ATP酶Na+ /K+ 转运亚基α2基因在脑胶质瘤中的表达特征及其临床意义
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国家自然科学基金(82003193);北京市神经外科研究所自然科学基金(2025 改革与发展-所自然7)


Expression characteristics and clinical significance of ATPase Na+/K+ transporting subunit alpha 2 genein glioma
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    摘要:

    目的 探究ATP 酶Na+/K+转运亚基α2(ATP1A2)基因在脑胶质瘤中的表达特征、临床关 联及其潜在的生物学功能,深入剖析该基因在脑胶质瘤病理进展中的生物学作用。方法 回顾性分 析中国脑胶质瘤基因组图谱计划(CGGA)(n=325)和癌症基因组图谱(TCGA)(n=675)脑胶质瘤队列的 mRNA 测序数据,评估ATP1A2 的表达水平。依据X-tile 及R 语言survminer 包中的surv_cutpoint 函数选 取与生存关联最显著的截断值(CGGA:6.446 1,TCGA: 12.660 23),其中以ATP1A2 表达量大于最显著 截断值的为ATP1A2 高表达组,小于最显著截断值的为ATP1A2 低表达组。采用Kaplan-Meier 曲线、Logrank 检验和Cox 比例风险模型评估ATP1A2 表达与患者总生存期的关系。通过基因本体(GO)功能注释 和京都基因与基因组百科全书(KEGG)通路富集分析探索与ATP1A2 共表达基因的功能。结果 CGGA 与TCGA 数据库中脑胶质瘤队列临床病理特征比较显示,2 个队列在主WHO 分级、异柠檬酸脱氢酶 (IDH)突变、1p/19q 共缺失方面比较,差异均有统计学意义(均P < 0.05);2 个队列的mRNA 测序数据显 示,ATP1A2表达量在WHO 2~4 级脑胶质瘤组织中差异有统计学意义(F=28.67、48.26,均P< 0.01),且 随肿瘤分级升高呈降低的趋势。进一步分析显示,在CGGA 和TCGA 数据库中,IDH突变型脑胶质瘤 的ATP1A2 表达均高于IDH野生型(均P< 0.01);而在不同O6-甲基鸟嘌呤-DNA 甲基转移酶(MGMT)启 动子甲基化状态中,ATP1A2 表达差异均无统计学意义(均P > 0.05);CGGA 及GSE131928 单细胞数据 分析表明,ATP1A2 主要在肿瘤细胞中表达。ATP1A2 低表达患者的总生存期在CGGA 和TCGA 队列中 均显著缩短(CGGA:ATP1A2 高表达组6.411 年,ATP1A2 低表达组1.203 年,χ2=41.05,P < 0.01;TCGA: ATP1A2高表达组4.233 年,ATP1A2低表达组1.467 年,χ2=28.81,P< 0.01)。单因素(HR=0.721,95%CI: 0.654~0.794)及多因素Cox(HR=0.793,95%CI:0.716~0.879)分析显示ATP1A2 表达是脑胶质瘤预后的 独立风险因子(均P< 0.01);GO 富集分析显示,TCGA 和CGGA 数据库中与ATP1A2正相关的基因主要参 与酸性氨基酸转运、L-谷氨酸跨膜转运及氨基酸转运等生物学过程有关。KEGG 通路富集分析表明, CGGA 数据库中与ATP1A2 正相关的基因与γ-氨基丁酸能突触、神经活性配体信号传导相关。TCGA 数据库中与ATP1A2 正相关的基因与丙氨酸、天冬氨酸和谷氨酸的代谢、近端小管对碳酸氢盐的重吸收 相关。结论 ATP1A2 是脑胶质瘤的一个独立预后生物标志物,其低表达提示患者预后不良,为脑胶质 瘤的预后评估提供了新的分子工具,其关联的生物学通路为未来开发针对肿瘤微环境中离子代谢和神 经递质稳态的新的治疗策略提供了潜在靶点。

    Abstract:

    Objective To explore the expression characteristics, clinical correlations, and potential biological functions of the ATPase Na+/K+ transporting subunit alpha 2( ATP1A2) gene in glioma, and thoroughly analyze its biological role in the pathological progression of glioma. Methods mRNA sequencing data from the Chinese Glioma Genome Atlas( CGGA)( n=325) and The Cancer Genome Atlas( TCGA)( n=675) glioma cohorts were retrospectively analyzed to assess ATP1A2 expression levels. Based on the X-tile platform and the surv_ cutpoint function in the R language's survminer package, the cutoff value most significantly associated with survival was selected( CGGA: 6.446 1, TCGA: 12.660 23). The group with ATP1A2 expression levels above the most significant cutoff value was classified as the ATP1A2 high-expression group, while the group with levels below the cutoff was classified as the ATP1A2 low-expression group. Kaplan-Meier curve, log-rank test, and Cox proportional hazard model were employed to evaluate the relationship between ATP1A2 expression and overall survival in patients. The functions of genes co-expressed with ATP1A2 were explored through Gene Ontology( GO) annotation and Kyoto Encyclopedia of Genes and Genomes( KEGG) pathway enrichment analysis. Results The comparison of clinical and pathological characteristics between CGGA and TCGA cohorts revealed statistically significant differences between the two cohorts in primary WHO grading, isocitrate dehydrogenase( IDH) mutation status, and 1p/19q co-deletion( all P < 0.05). mRNA sequencing data from two cohorts showed statistically significant differences in ATP1A2 expression levels in WHO grade 2 to 4 glioma tissues( F=28.67, 48.26; both P < 0.01), with a decreasing trend observed as tumor grade increased. Further analysis revealed that in both the CGGA and TCGA databases, ATP1A2 expression was statistically higher in IDH-mutant gliomas compared to IDH wild-type gliomas( both P < 0.01). No statistical differences in ATP1A2 expression were observed across different O6-methylguanine-DNA methyltransferase( MGMT) promoter methylation states( all P> 0.05). Analysis of CGGA and GSE131928 single-cell data indicated that ATP1A2 was primarily expressed in tumor cells. Patients with low ATP1A2 expression exhibited significantly short overall survival in both the CGGA and TCGA cohorts, with statistically significant differences( CGGA: ATP1A2 high-expression group 6.411 years, ATP1A2 low-expression group 1.203 years, χ2=41.05, P<0.01; TCGA: ATP1A2 high-expression group 4.233 years, ATP1A2 low-expression group 1.467 years, χ2=28.81, P<0.01). Univariate[ HR=0.721, 95%CI( 0.654, 0.794)] and multivariate Cox[ HR=0.793, 95%CI( 0.716, 0.879)] analysis demonstrated that ATP1A2 expression was an independent risk factor for glioma, with statistically significant differences (P < 0.01). GO enrichment analysis revealed that genes positively correlated with ATP1A2 in the TCGA and CGGA databases were primarily involved in biological processes such as acidic amino acid transport, L-glutamate transmembrane transport, and amino acid transport. KEGG pathway enrichment analysis indicated that genes positively correlated with ATP1A2 in the CGGA database were associated with GABAergic synapses and neuroactive ligand signaling. Genes positively correlated with ATP1A2 in the TCGA database were associated with the metabolism of alanine, aspartate, and glutamate, as well as the reabsorption of bicarbonate in the proximal tubule. Conclusions This study confirms that ATP1A2 is an independent prognostic biomarker for glioma, with its low expression indicating poor patient prognosis. This discovery not only provides a novel molecular tool for assessing the prognosis of gliomas, but also identifies potential targets within associated biological pathways for developing new therapeutic strategies targeting ion metabolism and neurotransmitter homeostasis within the tumor microenvironment.

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刘玉清,付海韬,王政. ATP酶Na+ /K+ 转运亚基α2基因在脑胶质瘤中的表达特征及其临床意义[J].神经疾病与精神卫生,2025,25(12):856-864
DOI :10.3969/j. issn.1009-6574.2025.12.003.

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  • 在线发布日期: 2025-12-15