贵州医科大学学报

2019, v.44;No.230(11) 1254-1261

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可变剪接在肺腺癌预后中的价值
The Role of Alternative Splicing in the Prognosis of Lung Adenocarcinoma

张世超,欧阳燕,兰应武,唐福州,胡祖权,曾柱
ZHANG Shichao,OUYANG Yan,LAN Yingwu,TANG Fuzhou,HU Zuquan,ZENG Zhu

摘要(Abstract):

目的:探讨可变剪接在肺腺癌预后中的作用。方法:在TCGA数据库中收集474例肺腺癌组织的RNA-seq数据,绘制可变剪接图谱;通过单因素Cox回归分析确定肺腺癌中存活相关的剪接事件,再利用最小绝对收缩模型筛选用于监测存活的预后因子;收集5例肺腺癌患者的癌组织,采用PCR扩增及琼脂糖凝胶电泳检测CHEK1、KIF23、MCM7和FN1的mRNA亚型条带。结果:在肺腺癌中存在着大量的可变剪接事件并与预后相关,包括CHEK1、KIF23、MCM7和FN1,通过生物信息学利用可变剪接事件构建了高效的风险预测模型;KEGG途径分析表明,主要富集的基因与""regulation of autophagy"、"central carbon metabolism in cancer"和"cell cycle"有关;5例肺腺癌患者的癌组织PCR扩增结果显示,可变剪接核心基因CHEK1、KIF23、FN1确实存在CHEK1-AP-19309、KIF23-AP-31390、FN1-ES-57398等剪接体。结论:可变剪接事件可作为预测肺腺癌患者临床结果的指标,可为肺腺癌患者制定个体化治疗方案提供依据。
Objective: To explore the relationship between alternative splicing and prognosis of lung adenocarcinoma. Methods: Integrative analysis of RNA sequencing and clinical information were utilized to identify survival associated splicing events in lung adenocarcinoma. Then, several prognosis-related splicing events were submitted to develop moderate predictors for survival monitoring by using least absolute shrinkage and selection operator model. Results: There are a large number of alternative splicing events in lung adenocarcinoma, which are related to prognosis,including CHEK1, KIF23, MCM7 and FN1. We constructed an efficient risk prediction model using alternative splicing events. KEGG pathway analysis showed that the major enriched genes were "regulation of autophagy", "carbon metabolism in cancer" and "cell cycle". Conclusion: Alternative splicing events could be used as a prognostic indicator for predicting the clinical outcomes of patients with lung adenocarcinoma, providing individualized treatments with important clinical significance for patients with lung adenocarcinoma.

关键词(KeyWords): 肺肿瘤;预后;肺腺癌;可变剪接;临床结果;核心基因
lung neoplasms;prognosis;lung adenocarcinoma;alternative splicing;clinical outcome;core genes

Abstract:

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基金项目(Foundation): 国家自然科学基金项目(31771014,11762006,31660258);; 贵州省科技计划项目(2019-1275,2019-2787);; 贵州医科大学博士启动基金(YJ2017-10)

作者(Author): 张世超,欧阳燕,兰应武,唐福州,胡祖权,曾柱
ZHANG Shichao,OUYANG Yan,LAN Yingwu,TANG Fuzhou,HU Zuquan,ZENG Zhu

DOI: 10.19367/j.cnki.1000-2707.2019.11.003

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