揭示JAK/STAT信号通路相关基因在结直肠癌中的预后价值:孟德尔随机化分析研究

IF 3.1 2区 医学 Q3 IMMUNOLOGY
Nan Zhang, Wenli Yue, Bihang Jiao, Duo Cheng, Jingjing Wang, Fang Liang, Yingnan Wang, Xiyue Liang, Kunkun Li, Junwei Liu, Yadong Li
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引用次数: 0

摘要

背景:结直肠癌(Colorectal cancer, CRC)是影响胃肠道的常见恶性肿瘤之一。本研究旨在探索结直肠癌JAK-STAT信号通路相关基因,建立新的预后模型。方法:本研究使用的数据集来自公共数据库。通过差异表达分析和加权基因共表达网络分析(WGCNA)鉴定jak - stat差异表达基因(deg)。通过孟德尔随机化(MR)、单变量Cox回归和最小绝对收缩和选择算子(LASSO)分析,从JAK-STAT-DEGs中选择预后基因。RT-qPCR检测预后相关基因的表达。然后,通过GSE39582建立风险模型并进行验证。独立的预后因素筛选潜在的风险评分和不同的临床指标,从而构建一个nomogram。此外,还进行了免疫浸润、免疫评分和免疫检查点抑制剂分析以及基因集富集分析(GSEA)。结果:将5826个crc - deg与9766个JAK-STAT关键模块基因杂交,共获得3668个JAK-STAT- deg。选择5个预后基因(ANK3、F5、FAM50B、KLHL35、MPP2),它们的表达在结直肠癌与对照组之间存在显著差异。根据预后基因构建风险模型,并通过GSE39582进行验证。此外,nomogram对CRC的预测准确度也较高。此外,免疫分析结果显示,风险评分与免疫评分(R = 0.486)、基质评分(R = 0.309)、估计值评分(R = 0.422)呈正相关。免疫检查点抑制剂ADORA2A (Cor = 0.483263)与风险评分呈正相关。其中MPP2对细胞周期通路的激活作用最强,而ANK3对细胞凋亡通路的抑制作用最强。结论:构建并验证了一个新的JAK-STAT相关的结直肠癌预后模型,该模型具有预测结直肠癌患者预后的潜在潜力,并可能增强对免疫治疗的针对性指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unveiling prognostic value of JAK/STAT signaling pathway related genes in colorectal cancer: a study of Mendelian randomization analysis.

Background: Colorectal cancer (CRC) ranks among the frequently occurring malignant neoplasms affecting the gastrointestinal tract. This study aimed to explore JAK-STAT signaling pathway related genes in CRC and establish a new prognostic model.

Methods: The data set used in this study is from a public database. JAK-STAT-differentially expressed genes (DEGs) were identified through differential expression analysis and weighted gene co-expression network analysis (WGCNA). Prognostic genes were selected from JAK-STAT-DEGs through Mendelian randomization (MR), univariate Cox regression, and least absolute shrinkage and selection operator (LASSO) analyses. The expressions of prognostic genes were verified by RT-qPCR. Then, a risk model was built and validated by the GSE39582. Independent prognostic factors were screened underlying risk scores and different clinical indicators, resulting in the construction of a nomogram. Additionally, immune infiltration, immune scores and immune checkpoint inhibitors analyses and gene set enrichment analysis (GSEA) were carried out.

Results: The 3,668 JAK-STAT-DEGs were obtained by intersection of 5826 CRC-DEGs and 9766 JAK-STAT key module genes. Five prognostic genes were selected (ANK3, F5, FAM50B, KLHL35, MPP2), and their expressions were significantly different between CRC and control groups. A risk model was constructed according to prognostic genes and verified by GSE39582. In addition, the nomogram exhibited superior predictive accuracy for CRC. Furthermore, immune analysis results indicated a notable positive correlation between risk score and the scores of immune (R = 0.486), stromal (R = 0.309), and ESTIMATE (R = 0.422). Immune checkpoint inhibitor ADORA2A (Cor = 0.483263) exhibited the strongest positive correlation with risk score. And MPP2 exhibited the most potent activating influence on the cell cycle pathway, whereas ANK3 demonstrated the most significant inhibitory effect within the apoptosis pathway.

Conclusions: A new JAK-STAT related CRC prognostic model was constructed and validated, which possessed an underlying predictive potential for CRC patients' prognosis and could potentially enhance tailored guidance for immunotherapy.

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来源期刊
Infectious Agents and Cancer
Infectious Agents and Cancer ONCOLOGY-IMMUNOLOGY
CiteScore
5.80
自引率
2.70%
发文量
54
期刊介绍: Infectious Agents and Cancer is an open access, peer-reviewed online journal that encompasses all aspects of basic, clinical, epidemiological and translational research providing an insight into the association between chronic infections and cancer. The journal welcomes submissions in the pathogen-related cancer areas and other related topics, in particular: • HPV and anogenital cancers, as well as head and neck cancers; • EBV and Burkitt lymphoma; • HCV/HBV and hepatocellular carcinoma as well as lymphoproliferative diseases; • HHV8 and Kaposi sarcoma; • HTLV and leukemia; • Cancers in Low- and Middle-income countries. The link between infection and cancer has become well established over the past 50 years, and infection-associated cancer contribute up to 16% of cancers in developed countries and 33% in less developed countries. Preventive vaccines have been developed for only two cancer-causing viruses, highlighting both the opportunity to prevent infection-associated cancers by vaccination and the gaps that remain before vaccines can be developed for other cancer-causing agents. These gaps are due to incomplete understanding of the basic biology, natural history, epidemiology of many of the pathogens that cause cancer, the mechanisms they exploit to cause cancer, and how to interrupt progression to cancer in human populations. Early diagnosis or identification of lesions at high risk of progression represent the current most critical research area of the field supported by recent advances in genomics and proteomics technologies.
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