摘要
                
                    目的分析肾透明细胞癌(ccRCC)基因表达变化及预后相关因素。方法运用R/Bioconductor分析平台,基于肿瘤基因组图谱计划(TCGA)中的ccRCC研究数据,运用Limma算法筛选肿瘤组与对照组间倍数改变>2,P<0.05的基因为差异表达基因。进一步以患者年龄、性别、TNM分期、基因表达值为影响因素分析并绘制Kaplan-Meier生存曲线。结果在肿瘤组织中筛选出4837个差异表达基因(上调基因1974个,下调基因2863个),其中252个差异基因倍数改变>5个(27个上调基因,225个下调基因);性别因素对患者整体生存率无显著影响(P>0.05);随着年龄增加以及TNM分期的进展,患者整体生存率下降(P<0.05);随着基因NPTX2、HSF4表达升高,患者整体生存率下降(P<0.05);随着基因TMEM213表达升高,患者整体生存率上升(P<0.05)。结论本研究鉴定了肾透明细胞癌的基因表达变化及预后相关因素,能够为疾病的分子诊断与预后评估等提供依据。
                
                Objective To analyze the gene expression patterns and the prognosis-related factors of clear cell renal cell carcinoma(ccRCC).Methods The R/Bioconductor platform was applied for data processing and analysis based on the ccRCC data in The Cancer Genome Atlas(TCGA)project,genes with fold change(FC)>2 and P<0.05 analyzed by the limma algorithm between tumors and normal controls were selected as differentially expressed genes(DEGs).Kaplan-Meier survival curves based on age,gender,TNM stage,and the expression values of DEGs were analyzed.Results There were 4837 DEGs(FC>2,1974 up-regulated genes and 2863 down-regulated genes)in tumors compared with normal controls.Among them,there were 252 DEGs with FC>5 in the tumor tissues(27 up-regulated genes and 225 down-regulated genes).The factor of gender had no significant effect on the overall survival rate of patients(P>0.05).With the increase of age and the progress of TNM stage,the overall survival rate of patients decreased(P<0.05).As the expression of genes NPTX2 and HSF4 increased,the overall survival rate of patients decreased(P<0.05).As the expression of gene TMEM213 increased,the overall survival rate of patients increased(P<0.05).Conclusion The study analyzed and identified the gene expression changes and prognostic-related factors of ccRCC,which can provide a basis for the molecular diagnosis and prognosis evaluation of the disease.
    
    
                作者
                    贾玉洁
                    王一
                    王冀邯
                JIA Yu-jie;WANG Yi;WANG Ji-han(Centers for Disease Control and Prevention of Guantao,Guantao 057750,Hebei,CHINA;School of Chemistry and Pharmaceutical Engineering,Hebei University of Science and Technology,Shijiazhuang 050018,Hebei,CHINA;Honghui Hospital,Xi'an Jiaotong University,Xi'an 710054,Shaanxi,CHINA)
     
    
    
                出处
                
                    《海南医学》
                        
                                CAS
                        
                    
                        2020年第14期1778-1781,共4页
                    
                
                    Hainan Medical Journal
     
            
                基金
                    国家自然科学基金(编号:81702067)。
            
    
                关键词
                    肾透明细胞癌
                    肿瘤基因组图谱计划
                    差异表达基因
                    生存曲线
                    分子诊断
                    预后评估
                
                        Clear cell renal cell carcinoma(ccRCC)
                        The Cancer Genome Atlas(TCGA)
                        Differentially expressed genes(DEGs)
                        Survival curve
                        Molecular diagnosis
                        Prognostic evaluation
                
     
    
    
                作者简介
通讯作者:王冀邯,E-mail:513837742@qq.com。