RNA甲基化识别蛋白YTH N6-甲基腺苷RNA结合蛋白2 预测 O6-甲基鸟嘌呤-DNA甲基转移酶甲基化的脑胶质瘤的化学治疗 敏感性
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国家自然科学基金项目(81773208,81903078);北京市科技新星计划(Z201100006820118)


RNA methylation recognition protein YTHDF2 predicts chemotherapeutic sensitivity of O6-methylguanine methyltransferase promoter methylated glioma
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    摘要:

    目的 研究RNA N6- 腺苷酸甲基化(N6-methyladenosine, m6A)识别蛋白YTH N6 - 甲基 腺苷RNA 结合蛋白2(YTHDF2)与O6-甲基鸟嘌呤-DNA 甲基转移酶(MGMT)甲基化胶质瘤化学治疗 (简称化疗)抵抗的关联,并探索其潜在机制。方法 共纳入中国脑胶质瘤基因图谱计划(CGGA)数据 库中的325 例胶质瘤患者,收集其一般及临床信息(包括患者的组织学病理和分子病理信息、总生存 期、术后辅助性治疗信息和包含YTHDF2 在内的基因表达谱信息)。利用Kaplan-Meier 生存曲线和Logrank 检验评价YTHDF2 表达水平与替莫唑胺(TMZ)治疗敏感性及生存预后的关系。通过慢病毒感染 体外构建YTHDF2 稳定敲低的胶质瘤细胞模型,利用细胞活性检测试剂盒8(CCK-8 试剂盒)检测不同 YTHDF2 表达水平细胞在TMZ处理后的存活率。通过基因集合富集分析(GSEA))和基因本体(GO)功能 注释,分析YTHDF2 表达升高参与TMZ治疗抵抗的潜在机制。结果 临床数据库队列分析发现,m6A 识别蛋白YTHDF2 表达水平高的胶质母细胞瘤化疗治疗后总生存期显著短于YTHDF2 表达水平低者 (P < 0.01)。经800、1 500、2 000 μmol/L 的TMZ 处理48 h 后,与对照shRNA 比较,YTHDF2 shRNA1 (800 μmol/L 的TMZ 除外)和YTHDF2 shRNA2 的细胞相对存活比例均明显降低,差异均具有统计学意 义(均P < 0.01)。生存分析结果表明,在MGMT甲基化组中, YTHDF2 低表达水平患者的总体生存率明 显高于YTHDF2 高表达水平患者(P < 0.05);在MGMT非甲基化组中,YTHDF2 低高表达水平患者的总 体生存率差异无统计学意义(P> 0.05)。京都基因与基因组百科全书(KEGG)通路注释结果显示,表达 升高的基因主要富集在与细胞因子介导的细胞间相互作用、细胞周期以及Janus激酶-信号转导和转录 激活因子信号通路,而表达降低的基因主要富集在正常神经活动相关的信号通路。GSEA分析结果显示, YTHDF2 高表达的胶质母细胞瘤基因富集与上皮间质转化、细胞分裂活动和核因子κB 介导的肿瘤坏 死因子α 等特征密切相关。GO 功能注释结果显示,在YTHDF2 高表达组中,高表达的基因功能主要聚 集在细胞周期和细胞因子相关的生物学过程中。结论 RNA甲基化识别蛋白YTHDF2表达可用作预测 和评估MGMT甲基化的胶质瘤化疗敏感性的分子指标。

    Abstract:

    Objective To investigate the association between RNA methylation recognition protein, YTH N6- methyladenosine RNA binding protein 2( YTHDF2), and the chemotherapy resistance in O6- methylguanine-DNA- methyltransferase( MGMT) methylated glioma, and to reveal the underlying mechanism.Methods A total of 325 patients from Chinese Glioma Genome Atlas( CGGA) were included in this study. General and clinical information( including histopathological and molecular pathological information, overall survival, postoperative adjuvant therapy information and gene expression profile information including YTHDF2) were collected. The Kaplan-Meie curves and Log-rank testing were used to study the relationship among YTHDF2 expression level, the sensitivity of temozolomide( TMZ) treatment and the prognosis of glioma. A glioma cell model was established with stable YTHDF2 knockout by lentivirus infection. The cytoviability of glioma cells with different expression levels of YTHDF2 was detected by cell cytoviability kit 8( CCK-8) after TMZ treatment. Gene Set Enrichment Analysis( GSEA) and gene ontology( GO) functional annotation were used to study the potential mechanism underlying the role of YTHDF2 in the resistance of glioblastoma to TMZ. Results Clinical database cohort analysis showed that the overall survival of gliomas patients with high expression level of m6A recognition protein YTHDF2 after chemotherapy was significantly shorter than those with low expression level of YTHDF2( P < 0.01). After 48 hours of TMZ treatment with 800, 1 500 and 2 000 μmol/l, the relative survival ratio of YTHDF2 shRNA( except TMZ of 800 μ mol/l) and YTHDF2 shRNA were significantly reduced compared with the control shRNA, and the difference was statistically significant( P<0.01). Survival analysis showed that the overall survival rate of patients with low expression of YTHDF2 was significantly higher than that of patients with high expression of YTHDF2 in MGMT methylation group( P<0.05). In MGMT demethylation group, there was no significant difference in the overall survival rate of patients with low and high expression of YTHDF2( P>0.05). Kyoto Encyclopedia of genes and genomes( KEGG) pathway annotation results showed that genes with increased expression were mainly enriched in cytokine mediated intercellular interaction, cell cycle and Janus kinase signal transducer and activator of transcription signaling pathway, while genes with decreased expression were mainly enriched in normal neural activity related signaling pathway. GSEA analysis showed that the high expression of YTHDF2 in gliomas was closely related to epithelial mesenchymal transition, cell division and tumor necrosis factor- α mediated by nuclear factor- κB. The results of GO functional annotation showed that in the high expression group of YTHDF2, the high expression genes mainly concentrated in the biological processes related to cell cycle and cytokines. Conclusions RNA methylation recognition protein YTHDF2 can be used as a molecular marker to predict and evaluate the chemosensitivity of gliomas with MGMT methylation.

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王永志 常誉洲 柴睿超. RNA甲基化识别蛋白YTH N6-甲基腺苷RNA结合蛋白2 预测 O6-甲基鸟嘌呤-DNA甲基转移酶甲基化的脑胶质瘤的化学治疗 敏感性[J].神经疾病与精神卫生,2021,21(5):
DOI :10.3969/j. issn.1009-6574.2021.05.003.

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  • 在线发布日期: 2021-06-02