CLDN7在胶质母细胞瘤中的表达及临床意义
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上海市临床重点专科项目 (shslczdzk02703);复旦大学附属中山医院科技创新基金(2024-ZSCX24)


Expression and clinical significance of CLDN7 in glioblastoma
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    摘要:

    目的 探讨胶质母细胞瘤(GBM)组织内封闭蛋白 7 (CLDN7)的表达水平及临床意义。 方法 从癌症基因组图谱计划(TCGA)和基因型 - 组织表达(GTEx)数据库分别获得 GBM 与正常脑组织 相关的基因表达数据,借助 R 软件比较两组内CLDN7基因的表达差异,分析CLDN7与临床数据的相关 性。用Kaplan-Meier生存分析、受试者工作特征(ROC)曲线分析及列线图评估CLDN7在GBM患者的预后。 使用 STRING 数据库评估CLDN7的相互作用基因及信号通路。结果 共收集 689 份正常样本和 1 157 例 胶质瘤样本。GBM 组织内CLDN7的表达高于正常脑组织[1.029(0.642,1.546)]比[0.475(0.275,0.740)], 差异有统计学意义(Z=-20.004,P< 0.001)。年龄> 60 岁、WHO 病理学分级高、1p/19q 非共缺失患者 的CLDN7表达量高于年龄≤ 60 岁、WHO 病理学分级低、1p/19q 共缺失患者,差异有统计学意义(Z/H= -20.683、154.210、-2.699,均P< 0.001)。生存分析显示,CLDN7高表达组较低表达组生存期缩短,差异 有统计学意义(P< 0.001)。ROC 曲线结果显示,CLDN7诊断 GBM 患者的曲线下面积为 0.776。京都基 因和基因组数据库(KEGG)分析结果显示,CLDN7相关联的蛋白质主要参与紧密连接、黏附链接、细胞 黏附分子及白细胞跨内皮迁移等信号通路。结论 CLDN7在 GBM 组织中高表达,可能成为诊断 GBM 的指标,是预后不良的相关指标。

    Abstract:

    Objective To explore the expression level and clinical significance of claudin 7 (CLDN7) in glioblastoma (GBM) tissues. Methods The gene expression data related to GBM and normal brain tissues were obtained from The Cancer Genome Atlas (TCGA) and Genotype-Tissue Expression (GTEx) databases, respectively, and the correlation between CLDN7 and clinical data was analyzed by comparing the differences in CLDN7 gene expression within the two groups with the help of R software. The prognosis of CLDN7 in patients with human GBM was assessed using Kaplan-Meier survival analysis, receiver operating characteristic (ROC) curve analysis, and nomogram. STRING database was used to evaluate the interacting genes and signaling pathways of CLDN7. Results A total of 689 normal samples and 1 157 GBM samples were collected. The expression of CLDN7 in GBM tissue was higher than that in normal brain tissue [1.029 (0.642,1.546)] vs. [0.475 (0.275, 0.740)], and the difference was statistically significant (Z=-20.004, P< 0.001). The expression level of CLDN7 in patients aged > 60 years, with high WHO pathological grade and 1p/19q non co-deletion was higher than that in patients aged ≤ 60 years, with low WHO pathological grade and 1p/19q co-deletion, and the difference was statistically significant (Z=-20.683,154.210,-2.699, all P < 0.001). Survival analysis showed that CLDN7 high expression group had a shorter survival period compared to the low expression group, and the difference was statistically significant (P < 0.001). ROC curve showed that the area under the curve for diagnosing glioblastoma patients with CLDN7 was 0.776. Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis revealed that proteins associated with CLDN7 were mainly involved in signaling pathways such as tight junctions, adhesion links, cell adhesion molecules, and leukocyte transendothelial migration. Conclusions CLDN7 is highly expressed in GBM tissues and may be an indicator of diagnosis of GBM and poor prognosis.

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李允,毛轶青,钟宗烨,刘光华,刘邦忠.CLDN7在胶质母细胞瘤中的表达及临床意义[J].神经疾病与精神卫生,2025,(1):36-40
DOI :10.3969/j. issn.1009-6574.2025.01.005.

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  • 在线发布日期: 2025-01-20