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CN109811057A - Application of hypoxia-related genes in colorectal cancer prediction system - Google Patents

Application of hypoxia-related genes in colorectal cancer prediction system Download PDF

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CN109811057A
CN109811057A CN201910242114.XA CN201910242114A CN109811057A CN 109811057 A CN109811057 A CN 109811057A CN 201910242114 A CN201910242114 A CN 201910242114A CN 109811057 A CN109811057 A CN 109811057A
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mrna expression
colorectal cancer
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expression value
risk
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CN109811057B (en
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高峰
吴小剑
兰平
余照亮
陈钰锋
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Sixth Affiliated Hospital of Sun Yat Sen University
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Abstract

本发明提供了缺氧相关基因在结直肠癌预测系统中的应用,本发明结合缺氧相关基因,找到一组可以稳定预测II/III期结直肠癌预后的12个缺氧相关基因;在不需要使用标准化技术平台统一测量前提下,可以兼容任何类型的测量平台来预测II/III期结直肠癌的预后。

The invention provides the application of hypoxia-related genes in a colorectal cancer prediction system. The invention combines hypoxia-related genes to find a group of 12 hypoxia-related genes that can stably predict the prognosis of stage II/III colorectal cancer; Under the premise of unified measurement using a standardized technology platform, it can be compatible with any type of measurement platform to predict the prognosis of stage II/III colorectal cancer.

Description

Application of the anoxic related gene in colorectal cancer forecasting system
Technical field
The present invention relates to application of the anoxic related gene in colorectal cancer forecasting system.
Background technique
Colorectal cancer (CRC) is one of world's common cancer, is had every year close to 1,400,000 new cases.Although new treatment side Case emerges one after another, but 5 annual survival rates only have 55%.Operative treatment is determined as a line scheme according to traditional clinical feature Justice is same type of patient, and the outcome after treatment also has very big difference.Recent study thinks that this mainly has cancer The molecular heterogeneity of patient causes.
Gene molecule marker refers to the expression based on one group of gene, by machine learning founding mathematical models, for pre- Survey objectives clinically.Gene expression detection means are quite mature in recent years, and skill is sequenced including high-throughput RNA Art, microarray technology (Microarray), and opposite small throughput real-time quantitative polymerase chain reaction (RT-qPCR) and NanoString technology etc..But one group of assortment of genes for colorectal cancer prognosis prediction how is found, and the number of optimization Model is learned for predicting, and good result can be reached, it is known that research it is less.
Anoxic related gene is pointed out that the generation and development of cancer have risen most important by numerous studies in recent years Effect.In particular, the development of immune microenvironment and colorectal cancer is closely connected, it is related to anoxic.But it is rare at present Colorectal cancer prognosis is predicted with anoxic related gene and does not have broad scale research.
The major defect of the prior art: effect of the anoxic related gene in colorectal cancer is not organically combined, and is not had It is verified on a large scale.Importantly, the existing assortment of genes has problems when in use, for example, many product requirements A whole set of kit must be used, needs to re-measure patient just under the premise of complete standard and can be carried out prediction, other are surveyed Amount means are without compatibility.
Summary of the invention
It provides anoxic related gene it is an object of the invention to overcome the shortcomings of the prior art place and is tying directly In the expression of the 12 anoxic related genes filtered out, and generation, are sent out in application in intestinal cancer forecasting system by the detection present invention Entering in risk model can prognostic risk after the treatment of accurate judgement II/III phase Patients with Colorectal Cancer.
To achieve the above object, the technical solution taken: gene TNFAIP8, ORAI3, MINPP1, MBTD1, TRAF3, CYB5R3, ZBTB44, CASP6, DTX3L, FAM117B, PRELID2 and IRF1's is used in combination in preparation for predicting II/III Application in the kit of phase Patients with Colorectal Cancer prognosis.
In addition, the present invention also provides the reagent of the expression of detection anoxic related gene in preparation for predicting II/III Application in the kit of phase Patients with Colorectal Cancer prognosis, the reagent for detect gene TNFAIP8, ORAI3, MINPP1, The mRNA expression of MBTD1, TRAF3, CYB5R3, ZBTB44, CASP6, DTX3L, FAM117B, PRELID2 and IRF1.
In addition, the present invention also provides a kind of for predicting the kit of II/III phase Patients with Colorectal Cancer prognosis comprising For detect detection gene TNFAIP8, ORAI3, MINPP1, MBTD1, TRAF3, CYB5R3, ZBTB44, CASP6, DTX3L, The reagent of the mRNA expression of FAM117B, PRELID2 and IRF1.
In addition, the present invention also provides a kind of systems for predicting II/III phase Patients with Colorectal Cancer prognosis comprising:
Data input module, for the result of the mRNA expression value of the anoxic related gene of Patients with Colorectal Cancer to be inputted mould Type computing module, the anoxic related gene include gene TNFAIP8, ORAI3, MINPP1, MBTD1, TRAF3, CYB5R3, ZBTB44, CASP6, DTX3L, FAM117B, PRELID2 and IRF1;The mRNA expression value is to pass through Bioconductor's GEOquery package standardization treated mRNA expression data;
Model computation module, including LASSO Cox risk model, for according to Patients with Colorectal Cancer anoxic related gene MRNA expression value and LASSO Cox risk model calculate patient's risk score;The calculation formula of the risk score are as follows: Risk Score=-0.006 × exp (the mRNA expression value of TNFAIP8)+0.052 × exp (the mRNA expression value of ORAI3) -0.079 × Exp (the mRNA expression value of MINPP1) -0.023 × exp (the mRNA expression value of MBTD1) -0.087 × exp (mRNA of TRAF3 Expression value)+0.005 × exp (the mRNA expression value of CYB5R3) -0.050 × exp (the mRNA expression value of ZBTB44) -0.019 × Exp (the mRNA expression value of CASP6) -0.003 × exp (the mRNA expression value of DTX3L) -0.059 × exp (mRNA of FAM117B Expression value) -0.023 × exp (the mRNA expression value of PRELID2) -0.070 × exp (the mRNA expression value of IRF1), high risk group With the cutoff value -0.083 of low-risk group;
As a result output module, it is pre- after Patients with Colorectal Cancer is treated for being predicted according to Patients with Colorectal Cancer risk score Risk afterwards;When Patients with Colorectal Cancer risk score >=-0.083, Patients with Colorectal Cancer is high risk, existence can significance difference, need It will more clinical concerns and better clinical management;As Patients with Colorectal Cancer risk score < -0.083, Colon and rectum carninomatosis Artificial low-risk, existence preferably, can use the therapeutic scheme of milder, avoid over-treatment.
The beneficial effects of the present invention are: the present invention provides anoxic related gene answering in colorectal cancer forecasting system With present invention combination anoxic related gene, finding one group can be with 12 anoxic of stability forecast II/III phase colorectal cancer prognosis Related gene;Under the premise of not needing using standardized technique platform unified measurement, any kind of measuring table can be compatible with To predict the prognosis of II/III phase colorectal cancer;In addition, the present invention has also carried out single argument and multi-variables analysis, it was demonstrated that use this The anoxic risk score (Hypoxia risk) that risk model calculates really can be with independent prediction Patients with Colorectal Cancer prognostic risk.
Detailed description of the invention
Figure 1A shows the calculation formula of anoxic related gene prediction model, and Figure 1B shows the best cutoff of high-risk patient Value;
Fig. 2 is to carry out Patients with Colorectal Cancer prognostic analysis using the anoxic related gene model built;Wherein, scheme a, d, G shows that anoxic correlation levies gene constructed colorectal cancer prognostic model to training, validation-1 and validation- 2 three queue patients carry out distribution (abscissa) overview whether risk score (ordinate) and the recurrence of II/III phase colorectal cancer Figure;Scheme b, e, h show anoxic related gene building colorectal cancer prognostic model combination training, validation-1 and The ROC curve figure of the queue Patients with Colorectal Cancer 2 years of validation-2 tri-, 3 years and 5 years follow-up information, AUC is (under curve Area) embody anoxic related gene have good Patients with Colorectal Cancer prognosis prediction effect;Scheme c, f, i and shows anoxic dependency basis Because the anoxic high risk group and low-risk group of model partition are in tri- teams of training, validation-1 and validation-2 Survivorship curve figure in column, HR (Hazard ratio) embodies the high risk group that anoxic related gene divides can effectively draw with low-risk group Divide the DFS (no tumor life span), P < 0.05 of Patients with Colorectal Cancer.
Specific embodiment
To better illustrate the object, technical solutions and advantages of the present invention, below in conjunction with specific embodiments and the drawings pair The present invention is described further.
Embodiment 1
The excavation of colorectal cancer prognosis anoxic related gene
Use the data set that the number in open high throughput GEO database is GSE39582 as exploitation data set, measures Platform is the microarray platform of Affymetrix company, includes 566 Patients with Colorectal Cancer samples, calls CIT microarray data in the following text Collection.Wherein, 520 patients have complete clinical prognosis information, and 300 were not done chemotherapy.Anoxic related gene is from ImmPort number It is obtained according to library, adds up to 3444 genes, 49 classification.Wherein 1636 anoxic related genes are surveyed on CIT microarray dataset It has measured and there were significant differences (Median Absolute Deviation is greater than 0.5) for expression between different patients.Into one Step carries out 1000 sampling analyses using resampling technique, finds and stablizes relevant 40 anoxic related genes to prognosis.
Building is used for the anoxic related gene of colorectal cancer prognosis prediction
According to the prognosis information of patient, using LASSO Cox model, 40 anoxic related genes are reduced to 12 bases Cause: gene TNFAIP8, ORAI3, MINPP1, MBTD1, TRAF3, CYB5R3, ZBTB44, CASP6, DTX3L, FAM117B, PRELID2 and IRF1.
The foundation of prognostic model
Using 12 anoxic related genes, establish prediction model, and by the verifying of extensive sample (6 independent data sets, 1877 patients) it proves significantly predict patient's prognosis really;The calculation formula of risk score are as follows: Risk score=- 0.006 × exp (the mRNA expression value of TNFAIP8)+0.052 × exp (the mRNA expression value of ORAI3) -0.079 × exp (mRNA of TRAF3 is expressed (the mRNA expression value of MINPP1) -0.023 × exp (the mRNA expression value of MBTD1) -0.087 × exp Value)+0.005 × exp (the mRNA expression value of CYB5R3) -0.050 × exp (the mRNA expression value of ZBTB44) -0.019 × exp (the mRNA expression value of CASP6) -0.003 × exp (the mRNA expression value of DTX3L) -0.059 × exp (mRNA table of FAM117B Up to value) -0.023 × exp (the mRNA expression value of PRELID2) -0.070 × exp (the mRNA expression value of IRF1), ROC curve stroke Divide the cutoff value -0.083 of anoxic high risk group and low-risk group;See Fig. 1 and table 1.
Each gene function of table 1 and its specific gravity β in a model
Embodiment 2Colorectal cancer prognosis is predicted using this model
As shown in Fig. 2, carrying out Patients with Colorectal Cancer prognostic analysis using the anoxic related gene model built, as a result show Show that anoxic related gene has good Patients with Colorectal Cancer prognosis prediction effect.
In addition, as shown in table 2, the present invention has also carried out single argument and multi-variables analysis, it was demonstrated that use model meter of the present invention The anoxic risk score (Hypoxia risk) of calculation really can be with independent prediction Patients with Colorectal Cancer prognostic risk.
Table 2
Finally, it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention rather than protects to the present invention The limitation of range is protected, although the invention is described in detail with reference to the preferred embodiments, those skilled in the art should Understand, it can be with modification or equivalent replacement of the technical solution of the present invention are made, without departing from the essence of technical solution of the present invention And range.

Claims (4)

1.基因TNFAIP8、ORAI3、MINPP1、MBTD1、TRAF3、CYB5R3、ZBTB44、CASP6、DTX3L、FAM117B、PRELID2和IRF1的联合使用在制备用于预测II/III期结直肠癌病人预后的试剂盒中的应用。1. The application of the combination of genes TNFAIP8, ORAI3, MINPP1, MBTD1, TRAF3, CYB5R3, ZBTB44, CASP6, DTX3L, FAM117B, PRELID2 and IRF1 in the preparation of a kit for predicting the prognosis of patients with stage II/III colorectal cancer. 2.检测缺氧相关基因的表达水平的试剂在制备用于预测II/III期结直肠癌病人预后的试剂盒中的用途,其特征在于,所述试剂用于检测基因TNFAIP8、ORAI3、MINPP1、MBTD1、TRAF3、CYB5R3、ZBTB44、CASP6、DTX3L、FAM117B、PRELID2和IRF1的mRNA表达水平。2. Use of the reagent for detecting the expression level of hypoxia-related genes in the preparation of a kit for predicting the prognosis of patients with colorectal cancer in stage II/III, wherein the reagent is used for detecting genes TNFAIP8, ORAI3, MINPP1, mRNA expression levels of MBTD1, TRAF3, CYB5R3, ZBTB44, CASP6, DTX3L, FAM117B, PRELID2 and IRF1. 3.一种用于预测II/III期结直肠癌病人预后的试剂盒,其特征在于,包括用于检测检测基因TNFAIP8、ORAI3、MINPP1、MBTD1、TRAF3、CYB5R3、ZBTB44、CASP6、DTX3L、FAM117B、PRELID2和IRF1的mRNA表达水平的试剂。3. A kit for predicting the prognosis of patients with stage II/III colorectal cancer, characterized in that it includes the detection and detection genes TNFAIP8, ORAI3, MINPP1, MBTD1, TRAF3, CYB5R3, ZBTB44, CASP6, DTX3L, FAM117B, Reagents for mRNA expression levels of PRELID2 and IRF1. 4.一种用于预测II/III期结直肠癌病人预后的系统,其特征在于,包括:4. A system for predicting the prognosis of patients with stage II/III colorectal cancer, comprising: 数据输入模块,用于将结直肠癌病人的缺氧相关基因的mRNA表达值的结果输入模型计算模块,所述缺氧相关基因包括基因TNFAIP8、ORAI3、MINPP1、MBTD1、TRAF3、CYB5R3、ZBTB44、CASP6、DTX3L、FAM117B、PRELID2和IRF1;所述mRNA表达值为通过Bioconductor的GEOquery程序包标准化处理后的mRNA表达水平数据;The data input module is used for inputting the results of the mRNA expression values of hypoxia-related genes of colorectal cancer patients into the model calculation module, the hypoxia-related genes including the genes TNFAIP8, ORAI3, MINPP1, MBTD1, TRAF3, CYB5R3, ZBTB44, CASP6 , DTX3L, FAM117B, PRELID2 and IRF1; the mRNA expression value is the mRNA expression level data standardized by the GEOquery program package of Bioconductor; 模型计算模块,包括LASSO Cox风险模型,用于根据结直肠癌病人缺氧相关基因的mRNA表达值以及LASSO Cox风险模型计算病人风险分数;所述风险分数的计算公式为:Riskscore=-0.006×exp(TNFAIP8的mRNA表达值)+0.052×exp(ORAI3的mRNA表达值)-0.079×exp(MINPP1的mRNA表达值)-0.023×exp(MBTD1的mRNA表达值)-0.087×exp(TRAF3的mRNA表达值)+0.005×exp(CYB5R3的mRNA表达值)-0.050×exp(ZBTB44的mRNA表达值)-0.019×exp(CASP6的mRNA表达值)-0.003×exp(DTX3L的mRNA表达值)-0.059×exp(FAM117B的mRNA表达值)-0.023×exp(PRELID2的mRNA表达值)-0.070×exp(IRF1的mRNA表达值),高风险组和低风险组的cutoff值-0.083;The model calculation module, including the LASSO Cox risk model, is used to calculate the patient risk score according to the mRNA expression value of hypoxia-related genes in colorectal cancer patients and the LASSO Cox risk model; the calculation formula of the risk score is: Riskscore=-0.006×exp (mRNA expression value of TNFAIP8)+0.052×exp (mRNA expression value of ORAI3)-0.079×exp (mRNA expression value of MINPP1)-0.023×exp (mRNA expression value of MBTD1)-0.087×exp (mRNA expression value of TRAF3) )+0.005×exp(mRNA expression value of CYB5R3)-0.050×exp(mRNA expression value of ZBTB44)-0.019×exp(mRNA expression value of CASP6)-0.003×exp(mRNA expression value of DTX3L)-0.059×exp( mRNA expression value of FAM117B)-0.023×exp (mRNA expression value of PRELID2)-0.070×exp (mRNA expression value of IRF1), cutoff value of high-risk group and low-risk group-0.083; 结果输出模块,用于根据结直肠癌病人风险分数来预测结直肠癌病人治疗后的预后风险;当结直肠癌病人风险分数≥-0.083时,结直肠癌病人为高风险,生存会显著差,需要更多的临床关注和更好的临床管理;当结直肠癌病人风险分数<-0.083时,结直肠癌病人为低风险,生存较好,可以用更温和的治疗方案,避免过度治疗。The result output module is used to predict the prognostic risk of colorectal cancer patients after treatment according to the risk score of colorectal cancer patients; when the risk score of colorectal cancer patients is greater than or equal to -0.083, the colorectal cancer patients are at high risk, and the survival will be significantly poor. More clinical attention and better clinical management are needed; when the risk score of colorectal cancer patients is less than -0.083, colorectal cancer patients are at low risk and have better survival, and can use milder treatment regimens to avoid overtreatment.
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CN110317879A (en) * 2019-08-19 2019-10-11 中山大学附属第六医院 Application, colorectal cancer prognosis prediction kit and the forecasting system of gene detection reagent
CN112245584A (en) * 2020-10-20 2021-01-22 浙江大学 Use of polyphosphoinositide phosphatase 1 as a target molecule

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