TYROBP在脑胶质瘤中的表达特征及其临床预后意义
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国家自然科学基金( 82472841);北京市卫生健康委员会事业发展计划( 11000023T000002044300-5);北京市医院管理中心青年人才培养“青苗”计划(QML20230507)


Expression characteristics and clinical prognostic significance of TYROBP in gliomas
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    摘要:

    目的 探讨酪氨酸激酶结合蛋白(TYROBP)基因在脑胶质瘤中的表达特征及其临床预后 意义,为开发基于TYROBP的靶向治疗策略提供理论依据。方法 基于中国脑胶质瘤基因组图谱计划 (CGGA)及癌症基因组图谱(TCGA)数据库开展多维度分析。首先,对CGGA 数据库中2 个独立队列(数 据集1包含325例样本,数据集2包含693例样本)和TCGA数据库中的1个队列(数据集3包含697例样本) 的转录组测序数据及相应临床资料进行回顾性研究,系统考察TYROBP基因表达与患者临床病理特征 的关系。同时,于2025年3—4月收集北京天坛医院神经外科经病理确诊的6例原发性胶质瘤手术标本, 通过免疫组化技术检测TYROBP蛋白在不同病理类型肿瘤组织中的表达分布。进一步研究纳入CGGA 数据库中286 例胶质瘤患者的全外显子测序数据(数据集4),依据TYROBP表达中位值(M=148.56)将病 例划分为TYROBP低表达组(表达量≤ 148.56,n=116)和TYROBP高表达组(表达量> 148.56,n=115),比 较两组间拷贝数变异特征及基因突变谱差异。生存分析采用Kaplan-Meier 法评估TYROBP 表达水平 与患者总生存期的关联,并通过单因素及多因素Cox比例风险模型验证其预后价值。在机制探索方面, 针对数据集1 实施功能富集分析,阐明与TYROBP 共表达基因参与的生物学过程;运用CIBERSORT 算法定量分析肿瘤微环境中22 种免疫细胞的浸润比例,探讨各免疫细胞亚群与TYROBP表达的相关 模式。结果 数据集1、2、3 中TYROBP基因表达水平随WHO 分级(2~4 级)的提升而增加,差异均有 统计学意义(F=38.379、14.681、76.724,均P < 0.01)。异柠檬酸脱氢酶(IDH)野生型肿瘤的TYROBP 表 达水平明显高于IDH突变并伴1p/19q共缺失的病例[数据集1为(7.19±0.10) vs( 5.55±0.11)(F=54.120, P<0.01),数据集2为(7.54±0.11)vs( 6.54±0.10)(F=25.151,P<0.01),数据集3为(3.37±0.17) vs (3.07±0.17)(F=171.19,P < 0.01)]。临床病理特征关联分析结果显示,原发肿瘤、低级别肿瘤以及IDH 突变伴1p/19q 共缺失病例的TYROBP表达较复发、高级别肿瘤及非IDH突变伴1p/19q共缺失病例低(均 P < 0.01)。数据集1 的基因突变及拷贝数改变分析结果显示,TYROBP 高表达组的含HECT 和RLD 结 构域的E3 泛素连接酶1(HERC1)4%(5/115)和血小板反应蛋白1 型结构域含蛋白7B(THSD7B)4%(5/115) 突变率高于低表达组(均0%)(均χ2=4.117,均P< 0.05)。在数据集1、数据集2 和数据集3 中,TYROBP 高表达组比低表达组的总生存期(OS)短(均P< 0.05)。多因素Cox 回归分析显示,胶质母细胞瘤(GBM) (HR=2.218,95%CI:1.438~3.422,P< 0.001)、1p/19q 共缺失(HR=0.279,95%CI:0.163~0.481,P< 0.01) 及TYROBP高表达(HR=1.582,95%CI:1.155~2.168,P< 0.01)均为影响胶质瘤患者预后的独立危险因 素。功能富集分析表明,TYROBP可能通过调控白细胞介导的免疫应答和免疫调节过程参与肿瘤微环 境重塑。相关性分析显示,该基因与M2 型巨噬细胞浸润程度呈正相关(r=0.42,P< 0.001),与初始CD4+ T细胞浸润程度呈负相关(r=-0.45,P< 0.001)。此外,TYROBP表达与白细胞介导免疫中的多种关键基 因密切相关,其中C1QA(r=0.924)、C1QC(r=0.904)与其显著正相关,与PIK3CB(r=-0.407)、PIK3R1(r=-0.405) 呈显著负相关(均P< 0.05)。结论 TYROBP的表达模式具有显著的肿瘤类型特异性,其表达水平不仅 与患者预后密切相关,还在肿瘤免疫微环境调控中发挥重要作用。这些发现为开发基于TYROBP的靶 向治疗策略提供了理论依据。

    Abstract:

    Objective To explore the expression characteristics and clinical prognostic significance of tyrosine kinase binding protein( TYROBP) gene in gliomas, providing a theoretical basis for developing targeted therapeutic strategics based on TYROBP. Methods This study conducted multidimensional analysis based on the Chinese Glioma Genome Atlas( CGGA) and The Cancer Genome Atlas( TCGA) databases. Firstly, a retrospective study was conducted on transcriptome sequencing data and corresponding clinical data from two independent cohorts in the CGGA database( Dataset 1 containing 325 samples and Dataset 2 containing 693 samples) and one cohort in the TCGA database( Dataset 3 containing 697 samples) to systematically investigate the relationship between TYROBP gene expression and patient clinical pathological characteristics. Concurrently, six surgical specimens of primary gliomas pathologically confirmed by the Department of Neurosurgery at Beijing Tiantan Hospital were collected between March and April 2025. Immunohistochemical techniques were employed to detect the expression distribution of the TYROBP in tumor tissues of different pathological types. Further research was conducted on the whole exome sequencing data of 286 glioma patients included in the CGGA database( Dataset 4). Based on the median TYROBP expression value( M=148.56), the cases were divided into TYROBP low expression group( expression level ≤148.56, n=116) and TYROBP high expression group( expression level>148.56, n=115), and the copy number variation characteristics and gene mutation spectrums were compared between the two groups. Survival analysis employed the Kaplan-Meier method to evaluate the association between TYROBP expression levels and patient overall survival, with its prognostic value validated through univariate and multivariate Cox proportional hazards models. In terms of mechanism exploration, functional enrichment analysis was performed on Dataset 1 to elucidate the biological processes involving genes co-expressed with TYROBP. The CIBERSORT algorithm was employed to quantitatively analyze the infiltration proportions of 22 immune cells within the tumor microenvironment, investigating the correlation patterns between various immune cell subpopulations and TYROBP expression. Results In Dataset 1, Dataset 2, and Dataset 3, the expression levels of the TYROBP gene increased with higher WHO grades (2-4), with all differences being statistically significant( F=38.379, 14.681, 76.724; all P<0.01). TYROBP expression levels were statistically higher in wild-type isocitrate dehydrogenase( IDH) tumors compared to IDH-mutant tumors with 1p/19q deletion[ Dataset 1:(7.19±0.10) vs(. 5.55±0.11)( F=54.120,P<0.01); Dataset 2: (7.54±0.11) vs.( 6.54±0.10)( F=25.151,P < 0.01), Dataset 3:(3.37±0.17) vs( 3.07±0.17)( F=171.19, P < 0.01)]. Correlation analysis of clinical pathological characteristics revealed that TYROBP expression was statistically lower in primary tumors, low-grade tumors, and IDH-mutant cases with 1p/19q co-deletion compared to recurrent tumors, high-grade tumors, and non-IDH-mutant cases with 1p/19q co-deletion( P < 0.01). The analysis of gene mutations and copy number changes in Dataset 1 showed that the mutation rates of E3 ubiquitin ligase 1 containing HECT and RLD domains( HERC1)[ 4%( 5/115)] and thrombospondin type 1 domain containing protein 7B( THSD7B)[ 4%( 5/115)] in the TYROBP high expression group were higher than those in the low expression group( both 0%), and the differences were statistically significant( both χ2=4.117,both P<0.05). In Dataset 1, Dataset 2, and Dataset 3, the overall survival( OS) of the TYROBP high expression group was shorter than that of the low expression group, with statistically significant differences (all P < 0.05). Multivariate Cox regression analysis showed that glioblastoma( GBM)[ HR=2.218, 95%CI (1.438,3.422), P<0.001), 1p/19q co-deletion[ HR=0.279, 95%CI( 0.163,0.481),P<0.01], and TYROBP overexpression[ HR=1.582,95%CI( 1.155, 2.168),P< 0.01] were independent risk factors of the prognosis of glioma patients, and the differences were statistically significant. Functional enrichment analysis indicated that TYROBP participated in tumor microenvironment remodeling by regulating leukocyte-mediated immune responses and immunomodulatory processes. Correlation analysis revealed that this gene was positively correlated with the degree of M2 macrophage infiltration( r=0.42, P<0.001) and negatively correlated with the degree of initial CD4+ T cell infiltration( r=-0.45,P < 0.001), with statistically significant differences. The expression of TYROBP was closely related to multiple key genes in leukocyte-mediated immunity. C1QA (r=0.924) and C1QC (r=0.904) were significantly positively correlated with TYROBP expression, and significantly negatively correlated with PIK3CB (r=-0.407) and PIK3R1 (r=-0.405), with statistically significant differences( all P < 0.05). Conclusions This study confirms that the expression pattern of TYROBP exhibits significant tumor type specificity. Its expression levels are not only closely associated with patient prognosis but also play a crucial role in regulating the tumor immune microenvironment. These findings provide a theoretical basis for developing targeted therapeutic strategies based on TYROBP.

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谭雯璐,李珩瑜,范文华,周含笑,刘幸,赵征,崔云.TYROBP在脑胶质瘤中的表达特征及其临床预后意义[J].神经疾病与精神卫生,2025,25(12):846-855
DOI :10.3969/j. issn.1009-6574.2025.12.002.

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  • 在线发布日期: 2025-12-15