结直肠癌F-Box蛋白43高表达与预后不良及辅助化疗耐药相关

IF 2.1 Q3 ONCOLOGY
Junyu Liu, Xi Yang, Miao Li, Ying Ying Liu, Yulan Wang, Shichao Li, Fengping Zheng
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引用次数: 0

摘要

背景:F-box蛋白43 (FBXO43),也被称为内源性减数分裂抑制剂2 (EMI2),与各种类型癌症的进展有关,如肝细胞癌、乳腺癌、胆管癌和胃癌。然而,FBXO43在结直肠癌(CRC)中的确切功能尚不清楚。本研究利用癌症基因组图谱(Cancer Genome Atlas, TCGA)数据和临床标本分析FBXO43在结直肠癌中的表达、预后价值和化疗优势。方法:从TCGA下载631例结直肠腺癌的三级RNA测序数据(COAD-READ)。利用这些数据分析FBXO43的表达、预后及相关信号通路。随后,通过实时定量聚合酶链反应(qPCR)和免疫组织化学(IHC)证实了FBXO43在临床样品中的表达。最后,我们建立了一个由120例结直肠癌患者和相应的正常组织组成的组织微阵列(TMA)来研究FBXO43与生存结果的关系。结果:TCGA分析和临床样本结果表明,与正常组织相比,FBXO43在结直肠癌组织中显著上调。此外,高水平的FBXO43与结直肠癌患者的分化、淋巴结转移、病理分期等恶性临床特征及不良预后有关。亚组分析进一步证明FBXO43可作为低危CRC患者分层的有效参数。值得注意的是,生存分析显示,高水平FBXO43的患者在辅助化疗后的总生存期(OS)和无病生存期(DFS)较差,FBXO43在化疗耐药患者的原发性结直肠癌组织中明显上调。结论:FBXO43表达上调,与CRC预后不良相关;FBXO43高表达的患者可能无法从辅助化疗中获益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

High Expression of F-Box Protein 43 Is Associated With Poor Prognosis and Adjuvant Chemotherapy Resistance in Colorectal Cancer.

High Expression of F-Box Protein 43 Is Associated With Poor Prognosis and Adjuvant Chemotherapy Resistance in Colorectal Cancer.

High Expression of F-Box Protein 43 Is Associated With Poor Prognosis and Adjuvant Chemotherapy Resistance in Colorectal Cancer.

High Expression of F-Box Protein 43 Is Associated With Poor Prognosis and Adjuvant Chemotherapy Resistance in Colorectal Cancer.

Background: The F-box protein 43 (FBXO43), also referred to as endogenous meiotic inhibitor 2 (EMI2), has been linked to the advancement of various types of cancer, such as hepatocellular carcinoma, breast cancer, cholangiocarcinoma, and gastric cancer. Nevertheless, the precise function of FBXO43 in colorectal cancer (CRC) remains unclear. This study employed data from The Cancer Genome Atlas (TCGA) and clinical specimens to analyze the expression, prognostic value, and chemotherapeutic advantages of FBXO43 in CRC.

Methods: Level 3 RNA sequencing data pertaining to 631 cases of colon and rectal adenocarcinomas (COAD-READ) were downloaded from TCGA. The data were utilized to analyze the expression, prognosis, and related signal pathways of FBXO43. The expression of FBXO43 in clinical samples was subsequently confirmed through the use of real-time quantitative polymerase chain reaction (qPCR) and immunohistochemistry (IHC). Lastly, a tissue microarray (TMA) consisting of 120 cases of CRC and corresponding normal tissues was established to investigate the relationship between FBXO43 and survival outcomes.

Results: Results from both the TCGA analysis and clinical samples indicated that FBXO43 was significantly upregulated in CRC tissues in comparison to normal tissues. Moreover, high level of FBXO43 was found to be relevant to malignant clinical features, such as differentiation, lymph node metastasis, and pathological stage, as well as unfavorable prognosis in CRC patients. Subgroup analysis further demonstrated that FBXO43 could be an effective parameter for stratifying low-risk CRC patients. Notably, survival analysis showed that patients with high level of FBXO43 had worse overall survival (OS) and disease-free survival (DFS) following adjuvant chemotherapy, and FBXO43 was distinctly upregulated in chemotherapy-resistant patients' primary CRC tissues.

Conclusions: FBXO43 was upregulated and associated with poor prognosis of CRC; patients with high expression of FBXO43 may not be benefit from adjuvant chemotherapy.

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来源期刊
CiteScore
6.10
自引率
15.40%
发文量
37
期刊介绍: World Journal of Oncology, bimonthly, publishes original contributions describing basic research and clinical investigation of cancer, on the cellular, molecular, prevention, diagnosis, therapy and prognosis aspects. The submissions can be basic research or clinical investigation oriented. This journal welcomes those submissions focused on the clinical trials of new treatment modalities for cancer, and those submissions focused on molecular or cellular research of the oncology pathogenesis. Case reports submitted for consideration of publication should explore either a novel genomic event/description or a new safety signal from an oncolytic agent. The areas of interested manuscripts are these disciplines: tumor immunology and immunotherapy; cancer molecular pharmacology and chemotherapy; drug sensitivity and resistance; cancer epidemiology; clinical trials; cancer pathology; radiobiology and radiation oncology; solid tumor oncology; hematological malignancies; surgical oncology; pediatric oncology; molecular oncology and cancer genes; gene therapy; cancer endocrinology; cancer metastasis; prevention and diagnosis of cancer; other cancer related subjects. The types of manuscripts accepted are original article, review, editorial, short communication, case report, letter to the editor, book review.
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