Immune

免疫
  • 文章类型: Journal Article
    微塑料的广泛使用及其对环境的有害影响已成为严重关切。然而,微塑料对哺乳动物免疫系统的影响,尤其是他们的后代,很少受到关注。在这项研究中,在泌乳期间向雄性小鼠口服施用聚苯乙烯微塑料(PS-MPs)。流式细胞术用于评估成年雄性小鼠及其后代脾脏中的免疫细胞。结果表明,暴露于PS-MPs的小鼠脾脏重量增加,B和调节性T细胞(Tregs)数量增加,无论剂量。此外,PS-MPs暴露组的F1雄性后代脾脏增大;B细胞数量增加,T辅助细胞(Th细胞),和Tregs;以及T辅助细胞17(Th17细胞)与Tregs和T辅助细胞1(Th1细胞)与T辅助细胞2(Th2细胞)的比率升高。这些结果提示脾脏中的促炎状态。相比之下,在接触PS-MP的F1雌性后代中,脾免疫细胞的变化不太明显。在暴露于PS-MPs的F2代小鼠中,在脾免疫细胞和形态学中观察到最小的改变。总之,我们的研究表明,在雄性小鼠泌乳期间暴露于真实人类剂量的PS-MPs改变了免疫状态,可以传给F1后代,但不能代代相传。
    The widespread use of microplastics and their harmful effects on the environment have emerged as serious concerns. However, the effect of microplastics on the immune system of mammals, particularly their offspring, has received little attention. In this study, polystyrene microplastics (PS-MPs) were orally administered to male mice during lactation. Flow cytometry was used to assess the immune cells in the spleens of both adult male mice and their offspring. The results showed that mice exposed to PS-MPs exhibited an increase in spleen weight and an elevated number of B and regulatory T cells (Tregs), irrespective of dosage. Furthermore, the F1 male offspring of the PS-MPs-exposed group had enlarged spleens; an increased number of B cells, T helper cells (Th cells), and Tregs; and an elevated ratio of T helper cells 17 (Th17 cells) to Tregs and T helper cells 1 (Th1 cells) to T helper cells 2 (Th2 cells). These results suggested a pro-inflammatory state in the spleen. In contrast, in the F1 female offspring exposed to PS-MPs, the changes in splenic immune cells were less pronounced. In the F2 generation of mice with exposed to PS-MPs, minimal alterations were observed in spleen immune cells and morphology. In conclusion, our study demonstrated that exposure to real human doses of PS-MPs during lactation in male mice altered the immune status, which can be passed on to F1 offspring but is not inherited across generations.
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  • 文章类型: Journal Article
    间隙连接蛋白β3(GJB3)在大多数肿瘤中被报道为肿瘤抑制因子。然而,其在肺腺癌(LUAD)中的作用尚不清楚。本研究旨在探讨GJB3在LUAD患者预后及肿瘤微环境中的作用。本研究中使用的数据来自癌症基因组图谱,基因表达综合,和imvolvoc210队列。我们发现LUAD患者中GJB3表达增加,并与LUAD分期相关。GJB3高表达的LUAD患者预后较差。在GJB3高组中共有164条通路被显著激活。GJB3表达与9种转录因子呈正相关,可能受hsa-miR-6511b-5p负调控。最后,我们发现GJB3高组和GJB3低组的免疫细胞浸润和免疫检查点表达不同.总之。GJB3在LUAD患者中表现出高表达水平,GJB3表达升高的患者表现出不利的预后。此外,GJB3与免疫细胞浸润之间存在相关性,以及LUAD患者的免疫检查点表达。
    Gap junction protein beta 3 (GJB3) has been reported as a tumor suppressor in most tumors. However, its role in lung adenocarcinoma (LUAD) remains unknown. The purpose of this study is to explore the role of GJB3 in the prognosis and tumor microenvironment of LUAD patients. The data used in this study were acquired from The Cancer Genome Atlas, Gene Expression Omnibus, and imvigor210 cohorts. We found that GJB3 expression was increased in LUAD patients and correlated with LUAD stages. LUAD patients with high GJB3 expression exhibited a worse prognosis. A total of 164 pathways were significantly activated in the GJB3 high group. GJB3 expression was positively associated with nine transcription factors and might be negatively regulated by hsa-miR-6511b-5p. Finally, we found that immune cell infiltration and immune checkpoint expression were different between the GJB3 high and GJB3 low groups. In summary. GJB3 demonstrated high expression levels in LUAD patients, and those with elevated GJB3 expression displayed unfavorable prognoses. Additionally, there was a correlation between GJB3 and immune cell infiltration, as well as immune checkpoint expression in LUAD patients.
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  • 文章类型: Journal Article
    ELF4(E74样因子4)是一种转录因子,其失调与致癌作用和癌症发展有关。然而,ELF4在神经胶质瘤病理中的确切作用及其对临床结局的影响仍有待研究.在目前的研究中,综合分析显示,神经胶质瘤组织中ELF4的表达升高与恶性表型和不良临床结局相关.多变量Cox回归分析确定ELF4表达可以作为神经胶质瘤预后的可靠预测因子。(CGGA,风险比[HR]:1.21,95%置信区间[CI]:1.09-1.34,p<0.001;TCGA,HR:1.19,95CI:1.01-1.41,p=0.043;Gravendeel,HR:1.44,95CI:1.15-1.80,p=0.002)。敲除ELF4降低了神经胶质瘤细胞的体外活力和迁移能力。除了肿瘤的侵袭作用,富集分析显示过表达的ELF4参与免疫调节,以Il6/Jak/Stat3信号传导的活性升高为特征,干扰素α(IFN-α)反应,和IL2/Stat5信令。单细胞RNA测序(scRNA)-seq和空间转录组(ST)-seq分析显示,ELF4可以诱导肿瘤相关单核细胞/巨噬细胞(TAMM)的重编程。分子对接分析显示ELF4可能被药物/化合物靶向,包括Veliparib(ABT-888),Motesanib(AMG706),和EHT1864。基因组分析显示,在LGG,在低ELF4表达亚组中,IDH1表现出更高的突变率,TP53和ATRX染色质重塑因子(ATRX)显示出较低的突变率,比ELF4高表达组。结论:我们的研究表明,ELF4可能有助于胶质瘤的预后评估和个性化医疗。
    ELF4 (E74-like factor 4) is a transcription factor, dysregulation of which has been associated with carcinogenesis and cancer development. Nevertheless, the precise role of ELF4 in glioma pathology and its impact on clinical outcomes remains to be investigated. In the present research, comprehensive analyses demonstrated that elevated expression of ELF4 in glioma tissues correlates with malignant phenotypes and adverse clinical outcomes. Multivariate Cox regression analysis determined that ELF4 expression could serve as a reliable predictor of glioma outcomes. (CGGA, hazard ratio [HR]: 1.21, 95% confidence interval [CI]: 1.09-1.34, p<0.001; TCGA, HR: 1.19, 95%CI: 1.01-1.41, p=0.043; and Gravendeel, HR: 1.44, 95%CI: 1.15-1.80, p=0.002). Knockdown of ELF4 reduced the cell viability and migration capacity of glioma cells in vitro. In addition to the tumor invasive role, enrichment analysis revealed the overexpressed ELF4 was involved in the immune regulation, characterized by the elevated activity of Il6/Jak/Stat3 signaling, interferon alpha (IFN-α) response, and IL2/Stat5 signaling. Single-cell RNA sequencing (scRNA)-seq and spatial transcriptome (ST)-seq analyses revealed that ELF4 could induce reprogramming of tumor-associated monocytes/macrophages (TAMMs). Molecular docking analysis revealed ELF4 might be targeted by drugs/compounds, including Veliparib (ABT-888), Motesanib (AMG 706), and EHT 1864. Genomic analysis revealed that, in LGG, in the low ELF4 expression subgroup, IDH1 demonstrated a higher mutation rate, and TP53 and ATRX Chromatin Remodeler (ATRX) displayed the lower mutation rates, than the high ELF4 expression group. Conclusion: Our research suggests that ELF4 may contribute to the prognostic assessment of glioma and personalized medicine.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    炎症和免疫因素是椎间盘退变(IDD)的核心,但IDD的免疫环境和表观遗传调控过程仍不清楚。本研究旨在确定IDD的免疫相关诊断候选基因,寻找IDD的潜在发病机制和治疗靶点。
    从基因表达综合(GEO)获得基因表达数据集。通过加权基因相关网络分析(WGCNA)和用于微阵列数据分析的线性模型(Limma)鉴定差异表达免疫基因(Imm-DEGs)。LASSO算法用于识别与IDD相关的特征基因,将其与PPI网络中的核心节点基因进行比较以获得集线器基因。根据枢纽基因的系数,建立了风险模型,并通过受试者工作特征(ROC)分析进一步评估了hub基因的诊断价值。Xcell,一种免疫细胞分析工具,用于估计免疫细胞的浸润。最后,将髓核细胞与巨噬细胞共培养,以创建M1巨噬细胞免疫炎症环境,并验证了hub基因的变化。
    结合WGCNA和Limma基因差异分析的结果,总共鉴定出30Imm-DEG。Imm-DEGs富含与免疫和炎症相关的多种途径。LASSO算法从Imm-DEG中鉴定出10个显著影响IDD的特征基因,在与Imm-DEG的PPI网络中的核心节点基因进行比较后,6个hub基因(NR1H3、SORT1、PTGDS、AGT,测定了IRF1、TGFB2)。ROC曲线和外部数据集验证结果表明,6个hub基因构建的风险模型对IDD具有较高的诊断价值。免疫细胞浸润分析显示退行性髓核组织中存在各种失调的免疫细胞。体外实验成果显示NR1H3、SORT1、PTGDS、IRF1、TGFB2在免疫炎症环境中髓核细胞表达上调,但AGT变化不显著。
    中枢基因NR1H3、SORT1、PTGDS、IRF1和TGFB2可用作IDD的免疫相关生物标志物,可能是IDD免疫调节治疗的潜在靶点。
    UNASSIGNED: Inflammation and immune factors are the core of intervertebral disc degeneration (IDD), but the immune environment and epigenetic regulation process of IDD remain unclear. This study aims to identify immune-related diagnostic candidate genes for IDD, and search for potential pathogenesis and therapeutic targets for IDD.
    UNASSIGNED: Gene expression datasets were obtained from the Gene Expression Omnibus (GEO). Differential expression immune genes (Imm-DEGs) were identified through weighted gene correlation network analysis (WGCNA) and linear models for microarray data analysis (Limma). LASSO algorithm was used to identify feature genes related to IDD, which were compared with core node genes in PPI network to obtain hub genes. Based on the coefficients of hub genes, a risk model was constructed, and the diagnostic value of hub genes was further evaluated through receiver operating characteristic (ROC) analysis. Xcell, an immunocyte analysis tool, was used to estimate the infiltration of immune cells. Finally, nucleus pulposus cells were co-cultured with macrophages to create an M1 macrophage immune inflammatory environment, and the changes of hub genes were verified.
    UNASSIGNED: Combined with the results of WGCNA and Limma gene differential analysis, a total of 30 Imm-DEGs were identified. Imm-DEGs enriched in multiple pathways related to immunity and inflammation. LASSO algorithm identified 10 feature genes from Imm-DEGs that significantly affected IDD, and after comparison with core node genes in the PPI network of Imm-DEGs, 6 hub genes (NR1H3, SORT1, PTGDS, AGT, IRF1, TGFB2) were determined. Results of ROC curves and external dataset validation showed that the risk model constructed with the 6 hub genes had high diagnostic value for IDD. Immunocyte infiltration analysis showed the presence of various dysregulated immune cells in the degenerative nucleus pulposus tissue. In vitro experimental results showed that the gene expression of NR1H3, SORT1, PTGDS, IRF1, and TGFB2 in nucleus pulposus cells in the immune inflammatory environment was up-regulated, but the change of AGT was not significant.
    UNASSIGNED: The hub genes NR1H3, SORT1, PTGDS, IRF1, and TGFB2 can be used as immunorelated biomarkers for IDD, and may be potential targets for immune regulation therapy for IDD.
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  • 文章类型: Journal Article
    创伤是各种微生物感染和包括事故在内的身体损害的常见命运,手术,和烧伤。作为回应,一个具有强大免疫系统的健康身体通过凝血在最佳时间内治愈特定部位,炎症,扩散,和重塑现象。然而,由于各种疾病,特别是糖尿病和其他生理因素,如年龄,压力,等。,通过各种机制延长伤口愈合的过程,包括Akt,多元醇,和己胺途径。当前的评论彻底解释了伤口类型,正常的伤口愈合机制,和免疫系统的作用。此外,对糖尿病的机制作用也进行了全面阐述。
    Wounds are the common fates in various microbial infections and physical damages including accidents, surgery, and burns. In response, a healthy body with a potent immune system heals that particular site within optimal time by following the coagulation, inflammation, proliferation, and remodeling phenomenon. However, certain malfunctions in the body due to various diseases particularly diabetes and other physiological factors like age, stress, etc., prolong the process of wound healing through various mechanisms including the Akt, Polyol, and Hexosamine pathways. The current review thoroughly explains the wound types, normal wound healing mechanisms, and the immune system\'s role. Moreover, the mechanistic role of diabetes is also elaborated comprehensively.
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  • 文章类型: Journal Article
    本研究旨在研究胃气助推器(WQB)对老年小鼠免疫参数和抗氧化功能的影响。将50只老年小鼠随机分配到五个不同的组。将A组指定为对照组。B组的小鼠接受10mg/kg体重的左旋咪唑。C组中的每只老鼠,D和E收到0.1%,1%和2%的WQB,分别。又有十只小老鼠,指定为F组,定期喂食。根据上述方法喂养小鼠28天。结果表明,相对于对照组,1%WQB组的体重和免疫器官指数大幅上升。此外,1%WQB能提高SOD活性,降低MDA水平。WQB处理的老年小鼠空肠中CD4和sIgA的表达增加,而CD8降低。IL2和IFN-γ水平在1%WQB组中增加,与年轻小鼠组相比没有显着差异。结果表明,WQB可以提高衰老小鼠的免疫水平并增强抗氧化功能。
    This research was conducted to examine the impact of Wei Qi Booster (WQB) on immune parameters and anti-oxidative function in aged mice. Fifty aged mice were randomly assigned to five different groups. Group A was designated as the control group. Mice in Group B were receiving Levamisole at 10 mg/kg body weight. Each mouse in groups C, D and E received 0.1, 1, and 2% WQB, respectively. Another ten young mice, designated as group F, were fed regularly. The mice were fed according to the above methods for 28 days. Results showed that relative to the control group, the body weight and immune organs indexes experienced a substantial rise in the group with 1% WQB. In addition, 1% WQB could improve the activity of SOD and reduce the MDA levels. Expressions of CD4 and sIgA increased while CD8 decreased in the jejunum of aged mice treated with WQB. IL2 and IFN-γ levels increased in the 1% WQB group, showing no notable difference compared to the young mice group. The results demonstrated that WQB can elevate immune levels and enhance anti-oxidative functions in aged mice.
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  • 文章类型: Journal Article
    缺陷(d)DNA错配修复(MMR)是预测实体瘤中对PD-1阻断免疫疗法的更好响应的生物标志物。dMMR可由MMR基因突变或蛋白质失活引起,可以通过测序和免疫组织化学检测,分别。探讨dMMR在弥漫大B细胞淋巴瘤(DLBCL)中的作用,MMR基因突变和MSH6,MSH2,MLH1和PMS2蛋白的表达通过靶向下一代测序和免疫组织化学在接受标准化学免疫疗法治疗的大量DLBCL患者中进行评估。并与通过荧光多重免疫组织化学和基因表达谱定量的肿瘤免疫微环境特征相关。结果表明,遗传dMMR在DLBCL中很少发生,并且与癌症基因突变增加和良好的免疫微环境显着相关,但不影响预后。表型dMMR也很少见,MMR蛋白在DLBCL中普遍表达。然而,瘤内异质性存在,并且具有表型dMMR的DLBCL细胞增加与T细胞和PD-1T细胞显着增加相关,T细胞和PAX5+细胞之间的平均最近邻距离更高,上调的免疫基因签名,LE4和LE7生态型及其潜在的Ecotyper定义的细胞状态,提示增加的T细胞仅靶向dMMR的肿瘤细胞亚群的可能性。仅在MYCDLBCL患者中,MSH6/PMS2高表达对预后有显著影响.这项研究显示了遗传/表型dMMR在DLBCL中的免疫学和预后作用,并提出了一个问题,即DLBCL浸润性PD-1+T细胞是否仅靶向肿瘤亚克隆,与PD-1阻断免疫疗法在DLBCL中的疗效相关。
    Deficient (d) DNA mismatch repair (MMR) is a biomarker predictive of better response to PD-1 blockade immunotherapy in solid tumors. dMMR can be caused by mutations in MMR genes or by protein inactivation, which can be detected by sequencing and immunohistochemistry, respectively. To investigate the role of dMMR in diffuse large B-cell lymphoma (DLBCL), MMR gene mutations and expression of MSH6, MSH2, MLH1, and PMS2 proteins were evaluated by targeted next-generation sequencing and immunohistochemistry in a large cohort of DLBCL patients treated with standard chemoimmunotherapy, and correlated with the tumor immune microenvironment characteristics quantified by fluorescent multiplex immunohistochemistry and gene-expression profiling. The results showed that genetic dMMR was infrequent in DLBCL and was significantly associated with increased cancer gene mutations and favorable immune microenvironment, but not prognostic impact. Phenotypic dMMR was also infrequent, and MMR proteins were commonly expressed in DLBCL. However, intratumor heterogeneity existed, and increased DLBCL cells with phenotypic dMMR correlated with significantly increased T cells and PD-1+ T cells, higher average nearest neighbor distance between T cells and PAX5+ cells, upregulated immune gene signatures, LE4 and LE7 ecotypes and their underlying Ecotyper-defined cell states, suggesting the possibility that increased T cells targeted only tumor cell subsets with dMMR. Only in patients with MYC¯ DLBCL, high MSH6/PMS2 expression showed significant adverse prognostic effects. This study shows the immunologic and prognostic effects of genetic/phenotypic dMMR in DLBCL, and raises a question on whether DLBCL-infiltrating PD-1+ T cells target only tumor subclones, relevant for the efficacy of PD-1 blockade immunotherapy in DLBCL.
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  • 文章类型: Journal Article
    Efferocytosis相关基因(ERGs)对结直肠癌(CRC)诊断的影响尚不清楚。在这项研究中,通过整合来自转录组测序和公共数据库的数据,鉴定了用于CRC诊断的细胞增殖相关生物标志物.最后,通过实时定量聚合酶链反应(RT-qPCR)验证生物标志物的表达.本研究可为CRC的诊断提供参考。
    背景:已经表明,一些有效细胞增多相关基因(ERGs)与癌症的发展有关。然而,ERGs如何影响结直肠癌(CRC)的诊断仍不确定.
    方法:在我们的研究中,CRC队列来自转录组测序和基因表达综合(GEO)数据库(GSE71187).通过结合差异表达分析,鉴定了具有CRC诊断效用的Efferocytosis相关生物标志物。机器学习算法,和接收机工作特性(ROC)分析。然后,评估CRC和对照之间免疫细胞的浸润丰度。建立调控网络(包括mRNA-miRNA-lncRNA和miRNA/转录因子(TF)-mRNA网络)。最后,通过实时定量聚合酶链反应(RT-qPCR)验证生物标志物的表达.
    结果:有3种生物标志物(ELMO3、P2RY12和PDK4)与CRC患者的诊断相关。ELMO3在CRC组中高表达,而P2RY12和PDK4低表达。此外,3个免疫细胞的浸润丰度在CRC组和对照组之间有显著差异,即激活的CD4记忆T细胞,巨噬细胞M0和静息肥大细胞。然后我们构建了一个包含3个mRNA的mRNA-miRNA-lncRNA网络,33个miRNAs,和22个lncRNAs,和包含3个mRNA的miRNA/TF-mRNA网络,33个miRNAs,和7个TFs。此外,RT-qPCR结果表明,所有生物标志物的表达趋势与转录组测序数据和GSE71187一致。
    结论:综合来看,这项研究提供了三种与红细胞增多相关的生物标志物(ELMO3,P2RY12和PDK4)用于诊断CRC,为进一步研究CRC提供科学参考。
    The impact of efferocytosis-related genes (ERGs) on the diagnosis of colorectal cancer (CRC) remains unclear. In this study, efferocytosis-associated biomarkers for the diagnosis of CRC were identified by integrating data from transcriptome sequencing and public databases. Finally, the expression of biomarkers was validated by real-time quantitative polymerase chain reaction (RT-qPCR). Our study may provide a reference for CRC diagnosis.
    BACKGROUND: It has been shown that some efferocytosis related genes (ERGs) are associated with the development of cancer. However, it is still uncertain how ERGs may influence the diagnosis of colorectal cancer (CRC).
    METHODS: In our study, the CRC cohorts were gained from transcriptome sequencing and the gene expression omnibus (GEO) database (GSE71187). Efferocytosis related biomarkers with diagnostic utility for CRC were identified through combining differentially expressed analysis, machine learning algorithms, and receiver operating characteristic (ROC) analysis. Then, infiltration abundance of immune cells between CRC and control was evaluated. The regulatory networks (including mRNA-miRNA-lncRNA and miRNA/transcription factors (TF)-mRNA networks) were created. Finally, the expression of biomarkers was validated via real-time quantitative polymerase chain reaction (RT-qPCR).
    RESULTS: There were 3 biomarkers (ELMO3, P2RY12, and PDK4) related diagnosis for CRC patients gained. ELMO3 was highly expressed in CRC group, while P2RY12 and PDK4 was lowly expressed. Besides, the infiltrating abundance of 3 immune cells between CRC and control groups was significantly differential, namely activated CD4 memory T cells, macrophages M0, and resting mast cells. We then constructed a mRNA-miRNA-lncRNA network containing 3 mRNAs, 33 miRNAs, and 22 lncRNAs, and a miRNA/TF-mRNA network including 3 mRNAs, 33 miRNAs, and 7 TFs. Additionally, RT-qPCR results revealed that the expression trends of all biomarkers were consistent with the transcriptome sequencing data and GSE71187.
    CONCLUSIONS: Taken together, this study provides three efferocytosis related biomarkers (ELMO3, P2RY12, and PDK4) for diagnosis of CRC, providing a scientific reference for further studies of CRC.
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  • 文章类型: Journal Article
    背景:胆管癌(CCA)是世界上最致命的癌症之一。它通常预后不良,并且在早期阶段难以识别。长非编码RNA(lncRNAs)在越来越多的研究中被证明在信号通路的控制中是重要的。细胞行为,和表观遗传修饰有助于肿瘤的生长。这项工作的目的是检查CCA和lncRNAAL161431.1之间的关系。
    方法:使用TCGA临床生存数据,我们评估了AL161431.1表达与患者预后之间的相关性.使用程序集群ProfilerR,进行富集分析。此外,免疫细胞浸润和AL161431.1表达之间的关联通过TCGA数据库的综述进行了评估.接下来,为了确定AL161431.1是否影响肿瘤生长,迁移,和入侵CCA,进行了体外功能测定。采用定量实时聚合酶链反应(qPCR)来测量CCA细胞中的AL161431.1表达水平。蛋白质印迹用于测量蛋白质水平。
    结果:在CCA中,AL161431.1表达异常。高风险组患者的总体生存率(OS)明显低于低风险组患者。对TCGA数据的更彻底的观察表明,AL161431.1的高表达水平与T细胞浸润增加之间存在关系,T辅助细胞,和NKCD56dim细胞。此外,在CCA细胞中AL161431.1敲低阻碍了侵袭,迁移,并降低磷酸化Smad2/Smad3的表达以抑制TGFβ/SMAD信号通路。
    结论:我们的结果表明lncRNAAL161431.1激活TGFβ/SMAD信号通路以增强CCA发育和转移。AL161431.1可能是胆管癌治疗的新靶标或诊断标志物。
    BACKGROUND: Cholangiocarcinoma (CCA) is one of the most deadly cancers in the world. It usually has a bad prognosis and is challenging to identify in its early stages. Long noncoding RNAs (lncRNAs) have been shown in an increasing number of studies to be important in the control of signaling pathways, cell behaviors, and epigenetic modification that contribute to the growth of tumors. The purpose of this work was to examine the relationship between CCA and lncRNA AL161431.1.
    METHODS: Using TCGA clinical survival data, we evaluated the association between AL161431.1 expression and patient prognosis. Using the program cluster Profiler R, enrichment analysis was performed. Additionally, the association between immune cell infiltration and AL161431.1 expression was evaluated by a review of the TCGA database. Next, to ascertain if AL161431.1 influences tumor growth, migration, and invasion in CCA, functional in vitro assays were conducted. Quantitative real-time polymerase chain reaction (qPCR) was employed to gauge AL161431.1 expression levels in CCA cells. Western blot was used to measure protein levels.
    RESULTS: In CCA, AL161431.1 was extremely expressed. The patients in the high-risk group had a significantly poorer overall survival (OS) than the patients in the low-risk group. A more thorough look at the TCGA data showed a relationship between high expression levels of AL161431.1 and increased infiltration of T cells, T helper cells, and NK CD56dim cells. Furthermore, AL161431.1 knockdown in CCA cells impeded invasion, migration, and proliferation and also lowered the expression of phosphorylated Smad2/Smad3 to restrain the TGFβ/SMAD signaling pathway.
    CONCLUSIONS: Our results indicate that the lncRNA AL161431.1 activates the TGFβ/SMAD signaling pathway to enhance CCA development and metastasis. AL161431.1 could be a novel target for cholangiocarcinoma treatment or a diagnostic marker.
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