胰腺癌关键基因CTTNBP2NL的筛选与功能验证
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1.中南大学湘雅医院,普通外科,湖南 长沙 410008;2.中南大学湘雅医院,国家老年疾病临床医学研究中心,湖南 长沙 410008;3.中南大学湘雅医院,感染病科,湖南 长沙 410008

作者简介:

宰红艳,中南大学湘雅医院副主任医师,主要从事消化道疾病基础与临床方面的研究。

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湖南省科技创新计划基金资助项目(2021RC2025);湖南省自然科学基金资助项目(2022JJ40808);湖南省长沙市自然科学基金资助项目(kq2202383)。


Screening and functional validation of key gene CTTNBP2NL in pancreatic cancer
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1.Department of General Surgery, Xiangya Hospital, Central South University, Changsha 410008, China;2.National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China;3.Department of Infectious Diseases, Xiangya Hospital, Central South University, Changsha 410008, China

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    摘要:

    背景和目的:胰腺癌是一种常见的恶性消化系统疾病,其难以诊断和治愈。多数患者在确诊时已经错过了手术机会,寻找胰腺癌的早期诊断和治疗靶标具有重要意义。因此,本研究使用生物信息学筛选与胰腺癌进展相关的关键基因,并鉴定其影响肿瘤进展的具体作用机制。方法 选用GEO的GSE15471、GSE16515和GSE132956数据集,使用R语言“limma”包对3个GEO数据集进行差异基因分析,筛选胰腺癌中差异基因并用Venn图取交集。通过Metascape富集分析差异基因的功能,KMPLOT生存分析差异基因与患者预后生存的相关性,GEPIA数据库验证差异表达情况。选择其中关键基因,用Linkedomics分析其与胰腺癌临床病理信息的相关性,KEGG、GO富集分析其相互作用因子的生物学功能,用Cytoscape软件构建PPI网络并分析相关信号通路。随后在胰腺癌组织样本和细胞系中验证关键基因的表达,细胞功能实验验证其功能。结果 在3个GEO数据集中共筛选了177个基因上调,104个基因下调。Metascape富集分析发现上调基因富集在组织形态发生、血管形成、细胞运动和细胞增殖等过程,下调基因富集在代谢、胰腺分泌等过程。KMPLOT生存分析发现,差异基因中有6个因子(CTTNBP2NL、FGD6、ITGA2、KRT19、S100P、TMPRSS4)与胰腺癌明显相关,且都是胰腺癌患者生存的危险因素(均P<0.05),GEPIA验证亦显示其均在胰腺癌中显著上调(均P<0.05)。其中,CTTNBP2NL在胰腺癌中的功能不明,故选择其为研究对象,其后,临床相关性分析显示CTTNBP2NL与胰腺癌TNM分型中的N分期明显相关,且随分期增加而上调。PPI分析得到17个与CTTNBP2NL互作蛋白,KEGG富集分析发现其相互蛋白与PI3K/Akt、TGF-β等通路相关,GO富集分析也发现其与细胞分离和凋亡相关。3个GEO数据芯片显示CTTNB2NL在胰腺癌中高表达,且在胰腺癌组织和细胞系,CTTNB2NL的mRNA和蛋白表达也均上调(均P<0.05)。细胞功能实验结果显示,沉默CTTNBP2NL后,胰腺癌细胞增殖,迁移和侵袭明显抑制,凋亡明显增加,同时,PI3K/Akt信号通路活性明显抑制(均P<0.05)。结论 CTTNBP2NL在胰腺癌中高表达,并与胰腺癌细胞的增殖、迁移和侵袭密切相关,其作用机制可能与活化PI3K/Akt信号通路有关。CTTNBP2NL可以作为胰腺癌的潜在预后生物标志物和诊断靶点。

    Abstract:

    Background and Aims Pancreatic cancer is a common malignant digestive system disease that is difficult to diagnose and treat. Most patients have missed the opportunity for surgery at the time of diagnosis. Developing new targets for early diagnosis and treatment of pancreatic cancer is of great significance. Therefore, this study was conducted to screen key genes related to the progression of pancreatic cancer using bioinformatics approach and identify their specific mechanisms that affect tumor progressionMethods The GEO datasets GSE15471, GSE16515, and GSE132956 were selected, and differential gene analysis was performed on these three datasets using the R limma package to identify differentially expressed genes in pancreatic cancer. The Venn diagram was used to determine the intersection of these genes. Metascape was used to perform functional enrichment analysis on the differentially expressed genes, KMPLOT was used to analyze the correlation between these genes and patient survival, and GEPIA was used to validate the differential expressions. The key gene was selected, and its correlation with clinical and pathological information of pancreatic cancer was analyzed using Linkedomics. The biological functions of the interaction factors of the key gene were analyzed using KEGG and GO enrichment analysis. A PPI network was constructed using Cytoscape software to analyze related signaling pathways. The expression of the key gene was subsequently verified in pancreatic cancer tissue samples and cell lines, and cellular functional experiments were conducted to validate its function.Results A total of 177 upregulated genes and 104 downregulated genes were identified in the three GEO datasets. Metascape enrichment analysis revealed that the upregulated genes were enriched in tissue morphogenesis, angiogenesis, cell movement, and cell proliferation, while the downregulated genes were enriched in processes such as metabolism and pancreatic secretion. KMPLOT survival analysis identified six factors (CTTNBP2NL, FGD6, ITGA2, KRT19, S100P, TMPRSS4) that were significantly associated with pancreatic cancer and all of them were risk factors for the survival of pancreatic cancer patients (all P<0.05). GEPIA validation also showed that these genes were significantly upregulated in pancreatic cancer (all P<0.05). Among them, CTTNBP2NL was of unknown function in pancreatic cancer, so it was selected for further study. Clinical correlation analysis showed that CTTNBP2NL was significantly correlated with the N stage of TNM classification in pancreatic cancer and was upregulated with the increase of the stage. PPI analysis revealed 17 proteins that interacted with CTTNBP2NL, and KEGG enrichment analysis found that these proteins were related to the PI3K/Akt and TGF-β pathways. GO enrichment analysis also found that these proteins were related to cell separation and apoptosis. The three GEO datasets showed that CTTNB2NL was highly expressed in pancreatic cancer, and both mRNA and protein expressions of CTTNB2NL were upregulated in pancreatic cancer tissues and cell lines (all P<0.05). Functional experiments showed that in pancreatic cancer cells after CTTNBP2NL silencing, the proliferation, migration and invasion were significantly inhibited while the apoptosis was significantly increased, and meanwhile, the activity of the PI3K/Akt signaling pathway was significantly inhibited (all P<0.05).Conclusions CTTNBP2NL is highly expressed in pancreatic cancer and closely associated with the proliferation, migration, and invasion of pancreatic cancer cells. Its mechanism of action may be related to the activation of the PI3K/Akt signaling pathway. CTTNBP2NL can potentially serve as a prognostic biomarker and diagnostic target for pancreatic cancer.

    表 1 qRT-PCR引物列表Table 1 qRT-PCR primers
    图1 胰腺癌肿瘤标本和正常标本的差异基因及功能富集 A:共上调的差异基因;B:共下调的差异基因;C:共上调差异基因的功能;D:共下调差异基因的功能Fig.1 The differentially expressed genes and functional enrichment between pancreatic cancer tumor specimens and normal specimens A: The co-upregulated differential genes; B: The co-downregulated differential genes; C: Functions of co-upregulated differential genes; D: Functions of co-downregulated differential genes
    图2 胰腺癌差异基因的生存分析和表达 A:KMPLOT分析差异基因与胰腺癌患者总生存率的关联;B:GEPIA数据库中相关基因在胰腺癌中的表达情况Fig.2 Survival analysis and expression of differential genes in pancreatic cancer A: KMPLOT analysis of the relationship between differential genes and the overall survival rate of pancreatic cancer patients; B: The expressions of related genes in pancreatic cancer in GEPIA database
    图3 CTTNBP2NL与胰腺癌的临床相关性及功能富集 A:Linkedomics分析CTTNBP2NL与胰腺癌临床特征的相关性;B:PPI分析CTTNBP2NL的互作基因;C:KEGG分析CTTNBP2NL的互作基因功能;D:GO分析CTTNBP2NL的互作基因功能Fig.3 Clinical relevance and functional enrichment of CTTNBP2NL in pancreatic cancer A: Linkedomics analysis of the correlation between CTTNBP2NL and clinical features of pancreatic cancer; B: PPI analysis of CTTNBP2NL interaction genes; C: Functional analysis of CTTNBP2NLs interacting genes using KEGG analysis; D: Functional analysis of CTTNBP2NLs interacting genes using GO analysis
    图4 CTTNBP2NL在胰腺癌中的表达 A:GSE132956、GSE15471、GSE16515数据集中CTTNBP2NL的表达;B;Western blot检测胰腺癌组织和配对癌旁组织中CTTNBP2NL的表达;C:qRT-PCR检测胰腺癌细胞系中CTTNBP2NL的表达;D:Western blot检测胰腺癌细胞系中CTTNBP2NL的表达Fig.4 Expression of CTTNBP2NL in pancreatic cancer A: The expression of CTTNBP2NL in GSE132956, GSE15471, and GSE16515 datasets; B: Western blot detection of the expression of CTTNBP2NL in pancreatic cancer tissues and paired paracancerous tissues; C: qRT-PCR detection of CTTNBP2NL expression in pancreatic cancer cell lines; D: Western blot detection of CTTNBP2NL expression in pancreatic cancer cell lines
    图5 敲低CTTNBP2NL对胰腺癌细胞增殖、侵袭和迁移的影响 A-B:qRT-PCR、Western blot检测转染si-CTTNBP2NL及其对照的PANC-1细胞系中CTTNBP2NL的表达;C:CCK-8检测细胞增殖;D:流式细胞术检测细胞凋亡;E:平板划痕检测细胞迁移;F:Transwell检测细胞侵袭Fig.5 The effect of CTTNBP2NL knockdown on proliferation, invasion and migration of pancreatic cancer cells A-B: qRT-PCR and Western blot detection of CTTNBP2NL expression in si-CTTNBP2NL transfected and control PANC-1 cell line; C: CCK-8 detection of cell proliferation; D: Flow cytometry analysis of cell apoptosis; E: Scratch assay for cell migration detection; F: Transwell assay for cell invasion
    图6 敲低CTTNBP2NL对制胰腺癌细胞中PI3K/Akt通路活性的影响Fig.6 The effect of CTTNBP2NL knockdown on the activity of PI3K/Akt pathway in pancreatic cancer cells
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宰红艳,陈锦龙,朱勤,姜炜,段艳坤,欧政林.胰腺癌关键基因CTTNBP2NL的筛选与功能验证[J].中国普通外科杂志,2023,32(3):378-389.
DOI:10.7659/j. issn.1005-6947.2023.03.007

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  • 收稿日期:2023-01-31
  • 最后修改日期:2023-03-06
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  • 在线发布日期: 2023-03-30