术对 KNN 模型进行的分析表明,靶向治疗是预测 tpCR 的最关键因素。结论利用 NAC 前收集的临床和病理数据开发并验证了一个 ML 预测模型。该模型准确预测了 LABC 患者在接受 NAC 治疗后获得 tpCR 的概率。SHAP技术增强了模型的可解释性,有助于临床决策和治疗优化。
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引用次数: 0
Prognostic role of immunohistochemical PTEN (phosphatase and tensin homolog) expression and PTEN (rs701848) genotypes among Egyptian patients with different stages of colorectal cancer. 不同分期的埃及结直肠癌患者中免疫组化 PTEN(磷酸酶和天丝蛋白同源物)表达和 PTEN(rs701848)基因型的预后作用。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.7150/jca.97553
Heba Ahmed Osman, Mohammed H Hassan, Abdelaziz Mostafa Toema, Amira A Abdelnaby, Mahmoud A Abozeid, Mohamed Abdelshafy Mohamed, Abdelkader Ahmed Hashim, AbdAlraheem Husein, Abdelazeem E Ahmed, Sameh Salaheldin Elsayed, Sherief El-Ghannam, Marwa Abdelhady, Ghada M Abdelrazek

Colorectal cancer (CRC) is the third most frequent cancer worldwide and the second major cause of cancer-related death. Thus, we attempted to ascertain the relationship between the genotype and allele frequencies of phosphatase and tensin homolog (PTEN) and immunohistochemical PTEN expression with clinicopathological characteristics in patients with CRC. 150 individuals were allocated into two groups for this cross-sectional randomized case-control study: Group I consisted of 100 patients with histopathologically proven CRC of various stages. Group II: Fifty healthy volunteers. Genetic analysis of PTEN (rs701848 T / C) single nucleotide polymorphism (SNP) was performed using TaqManTM assays and real-time PCR, while PTEN expressions were assessed using immunohistochemical staining. PTN SNP genotypes and alleles did not significantly differ between CRC patients and controls. PTEN expression was lost in 28% of CRC patients, while all healthy controls exhibited PTEN expression. Negative PTEN expression was present in 16 (80%) of stage IV CRC cases, 9 (23.7%) of stage III cases, 3 (37.5%) of stage II cases, and none of stage I cases. It was shown that PTEN expression was weakly positive, moderately positive, and strongly positive in 15, 10, and 9 (respectively) cases of CRC stage I. However, the expression was only weekly positive in 4 (20%) of the patients in stage IV. In the stage IV group, neither moderately nor strongly positive PTEN expressions were found. So, Among Egyptians, the emergence or course of colorectal cancer is unrelated to the PTEN gene mutation. However, the formation and progression of CRC may be influenced by weak or lost PTEN expression.

结直肠癌(CRC)是全球发病率第三高的癌症,也是癌症相关死亡的第二大原因。因此,我们试图确定磷酸酶和天丝同源物(PTEN)的基因型和等位基因频率以及免疫组化 PTEN 表达与 CRC 患者临床病理特征之间的关系。这项横断面随机病例对照研究将 150 人分为两组:第一组:100 名经组织病理学证实的不同分期的 CRC 患者。第二组:50 名健康志愿者。采用 TaqManTM 检测法和实时 PCR 对 PTEN(rs701848 T / C)单核苷酸多态性(SNP)进行遗传分析,同时采用免疫组化染色法评估 PTEN 的表达。PTN SNP 基因型和等位基因在 CRC 患者和对照组之间没有明显差异。28%的 CRC 患者失去了 PTEN 表达,而所有健康对照组都有 PTEN 表达。16 例(80%)IV 期 CRC 病例、9 例(23.7%)III 期病例、3 例(37.5%)II 期病例和无 I 期病例存在 PTEN 负表达。研究显示,在 15、10 和 9 例 I 期 CRC 中,PTEN 的表达分别为弱阳性、中度阳性和强阳性,但在 4 例 IV 期患者(20%)中,PTEN 的表达仅为周阳性。在 IV 期患者中,PTEN 的表达既没有呈中度阳性,也没有呈强阳性。因此,在埃及人中,结直肠癌的出现或病程与 PTEN 基因突变无关。然而,PTEN 表达弱或消失可能会影响 CRC 的形成和发展。
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引用次数: 0
CXCL1 promotes cell migration in hepatocellular carcinoma by regulating the miR-30b-5p/ICAM-1 axis. CXCL1 通过调控 miR-30b-5p/ICAM-1 轴促进肝细胞癌细胞迁移。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-07-22 eCollection Date: 2024-01-01 DOI: 10.7150/jca.95816
Yi-Hsin Chen, Chih-Chun Chu, Augusta I-Chin Wei, Ju-Fang Liu, Hong-Shiee Lai

Hepatocellular carcinoma (HCC) is a highly lethal cancer with a growing global incidence and is often associated with poor prognosis due to its tendency to metastasize. Intercellular adhesion molecule (ICAM) 1 is a transmembrane protein found in various cancer cells and is associated with the spread of cancer and poor prognosis. Chemokine (C-X-C motif) ligand 1 (CXCL1) is a chemokine that significantly affects the cell motility of various cancers. However, the role of CXCL1 in ICAM-1 expression and in metastasis of hepatocellular carcinoma remains unclear. We determined that CXCL1 expression is positively and significantly associated with advanced-stage tumors in the HCC tissue array. Kaplan-Meier analysis revealed worse overall survival rates in the high CXCL1 expression group, suggesting its potential as a biomarker for cancer progression and stimulating hepatocellular carcinoma cells with CXCL1 enhanced migration abilities by upregulating ICAM-1 expression. CXCL1 was shown to enhance ICAM-1-dependent cell motility by inhibiting miR-30b-5p. This study provides novel evidence that CXCL1 could serve as a therapeutic target for metastasis in hepatocellular carcinoma.

肝细胞癌(HCC)是一种致死率很高的癌症,在全球的发病率不断上升,而且由于容易转移,往往预后不良。细胞间粘附分子(ICAM)1 是一种存在于各种癌细胞中的跨膜蛋白,与癌症扩散和预后不良有关。趋化因子(C-X-C 矩阵)配体 1(CXCL1)是一种趋化因子,对各种癌症的细胞运动有显著影响。然而,CXCL1 在肝细胞癌 ICAM-1 表达和转移中的作用仍不清楚。我们发现,在 HCC 组织阵列中,CXCL1 的表达与晚期肿瘤呈显著正相关。Kaplan-Meier分析显示,CXCL1高表达组的总生存率更低,这表明CXCL1有可能成为癌症进展的生物标记物,并通过上调ICAM-1的表达刺激肝细胞癌细胞增强迁移能力。研究表明,CXCL1 可通过抑制 miR-30b-5p 增强 ICAM-1 依赖性细胞的移动能力。这项研究提供了新的证据,证明 CXCL1 可作为肝细胞癌转移的治疗靶点。
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