دورية أكاديمية
A Gene Signature Identifying CIN3 Regression and Cervical Cancer Survival.
العنوان: | A Gene Signature Identifying CIN3 Regression and Cervical Cancer Survival. |
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المؤلفون: | Halle MK; Centre for Cancer Biomarkers, Department of Clinical Science, University of Bergen, 5053 Bergen, Norway.; Department of Obstetrics and Gynaecology, Haukeland University Hospital, 5053 Bergen, Norway., Munk AC; Department of Obstetrics and Gynaecology, Sørlandet Hospital Kristiansand, 4604 Kristiansand, Norway., Engesæter B; Section for Cervical Cancer Screening, Cancer Registry of Norway, 0304 Oslo, Norway., Akbari S; Department of Pathology, Stavanger University Hospital, 4068 Stavanger, Norway., Frafjord A; Department of Pathology, Stavanger University Hospital, 4068 Stavanger, Norway., Hoivik EA; Centre for Cancer Biomarkers, Department of Clinical Science, University of Bergen, 5053 Bergen, Norway.; Department of Obstetrics and Gynaecology, Haukeland University Hospital, 5053 Bergen, Norway., Forsse D; Centre for Cancer Biomarkers, Department of Clinical Science, University of Bergen, 5053 Bergen, Norway.; Department of Obstetrics and Gynaecology, Haukeland University Hospital, 5053 Bergen, Norway., Fasmer KE; Section for Radiology, Department of Clinical Medicine, University of Bergen, 5021 Bergen, Norway.; Mohn Medical Imaging and Visualization Centre, Department of Radiology, Haukeland University Hospital, 5021 Bergen, Norway., Woie K; Department of Obstetrics and Gynaecology, Haukeland University Hospital, 5053 Bergen, Norway., Haldorsen IS; Section for Radiology, Department of Clinical Medicine, University of Bergen, 5021 Bergen, Norway.; Mohn Medical Imaging and Visualization Centre, Department of Radiology, Haukeland University Hospital, 5021 Bergen, Norway., Bertelsen BI; Department of Pathology, Haukeland University Hospital, 5021 Bergen, Norway., Janssen EAM; Department of Pathology, Stavanger University Hospital, 4068 Stavanger, Norway.; Department of Chemistry, Bioscience and Environmental Technology, University of Stavanger, 4036 Stavanger, Norway., Gudslaugsson E; Department of Pathology, Stavanger University Hospital, 4068 Stavanger, Norway., Krakstad C; Centre for Cancer Biomarkers, Department of Clinical Science, University of Bergen, 5053 Bergen, Norway.; Department of Obstetrics and Gynaecology, Haukeland University Hospital, 5053 Bergen, Norway., Øvestad IT; Department of Pathology, Stavanger University Hospital, 4068 Stavanger, Norway. |
المصدر: | Cancers [Cancers (Basel)] 2021 Nov 16; Vol. 13 (22). Date of Electronic Publication: 2021 Nov 16. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: MDPI Country of Publication: Switzerland NLM ID: 101526829 Publication Model: Electronic Cited Medium: Print ISSN: 2072-6694 (Print) Linking ISSN: 20726694 NLM ISO Abbreviation: Cancers (Basel) Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Basel, Switzerland : MDPI |
مستخلص: | The purpose of this study was to establish a gene signature that may predict CIN3 regression and that may aid in selecting patients who may safely refrain from conization. Oncomine mRNA data including 398 immune-related genes from 21 lesions with confirmed regression and 28 with persistent CIN3 were compared. L1000 mRNA data from a cervical cancer cohort was available for validation ( n = 239). Transcriptomic analyses identified TDO2 ( p = 0.004), CCL5 ( p < 0.001), CCL3 ( p = 0.04), CD38 ( p = 0.02), and PRF1 ( p = 0.005) as upregulated, and LCK downregulated ( p = 0.01) in CIN3 regression as compared to persistent CIN3 lesions. From these, a gene signature predicting CIN3 regression with a sensitivity of 91% (AUC = 0.85) was established. Transcriptomic analyses revealed proliferation as significantly linked to persistent CIN3. Within the cancer cohort, high regression signature score associated with immune activation by Gene Set enrichment Analyses (GSEA) and immune cell infiltration by histopathological evaluation ( p < 0.001). Low signature score was associated with poor survival ( p = 0.007) and large tumors ( p = 0.01). In conclusion, the proposed six-gene signature predicts CIN regression and favorable cervical cancer prognosis and points to common drivers in precursors and cervical cancer lesions. |
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معلومات مُعتمدة: | Year 2017-2019 Folke Hermansen; 27804 and 911634 Western Norway Regional Health Authority; Annual University of Bergen; 273280 The Research Council of Norway; 190202 Norwegian Cancer Society |
فهرسة مساهمة: | Keywords: CD38; HPV test; LCK; cervical cancer; cervical intraepithelial neoplasia (CIN); conization; gene expression analyses; immune activation; perforin; prognostic biomarker |
تواريخ الأحداث: | Date Created: 20211127 Latest Revision: 20211130 |
رمز التحديث: | 20221213 |
مُعرف محوري في PubMed: | PMC8616457 |
DOI: | 10.3390/cancers13225737 |
PMID: | 34830895 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2072-6694 |
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DOI: | 10.3390/cancers13225737 |