目的:结直肠癌(CRC)起源于结肠中预先存在的息肉。CRC的不同亚型的发展受到各种遗传和表观遗传特征的影响。CpG岛甲基化物表型(CIMP)在约15-20%的散发性CRC中发现,并与某些基因启动子的超甲基化有关。这项研究旨在寻找预后基因,并比较它们的表达和甲基化状态作为锯齿状无蒂腺瘤/息肉(SSAP)和CRC患者的潜在生物标志物。为了评估哪一个,一个是更好的疾病预测指标。
方法:本研究采用多阶段方法研究与CRC和SSAP相关的基因。最初,使用R和Limma软件包分析了两个基因表达数据集以鉴定差异表达基因(DEGs)。维恩图分析进一步细化了选择,从Weissenberg面板中揭示了四个具有显著变化的基因。这些基因,进行了彻底的计算机评估。一旦确认,他们进行了湿实验室实验,关注表达和甲基化状态。这种全面的方法确保了对涉及CRC和SSAP的基因的可靠检查。
结果:这项研究确定了癌症特异性基因,在SSAP和CRC组织中有8,351和1,769个基因特异性下调,分别。下调的基因与细胞粘附有关,负调节细胞增殖,和药物反应。Weissenberg小组中四个高度下调的基因,包括CACNA1G,IGF2、MLH1和SOCS1。体外分析表明,它们在SSAP和CRC样品中均高度甲基化,而它们的表达仅在CRC样品中降低。
结论:这表明基因表达的减少可能有助于确定息肉是否会癌变。在预后测试中使用Weissenberg小组中基因的甲基化状态和基因表达状态可能会为患者带来更好的预后。
OBJECTIVE: Colorectal cancer (CRC) originates from pre-existing polyps in the colon. The development of different subtypes of CRC is influenced by various genetic and epigenetic characteristics. CpG island methylator phenotype (CIMP) is found in about 15-20% of sporadic CRCs and is associated with hypermethylation of certain gene promoters. This study aims to find prognostic genes and compare their expression and methylation status as potential biomarkers in patients with serrated sessile adenomas/polyps (SSAP) and CRC, in order to evaluate which, one is a better predictor of disease.
METHODS: This study employed a multi-phase approach to investigate genes associated with CRC and SSAP. Initially, two gene expression datasets were analyzed using R and Limma package to identify differentially expressed genes (DEGs). Venn diagram analysis further refined the selection, revealing four genes from the Weissenberg panel with significant changes. These genes, underwent thorough in silico evaluations. Once confirmed, they proceeded to wet lab experimentation, focusing on expression and methylation status. This comprehensive methodology ensured a robust examination of the genes involved in CRC and SSAP.
RESULTS: This study identified cancer-specific genes, with 8,351 and 1,769 genes specifically down-regulated in SSAP and CRC tissues, respectively. The down-regulated genes were associated with cell adhesion, negative regulation of cell proliferation, and drug response. Four highly downregulated genes in the Weissenberg panel, including CACNA1G, IGF2, MLH1, and SOCS1. In vitro analysis showed that they are hypermethylated in both SSAP and CRC samples while their expressions decreased only in CRC samples.
CONCLUSIONS: This suggests that the decrease in gene expression could help determine whether a polyp will become cancerous. Using both methylation status and gene expression status of genes in the Weissenberg panel in prognostic tests may lead to better prognoses for patients.