原癌基因HRAS转录水平与II期和III期结直肠癌的总生存率

IF 3.1 2区 医学 Q2 ONCOLOGY
Cancer Medicine Pub Date : 2025-07-31 DOI:10.1002/cam4.71114
Donghyun Kim, Saima Sharif, Juan Antonio Raygoza Garay, Avanish S. Bhakta, Patrick M. Boland, Michael J. Cavnar, Michelle L. Churchman, Hassan Hatoum, Lyen C. Huang, Joseph Kim, Richard Kim, Robert W. Lentz, Sarbajit Mukherjee, Mary T. O'Donnell, Benjamin Quartey, Matthew J. Reilley, Robert J. Rounbehler, Bodour Salhia, Bryan P. Schneider, Carlos H. Chan
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引用次数: 0

摘要

背景:结直肠癌(CRC)的预后取决于突变景观。大鼠肉瘤(RAS)癌基因,如KRAS和NRAS,具有驱动突变,预示着较差的生存结果,而HRAS的病理突变极为罕见,其预后价值仍不确定。方法回顾性分析肿瘤研究信息交换网络(ORIEN)联盟在II期和III期CRC中的肿瘤RNA-Seq数据,探讨RAS基因表达与生存结局的关系。结果高转录水平的HRAS与较好的总生存期(OS)相关。在没有病理性KRAS突变的情况下,高KRAS相关的OS获益在右侧原发表达低KRAS转录物水平的患者中最为明显。与RAS家族基因原致癌的观点相反,本研究表明,在II期和III期CRC中,高HRAS转录物水平与较好的OS相关。HRAS作为预后生物标志物的潜力有待进一步探索。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Proto-Oncogene HRAS Transcript Level and Overall Survival in Stages II and III Colorectal Cancer

Proto-Oncogene HRAS Transcript Level and Overall Survival in Stages II and III Colorectal Cancer

Background

Mutational landscape is prognostic in colorectal cancer (CRC). Rat sarcoma (RAS) oncogenes, such as KRAS and NRAS, with driver mutations, portend poor survival outcomes, whereas pathologic mutations in HRAS are extremely rare, and their prognostic value remains uncertain.

Methods

This retrospective study analyzed the Oncology Research Information Exchange Network (ORIEN) alliance tumor RNA-Seq data in Stages II and III CRC to investigate the association between RAS gene expression and survival outcomes.

Results

High transcript levels of HRAS were associated with superior overall survival (OS). The high HRAS-associated OS benefit was most pronounced in patients with right-sided primary expressing low KRAS transcript levels in the absence of pathologic KRAS mutations.

Conclusions

Contrary to the notion that RAS family genes are proto-oncogenic, this study demonstrates that high HRAS transcript levels are associated with superior OS in Stages II and III CRC. The potential of HRAS as a prognostic biomarker should be explored further.

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来源期刊
Cancer Medicine
Cancer Medicine ONCOLOGY-
CiteScore
5.50
自引率
2.50%
发文量
907
审稿时长
19 weeks
期刊介绍: Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas: Clinical Cancer Research Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations Cancer Biology: Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery. Cancer Prevention: Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach. Bioinformatics: Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers. Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.
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