High Expression of MYL9 Indicates Poor Clinical Prognosis of Epithelial Ovarian Cancer

Author(s):  
Yuao Deng ◽  
Longyang Liu ◽  
Weifeng Feng ◽  
Zhongqiu Lin ◽  
Yingxia Ning ◽  
...  

Background: The prognosis of epithelial ovarian cancer (EOC) is poor, but the prognostic biomarkers are neither sensitive nor specific. Therefore, it is very important to search novel prognostic biomarkers for EOC. Objectives: The present study aimed to investigate myosin light chain 9(MYL9) expression in epithelial ovarian cancer (EOC) tissues (including paraffin-embedded and fresh tissue samples) and its relationship with clinicopathological characteristics, as well as its potential prognostic value in patients with EOC. Methods: Between March 2009 and December 2018, all of 184 paraffin-embedded cancer tissues from patients with EOC and 41 paratumor tissues, pathologically confirmed at the Memorial Hospital of Sun Yat-sen University and Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, were collected for the present study and were assessed for MYL9 protein expression patterns using immunohistochemistry (IHC). Furthermore, from August 2013 to November 2019, 16 fresh EOC tissues and their paired paratumor tissues, pathologically confirmed at the Integrated Hospital of Traditional Chinese Medicine, Southern Medical University were analyzed using reverse-transcription quantitative PCR (RT-qPCR) to detect MYL9 mRNA expression levels. Results: The results showed that MYL9 expression was higher in cancer tissues compared with that in paratumor tissues, and MYL9 overexpression was associated with shorter recurrence free survival (RFS) and overall survival (OS) of EOC patients. Furthermore, multivariate Cox model analysis indicated that MYL9 overexpression was an independent poor survival prediction in patients with EOC. Conclusion: MYL9 is upregulated in EOC and may serve as a useful patent of prognostic biomarker in EOC, and it may demonstrate an important value for the clinical treatment and supervision of patients with EOC.

2020 ◽  
Author(s):  
tiefeng cao ◽  
huimin shen

Abstract Background:Chemotherapeutic resistance is responsible for treatment failure. Immunotherapy is important in ovarian cancer (OC). Systematic exploration of immunogenic landscape and reliable immune gene-based prognostic biomarkers or signature is necessary to be identified. This study aims to identify the immune gene-based prognostic biomarkers and regulatory factors, further to develop an individualized prediction signature.Methods: This study systematically explored the gene expression profiles from RNA-seq data set for The Cancer Genome Atlas (TCGA) ovarian cancer. Differentially expressed and survival-associated immune genes and transcription factors (TFs) were identified using immune genes from ImmPort dataset and TFs from Cistoma database. We developed the prognostic signature based on survival associated immune genes with LASSO (Least absolute shrinkage and selection operator) Cox regression analysis. Further, Network analysis was performed to uncover the potential molecular mechanisms of immune-related genes with the help of computational biology. Results: The prognostic signature, a weighted combination of the 21 immune-related genes, performed moderately in survival prediction with AUC was 0.746, 0.735, and 0.749 for 1, 3, and 5 year overall survival, respectively. Network analysis uncovered the regulatory role of TFs in immune genes. Intriguingly, the prognostic signature reflected infiltration of some immune cell subtypes.Conclusions: We first constructed a signature with 21 immune genes of clinical significance, which showed promising predictive value in the surveillance, prognosis, even immunotherapy response of OC patients.


2010 ◽  
Author(s):  
Melissa D. Adams ◽  
Patricia G. Murphy ◽  
Perry D. Haaland ◽  
Brennan D. Martin ◽  
Douglas P. Malinowski

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Hui Guan ◽  
Guo-Hua Dai ◽  
Wu-Lin Gao ◽  
Xue Zhao ◽  
Zhen-Hao Cai ◽  
...  

Objective. This study aimed to construct a 5-year survival prediction model of coronary heart disease (CHD) induced chronic heart failure (CHF), which is supported by the traditional Chinese medicine (TCM) factor, and to verify the model. Methods. Inpatients from January 1, 2012, to December 31, 2017, in seven hospitals in Shandong Province were studied. The random number table was used to randomly divide the seven hospitals into two groups (training set and verification set). In the training set, the least absolute shrinkage selection operator regression was first used to screen the independent variables. Logistic regression was then applied to construct a survival prediction model. The following nomogram visualizes the prediction model results. Finally, C-indices, calibration curves, and decision curves were used to discriminate and calibrate the established model and evaluate its practicability in the clinic. Bootstrap resampling and the verification set were used for internal and external verification, respectively. Results. A total of 424 eligible patients were included in the model construction and verification. In this 5-year survival prediction model of patients with CHF induced by CHD, eight independent predictors were included. The series of C-indices for the training set, bootstrap resamples, and verification set was 0.885, 0.867, and 0.835, respectively, demonstrating the credibility of our model. Additionally, the receiver operating characteristic curve, calibration curve, and clinical decision curve analysis of the training and verification sets showed that this 5-year survival prediction model was good in discrimination, calibration, and clinical practicability. Conclusion. This work highlights eight independent factors affecting 5-year mortality in patients with CHF induced by CHD after discharge and further helps reallocate medical resources rationally by precisely identifying high-risk groups. The constructed prediction model not only plays a credible role in prediction but also demonstrates TCM intervention as a protective factor for the 5-year death of patients with CHF induced by CHD, thereby advancing the use of TCM in CHF.


2020 ◽  
Author(s):  
Chuang Li ◽  
Yuan Lyu ◽  
Caixia Liu

Abstract Background: Ovarian cancer is a common cancer that affects the quality of women’s life. With the limitation of the early diagnosis of the disease, ovarian cancer has a high mortality rate worldwide. However, the molecular mechanisms underlying tumor invasion, proliferation, and metastasis in ovarian cancer remain unclear. We aimed to identify, using bioinformatics, important genes and pathways that may serve crucial roles in the prevention, diagnosis, and treatment of ovarian cancer. Methods: Three microarray datasets (GSE14407, GSE36668, and GSE26712) were selected for whole-genome gene expression profiling , and differentially expressed genes were identified between normal and ovarian cancer tissues. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analyses were performed using DAVID. Additionally, a protein-protein interaction network was constructed to reveal possible interactions among the differently expressed genes. The prognostic values of the hub genes were investigated using Gene Expression Profiling Interactive Analysis (GEPIA) and the KM plotter database. Meanwhile, the mRNA expression analysis of the hub genes was performed using the GEPIA database. Results: We obtained 247 upregulated and 530 downregulated differently expressed genes, and 52 hub genes in the significant gene modules. Enrichment analysis revealed that the hub genes were significantly ( P < 0.05) associated with proliferation. Additionally, BIRC5, CXCL13, and PBK were revealed to be significantly associated with the clinical prognosis of patients with ovarian cancer. Immunohistochemical staining results obtained from the Human Protein Atlas revealed that BIRC5, PBK, and CXCL13 were highly expressed in ovaria cancer tissues. Conclusion Three-gene signatures ( BIRC5, CXCL13 , and PBK ) are associated with the occurrence, development, and prognosis of OC, and may therefore serve as biological markers of the disease.


2021 ◽  
Vol 11 ◽  
Author(s):  
Pawel Mach ◽  
Rainer Kimmig ◽  
Sabine Kasimir-Bauer ◽  
Paul Buderath

IntroductionEpithelial ovarian cancer (EOC) is the deadliest gynecologic malignancy worldwide. Reliable predictive biomarkers are urgently needed to estimate the risk of relapse and to improve treatment management. Soluble immune-checkpoints in EOC are promising molecules serving as prognostic biomarkers accessible via liquid biopsy. We thus, aimed at elucidating the role of sB7-H4 in EOC.Material and MethodsWe analyzed soluble serum B7-H4 (sB7-H4) using ELISA and circulating tumor cells (CTCs) in blood applying the AdnaTest OvarianCancer in 85 patients suffering from advanced EOC. Findings were correlated with clinical parameters as well as survival data.ResultssB7-H4 was detectable in 14.1% patients, CTCs in 32.9% patients and simultaneous presence of CTCs and sB7-H4 was found in 7% patients, respectively. Although no association between sB7-H4 and CTC could be documented, each of them served as independent predictive factors for overall survival (OS).ConclusionsB7-H4 and CTCs are independent prognostic biomarkers for impaired survival in EOC. As they are easily accessible via liquid biopsy, they may be of potential benefit for the prediction of therapy response and survival for EOC patients.


2021 ◽  
Vol 22 (11) ◽  
pp. 5714
Author(s):  
Gwan Hee Han ◽  
Ilseon Hwang ◽  
Hanbyoul Cho ◽  
Kris Ylaya ◽  
Jung-A Choi ◽  
...  

Hormone receptor expression patterns often correlate with infiltration of specific lymphocytes in tumors. Specifically, the presence of specific tumor-infiltrating lymphocytes (TILs) with particular hormone receptor expression is reportedly associated with breast cancer, however, this has not been revealed in epithelial ovarian cancer (EOC). Therefore, we investigated the association between hormone receptor expression and TILs in EOC. Here we found that ERα, AR, and GR expression increased in EOC, while PR was significantly reduced and ERβ expression showed a reduced trend compared to normal epithelium. Cluster analysis indicated poor disease-free survival (DFS) in AR+/GR+/PR+ subgroup (triple dominant group); while the Cox proportional-hazards model highlighted the triple dominant group as an independent prognostic factor for DFS. In addition, significant upregulation of FoxP3+ TILs, PD-1, and PD-L1 was observed in the triple dominant group compared to other groups. NanoString analyses further suggested that tumor necrosis factor (TNF) and/or NF-κB signaling pathways were activated with significant upregulation of RELA, MAP3K5, TNFAIP3, BCL2L1, RIPK1, TRAF2, PARP1, and AKT1 in the triple dominant EOC group. The triple dominant subgroup correlates with poor prognosis in EOC. Moreover, the TNF and/or NF-κB signaling pathways may be responsible for hormone-mediated inhibition of the immune microenvironment.


Sign in / Sign up

Export Citation Format

Share Document