利用杯突相关基因建立有效的喉癌预后风险模型

IF 1.7 4区 医学 Q2 OTORHINOLARYNGOLOGY Brazilian Journal of Otorhinolaryngology Pub Date : 2023-12-26 DOI:10.1016/j.bjorl.2023.101384
Cong Li , Yongzhi Zhu , Song Shi
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引用次数: 0

摘要

目的 喉癌的特点是复发率高且缺乏有效的生物标志物,它与杯突症有关,杯突症是一种与癌症进展相关的细胞死亡调节过程。本研究旨在探索杯突相关基因在喉癌中的作用及其作为预后标志物和治疗靶点的潜力。方法我们从癌症基因组图谱(The Cancer Genome Atlas)和基因表达总库(Gene Expression Omnibus)数据库中收集了全面的数据,包括喉癌患者的基因表达谱和临床数据。通过聚类和基因分析,我们发现了具有预后意义的杯突症相关基因。根据这些基因构建了一个风险模型,将患者分为高风险组和低风险组,以便进行结果比较。通过单变量和多变量分析确定了独立的预后因素,并将其纳入提名图。结果我们的风险模型基于四个基因,包括跨膜 2、β-catenin 1 的脱落结合拮抗剂、stathmin 2 和 G 蛋白偶联受体 173,发现高危组和低危组患者的预后存在显著差异。鉴定出了独立的预后因素,并将其整合到一个提名图中,为预后预测提供了有价值的工具。基因组富集分析(Gene Set Enrichment Analysis)发现了与高风险患者样本特别相关的上调通路。这项研究为了解和管理这种具有挑战性的疾病提供了新的途径。
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Effective prognostic risk model with cuproptosis-related genes in laryngeal cancer

Objective

Laryngeal cancer, characterized by high recurrence rates and a lack of effective biomarkers, has been associated with cuproptosis, a regulated cell death process linked to cancer progression. In this study, we aimed to explore the roles of cuproptosis-related genes in laryngeal cancer and their potential as prognostic markers and therapeutic targets.

Methods

We collected comprehensive data from The Cancer Genome Atlas and Gene Expression Omnibus databases, including gene expression profiles and clinical data of laryngeal cancer patients. Using clustering and gene analysis, we identified cuproptosis-related genes with prognostic significance. A risk model was constructed based on these genes, categorizing patients into high- and low-risk groups for outcome comparison. Univariate and multivariate analyses were conducted to identify independent prognostic factors, which were then incorporated into a nomogram. Gene Set Enrichment Analysis was employed to explore pathways distinguishing high- and low-risk groups.

Results

Our risk model, based on four genes, including transmembrane 2, dishevelled binding antagonist of β-catenin 1, stathmin 2, and G protein-coupled receptor 173, revealed significant differences in patient outcomes between high- and low-risk groups. Independent prognostic factors were identified and integrated into a nomogram, providing a valuable tool for prognostic prediction. Gene Set Enrichment Analysis uncovered up-regulated pathways specifically associated with high-risk patient samples.

Conclusion

This study highlights the potential of cuproptosis-related genes as valuable prognostic markers and promising therapeutic targets in the context of laryngeal cancer. This research sheds light on new avenues for understanding and managing this challenging disease.

Level of evidence

Level 4.

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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
205
审稿时长
4-8 weeks
期刊介绍: Brazilian Journal of Otorhinolaryngology publishes original contributions in otolaryngology and the associated areas (cranio-maxillo-facial surgery and phoniatrics). The aim of this journal is the national and international divulgation of the scientific production interesting to the otolaryngology, as well as the discussion, in editorials, of subjects of scientific, academic and professional relevance. The Brazilian Journal of Otorhinolaryngology is born from the Revista Brasileira de Otorrinolaringologia, of which it is the English version, created and indexed by MEDLINE in 2005. It is the official scientific publication of the Brazilian Association of Otolaryngology and Cervicofacial Surgery. Its abbreviated title is Braz J Otorhinolaryngol., which should be used in bibliographies, footnotes and bibliographical references and strips.
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