KIRP, Kidney renal papillary cell carcinoma

KIRP,肾乳头状细胞癌
  • 文章类型: Journal Article
    内皮细胞(ECs)在肿瘤进展中起重要作用。目前,抗血管生成治疗的主要靶点是血管内皮生长因子(VEGF)通路。一些患者确实从抗VEGF/VEGFR治疗中获益;然而,大量患者在治疗后没有反应或获得耐药性。此外,抗VEGF/VEGFR治疗可能由于其对正常ECs的作用而导致肾毒性和心血管相关的副作用。因此,有必要确定对肿瘤ECs具有特异性并可应用于各种癌症类型的靶标。我们整合了来自六种癌症类型的单细胞RNA测序数据,并构建了一个多癌症EC图谱以解码肿瘤EC的特征。我们发现尖端样ECs主要存在于肿瘤组织中,而在正常组织中几乎不存在。提示样ECs参与促进肿瘤血管生成和抑制抗肿瘤免疫反应。此外,肿瘤细胞,骨髓细胞,周细胞是促血管生成因子的主要来源。高比例的尖端样ECs与多种癌症类型的不良预后相关。我们还发现,前列腺特异性膜抗原(PSMA)是我们研究的所有癌症类型中尖端样ECs的特异性标志物。总之,我们证明,尖端样EC是肿瘤和正常组织之间的主要差异EC亚簇。头端样ECs可通过促进血管生成同时抑制抗肿瘤免疫应答来促进肿瘤进展。PSMA是尖端状ECs的特异性标记,可作为诊断和治疗非前列腺癌的潜在靶点。
    Endothelial cells (ECs) play an important role in tumor progression. Currently, the main target of anti-angiogenic therapy is the vascular endothelial growth factor (VEGF) pathway. Some patients do benefit from anti-VEGF/VEGFR therapy; however, a large number of patients do not have response or acquire drug resistance after treatment. Moreover, anti-VEGF/VEGFR therapy may lead to nephrotoxicity and cardiovascular-related side effects due to its action on normal ECs. Therefore, it is necessary to identify targets that are specific to tumor ECs and could be applied to various cancer types. We integrated single-cell RNA sequencing data from six cancer types and constructed a multi-cancer EC atlas to decode the characteristic of tumor ECs. We found that tip-like ECs mainly exist in tumor tissues but barely exist in normal tissues. Tip-like ECs are involved in the promotion of tumor angiogenesis and inhibition on anti-tumor immune responses. Moreover, tumor cells, myeloid cells, and pericytes are the main sources of pro-angiogenic factors. High proportion of tip-like ECs is associated with poor prognosis in multiple cancer types. We also identified that prostate-specific membrane antigen (PSMA) is a specific marker for tip-like ECs in all the cancer types we studied. In summary, we demonstrate that tip-like ECs are the main differential EC subcluster between tumors and normal tissues. Tip-like ECs may promote tumor progression through promoting angiogenesis while inhibiting anti-tumor immune responses. PSMA was a specific marker for tip-like ECs, which could be used as a potential target for the diagnosis and treatment of non-prostate cancers.
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  • 文章类型: Journal Article
    肿瘤坏死因子-α-诱导蛋白8-like2(TIP2)由TNFAIP8L2编码,是一种新发现的天然和获得性免疫的负调节因子,在维持免疫稳态方面发挥着重要作用。最近,CAR-NK免疫细胞疗法作为一种新型癌症治疗策略一直是主要研究努力的焦点。TIPE2是免疫细胞成熟和抗肿瘤免疫的潜在检查点分子,可用作一种新型的基于NK细胞的免疫治疗方法。在这项研究中,我们探讨了TNFAIP8L2在各种肿瘤类型中的表达,发现TNFAIP8L2在大多数肿瘤类型中高表达,并与预后相关.生存分析显示TNFAIP8L2表达可预测子宫颈鳞状细胞癌(CESC)的生存改善。肉瘤(SARC)和皮肤-皮肤-黑色素瘤(SKCM)。相反,TNFAIP8L2表达预测急性髓细胞性白血病(LAML)的生存率较差,低级别胶质瘤(LGG),肾肾透明细胞癌(KIRC)和葡萄膜黑色素瘤(UVM)。干性特征和免疫细胞浸润分析表明,TNFAIP8L2与肿瘤干细胞指数显著相关,巨噬细胞和树突状细胞浸润增加。我们的数据表明TNFAIP8L2可能是跨不同肿瘤类型的新型免疫检查点生物标志物。特别是在LAML中,LGG,KIRC和UVM,并且可能作为免疫疗法的潜在靶标具有进一步的实用性。
    Tumor necrosis factor-α-inducible protein 8-like 2 (TIPE2) is encoded by TNFAIP8L2 and is a newly identified negative regulator of natural and acquired immunity that plays a critical function in maintaining immune homeostasis. Recently, CAR-NK immune cell therapy has been a focus of major research efforts as a novel cancer therapeutic strategy. TIPE2 is a potential checkpoint molecule for immune cell maturation and antitumor immunity that could be used as a novel NK cell-based immunotherapeutic approach. In this study, we explored the expression of TNFAIP8L2 across various tumor types and found that TNFAIP8L2 was highly expressed in most tumor types and correlated with prognosis. Survival analysis showed that TNFAIP8L2 expression was predictive of improved survival in cervical-squamous-cell-carcinoma (CESC), sarcoma (SARC) and skin-cutaneous-melanoma (SKCM). Conversely, TNFAIP8L2 expression predicted poorer survival in acute myeloid leukemia (LAML), lower-grade-glioma (LGG), kidney-renal-clear-cell-carcinoma (KIRC) and uveal-melanoma (UVM). Analysis of stemness features and immune cell infiltration indicated that TNFAIP8L2 was significantly associated with cancer stem cell index and increased macrophage and dendritic cell infiltration. Our data suggest that TNFAIP8L2 may be a novel immune checkpoint biomarker across different tumor types, particularly in LAML, LGG, KIRC and UVM, and may have further utility as a potential target for immunotherapy.
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  • 文章类型: Journal Article
    SARS-CoV-2不断变异,而Omicron等新型冠状病毒已经扩散到全球许多国家。Anexelekto(AXL)是一种具有促进细胞生长等生物学功能的跨膜蛋白,迁移,聚合,转移和粘连,并在2019年癌症和冠状病毒疾病中发挥重要作用(COVID-19)。与血管紧张素转换酶2(ACE2)不同,AXL在呼吸系统细胞中高表达。在这项研究中,我们验证了AXL在癌组织和正常组织中的表达,发现AXL表达与癌症预后密切相关。肿瘤突变负荷(TMB),大多数肿瘤类型的微卫星不稳定性(MSI)。免疫浸润分析还表明,在癌症患者中,AXL表达与免疫评分之间存在不可分割的联系,尤其是在BLCA,BRCA和CESC。NK细胞,浆细胞样树突状细胞,髓样树突状细胞,作为肿瘤微环境的重要组成部分之一,高表达AXL。此外,鉴定了AXL相关的肿瘤新抗原,并可能为癌症患者的肿瘤疫苗或SARS-Cov-2疫苗研究提供新的潜在靶标。
    The SARS-CoV-2 is constantly mutating, and the new coronavirus such as Omicron has spread to many countries around the world. Anexelekto (AXL) is a transmembrane protein with biological functions such as promoting cell growth, migration, aggregation, metastasis and adhesion, and plays an important role in cancers and coronavirus disease 2019 (COVID-19). Unlike angiotensin-converting enzyme 2 (ACE2), AXL was highly expressed in respiratory system cells. In this study, we verified the AXL expression in cancer and normal tissues and found AXL expression was strongly correlated with cancer prognosis, tumor mutation burden (TMB), the microsatellite instability (MSI) in most tumor types. Immune infiltration analysis also demonstrated that there was an inextricable link between AXL expression and immune scores in cancer patients, especially in BLCA, BRCA and CESC. The NK-cells, plasmacytoid dendritic cells, myeloid dendritic cells, as one of the important components of the tumor microenvironment, were highly expressed AXL. In addition, AXL-related tumor neoantigens were identified and might provide the novel potential targets for tumor vaccines or SARS-Cov-2 vaccines research in cancer patients.
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  • 文章类型: Journal Article
    ShcSH2结构域结合蛋白1(SHCBP1),与Src同源物和胶原蛋白同源物(Shc)的SH2结构域特异性结合的蛋白质,参与各种信号转导途径的调节,据报道,这与肿瘤发生和进展有关。然而,病理机制尚未完全研究。因此,本研究旨在全面阐明SHCBP1在多种癌症类型中的潜在功能.SHCBP1在各种肿瘤中的综合分析,包括基因表达,诊断,预后,免疫相关特征,遗传改变,和功能富集,是基于多个数据库和分析工具进行的。SHCBP1在大多数类型的癌症中上调。qRT-PCR结果证实,SHCBP1mRNA在肺腺癌(LUAD)和肝细胞肝癌(LIHC)细胞系中明显上调。基于接收机工作特性(ROC)和生存分析,SHCBP1被认为是潜在的诊断和预后生物标志物。此外,根据SHCBP1表达与免疫细胞浸润的相关性分析,SHCBP1表达与肿瘤免疫和免疫抑制微环境有关,免疫检查点基因,和免疫相关基因(MHC基因,趋化因子,和趋化因子受体)。此外,SHCBP1表达与肿瘤突变负荷(TMB)相关,微卫星不稳定性(MSI),和新抗原。鉴定了泛癌症中SHCBP1突变景观的特征。最后,我们重点研究SHCBP1在LUAD中的临床意义和潜在的生物学作用。我们的研究全面揭示了SHCBP1可以被鉴定为癌症诊断和预后的免疫相关生物标志物。和肿瘤免疫治疗的潜在治疗靶点。
    Shc SH2-domain binding protein 1 (SHCBP1), a protein specific binding to SH2 domain of Src homolog and collagen homolog (Shc), takes part in the regulation of various signal transduction pathways, which has been reported to be associated with tumorigenesis and progression. However, the pathological mechanisms are not completely investigated. Thus, this study aimed to comprehensively elucidate the potential functions of SHCBP1 in multiple cancer types. The comprehensive analyses for SHCBP1 in various tumors, including gene expression, diagnosis, prognosis, immune-related features, genetic alteration, and function enrichment, were conducted based on multiple databases and analysis tools. SHCBP1 was upregulated in most types of cancers. The results of qRT-PCR had confirmed that SHCBP1 mRNA was significantly upregulated in lung adenocarcinoma (LUAD) and liver hepatocellular carcinoma (LIHC) cell lines. Based on the receiver operating characteristic (ROC) and survival analysis, SHCBP1 was considered as a potential diagnostic and prognostic biomarker. Furthermore, SHCBP1 expression was linked with tumor immunity and immunosuppressive microenvironment according to the correlation analysis of SHCBP1 expression with immune cells infiltration, immune checkpoint genes, and immune-related genes (MHC genes, chemokines, and chemokines receptors). Moreover, SHCBP1 expression correlated with tumor mutational burden (TMB), microsatellite instability (MSI), and neoantigens. The feature of SHCBP1 mutational landscape in pan-cancer was identified. Finally, we focused on investigating the clinical significance and the potential biological role of SHCBP1 in LUAD. Our study comprehensively uncovered that SHCBP1 could be identified as an immune-related biomarker for cancer diagnosis and prognosis, and a potential therapeutic target for tumor immunotherapy.
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  • 文章类型: Journal Article
    背景:Cox比例风险回归(CPH)模型依赖于比例风险(PH)假设:变量的风险与时间无关。CPH已被广泛用于鉴定转录组的预后标志物。然而,缺乏对转录组数据中PH假设的全面研究。
    结果:收集来自32个癌症基因组图谱队列的9,056名患者和来自基因表达综合的3个肺癌队列的全部转录组数据,以分别构建每个基因的CPH模型,以拟合总生存期。平均8.5%基因CPH模型违反了TCGA泛癌症队列中的PH假设。在基因相互作用网络中,CPH模型中的hub基因和非hub基因都可能具有非比例风险.在5个非小细胞肺癌数据集中,对相同基因模型的PH假设的违反不一致(所有kappa系数<0.2),表明基因CPH模型的非比例性取决于数据集。此外,在CPH中引入log(t)或sqrt(t)时间函数改善了基因模型在大多数肿瘤总体生存拟合上的表现.时间依赖性CPH改变了31.9%基因变量的对数风险比的显著性。
    结论:我们的分析得出,转录组数据中的非比例风险不容忽视。引入时间相互作用项改善了CPH中转录组数据的非比例危险的性能和可解释性。
    BACKGROUND: Cox proportional hazard regression (CPH) model relies on the proportional hazard (PH) assumption: the hazard of variables is independent of time. CPH has been widely used to identify prognostic markers of the transcriptome. However, the comprehensive investigation on PH assumption in transcriptomic data has lacked.
    RESULTS: The whole transcriptomic data of the 9,056 patients from 32 cohorts of The Cancer Genome Atlas and the 3 lung cancer cohorts from Gene Expression Omnibus were collected to construct CPH model for each gene separately for fitting the overall survival. An average of 8.5% gene CPH models violated the PH assumption in TCGA pan-cancer cohorts. In the gene interaction networks, both hub and non-hub genes in CPH models were likely to have non-proportional hazards. Violations of PH assumption for the same gene models were not consistent in 5 non-small cell lung cancer datasets (all kappa coefficients < 0.2), indicating that the non-proportionality of gene CPH models depended on the datasets. Furthermore, the introduction of log(t) or sqrt(t) time-functions into CPH improved the performance of gene models on overall survival fitting in most tumors. The time-dependent CPH changed the significance of log hazard ratio of the 31.9% gene variables.
    CONCLUSIONS: Our analysis resulted that non-proportional hazards should not be ignored in transcriptomic data. Introducing time interaction term ameliorated performance and interpretability of non-proportional hazards of transcriptome data in CPH.
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  • 文章类型: Journal Article
    Communicable diseases (CDs) based on Health organization reported are one of the most threat for human health. SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) is the main pandemic that nowadays it threatens the health of people around the world, especially cancer patients. The purpose of this study was to investigate the effects of COVID-19 acute respiratory disease (COVID-19 ARD) on risk factors related to health of cancer patients. A review study of was conducted to base on results of various studies published. Nine hundred and eighty articles were retrieved based on various databases: Science Direct, Taylor & Francis, Google Scholar, Elsevier, PubMed and BMJ. In this study, were used the results of research on COVID-19 and its effects on risk factors attributed to cancer patients. The literature signs a notable undesirable affect from COVID-19 on risk factors attributed to health of cancer patients. Result showed that transfer SARS-CoV-2 viruses can endanger health of cancer patients due to interruption of the disease treatment process and increase number of deaths between in this patents. The survey requires the need to act creating healthy conditions to continue the treatment process and vaccination coverage among these patients in order to decrease the transmission of COVID-19 acute respiratory disease and increase the success rate of cancer treatment.
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  • 文章类型: Journal Article
    胆管癌(CCAs)是由胆管细胞产生的肿瘤。尽管一些基因已被证明在病理过程中具有重要作用,不同RNA之间的相互作用或交叉对话对于理解癌症发展的详细分子机制很重要,特别是讨论isomiRs和其他RNA之间的交叉对话。在这里,表征CCA中的关键基因,进行蛋白质表达谱以调查mRNA-ncRNA网络中潜在的关键mRNA和相关非编码RNA(ncRNA),主要包括miRNAs/isomiRs和lncRNAs。如果在蛋白质和mRNA水平上发现一致的表达模式,则首先获得去调节的mRNA,根据调控关系筛选相关的miRNA/isomiRs。来自给定miRNA基因座的不同同分异构体也有助于小RNA和靶mRNA之间的相互作用,和miRNAs被进一步用于调查相关的lncRNAs以扩大相互作用。因此,构建了几组RNA作为候选竞争性内源性RNA(ceRNA)网络。最后,我们发现RAB11FIP1:miR-101-3p:MIR3142HG可能是一个潜在的CERNA网络,由于同构关系的多样性,它们之间的相互作用可能更加复杂。同时,RAB11FIP1和miR-194-5p还检测到其他相关的lncRNAs(FBXL19-AS1,SNHG1和PVT1),这些可能在编码-非编码RNA调控网络中至关重要。我们的结果表明,具有序列和表达异质性的不同isomiRs有助于ceRNA调控网络,这可能在CCA中起关键作用,这将扩大我们对不同RNA之间的相互作用及其在癌症发展中的贡献的理解。
    Cholangiocarcinomas (CCAs) are tumors that arise from the cholangiocytes. Although some genes have been shown with important roles in pathological process, interactions or cross-talks among different RNAs are important to understand the detailed molecular mechanisms in cancer development, especially discussing cross-talks among isomiRs and other RNAs. Herein, to characterize crucial genes in CCA, the protein expression profile was performed to survey potential crucial mRNAs and related non-coding RNAs (ncRNAs) in mRNA-ncRNA network, mainly including miRNAs/isomiRs and lncRNAs. Deregulated mRNAs were firstly obtained if consistent expression patterns were found at protein and mRNA levels, and related miRNAs/isomiRs were screened according to regulatory relationships. Diverse isomiRs from a given miRNA locus also contributed to interactions between the small RNAs and target mRNAs, and miRNAs were further used to survey related lncRNAs to expand the interactions. Thus, several groups of RNAs were constructed as candidate competitive endogenous RNA (ceRNA) networks. Finally, we found that RAB11FIP1:miR-101-3p:MIR3142HG may be a potential ceRNA network, and the interactions among them may be more complex due to variety of isomiRs. Simultaneously, RAB11FIP1 and miR-194-5p were also detected other related lncRNAs (FBXL19-AS1, SNHG1 and PVT1) that may be crucial in coding-non-coding RNA regulatory network. Our results show that diverse isomiRs with sequence and expression heterogeneities contribute to ceRNA regulatory network that may have crucial roles in CCA, which will expand our understanding of interactions among diverse RNAs and their contributions in cancer development.
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  • 文章类型: Journal Article
    胶质瘤是中枢神经系统最常见的原发性肿瘤之一。先前的研究发现巨噬细胞积极参与肿瘤的生长。
    使用加权基因共表达网络分析来鉴定用于聚类的有意义的巨噬细胞相关基因基因。Pamr,SVM,和神经网络用于验证聚类结果。体细胞突变和甲基化用于定义鉴定的簇的特征。进行弹性回归和主成分分析后,分层组之间的差异表达基因(DEGs)用于构建MScore。基于单细胞测序分析在肿瘤微环境中评估巨噬细胞特异性基因的表达。来自15个神经胶质瘤数据集的总共2365个样品和5842个泛癌症样品用于MScore的外部验证。
    巨噬细胞与神经胶质瘤患者的生存率呈负相关。通过弹性回归和PCA获得的26个巨噬细胞特异性DEGs在巨噬细胞中在单细胞水平上高表达。通过浸润微环境的活跃促炎和代谢谱以及对具有该特征的样品的免疫疗法的反应,验证了MScore在神经胶质瘤中的预后价值。MScore设法在15个外部神经胶质瘤数据集和泛癌症数据集中对患者生存概率进行分层,这预测了更糟糕的生存结果。湘雅胶质瘤队列的测序数据和免疫组织化学证实了MScore的预后价值。基于MScore的预后模型显示出较高的准确率。
    我们的发现强烈支持巨噬细胞的调节作用,特别是M2巨噬细胞在神经胶质瘤的进展和值得进一步的实验研究。
    UNASSIGNED: Gliomas are one of the most common types of primary tumors in central nervous system. Previous studies have found that macrophages actively participate in tumor growth.
    UNASSIGNED: Weighted gene co-expression network analysis was used to identify meaningful macrophage-related gene genes for clustering. Pamr, SVM, and neural network were applied for validating clustering results. Somatic mutation and methylation were used for defining the features of identified clusters. Differentially expressed genes (DEGs) between the stratified groups after performing elastic regression and principal component analyses were used for the construction of MScores. The expression of macrophage-specific genes were evaluated in tumor microenvironment based on single cell sequencing analysis. A total of 2365 samples from 15 glioma datasets and 5842 pan-cancer samples were used for external validation of MScore.
    UNASSIGNED: Macrophages were identified to be negatively associated with the survival of glioma patients. Twenty-six macrophage-specific DEGs obtained by elastic regression and PCA were highly expressed in macrophages at single-cell level. The prognostic value of MScores in glioma was validated by the active proinflammatory and metabolic profile of infiltrating microenvironment and response to immunotherapies of samples with this signature. MScores managed to stratify patient survival probabilities in 15 external glioma datasets and pan-cancer datasets, which predicted worse survival outcome. Sequencing data and immunohistochemistry of Xiangya glioma cohort confirmed the prognostic value of MScores. A prognostic model based on MScores demonstrated high accuracy rate.
    UNASSIGNED: Our findings strongly support a modulatory role of macrophages, especially M2 macrophages in glioma progression and warrants further experimental studies.
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  • 文章类型: Journal Article
    合成致死性被认为在抗癌治疗中起重要作用。在这里,为了了解基因之间合成致死相互作用之间的潜在分布和关系,特别是对于来自不同来源的配对,我们在多个分子水平上对基因进行了整合分析.基于合成致死相互作用的物种间系统发育保守性,分析了来自酵母和人类的基因对;总共收集了37588个候选基因对,其中包含7,816个基因。其中,49.74%的基因有2-10个相互作用,22.93%涉及癌症的标志,21.61%被鉴定为核心必需基因。通过功能富集分析,许多基因被证明具有重要的生物学作用,和65被认为是潜在的关键在癌症的病理生理学。表达模式失调的基因对具有更高的预后价值。根据突变和表达水平进一步筛选显示,其余基因对主要来源于人类预测或验证的对,而大多数来自酵母的预测对是从分析中过滤出来的。具有合成致死性的基因在isomiR水平上与它们的相互作用的微小RNA(miRNA)进一步分析,所述微小RNA作为负调控分子已被广泛研究。miRNA-mRNA相互作用网络显示,许多合成致死基因有助于细胞周期(12个基因中的7个),癌症通路(12个基因中的5个),卵母细胞减数分裂,p53信号通路,和癌症的标志。我们的研究有助于理解合成致死相互作用,并促进遗传相互作用在进一步的癌症精准医学中的应用。
    Synthetic lethality is thought to play an important role in anticancer therapies. Herein, to understand the potential distributions and relationships between synthetic lethal interactions between genes, especially for pairs deriving from different sources, we performed an integrative analysis of genes at multiple molecular levels. Based on inter-species phylogenetic conservation of synthetic lethal interactions, gene pairs from yeast and humans were analyzed; a total of 37,588 candidate gene pairs containing 7,816 genes were collected. Of these, 49.74% of genes had 2-10 interactions, 22.93% were involved in hallmarks of cancer, and 21.61% were identified as core essential genes. Many genes were shown to have important biological roles via functional enrichment analysis, and 65 were identified as potentially crucial in the pathophysiology of cancer. Gene pairs with dysregulated expression patterns had higher prognostic values. Further screening based on mutation and expression levels showed that remaining gene pairs were mainly derived from human predicted or validated pairs, while most predicted pairs from yeast were filtered from analysis. Genes with synthetic lethality were further analyzed with their interactive microRNAs (miRNAs) at the isomiR level which have been widely studied as negatively regulatory molecules. The miRNA-mRNA interaction network revealed that many synthetic lethal genes contributed to the cell cycle (seven of 12 genes), cancer pathways (five of 12 genes), oocyte meiosis, the p53 signaling pathway, and hallmarks of cancer. Our study contributes to the understanding of synthetic lethal interactions and promotes the application of genetic interactions in further cancer precision medicine.
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  • 文章类型: Journal Article
    严重急性呼吸道综合症冠状病毒2(SARS-CoV-2)已感染超过2900万人,截至2020年9月14日,全球已造成90多万人死亡。SARS-CoV-2人细胞受体ACE2最近因其在SARS-CoV-2感染中的作用而受到广泛关注。许多研究也探讨了ACE2与癌症之间的关联。然而,对ACE2和致癌途径之间关联的系统调查,肿瘤进展,泛癌症的临床结果仍然缺乏。使用癌症基因组图谱(TCGA)程序中的癌症基因组学数据集,我们对ACE2表达与抗肿瘤免疫之间的关联进行了计算分析,免疫治疗反应,致癌途径,肿瘤进展表型,和13个癌症队列的临床结果。我们发现ACE2上调与抗肿瘤免疫特征和PD-L1表达增加有关。和良好的抗PD-1/PD-L1/CTLA-4免疫疗法反应。ACE2表达水平与细胞周期活性呈负相关,失配修复,TGF-β,Wnt,VEGF,和Notch信号通路。此外,ACE2表达水平与肿瘤增殖呈显著负相关,stemness,和上皮-间质转化。ACE2上调与泛癌症和多种个体癌症类型的有利生存率相关。这些结果表明ACE2是癌症进展的潜在保护因子。我们的数据可能为治疗感染SARS-CoV-2的癌症患者提供潜在的临床意义。
    The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected more than 29 million people and has caused more than 900,000 deaths worldwide as of September 14, 2020. The SARS-CoV-2 human cell receptor ACE2 has recently received extensive attention for its role in SARS-CoV-2 infection. Many studies have also explored the association between ACE2 and cancer. However, a systemic investigation into associations between ACE2 and oncogenic pathways, tumor progression, and clinical outcomes in pan-cancer remains lacking. Using cancer genomics datasets from the Cancer Genome Atlas (TCGA) program, we performed computational analyses of associations between ACE2 expression and antitumor immunity, immunotherapy response, oncogenic pathways, tumor progression phenotypes, and clinical outcomes in 13 cancer cohorts. We found that ACE2 upregulation was associated with increased antitumor immune signatures and PD-L1 expression, and favorable anti-PD-1/PD-L1/CTLA-4 immunotherapy response. ACE2 expression levels inversely correlated with the activity of cell cycle, mismatch repair, TGF-β, Wnt, VEGF, and Notch signaling pathways. Moreover, ACE2 expression levels had significant inverse correlations with tumor proliferation, stemness, and epithelial-mesenchymal transition. ACE2 upregulation was associated with favorable survival in pan-cancer and in multiple individual cancer types. These results suggest that ACE2 is a potential protective factor for cancer progression. Our data may provide potential clinical implications for treating cancer patients infected with SARS-CoV-2.
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