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基于生物信息学分析Notch3通路在胃肠道肿瘤中预后作用

Prognostic Role of Notch3 Pathway in Gastrointestinal Cancers: a Bioinformatics Study

  • 摘要: 本文旨在探讨Notch3通路基因在胃肠道肿瘤中预后的作用。通过Timer和GEPIA数据库在泛癌水平探索Notch3表达模式;利用GEO数据库中GSE31168和GSE11417芯片数据集,基于Spearman相关性分析和差异表达分析,对Notch3通路关键基因进行筛选;基于TCGA-STAD和TCGA-COAD数据集探索Notch3表达水平和胃癌、结肠癌患者生存的关联;应用Notch3特征基因进行胃癌和结肠癌风险评估模型构建。结果显示,Notch3在胃癌和结肠癌组织中的表达均高于对照的。胃癌Notch3表达水平与DLL1、DLL3、HEY1、HEYL、FLT4成正相关性,且Notch3、DLL1、DLL3、HEY1、HEYL、FLT4的高表达也与胃癌的预后不良呈正相关。利用结肠癌GSE11417研究表明,结肠癌Notch3表达水平与DLL1、DLL3、HEYL、FLT4成正相关性,且Notch3、DLL1、DLL3、HEYL、FLT4的高表达与结肠癌的预后不良成正相关。依据Notch3、DLL1、DLL3、HEYL和FLT4特征基因,构建的胃癌和结肠癌风险评估模型在TCGA中具备预后预测价值,且结肠癌优于胃癌。该特征基因高表达提示胃肠道肿瘤不良预后,这为其机制研究和预后分析提供一种新思路。

     

    Abstract: The present study aims to explore the prognostic role of Notch3 pathway in gastrointestinal cancers. The expression pattern of Notch3 was investigated using the Timer and GEPIA web-tool at pan-cancer level. Expression levels of Notch3 pathway-related genes were compared between tumor and normal tissues based on GSE31168 and GSE11417 datasets. Expressional correlation among Notch3 pathway-related genes was further explored using Spearman correlation test in these two datasets. The association between Notch3 expression and prognosis of patients with gastric cancer or colon cancer was analyzed using genomic DNA data and clinical information from TCGA-STAD and TCGA-COAD datasets respectively. A risk assessment model based on Notch3 pathway-related genes was constructed for the prognostic prediction for patients with STAD or COAD using multivariate Cox regression analysis. The results revealed the high expression of Notch3 in both gastric cancer and colon adenocarcinoma. Notch3 expression was positively and significantly correlated with the expression of DLL1, DLL3, HEY1, HEYL and FLT4 in STAD. Higher expression of Notch3, DLL1, DLL3, HEY1, HEYL and FLT4 predicted poorer prognosis in STAD. Similarly, Notch3 expression was positively and significantly correlated with the expression of DLL1, DLL3, HEYL and FLT4 in COAD. Higher expression of Notch3, DLL1, DLL3, HEYL and FLT4 predicted poorer prognosis in COAD. The risk assessment model based on Notch3 pathway-related genes performed better in prognosis predicting for gastric cancer than colon cancer. Higher expression of Notch3-related gene signature predicted poorer prognosis in gastrointestinal cancer, and provided a new idea for the underlying mechanism and prognosis analysis by further bioinformatics analysis.

     

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