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Use of Antiepileptic Drugs and Risk of Prostate Cancer: A Nationwide Case-Control Study in Prostate Cancer Data Base Sweden. 抗癫痫药物的使用与前列腺癌的风险:瑞典前列腺癌数据库的一项全国病例对照研究
3区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/9527920
Gincy George, Hans Garmo, Jan Adolfsson, Kristin Elf, Rolf Gedeborg, Lars Holmberg, Pär Stattin, Johan Styrke, Mieke Van Hemelrijck

An inverse association between use of antiepileptic drugs (AEDs) and prostate cancer (PCa) has been suggested, putatively due to the histone deacetylases inhibitory (HDACi) properties of the AEDs. In a case-control study in Prostate Cancer data Base Sweden (PCBaSe), PCa cases diagnosed between 2014 and 2016 were matched to five controls by year of birth and county of residence. AED prescriptions were identified in the Prescribed Drug Registry. Odds ratios (ORs) and 95% confidence intervals for risk of PCa were estimated using multivariable conditional logistic regression, adjusted for civil status, education level, Charlson comorbidity index, number of outpatient visits, and cumulative duration of hospital stay. Dose responses in different PCa risk categories and HDACi properties of specific AED substances were further explored. 1738/31591 (5.5%) cases and 9674/156802 (6.2%) controls had been exposed to AED. Overall, users of any AED had a reduced risk of PCa as compared to nonusers (OR: 0.92; 95% CI: 0.87-0.97) which was attenuated by adjustment to healthcare utilisation. A reduced risk was also observed in all models for high-risk or metastatic PCa in AED users compared to nonusers (OR: 0.89; 95% CI: 0.81-0.97). No significant findings were observed for dose response or HDACi analyses. Our findings suggest a weak inverse association between AED use and PCa risk, which was attenuated by adjustment for healthcare utilisation. Moreover, our study showed no consistent dose-response pattern and no support for a stronger reduction related to HDAC inhibition. Further studies focusing on advanced PCa and PCa treatments are needed to better analyse the association between use of AED and risk of PCa.

抗癫痫药物(AEDs)的使用与前列腺癌(PCa)呈负相关,推测是由于AEDs的组蛋白去乙酰化酶抑制(HDACi)特性。在瑞典前列腺癌数据库(PCBaSe)的一项病例对照研究中,2014年至2016年诊断的前列腺癌病例按出生年份和居住县与5名对照进行匹配。除颤器处方已在处方药物注册处登记。使用多变量条件logistic回归估计PCa风险的优势比(ORs)和95%置信区间,并根据公民身份、教育水平、Charlson合病指数、门诊就诊次数和累计住院时间进行调整。进一步探讨不同PCa风险类别的剂量反应和特定AED物质的HDACi特性。1738/31591例(5.5%)和9674/156802例(6.2%)对照暴露于AED。总的来说,与不使用AED的患者相比,使用AED的患者患PCa的风险降低(OR: 0.92;95% CI: 0.87-0.97),调整到医疗保健利用后减弱。在所有模型中,与非AED使用者相比,AED使用者的高风险或转移性PCa风险也降低(or: 0.89;95% ci: 0.81-0.97)。在剂量反应或HDACi分析中没有观察到显著的发现。我们的研究结果表明,AED的使用与PCa风险之间存在弱的负相关关系,这一关系通过调整医疗保健利用而减弱。此外,我们的研究没有显示一致的剂量-反应模式,也没有支持与HDAC抑制相关的更强的减少。需要进一步研究晚期前列腺癌和前列腺癌治疗,以更好地分析使用AED与前列腺癌风险之间的关系。
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引用次数: 0
Identification of Prognostic Markers of DNA Damage and Oxidative Stress in Diagnosing Papillary Renal Cell Carcinoma Based on High-Throughput Bioinformatics Screening. 基于高通量生物信息学筛选的诊断乳头状肾细胞癌的DNA损伤和氧化应激预后标志物鉴定。
3区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/4640563
Le Li, XuKai Liu, Yong Wen, Pan Liu, Ting Sun
Purpose Papillary renal cell carcinoma (pRCC) is the second most common histological subtype of adult kidney tumors, with a poor prognosis due to limited understanding of the disease mechanism. Herein, we have performed high-throughput bioinformatic screening to explore and identify potential biomarkers of DNA damage and oxidative stress for pRCC. Methods RNA sequencing data related to pRCC were downloaded from the TCGA database, and differentially expressed genes (DEG) were identified by a wide variety of clustering and classification algorithms, including self-organized maps (SOM), artificial neural networks (ANN), support vector machines (SVM), fuzzy logic, and hyphenated techniques such as neuro-fuzzy networks. Then DAVID and STRING online biological information tools were used to analyze functional enrichment of the regulatory networks of DEG and construct a protein-protein interaction (PPI) network, and then the Cytoscape software was used to identify hub genes. The importance of key genes was assessed by the analysis of the Kaplan–Meier survival curves using the R software. Lastly, we have analyzed the expression of hub genes of DNA damage and oxidative stress (BDKRB1, NMUR2, PMCH, and SAA1) in pRCC tissues and adjacent normal tissues, as well as the relationship between the expression of hub genes in pRCC tissues and pathological characteristics and prognosis of pRCC patients. Results A total of 1,992 DEGs for pRCC were identified, with 1,142 upregulated ones and 850 downregulated ones. The DEGs were significantly enriched in activities including DNA damage and oxidative stress, chemical synaptic transmission, an integral component of the membrane, calcium ion binding, and neuroactive ligand-receptor interaction. cytoHubba in the Cytoscape software was used to determine the top 10 hub genes in the PPI network as BDKRB2, NMUR2, NMU, BDKRB1, LPAR5, KNG1, LPAR3, SAA1, MCHR1, PMCH, and NCAPH. Furthermore, the expression level of hub genes BDKRB1, NMUR2, PMCH, and SAA1 in pRCC tissues was significantly higher than that in the adjacent normal tissues. Meanwhile, the expression level of hub genes BDKRB1, NMUR2, PMCH, and SAA1 in pRCC tissues was significantly positively correlated with tumor stage, lymph node metastasis, and the histopathology grade of pRCC. In addition, high expression levels of hub genes BDKRB1, NMUR2, PMCH, and SAA1 were associated with a poor prognosis for patients with pRCC. Univariate and multivariate analyses showed that the expression of hub genes BDKRB1, NMUR2, PMCH, and SAA1 were independent risk factors for the prognosis of patients with pRCC. Conclusion The results of this analysis suggested that BDKRB1, NMUR2, PMCH, and SAA1 might be potential prognostic biomarkers and novel therapeutic targets for pRCC.
目的:乳头状肾细胞癌(pRCC)是成人肾脏肿瘤中第二常见的组织学亚型,由于对其发病机制的了解有限,预后较差。在此,我们进行了高通量生物信息学筛选,以探索和鉴定pRCC的DNA损伤和氧化应激的潜在生物标志物。方法:从TCGA数据库下载与pRCC相关的RNA测序数据,采用多种聚类和分类算法,包括自组织图谱(SOM)、人工神经网络(ANN)、支持向量机(SVM)、模糊逻辑以及神经模糊网络等连字技术,对差异表达基因(DEG)进行识别。利用DAVID和STRING在线生物信息工具分析DEG调控网络的功能富集,构建蛋白-蛋白相互作用(PPI)网络,并利用Cytoscape软件鉴定枢纽基因。利用R软件对Kaplan-Meier生存曲线进行分析,评估关键基因的重要性。最后,我们分析了DNA损伤和氧化应激中枢基因(BDKRB1、NMUR2、PMCH和SAA1)在pRCC组织和邻近正常组织中的表达,以及pRCC组织中中枢基因表达与pRCC患者病理特征和预后的关系。结果:共鉴定出1992个pRCC deg,其中上调1142个,下调850个。deg在DNA损伤和氧化应激、化学突触传递、膜的组成部分、钙离子结合和神经活性配体-受体相互作用等方面的活性显著丰富。利用Cytoscape软件中的cytoHubba确定PPI网络中排名前10位的枢纽基因为BDKRB2、NMUR2、NMU、BDKRB1、LPAR5、KNG1、LPAR3、SAA1、MCHR1、PMCH和NCAPH。此外,中枢基因BDKRB1、NMUR2、PMCH和SAA1在pRCC组织中的表达水平显著高于邻近正常组织。同时,中枢基因BDKRB1、NMUR2、PMCH、SAA1在pRCC组织中的表达水平与肿瘤分期、淋巴结转移及pRCC组织病理分级呈显著正相关。此外,中枢基因BDKRB1、NMUR2、PMCH和SAA1的高表达水平与pRCC患者的不良预后相关。单因素和多因素分析显示中枢基因BDKRB1、NMUR2、PMCH和SAA1的表达是影响pRCC患者预后的独立危险因素。结论:BDKRB1、NMUR2、PMCH和SAA1可能是pRCC潜在的预后生物标志物和新的治疗靶点。
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引用次数: 1
Hydroxymethylation and Epigenetic Drugs: New Insights into the Diagnosis and Treatment in Epigenetics of Hepatocellular Carcinoma. 羟甲基化与表观遗传药物:肝细胞癌表观遗传学诊断与治疗的新见解。
3区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/5449443
Wei Ouyang, Ming-Da Wang, Wan-Yin Wang, Chao Li, Lan-Qing Yao, Hong Zhu, Tian Yang

Hepatocellular carcinoma (HCC) is a highly lethal and heterogeneous malignancy with multiple genetic alternations and complex signaling pathways. The complexity and multifactorial nature of HCC pose a tremendous challenge regarding its diagnosis and treatment. Emerging evidence has indicated an important regulatory role of epigenetic modifications in HCC initiation and progression. Epigenetic modifications are stably heritable gene expression traits caused by changing the accessibility of chromatin structure and genetic activity without alteration in the DNA sequence and have been gradually recognized as a hallmark of cancer. In addition, accumulating data suggest a potential value of altered hydroxymethylation in epigenetic modifications and therapeutics targeting the epigenetically mediated regulation. As such, probing the epigenetic field in the era of precision oncology is a valid avenue for promoting the accuracy of early diagnosis and improving the oncological prognosis of HCC patients. This review focuses on the diagnostic performance and clinical utility of 5-hydroxymethylated cytosine, the primary intermediate product of the demethylation process, for early HCC diagnosis and discusses the promising applications of epigenetic-based therapeutic regimens for HCC.

肝细胞癌(HCC)是一种高致死率和异质性的恶性肿瘤,具有多种遗传改变和复杂的信号通路。HCC的复杂性和多因子性对其诊断和治疗提出了巨大的挑战。新出现的证据表明,表观遗传修饰在HCC的发生和发展中起着重要的调节作用。表观遗传修饰是通过改变染色质结构的可及性和遗传活性而不改变DNA序列而引起的可稳定遗传的基因表达性状,已逐渐被认为是癌症的标志。此外,越来越多的数据表明,羟甲基化改变在表观遗传修饰和靶向表观遗传介导调节的治疗中具有潜在价值。因此,在精准肿瘤学时代探索表观遗传学领域,是提高HCC患者早期诊断准确性、改善肿瘤预后的有效途径。本文综述了5-羟甲基化胞嘧啶(去甲基化过程的主要中间产物)在HCC早期诊断中的诊断性能和临床应用,并讨论了基于表观遗传学的HCC治疗方案的应用前景。
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引用次数: 1
M6A Promotes Colorectal Cancer Progression via Regulating the miR-27a-3p/BTG2 Pathway. M6A通过调节miR-27a-3p/BTG2通路促进结直肠癌进展。
3区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/7097909
Wenjun Liu, Zilang Zhang, Xitu Luo, Kai Qian, Baojun Huang, Jianzhong Deng, Chengyu Yang

Long noncoding (lnc) RNAs regulate cancer progression. However, the importance of lncRNAs and how they are regulated in colorectal cancer (CRC) are unclear. We aim to evaluate the function of lncRNA ADAMTS9-AS2 in CRC and its fundamental mechanism. Levels of ADAMTS9-AS2, miR-27a-3p, and B-cell translocation gene 2 (BTG2) were measured by qPCR. Cell viability was analyzed by CCK-8 and colony formation. Migration and invasion were tested by transwell assay. The interactions among ADAMTS9-AS2, miR-27a-3p, BTG2, and YTHDF2 were analyzed by luciferase test, immunoblotting, RNA pull-down, or RNA immunoprecipitation (RIP). An animal model was adopted to assess ADAMTS9-AS2's function. Overexpressing ADAMTS9-AS2 inhibited cell migration, invasion, colony formation capacity, and proliferation in vitro. The direct targeting of miR-27a-3p by ADAMTS9-AS2 abrogated the latter's effect in CRC cells. BTG2 was identified a target of miR-27a-3p, and silencing BTG2 weakened miR-27a-3p's effect. Knocking down ADAMTS9-AS2 abolished sh-YTHDF2's inhibitory effect on cell proliferation and invasion. Finally, overexpressing ADAMTS9-AS2 restrained xenograft growth. M6A reader YTHDF2-mediated degradation of ADAMTS9-AS2 promotes colon carcinogenesis via miR-27a-3p/BTG2 axis.

长链非编码(lnc) rna调控癌症进展。然而,lncrna的重要性以及它们在结直肠癌(CRC)中的调控机制尚不清楚。我们旨在评估lncRNA ADAMTS9-AS2在CRC中的功能及其基本机制。通过qPCR检测ADAMTS9-AS2、miR-27a-3p和b细胞易位基因2 (BTG2)的水平。用CCK-8和菌落形成法分析细胞活力。transwell法检测迁移和侵袭。通过荧光素酶测试、免疫印迹、RNA拉下或RNA免疫沉淀(RIP)分析ADAMTS9-AS2、miR-27a-3p、BTG2和YTHDF2之间的相互作用。采用动物模型评估ADAMTS9-AS2的功能。过表达ADAMTS9-AS2抑制细胞迁移、侵袭、集落形成能力和体外增殖。ADAMTS9-AS2直接靶向miR-27a-3p,消除了后者在CRC细胞中的作用。BTG2被确定为miR-27a-3p的靶标,沉默BTG2削弱了miR-27a-3p的作用。敲除ADAMTS9-AS2可消除sh-YTHDF2对细胞增殖和侵袭的抑制作用。最后,过表达ADAMTS9-AS2抑制异种移植物生长。M6A读取器ythdf2介导的ADAMTS9-AS2降解通过miR-27a-3p/BTG2轴促进结肠癌的发生。
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引用次数: 0
Regulatory Role of Fatty Acid Metabolism-Related Long Noncoding RNA in Prostate Cancer: A Computational Biology Study Analysis. 脂肪酸代谢相关长链非编码RNA在前列腺癌中的调节作用:一项计算生物学研究分析。
3区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/9736073
Yutao Wang, Hao Su, Yi Lu, Hongjun Li

In elderly men, prostate cancer is a leading cause of death. Tumor cells require more energy to progress than normal cells, and this energy is mainly dependent on the large amount of ATP support generated by lipid metabolism. Therefore, in this study, we focused on long noncoding RNAs related to lipid metabolism in prostate cancer to discover the biological mechanisms of lipid metabolism regulation. The TCGA-PRAD cohort was used in this study for computational biology analysis. In lipid metabolism biological pathways, 1959 long noncoding RNAs were identified by Pearson correlation coefficient analysis of protein-coding genes, then univariate regression with P values fewer than 0.05. We further identified 784 lncRNAs that were lipid metabolism-related lncRNAs considered to have prognostic value for disease-free survival. Subsequently, we constructed two lncRNA expression patterns of lipid metabolism based on these lncRNAs by nonnegative matrix dimensionality reduction. These two expression patterns showed significant differences in disease-free survival curves for those diagnosed with prostate cancer. We found significant differences in mRNA surveillance pathway and mRNA processing between C1 and C2 groups based on the WGCNA method to explore the biological characteristics of these two expression patterns. Finally, we constructed a disease-free survival (PFS) model based on these lncRNAs. The results identified lncRNAs involved in lipid metabolism and revealed differences in their expression patterns. Additionally, the results offer candidate ideas and approaches concerning the precision treatment of prostate cancer by studying lipid metabolism by candidate long noncoding RNAs.

在老年男性中,前列腺癌是导致死亡的主要原因。肿瘤细胞的进展需要比正常细胞更多的能量,而这种能量主要依赖于脂质代谢产生的大量ATP支持。因此,在本研究中,我们将重点研究与前列腺癌脂质代谢相关的长链非编码rna,探索脂质代谢调控的生物学机制。本研究采用TCGA-PRAD队列进行计算生物学分析。在脂质代谢生物学途径中,对蛋白质编码基因进行Pearson相关系数分析,鉴定出1959个长链非编码rna,然后进行单因素回归,P值小于0.05。我们进一步鉴定了784种与脂质代谢相关的lncrna,这些lncrna被认为对无病生存具有预后价值。随后,我们基于这些lncRNA通过非负矩阵降维构建了脂质代谢的两种lncRNA表达模式。这两种表达模式在诊断为前列腺癌的患者的无病生存曲线上显示出显著差异。基于WGCNA方法,我们发现C1组和C2组mRNA监测通路和mRNA加工存在显著差异,以探讨这两种表达模式的生物学特性。最后,我们基于这些lncrna构建了无病生存(PFS)模型。结果确定了参与脂质代谢的lncrna,并揭示了其表达模式的差异。此外,研究结果还为通过研究候选长链非编码rna的脂质代谢来精确治疗前列腺癌提供了候选思路和方法。
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引用次数: 0
Retracted: Deep Learning-Based Health Management Model Application in Extreme Myopia Eye Vision Monitoring and Risk Prediction. 基于深度学习的健康管理模型在极度近视眼视力监测和风险预测中的应用。
3区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/9850715
Journal Of Oncology

[This retracts the article DOI: 10.1155/2022/4537021.].

[本文撤回文章DOI: 10.1155/2022/4537021.]。
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引用次数: 0
Upregulation of APOC1 Promotes Colorectal Cancer Progression and Serves as a Potential Therapeutic Target Based on Bioinformatics Analysis. 基于生物信息学分析,APOC1上调可促进结直肠癌的进展并可作为潜在的治疗靶点。
3区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/2611105
Weiwei Tang, Hanyuan Liu, Xiao Li, Theng Choon Ooi, Nor Fadilah Rajab, Hongyong Cao, Razinah Sharif

Background: Approximately 10% of cancer patients worldwide have colorectal cancer (CRC), a prevalent gastrointestinal malignancy with substantial mortality and morbidity. The purpose of this work was to investigate the APOC1 gene's expression patterns in the CRC tumor microenvironment and, using the findings from bioinformatics, to assess the biological function of APOC1 in the development of CRC.

Methods: The TCGA portal was employed in this investigation to find APOC1 expression in CRC. Its correlation with other genes and clinicopathological data was examined using the UALCAN database. To validate APOC1's cellular location, the Human Protein was employed. In order to forecast the relationship between APOC1 expression and prognosis in CRC patients, the Kaplan-Meier plotter database was used. TISIDB was also employed to evaluate the connection between immune responses and APOC1 expression in CRC. The interactions of APOC1 with other proteins were predicted using STRING. In order to understand the factors that contribute to liver metastasis from CRC, single-cell RNA sequencing (scRNA-seq) was done on one patient who had the disease. This procedure included sampling preoperative blood and the main colorectal cancer tissues, surrounding colorectal cancer normal tissues, liver metastatic cancer tissues, and normal liver tissues. Finally, an in vitro knockdown method was used to assess how APOC1 expression in tumor-associated macrophages (TAMs) affected CRC cancer cell growth and migration.

Results: When compared to paracancerous tissues, APOC1 expression was considerably higher in CRC tissues. The clinicopathological stage and the prognosis of CRC patients had a positive correlation with APOC1 upregulation and a negative correlation, respectively. APOC1 proteins are mostly found in cell cytosols where they may interact with APOE, RAB42, and TREM2. APOC1 was also discovered to have a substantial relationship with immunoinhibitors (CD274, IDO1, and IL10) and immunostimulators (PVR, CD86, and ICOS). According to the results of scRNA-seq, we found that TAMs of CRC tissues had considerably more APOC1 than other cell groups. The proliferation and migration of CRC cells were impeded in vitro by APOC1 knockdown in TAMs.

Conclusion: Based on scRNA-seq research, the current study shows that APOC1 was overexpressed in TAMs from CRC tissues. By inhibiting APOC1 in TAMs, CRC progression was reduced in vitro, offering a new tactic and giving CRC patients fresh hope.

背景:全世界大约10%的癌症患者患有结肠直肠癌(CRC),这是一种普遍存在的胃肠道恶性肿瘤,死亡率和发病率都很高。本研究的目的是研究APOC1基因在结直肠癌肿瘤微环境中的表达模式,并利用生物信息学的研究结果来评估APOC1在结直肠癌发展中的生物学功能。方法:采用TCGA通道检测APOC1在结直肠癌中的表达。使用UALCAN数据库检查其与其他基因和临床病理数据的相关性。为了验证APOC1的细胞位置,使用了Human Protein。为了预测APOC1表达与CRC患者预后的关系,我们使用Kaplan-Meier绘图仪数据库。TISIDB还用于评估CRC中免疫应答与APOC1表达之间的关系。利用STRING预测了APOC1与其他蛋白的相互作用。为了了解导致结直肠癌肝转移的因素,我们对一名结直肠癌患者进行了单细胞RNA测序(scRNA-seq)。该程序包括术前血液和结直肠癌主要组织、结直肠癌周围正常组织、肝转移癌组织和正常肝组织的取样。最后,采用体外敲低法评估肿瘤相关巨噬细胞(tam)中APOC1表达对结直肠癌癌细胞生长和迁移的影响。结果:与癌旁组织相比,APOC1在结直肠癌组织中的表达明显高于癌旁组织。CRC患者的临床病理分期和预后分别与APOC1上调呈正相关和负相关。APOC1蛋白主要存在于细胞质中,与APOE、RAB42和TREM2相互作用。APOC1也被发现与免疫抑制剂(CD274、IDO1和IL10)和免疫刺激剂(PVR、CD86和ICOS)有实质性的关系。根据scRNA-seq结果,我们发现CRC组织的tam比其他细胞组有更多的APOC1。在体外实验中,TAMs敲低APOC1可抑制结直肠癌细胞的增殖和迁移。结论:基于scRNA-seq研究,目前的研究表明,APOC1在结直肠癌组织的tam中过表达。通过抑制tam中的APOC1, CRC的进展在体外减少,提供了一种新的策略,给CRC患者带来了新的希望。
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引用次数: 0
HtrA2 Independently Predicts Poor Prognosis and Correlates with Immune Cell Infiltration in Hepatocellular Carcinoma. HtrA2独立预测肝细胞癌的不良预后并与免疫细胞浸润相关
3区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/4067418
Lei Feng, Zhen Li, Yao Xiong, Ting Yan, Changmin Fu, Qiuyue Zeng, Huamin Wang

High-temperature requirement protein A2 (HtrA2), a mitochondrial protein, is related to apoptosis regulation. However, the role of HtrA2 in hepatocellular carcinoma (HCC) remains unclear. In the present study, we explored the prognostic value and expression pattern of HtrA2 in HCC and confirmed its independent value for predicting outcomes via Cox analyses. LinkedOmics and GEPIA2 were used to construct the coexpression and functional networks of HtrA2. Additionally, the data obtained from TCGA was analyzed to investigate the relationship between the infiltration of immune cells and HtrA2 mRNA expression. Finally, the expression pattern of HtrA2 in HCC was confirmed by wet-lab experiments. The results showed high HtrA2 expression (P < 0.001) presented in tumor tissues in TCGA-HCC. Moreover, high HtrA2 expression was confirmed to be associated with poor HCC patient survival (P < 0.05). HtrA2 has also been recognized as an essential risk factor for overall survival (P=0.01, HR = 1.654, 95% CI 1.128-2.425), disease-specific survival (P=0.004, HR = 2.204, 95% CI 1.294-3.753), and progression-free interval (P=0.007, HR = 1.637, 95% CI 1.145-2.341) of HCC. HCC patients with low HtrA2 methylation had worse overall survival than patients with high methylation (P=0.0019). Functional network analysis suggests that HtrA2 regulates mitochondrial homeostasis through pathways involving multiple microRNAs and transcription factors in HCC. In addition, HtrA2 expression correlated with infiltrating levels of multiple immune cell populations. At last, increased expression of HtrA2 in HCC was confirmed using wet-lab experiments. Our study provides evidence that the upregulation of HtrA2 in HCC is an independent predictor of prognosis. Our results provide the foundation for further study on the roles of HtrA2 in HCC tumorigenesis.

高温需要蛋白A2 (HtrA2)是一种线粒体蛋白,与细胞凋亡调控有关。然而,HtrA2在肝细胞癌(HCC)中的作用尚不清楚。在本研究中,我们探讨了HtrA2在HCC中的预后价值和表达模式,并通过Cox分析证实了其预测预后的独立价值。利用LinkedOmics和GEPIA2构建HtrA2的共表达和功能网络。此外,对TCGA数据进行分析,探讨免疫细胞浸润与HtrA2 mRNA表达的关系。最后,通过湿室实验确定HtrA2在HCC中的表达模式。结果显示,TCGA-HCC肿瘤组织中HtrA2的高表达(P < 0.001)。HtrA2高表达与HCC患者生存差相关(P < 0.05)。HtrA2也被认为是HCC总生存率(P=0.01, HR = 1.654, 95% CI 1.128-2.425)、疾病特异性生存率(P=0.004, HR = 2.204, 95% CI 1.294-3.753)和无进展期(P=0.007, HR = 1.637, 95% CI 1.145-2.341)的重要危险因素。HtrA2甲基化水平低的HCC患者的总生存率低于甲基化水平高的HCC患者(P=0.0019)。功能网络分析表明,HtrA2在HCC中通过涉及多种microrna和转录因子的途径调节线粒体稳态。此外,HtrA2的表达与多种免疫细胞群的浸润水平相关。最后,通过湿室实验证实HtrA2在HCC中的表达增加。我们的研究提供了证据,证明HCC中HtrA2的上调是一个独立的预后预测因子。我们的结果为进一步研究HtrA2在HCC肿瘤发生中的作用提供了基础。
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引用次数: 2
A Simple-to-Use Nomogram for Predicting Postoperative Early Death Risk in Elderly Patients with Spinal Tumors: A Population-Based Study. 一个简单易用的Nomogram预测老年脊柱肿瘤患者术后早期死亡风险:一项基于人群的研究
3区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/2805786
Zhangheng Huang, Zhen Zhao, Yuheng Liu, Zhigang Zhou, Weifei Zhang, Qingquan Kong, Yaozhi He

Background: For elderly patients with primary spinal tumors, surgery is the best option for many elderly patients, in addition to palliative care. However, due to the unique physical function of elderly patients, the short-term prognosis is often unpredictable. It is therefore essential to develop a novel nomogram as a clinical aid to predict the risk of early death for elderly patients with primary spinal tumors who undergo surgery.

Materials and methods: In this study, clinical data were obtained from 651 patients through the SEER database, and they were retrospectively analyzed. Logistic regression analyses were used for risk-factor screening. Predictive modeling was performed through the R language. The prediction models were calibrated as well as evaluated for accuracy in the validation cohort. The receiver operating characteristic (ROC) curve and the decision curve analysis (DCA) were used to evaluate the functionality of the nomogram.

Results: We identified four separate risk factors for constructing nomograms. The area under the receiver operating characteristic curve (training set 0.815, validation set 0.815) shows that the nomogram has good discrimination ability. The decision curve analysis demonstrates the clinical use of this nomogram. The calibration curve indicates that this nomogram has high accuracy. At the same time, we have also developed a web version of the online nomogram for clinical practitioners to apply.

Conclusions: We have successfully developed a nomogram that can accurately predict the risk of early death of elderly patients with primary spinal tumors undergoing surgery, which can provide a reference for clinicians.

背景:对于老年原发性脊柱肿瘤患者,除了姑息治疗外,手术是许多老年患者的最佳选择。然而,由于老年患者独特的身体功能,短期预后往往难以预测。因此,有必要开发一种新的nomograph作为临床辅助手段来预测接受手术的老年原发性脊柱肿瘤患者的早期死亡风险。材料和方法:本研究通过SEER数据库获取651例患者的临床资料,并对其进行回顾性分析。风险因素筛选采用Logistic回归分析。通过R语言进行预测建模。在验证队列中,对预测模型进行了校准和准确性评估。采用受试者工作特征(ROC)曲线和决策曲线分析(DCA)来评价nomogram的功能性。结果:我们确定了四个独立的危险因素来构建图。接收者工作特征曲线(训练集0.815,验证集0.815)下的面积表明,nomogram具有较好的判别能力。决策曲线分析证明了该图的临床应用。标定曲线表明该图具有较高的精度。同时,我们也开发了一个网络版本的在线nomogram供临床医生使用。结论:我们成功开发了一种能够准确预测老年原发性脊柱肿瘤手术患者早期死亡风险的影像学图,可为临床医生提供参考。
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引用次数: 1
Chromatin Regulator-Related Gene Signature for Predicting Prognosis and Immunotherapy Efficacy in Breast Cancer. 预测乳腺癌预后和免疫治疗效果的染色质调控因子相关基因标记。
3区 医学 Q3 Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/2736932
Dongxu Feng, Wenbing Li, Wei Wu, Ulf Dietrich Kahlert, Pingfa Gao, Gangfeng Hu, Xia Huang, Wenjie Shi, Huichao Li

Background: Many studies have found that chromatin regulators (CRs) are correlated with tumorigenesis and disease prognosis. Here, we attempted to build a new CR-related gene model to predict breast cancer (BC) survival status.

Methods: First, the CR-related differentially expressed genes (DEGs) were screened in normal and tumor breast tissues, and the potential mechanism of CR-related DEGs was determined by function analysis. Based on the prognostic DEGs, the Cox regression model was applied to build a signature for BC. Then, survival and receiver operating characteristic (ROC) curves were performed to validate the signature's efficacy and identify its independent prognostic value. The CIBERSORT and tumor immune dysfunction and exclusion (TIDE) algorithms were used to assess the immune cells infiltration and immunotherapy efficacy for this signature, respectively. Additionally, a novel nomogram was also built for clinical decisions.

Results: We identified 98 CR-related DEGs in breast tissues and constructed a novel 6 CR-related gene signature (ARID5A, ASCL1, IKZF3, KDM4B, PRDM11, and TFF1) to predict the outcome of BC patients. The prognostic value of this CR-related gene signature was validated with outstanding predictive performance. The TIDE analysis revealed that the high-risk group patients had a better response to immune checkpoint blockade (ICB) therapy.

Conclusion: A new CR-related gene signature was built, and this signature could provide the independent predictive capability of prognosis and immunotherapy efficacy for BC patients.

背景:许多研究发现,染色质调节因子(CRs)与肿瘤发生和疾病预后相关。在这里,我们试图建立一个新的cr相关基因模型来预测乳腺癌(BC)的生存状态。方法:首先在正常乳腺组织和肿瘤乳腺组织中筛选cr相关差异表达基因(deg),通过功能分析确定cr相关deg的潜在作用机制。基于预后deg,应用Cox回归模型建立BC的特征。然后,绘制生存和受试者工作特征(ROC)曲线来验证签名的有效性,并确定其独立的预后价值。使用CIBERSORT和肿瘤免疫功能障碍和排斥(TIDE)算法分别评估该特征的免疫细胞浸润和免疫治疗效果。此外,还建立了一种用于临床决策的新型nomogram。结果:我们在乳腺组织中鉴定了98个cr相关基因,并构建了一个新的6个cr相关基因标记(ARID5A、ASCL1、IKZF3、KDM4B、PRDM11和TFF1)来预测BC患者的预后。该cr相关基因标记的预后价值被证实具有出色的预测性能。TIDE分析显示,高危组患者对免疫检查点阻断(ICB)治疗有更好的反应。结论:建立了一个新的cr相关基因标记,该标记可为BC患者的预后和免疫治疗效果提供独立的预测能力。
{"title":"Chromatin Regulator-Related Gene Signature for Predicting Prognosis and Immunotherapy Efficacy in Breast Cancer.","authors":"Dongxu Feng,&nbsp;Wenbing Li,&nbsp;Wei Wu,&nbsp;Ulf Dietrich Kahlert,&nbsp;Pingfa Gao,&nbsp;Gangfeng Hu,&nbsp;Xia Huang,&nbsp;Wenjie Shi,&nbsp;Huichao Li","doi":"10.1155/2023/2736932","DOIUrl":"https://doi.org/10.1155/2023/2736932","url":null,"abstract":"<p><strong>Background: </strong>Many studies have found that chromatin regulators (CRs) are correlated with tumorigenesis and disease prognosis. Here, we attempted to build a new CR-related gene model to predict breast cancer (BC) survival status.</p><p><strong>Methods: </strong>First, the CR-related differentially expressed genes (DEGs) were screened in normal and tumor breast tissues, and the potential mechanism of CR-related DEGs was determined by function analysis. Based on the prognostic DEGs, the Cox regression model was applied to build a signature for BC. Then, survival and receiver operating characteristic (ROC) curves were performed to validate the signature's efficacy and identify its independent prognostic value. The CIBERSORT and tumor immune dysfunction and exclusion (TIDE) algorithms were used to assess the immune cells infiltration and immunotherapy efficacy for this signature, respectively. Additionally, a novel nomogram was also built for clinical decisions.</p><p><strong>Results: </strong>We identified 98 CR-related DEGs in breast tissues and constructed a novel 6 CR-related gene signature (ARID5A, ASCL1, IKZF3, KDM4B, PRDM11, and TFF1) to predict the outcome of BC patients. The prognostic value of this CR-related gene signature was validated with outstanding predictive performance. The TIDE analysis revealed that the high-risk group patients had a better response to immune checkpoint blockade (ICB) therapy.</p><p><strong>Conclusion: </strong>A new CR-related gene signature was built, and this signature could provide the independent predictive capability of prognosis and immunotherapy efficacy for BC patients.</p>","PeriodicalId":16619,"journal":{"name":"Journal of Oncology","volume":"2023 ","pages":"2736932"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10681612","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: 1
期刊
Journal of Oncology
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