SCG2和CPE可能是鉴别胰腺神经内分泌肿瘤和实体假乳头状瘤的新型标记物。

IF 1.5 4区 医学 Q4 ONCOLOGY Translational cancer research Pub Date : 2024-07-31 Epub Date: 2024-07-18 DOI:10.21037/tcr-24-229
Wuhan Yang, Shubin Wang, Zhilei Zhang, Hao Guo, Chengyu Liu, Meng Zhao, Yueping Liu, Li Peng
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引用次数: 0

摘要

背景:将胰腺神经内分泌肿瘤(pNET)与实性假乳头状瘤(SPN)区分开来具有挑战性,这主要是由于它们的病理特征相互重叠。为了解决这个问题,我们的研究旨在鉴定和验证能有效区分这两种疾病的新型生物标记物。我们重点探索新的免疫组化标记物,以加强这种区分:在这项研究中,我们利用基因表达总库(GEO)数据库中的 GSE43795 数据集分析了 pNET 和 SPN 的基因变异。我们的方法是找出与 SPNs 和正常胰腺组织相比,pNETs 中表达量更高的基因。我们进行了富集分析,以了解这些基因的功能。此外,我们还利用蛋白-蛋白相互作用(PPI)网络分析来确定与 pNET 相关的关键基因。我们的样本包括 163 份胰腺肿瘤标本,其中 78 份为 pNET,85 份为 SPN。我们还收集了临床病理数据,并使用免疫组化方法测量了这些关键基因的表达水平:富集分析表明,pNET 中过表达的基因主要参与信号释放、囊泡转运和离子通道激活,在胰岛素分泌、多巴胺突触和昼夜节律调节等内分泌过程中发挥重要作用。PPI分析发现,泌泌素II(SCG2)、羧肽酶E(CPE)和嗜铬粒蛋白A(CgA,CHGA)是区分pNET和SPN的关键标志物。这些标记物的免疫组化验证显示了较高的灵敏度(SCG2:98.7%,CPE:97.4%)和特异性(100%),表明它们的鉴别力优于CgA、β-catenin、淋巴增强子结合因子1(LEF1)和波形蛋白等传统标记物:我们的研究表明,SCG2 和 CPE 是区分 pNET 和 SPN 的有效、新型免疫组化生物标记物。
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SCG2 and CPE may be novel markers for the identification of pancreatic neuroendocrine tumors and solid pseudopapillary neoplasms.

Background: Distinguishing pancreatic neuroendocrine tumors (pNETs) from solid pseudopapillary neoplasms (SPNs) is challenging, primarily due to their overlapping pathological characteristics. To address this, our study aims to identify and validate novel biomarkers that effectively differentiate between these two conditions. We focus on the exploration of new immunohistochemical markers to enhance this distinction.

Methods: In this study, we analyzed genetic variations in pNETs and SPNs using the GSE43795 dataset from the Gene Expression Omnibus (GEO) database. Our approach was to identify genes with higher expression in pNETs compared to SPNs and normal pancreatic tissues. We conducted enrichment analyses to understand the functions of these genes. Furthermore, protein-protein interaction (PPI) network analysis was utilized to identify key genes associated with pNETs. Our sample consisted of 163 pancreatic tumor specimens, comprising 78 pNETs and 85 SPNs. We also collected clinicopathological data and used immunohistochemistry to measure the expression levels of these key genes.

Results: The enrichment analysis revealed that genes overexpressed in pNETs were mainly involved in signal release, vesicle transport, and ion pathway activation, playing significant roles in endocrine processes like insulin secretion, dopamine synapses, and circadian rhythm regulation. The PPI analysis identified secretogranin II (SCG2), carboxypeptidase E (CPE), and chromogranin A (CgA, CHGA) as key markers for differentiating pNETs from SPNs. Immunohistochemical validation of these markers demonstrated high sensitivity (SCG2: 98.7%, CPE: 97.4%) and specificity (100%), indicating their superior discriminative power compared to traditional markers like CgA, β-catenin, lymphoid enhancer-binding factor 1 (LEF1), and vimentin.

Conclusions: Our study indicates that SCG2 and CPE are effective, novel immunohistochemical biomarkers for differentiating pNETs from SPNs.

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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
252
期刊介绍: Translational Cancer Research (Transl Cancer Res TCR; Print ISSN: 2218-676X; Online ISSN 2219-6803; http://tcr.amegroups.com/) is an Open Access, peer-reviewed journal, indexed in Science Citation Index Expanded (SCIE). TCR publishes laboratory studies of novel therapeutic interventions as well as clinical trials which evaluate new treatment paradigms for cancer; results of novel research investigations which bridge the laboratory and clinical settings including risk assessment, cellular and molecular characterization, prevention, detection, diagnosis and treatment of human cancers with the overall goal of improving the clinical care of cancer patients. The focus of TCR is original, peer-reviewed, science-based research that successfully advances clinical medicine toward the goal of improving patients'' quality of life. The editors and an international advisory group of scientists and clinician-scientists as well as other experts will hold TCR articles to the high-quality standards. We accept Original Articles as well as Review Articles, Editorials and Brief Articles.
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