国际妇产科学杂志 ›› 2020, Vol. 47 ›› Issue (4): 469-473.

• 论著 • 上一篇    下一篇

CD24在早期宫颈癌中的作用机制及临床价值探索

孙培松#,李博涵#,申彦,张雯雯,曲芃芃   

  1. 300100  天津市中心妇产科医院妇瘤科(孙培松,李博涵,张雯雯,曲芃芃),病理科(申彦);天津市妇产科研究所(张雯雯,曲芃芃)
  • 收稿日期:2020-06-23 修回日期:2020-07-23 出版日期:2020-08-15 发布日期:2020-08-15
  • 通讯作者: 曲芃芃,E-mail:qu.pengpeng@hotmail.com E-mail:qu.pengpeng@hotmail.com
  • 基金资助:
    天津市科技计划项目(19YFZCSY00600)

The Mechanism and Clinical Value of CD24 in Early Cervical Cancer

SUN Pei-song,LI Bo-han,SHEN Yan,ZHANG Wen-wen,QU Peng-peng   

  1. Department of Gynecological Oncology(SUN Pei-song,LI Bo-han,ZHANG Wen-wen,QU Peng-peng),Department of Histopathology(SHEN Yan),Tianjin Central Hospital of Gynecology Obstetrics,Tianjin 300100,China;Tianjin Institute of Gynecology and Obstetrics,Tianjin 300100,China(ZHANG Wen-wen,QU Peng-peng)
  • Received:2020-06-23 Revised:2020-07-23 Published:2020-08-15 Online:2020-08-15
  • Contact: QU Peng-peng,E-mail:qu.pengpeng@hotmail.com E-mail:qu.pengpeng@hotmail.com

摘要: 目的:探究分化抗原簇蛋白24(CD24)在早期宫颈癌发生、发展中的作用及临床价值。方法:通过TCGA门户网站进行差异基因分析、基因筛选以及临床预后分析;通过免疫组织化学验证筛选基因在宫颈病变及早期宫颈癌患者间的表达差异;通过string数据库进行蛋白互作关系分析,通过cytoscape实现蛋白互作网络以及核心基因的筛选,并通过R语言实现GO富集分析以及KEGG富集分析。结果:根据TCGA差异分析发现CD24与早期宫颈癌发生、发展相关,其在早期宫颈癌组的表达水平显著高于正常组(P<0.05),而在早期宫颈癌组与阴道宫旁浸润组、早期宫颈癌组与远处转移组间差异无统计学意义(均P>0.05),该基因的表达水平可影响宫颈癌患者的总生存期(P<0.05)。CD24在早期宫颈癌患者的表达呈强阳性,而在高级别宫颈上皮内病变与正常宫颈组织分别为弱阳性及阴性表达。该基因表达与20个基因间存在蛋白互作网络关系,这些基因的功能主要富集于信号通路正调控及增殖相关功能,富集的通路与癌症通路以及磷脂酰肌醇3激酶-蛋白激酶B(PI3K-Akt)密切相关(均P<0.05)。结论:CD24对宫颈早期癌变过程具有重要作用,通过作用于表皮生长因子信号调控相关通路对早期宫颈癌细胞的增殖过程起到正向调控,其可能作为宫颈癌变的重要临床预测因子。

关键词: 计算生物学;, 宫颈肿瘤;, CD24;, 宫颈上皮内瘤样病变;, 预测

Abstract: Objective: To explore the role and clinical value of CD24 in the development of early cervical cancer. Methods: Differential gene analysis, gene selecting and clinical prognostic analysis are conducted through the TCGA portal. Immunohistochemistry was used to screen gene expression difference between patients with cervical lesion and early cervical cancer. Protein interaction relationship were analysis through string database. Protein interaction network was made and core genes were pick up by cytoscape. GO enrichment analysis and KEGG enrichment analysis were completed through R language. Results: According to the differential analysis of TCGA, there was a significant difference between the early cervical cancer group and normal group (P<0.05). However, there was no significant difference between the early cervical group and vaginal parauterine infiltration group, the same as the early cervical group and the distant metastasis group(P>0.05). The expression of CD24 gene could affect the overall survival of patients with cervical cancer (P<0.05). The expressions of CD24 in cervical lesion group and early cervical cancer patients were postive and that in normal group was negative. There was a protein interaction network relationship between this gene expression and more than 20 groups of genes. The functions of these genes are mainly enriched in the signal positive regulation and proliferation, which are closely related to the regulation of PI3K-Akt and cancer signal pathway (P<0.05). Conclusions: CD24 plays an important role in the process of early cervical carcinogenesis, and plays a positive role in the proliferation of early cervical cancer cells by acting on the pathways related to epidermal growth factor signal regulation, which may be an important clinical predictor of cervical carcinogenesis.

Key words: Computational biology, Uterine cervical neoplasms, CD24, Cervical intraepithelial neoplasia;, Forecasting