诊断学理论与实践 ›› 2022, Vol. 21 ›› Issue (04): 490-496.doi: 10.16150/j.1671-2870.2022.04.012
收稿日期:
2022-06-15
出版日期:
2022-08-25
发布日期:
2022-11-07
通讯作者:
王学锋,王侃侃
E-mail:wxf63@shsmu.edu.cn;kankanwang@shsmu.edu.cn
基金资助:
MA Xuefei1,2, WANG Xuefeng1(), WANG Kankan2()
Received:
2022-06-15
Online:
2022-08-25
Published:
2022-11-07
Contact:
WANG Xuefeng,WANG Kankan
E-mail:wxf63@shsmu.edu.cn;kankanwang@shsmu.edu.cn
摘要:
目的:探讨浆细胞瘤变异体易位1(plasmacytoma variant translocation 1,PVT1)和MYC基因在泛癌组织中的表达水平,及其对患者生存期的预测价值。方法:从癌症基因组图谱(The Cancer Genome Atlas, TCGA)数据库获取31种共计10 016例癌症患者的临床资料以及转录组RNA测序数据,其中23种癌症组织标本有相应的癌旁正常组织对照。应用t检验比较PVT1、MYC基因在23种癌症组织与癌旁正常对照样本中的表达水平差异。采用Spearman相关性分析PVT1与MYC基因在31种癌症中表达的相关性。应用Kaplan-Meier方法和Cox比例风险模型,分别在31种癌症中分析PVT1、MYC基因的表达水平与患者总体生存期的关系。结果:PVT1的表达水平在19种癌症组织中显著增高(P<0.05);在2种癌症组织中显著降低(P<0.05)。MYC的表达水平在7种癌症组织中显著升高(P<0.05);在6种癌症组织中降低(P<0.05)。相关性分析发现,在约87%(27/31)的癌症类型中,PVT1与MYC基因的表达水平呈正相关(Rho>0, P<0.01)。总体生存期分析表明,PVT1相对高表达在膀胱尿路上皮细胞癌、乳腺浸润癌、肾上腺皮质癌、肾透明细胞癌、乳头状肾细胞癌、低级别胶质瘤、前列腺癌、睾丸生殖细胞肿瘤以及葡萄膜黑色素瘤中与较短的总体生存期显著相关(log-rank P<0.05);MYC基因相对高表达在肾上腺皮质癌、膀胱尿路上皮细胞癌、宫颈鳞状细胞癌、头颈部鳞状细胞癌、乳头状肾细胞癌、卵巢浆液性囊腺癌、胰腺癌以及肉瘤中与较短的总体生存期显著相关(log-rank P<0.05),而在低级别胶质瘤及直肠腺癌中,MYC基因相对高表达组的总体生存期显著长于相对低表达组(log-rank P<0.05)。结论:PVT1在癌症组织中表达升高相比MYC基因而言更具有普遍性。在多种癌症中,PVT与MYC基因的表达相关,提示两者在功能调控中可能存在联系。此外,在9种癌症中,PVT1相对高表达患者的总体生存期较短,而MYC基因的表达情况在不同癌症中对患者总体生存期的影响存在差异。
中图分类号:
马雪菲, 王学锋, 王侃侃. 浆细胞瘤变异体易位1和MYC基因在泛癌中的表达及生存期预测价值分析[J]. 诊断学理论与实践, 2022, 21(04): 490-496.
MA Xuefei, WANG Xuefeng, WANG Kankan. Pan-cancer analysis of plasmacytoma variant translocation 1 and MYC gene expression pattern and survival prediction[J]. Journal of Diagnostics Concepts & Practice, 2022, 21(04): 490-496.
表1
PVT1在泛癌组织及癌旁正常对照中的差异表达情况
肿瘤类型 | 英文全称 | 中文名称 | 正常样本数量 | 肿瘤样本数量 | 表达差异P值 | 肿瘤中表达 |
---|---|---|---|---|---|---|
BLCA | Bladder urothelial carcinoma | 膀胱尿路上皮细胞癌 | 19 | 414 | <0.001 | 升高 |
BRCA | Breast invasive carcinoma | 乳腺浸润癌 | 113 | 1 102 | <0.001 | 升高 |
CESC | Cervical squamous cell carcinoma | 宫颈鳞状细胞癌 | 3 | 304 | <0.001 | 升高 |
CHOL | Cholangiocarcinoma | 胆管癌 | 9 | 36 | <0.001 | 升高 |
COAD | Colon adenocarcinoma | 结肠腺癌 | 41 | 478 | <0.001 | 升高 |
ESCA | Esophageal carcinoma | 食管癌 | 11 | 161 | <0.001 | 升高 |
GBM | Glioblastoma multiforme | 多形性胶质母细胞瘤 | 5 | 156 | <0.001 | 升高 |
HNSC | Head and neck squamous cell carcinoma | 头颈部鳞状细胞癌 | 44 | 500 | <0.001 | 升高 |
KICH | Kidney chromophobe | 肾嫌色细胞癌 | 24 | 65 | 0.022 | 升高 |
KIRC | Kidney renal clear cell carcinoma | 肾透明细胞癌 | 72 | 538 | <0.001 | 升高 |
KIRP | Kidney renal papillary cell carcinoma | 乳头状肾细胞癌 | 32 | 288 | <0.001 | 升高 |
LIHC | Liver hepatocellular carcinoma | 肝细胞癌 | 50 | 371 | <0.001 | 升高 |
LUAD | Lung adenocarcinoma | 肺腺癌 | 59 | 533 | <0.001 | 升高 |
LUSC | Lung squamous cell carcinoma | 肺鳞状细胞癌 | 49 | 502 | <0.001 | 升高 |
PAAD | Pancreatic adenocarcinoma | 胰腺癌 | 4 | 177 | 0.762 | 无统计学意义 |
PRAD | Prostate adenocarcinoma | 前列腺癌 | 51 | 498 | <0.001 | 升高 |
PCPG | Pheochromocytoma and paraganglioma | 嗜铬细胞瘤和副神经节瘤 | 3 | 178 | 0.001 | 降低 |
READ | Rectum adenocarcinoma | 直肠腺癌 | 10 | 166 | <0.001 | 升高 |
SARC | Sarcoma | 肉瘤 | 2 | 259 | 0.178 | 无统计学意义 |
STAD | Stomach adenocarcinoma | 胃腺癌 | 32 | 375 | <0.001 | 升高 |
THCA | Thyroid carcinoma | 甲状腺癌 | 58 | 502 | 0.046 | 降低 |
THYM | Thymoma | 胸腺瘤 | 2 | 119 | <0.001 | 升高 |
UCEC | Uterine corpus endometrial carcinoma | 子宫内膜癌 | 35 | 551 | <0.001 | 升高 |
表2
MYC表达水平与总体生存期的关系
Cancer types | 中文名称 | 数量(相对高表达组) | 数量(相对低表达组) | Log-rank P值 | HR (high) | P (HR)值 |
---|---|---|---|---|---|---|
ACC | 肾上腺皮质癌 | 38 | 38 | 1.7E-4 | 4.9 | 6.3E-4 |
BLCA | 膀胱尿路上皮细胞癌 | 201 | 201 | 8.8E-3 | 1.5 | 9.2E-3 |
CESC | 宫颈鳞状细胞癌 | 146 | 146 | 3.9E-3 | 2 | 4.6E-3 |
HNSC | 头颈部鳞状细胞癌 | 259 | 259 | 0.028 | 1.3 | 0.029 |
KIRP | 乳头状肾细胞癌 | 141 | 141 | 0.041 | 1.9 | 0.046 |
LGG | 低级别胶质瘤 | 257 | 257 | 2.6E-3 | 0.58 | 2.9E-3 |
OV | 卵巢浆液性囊腺癌 | 212 | 212 | 0.029 | 1.3 | 0.029 |
PAAD | 胰腺癌 | 89 | 89 | 8.5E-3 | 1.7 | 9.1E-3 |
READ | 直肠腺癌 | 46 | 46 | 0.014 | 0.29 | 0.021 |
SARC | 肉瘤 | 131 | 131 | 0.004 | 1.8 | 4.7E-3 |
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