纤维连接蛋白1在胃癌中的表达及临床意义
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  • 英文篇名:Expression of FN1 in gastric cancer and its clinical significance
  • 作者:孙阳 ; 赵春临
  • 英文作者:SUN Yang;ZHAO Chun-lin;Department of Gastrointestinal Surgery,First Affiliated Hospital of Zhengzhou University;
  • 关键词:胃癌 ; 人类肿瘤相关基因表达汇编数据库 ; 癌症基因组图谱数据库 ; 纤维连接蛋白1 ; 预后 ; 基因集
  • 英文关键词:gastric cancer;;the cancer genome atlas;;the gene expression omnibus;;fibronectin 1;;prognosis;;gene set
  • 中文刊名:JLYB
  • 英文刊名:Journal of Medical Postgraduates
  • 机构:郑州大学第一附属医院胃肠外科;
  • 出版日期:2019-06-15
  • 出版单位:医学研究生学报
  • 年:2019
  • 期:v.32;No.266
  • 语种:中文;
  • 页:JLYB201906015
  • 页数:5
  • CN:06
  • ISSN:32-1574/R
  • 分类号:75-79
摘要
目的纤维连接蛋白1(FN1)参与癌症发生发展的机制尚不清楚。文章旨在研究FN1在胃癌组织中的表达和临床病理意义,并探讨FN1作用机制。方法采用人类肿瘤相关基因表达汇编(GEO)数据库和癌症基因组图谱(TCGA)数据库,下载GSE54129、GSE29272和TCGA数据分析胃癌与癌旁组织FN1的表达。根据TCGA表达谱数据及FN1表达分为:低表达(<-0.475)、中表达(-0.475~1.036)、高表达(>1.036)。分析FN1在胃癌组织中的表达和临床病理关系;应用TCGA数据和Kaplan Meier在线分析FN1的表达水平与胃癌患者的预后关系;TCGA数据采用基因集富集分析(GSEA)方法预测FN1的相关通路。结果 FN1低、中、高表达的中位生存时间分别为63.5、55.7和39.4个月,低表达和高表达者中位生存时间差异具有统计学意义(P<0.01)。Kaplan-Meier Plotter在线数据集分析结果显示,FN1高表达者中位生存时间短于低表达者(P<0.01),即FN1表达越高,预后越差。FN1的表达是胃癌患者的独立预后因素(HR=0.480,95%CI:0.336~0.686)。FN1高表达样本富集到KRAS(FDR=0.0025)、P53(FDR=0.0052)、TGF-β(FDR=0.0052)、细胞黏附(FDR=0.0)、细胞外基质(FDR=0.0043)、骨架蛋白调控(FDR=0.0057)等基因集(P均<0.01)。结论 FN1的高表达是胃癌预后不良的因素,可作为预测胃癌转移和预后的有效生物标志物。FN1高表达导致KRAS、P53、TGF-β、ECM、细胞黏附和细胞骨架蛋白调节通路异常可能是其作用机制。
        Objective Fibronectin 1(FN1)is a glycoprotein involved in cellular adhesion and migration processes. The aim of this study was to investigate the expression and clinicopathological significance of FN1 in gastric cancer and to predict the possible mechanism of FN1.Methods GEO data and TCGA data were downloaded. FN1 expression in gastric cancer and adjacent tissues was analyzed by GSE54129 data,and then verified by GSE29272 and TCGA data. According to the expression profile data and FN1 expression,mRNA expression value was divided into low expression(<-0.475),and medium expression(-0.475~1.036),high expression(>1.036). FN1 expression in gastric cancer and clinicopathological relationship were analyzed. TCGA data and Kaplan Meier were used to analyze the relationship between the expression level of FN1 and the prognosis of gastric cancer patients;while gene concentration analysis(GSEA)was used to predict the related path of FN1.Results TCGA data showed the medium survival time of low,medium,high FN1 expression was respectively 63.5,55.7,39.4 months,and the difference between low expression and high expression in survival time was of statistical significance. Kaplan Meier Plotter online data analysis showed the medium survival time of FN1 high expression was shorter than that of low expression(P<0.01),which meant the higher the FN1 expression was,the worse the prognosis was. FN1 expression is an independent prognostic factor(HR=0.480,95% CI:0.336~0.686). High expression of FN1 samples enriched gene sets such as KRAS(FDR=0.052),P53(FDR=0.052),TGF-β(FDR=0.052),cell adhesion(FDR=0.0),extracellular matrix(FDR=0.043)and cytoskeletal protein regulation(FDR=0.052).Conclusion The high expression of FN1 is a poor prognostic factor for gastric cancer and can be used as an effective biomarker for predicting the metastasis and prognosis of gastric cancer. High expression of FN1 leads to abnormalities in KRAS,P53,TGF-β,ECM,cell adhesion and cytoskeletal protein regulatory pathways.
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