CN112458171A - Marker for predicting cervical squamous carcinoma chemotherapy curative effect and screening method and application thereof - Google Patents
Marker for predicting cervical squamous carcinoma chemotherapy curative effect and screening method and application thereof Download PDFInfo
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Abstract
The invention discloses a marker for predicting cervical squamous carcinoma chemotherapy curative effect and a screening method and application thereof. The marker is at least one of SRSF7, SNRPB, SNRPA, SF3A2 and PQBP1 genes. The application of a reagent for detecting a marker for predicting the chemotherapeutic effect of cervical squamous carcinoma in preparing a product for predicting the effect of cervical squamous carcinoma based on the combination of cisplatin and radiotherapy and chemotherapy is to detect the frequency or the expression level of SRSF7, SNRPB, SNRPA, SF3A2 or PQBP1 genes. The gene obtained by screening can accurately distinguish patients with chemoradiotherapy reactions from patients without chemoradiotherapy reactions, and the gene can be used for guiding the patients to select different treatment modes.
Description
Technical Field
The invention belongs to the technical field of biology, and particularly relates to a marker for predicting cervical squamous carcinoma chemotherapy curative effect and application of a reagent for detecting the marker for predicting the cervical squamous carcinoma chemotherapy curative effect in preparation of a product for predicting the combined chemotherapy effect of cervical squamous carcinoma.
Background
Cervical cancer is one of the leading causes of cancer death in women worldwide. Treatment of cervical cancer remains a significant challenge for researchers and physicians. Furthermore, mortality rates in less developed areas are significantly increased compared to industrialized countries, as most patients are already in the advanced stage at the time of diagnosis. The cervical cancer includes squamous cell carcinoma and adenocarcinoma, and the proportion of squamous cell carcinoma is the largest. Currently, the treatment of cervical squamous carcinoma mainly comprises surgery, chemotherapy, radiotherapy or combination therapy. Combined radiotherapy and chemotherapy is the main treatment method for advanced cervical squamous carcinoma.
In past work, it was found that combined chemoradiotherapy is ineffective and shows therapeutic resistance in some patients with locally advanced cervical squamous carcinoma. Approximately half of patients relapse or metastasize within the first two years after treatment, up to 40% do not respond to conventional therapy, and the reason why current combination chemotherapy treatments for locally advanced cervical squamous cell carcinoma are not known. For patients who are not effective, other effective treatment regimens need to be employed. Genomic imbalances can lead to uncontrolled expression of oncogenes and tumor suppressor genes in cancer cells. Therefore, we need to find genes related to treatment of locally advanced cervical squamous carcinoma patients to distinguish patients with good prognosis from patients with poor prognosis.
Clinically, personalized differences of patients are not considered for the treatment of the local advanced cervical squamous carcinoma chemoradiotherapy, so that the establishment of a prediction model for detecting gene expression profile data and screening patients insensitive to the local advanced cervical squamous carcinoma chemoradiotherapy is very important, and a positive effect on the prognosis of the patients can be generated to a certain extent. In treatment, the transcription factor is a protein which is combined with a specific DNA sequence to control the rate of information transcription from DNA to mRNA, and genes which are influenced by the transcription factor and are related to the curative effect of the chemoradiotherapy can be regulated by changing the transcription factor, so that the signal path of the action of the transcription factor is influenced, the sensitivity of the chemoradiotherapy is improved, and more patients can respond to the chemoradiotherapy treatment.
In summary, screening of new sensitivity genes for chemoradiotherapy of the local advanced cervical squamous cell carcinoma is helpful for improving the curative effect of chemoradiotherapy, realizing more accurate risk assessment, developing effective targeted therapeutic drugs and promoting the development of personalized treatment of the local advanced cervical squamous cell carcinoma.
Disclosure of Invention
Aiming at the defects in the prior art, the invention provides a marker for predicting the curative effect of cervical squamous cell carcinoma chemotherapy, and patients with good prognosis and patients with poor prognosis can be distinguished by detecting the high or low expression level of related genes.
In order to achieve the purpose, the technical scheme adopted by the invention for solving the technical problems is as follows:
a marker for predicting the curative effect of cervical squamous carcinoma chemotherapy, which is at least one of SRSF7, SNRPB, SNRPA, SF3A2 and PQBP1 genes.
The application of a reagent for detecting a marker for predicting the chemotherapeutic effect of cervical squamous carcinoma in preparing a product for predicting the effect of cervical squamous carcinoma based on the combination of cisplatin and radiotherapy and chemotherapy is to detect the frequency or the expression level of SRSF7, SNRPB, SNRPA, SF3A2 or PQBP1 genes.
Further, the reagent for gene frequency includes a reagent for detecting gene frequency of SRSF7, SNRPB, SNRPA, SF3a2 or PQBP1 using an immunohistochemical library sequencing method.
Further, the agent for gene expression level includes a probe, primer, antibody or ligand against SRSF7, SNRPB, SNRPA, SF3a2 or PQBP1 gene.
Further, the product also comprises an RNA extraction reagent, a GAPDH internal reference primer, a PCR reaction solution, a reverse transcription reagent, a negative control and a positive control.
A kit for auxiliary diagnosis or curative effect prediction of cervical squamous carcinoma comprises primers for detecting the expression level of SRSF7, SNRPB, SNRPA, SF3A2 or PQBP1 genes;
the primer sequence is as follows:
SRSF7-F:5’-CTATGAGTGTGGCGAAAAGGGAC-3’;(SEQ ID NO.1)
SRSF7-R:5’-GAGTATCGCCTTCCTCTGGATC-3’;(SEQ ID NO.2)
SNRPB-F:5’-TTGGCACCTTCAAGGCTTTTGAC-3’;(SEQ ID NO.3)
SNRPB-R:5’-AGACCGAGGACTCGCTTCTCTT-3’;(SEQ ID NO.4)
SNRPA-F:5’-CTGGTATCACGGAGCCTGAAGA-3’;(SEQ ID NO.5)
SNRPA-R:5’-TGAGTCGGTCTTGGCATACTGG-3’;(SEQ ID NO.6)
SF3A2-F:5’-GAAGAACCACCTGGGCTCCTAT-3’;(SEQ ID NO.7)
SF3A2-R:5’-CAGGTTGGTCTGGTGCTTCTTC-3’;(SEQ ID NO.8)
PQBP1-F:5’-ACTCCGTGGTTACCAAATCGGC-3’;(SEQ ID NO.9)
PQBP1-R:5’-CCCTGTCTAGTTTCTCATGGCTG-3’。(SEQ ID NO.10)
a screening method for predicting a therapeutic effect marker of cervical squamous carcinoma chemotherapy according to claim 1, which comprises the following steps:
(1) retrieving a dataset of expression profiles of advanced chemo-radiotherapy treatment of locally advanced cervical squamous carcinoma in a GEO database (GEO, http:// www.ncbi.nlm.nih.gov/GEO /), for a total of 3 datasets, GSE 5603-GPL 10191, GSE 560303-GPL 16025 and GSE56363, respectively;
(2) based on the retrieved data set, the data is normalized by RMA software packages contained in R software (https:// www.r-project. org /), the data is grouped according to the effectiveness and the ineffectiveness of the radiotherapy and chemotherapy, and the different genes are screened by limma software packages, wherein the screening standard is as follows: p <0.05 and log | FC | > 0.5;
(3) taking intersection genes from the difference genes obtained from each data set in the step (2) in pairs respectively to obtain difference genes with common expression tendency;
(4) GO (gene ontology) and KEGG signal pathway enrichment analysis is carried out on the co-upregulated genes obtained in the step (3) by using DAVID (https:// DAVID. ncifcrf. gov /) tool, and ANOVA is adopted to test the difference between the data of the gene ontology and the KEGG signal pathway.
(5) The method comprises the following steps of constructing a protein interaction relation in an STRING (https:// STRING-db.org /) database, and finding out a functional module and an important gene by using a Cytoscape plug-in MCODE;
(6) downloading pathological samples of cervical squamous cell carcinoma patients in a TCGA database (https:// cancer. nih. gov /), analyzing the expression quantity and clinical data of key genes, judging the prognosis of important genes and obtaining target genes related to the prognosis. Analyzing intersection genes of the important genes and the database thereof by using HPA (https:// www.proteinatlas.org /);
(7) the transcription factor of the target gene is predicted by using NetworkAnalyst (http:// www.networkanalyst.ca), and then the binding site of JASPAR transcription factor and the target gene is used.
Further, in the step (1), the search keywords are "(local advanced systematic cell carcima) and (chemical thermal OR radio radiation)", the restriction study type is expression profiling by array, and the restriction species is Homo sapiens.
Further, the difference of the co-expression trend in step (3) is due to significant co-up-regulation and co-down-regulation of genes compared to non-responders in radiotherapy and chemotherapy.
Further, the difference genes with the common expression trend in the step (4) are common up-regulated genes.
Further, the target genes obtained in step (6) include SRSF7, SNRPB, SNRPA, SF3a2 and PQBP1 genes.
The invention has the beneficial effects that:
according to the method, differential genes related to local advanced cervical squamous cell carcinoma chemoradiotherapy are obtained by screening according to a responder and a non-responder in chemoradiotherapy, and GO and KEGG signal paths are subjected to enrichment analysis to obtain corresponding signal paths. And carrying out protein interaction network analysis on the commonly up-regulated differential genes, analyzing the functional modules to obtain important genes, carrying out clinical prognosis analysis on the important genes, and using the screened genes as markers for predicting the treatment effect of the local advanced cervical squamous cell carcinoma radiotherapy and chemotherapy. Through analysis of receiver operating characteristic curve (ROC curve), the gene obtained by screening can accurately distinguish a reaction patient from a non-reaction patient in radiotherapy and chemotherapy, and the gene can be used for guiding the patient to select different treatment modes.
Drawings
FIG. 1 is a schematic flow diagram of the present invention;
FIG. 2 is a graph showing the differential gene recognition between responders and non-responders in advanced cervical squamous carcinoma chemotherapy; (A) (ii) are differential gene volcanograms between responders and non-responders, in each volcanogram, genes in the left box represent down-regulated genes and genes in the right box represent up-regulated genes;
(B) 427 up-regulated differential genes and 58 down-regulated differential genes are screened out for the Venn diagram of the differential genes in 3 data sets;
FIG. 3 is a graph of GO and KEGG signal pathway analysis results of up-regulated differential genes; (A) GO analysis for 427 up-regulated differential genes; (B) is a signal path for differential gene enrichment.
FIG. 4 is a protein interaction network analysis of differential genes; identifying the top 3 functional modules in the PPI network through the MCODE plug-in of the Cytoscape, wherein the score of the functional module I is 10, the score of the functional module II is 9.6, and the score of the functional module III is 9.294;
FIG. 5 is the analysis of 10 important genes in functional module one; (A) BP/MF/CC analysis for GO based on 10 important genes; (B) the correlation among 10 key genes, the wider the line, the stronger the correlation; (C) the heatmap shows the correlation between genes.
FIG. 6 is the clinical significance of 10 important genes and the target genes obtained; (A) the total survival time of the expression levels of SRSF7, SNRPB, SNRPA, SF3A2 and PQBP1 is related, namely the target gene required by us is High in the High expression group and Low in the Low expression group, and P <0.05 shows that the target gene has significant difference; (B) venn shows 10 key genes and common genes of HAP database genes, and SNRPA, PQBP1 and SF3A2 have good prognosis on cervical squamous cell carcinoma;
FIG. 7 is a graph of potential transcription factors for predicting SRSF7, SNRPB, SNRPA, SF3A2, and PQBP 1; (A) the schematic diagram of a network of transcription factors and the screened 5 up-regulated genes is shown, wherein a round node represents a target gene, and a quadrangle represents a potential transcription factor; (B) expression levels of transcription factors ELF1, ZBTB7A and TFDP1 in cervical squamous cell carcinoma patients and normal humans; (C) is the correlation of ELF1 with SNRPB, SNRPA, SF3a2, and PQBP1 expression; (D) is a sequence mark of a transcription factor ELF1, the higher the total height of the sequence mark indicates that the conservative type of the base at the position is larger, the larger the letter is, the higher the probability of the occurrence of the base is; (E) prediction of binding sites for the transcription factor ELF1 in the SNRPA, SNRPB and PQBP1 gene sequences;
FIG. 8 is a ROC curve for the classification prediction of 3 data sets (GSE 5603-GPL 10191, GSE 5603-GPL 16025, GSE56363) for target genes of interest (SRSF7, SNRPB, SNRPA, SF3A2, PQBP1), where the AUC of the target genes of interest to GSE 560303-GPL 16025 is 0.935, the AUC of the target genes of interest to GSE 5603-GPL 10191 is 0.771, and the AUC of the target genes of interest to GSE56363 is 0.935.
Detailed Description
The following description of the embodiments of the present invention is provided to facilitate the understanding of the present invention by those skilled in the art, but it should be understood that the present invention is not limited to the scope of the embodiments, and it will be apparent to those skilled in the art that various changes may be made without departing from the spirit and scope of the invention as defined and defined in the appended claims, and all matters produced by the invention using the inventive concept are protected.
Example 1 screening to obtain differential genes related to the curative effects of radiotherapy and chemotherapy on cervical squamous cell carcinoma in advanced local stage
1. Searching an expression profile data set related to the radiotherapy and chemotherapy of the local advanced cervical squamous carcinoma in a GEO database, wherein the search keywords are as follows: "(localized advanced scientific cell carcinosoma) and (chemoradiotherpy OR radiotherpy OR radiation)", limiting the study types to: expression profiling by array, the limiting species are: homo sapiens. The data selected is such that (1) the data set must be expression mRNA chip data for the entire cervical cancer genome; (2) the data must be a control study of the effectiveness and ineffectiveness of combined chemoradiotherapy on locally advanced cervical squamous carcinoma; (3) the case (reponders) -control (non-reponders) group of datasets must contain or exceed 3 samples; (4) information on the processing result of each sample must be provided. Data sets meeting the above criteria are included in this study. Finally, there are 3 data sets that meet our criteria, GSE 563203-GPL 10191, GSE 563203-GPL 16025 and GSE 56363. As shown in table 1:
TABLE 1 data set relating to chemoradiotherapy of locally advanced cervical squamous carcinoma
2. And respectively carrying out data normalization by adopting an RMA software package under an R analysis platform based on the retrieved data set. The samples were then divided into chemoradiotherapy responders (experimental group) and non-responders (control group) in each data set, and differential gene analysis was performed using limma software package. The standard for selecting the difference genes is p-value <0.05, | log2FC | >0.5, 690 significant difference genes in GSE 5603-GPL 10191, wherein 482 up-regulated genes and 208 down-regulated genes are selected. There are 3763 differential genes in the GSE 563203-GPL 16025 genes, 2301 of which are up-regulated genes and 1462 of which are down-regulated genes. 4273 genes are differentially expressed in GSE56363, wherein 2132 genes are up-regulated and 2141 genes are down-regulated.
3. Taking intersection sets of every two of the difference genes obtained in the step B, wherein 485 common difference genes are obtained, 427 expression genes are up-regulated, and 58 expression genes are down-regulated, as shown in FIG. 2;
4. and D, performing GO and KEGG signal path enrichment analysis on the up-regulated gene obtained in the step C by using a DAVID (https:// DAVID. ncifcrf. gov /) tool, and checking the difference between the GO and KEGG signal path data by using ANOVA. GO analysis of 427 up-regulated differential genes obtains 21 classes of biological process annotation information, mainly focusing on positive alignment of transcription from RNA polymerase II promoter and negative alignment of transcription from RNA polymerase II promoter; the obtained cell component annotation information mainly comprises extracellular matrix, Golgi apapratus, endoplastic reticulum and the like; the results obtained 21 kinds of molecular function annotation information, mainly focusing on protein binding and identified protein binding, as shown in FIG. 3.
5. And C, carrying out protein interaction analysis on the up-regulated gene obtained in the step C by using a String tool, and obtaining 3 functional modules by using an MCODE plug-in, wherein the score of the module I is 10, the score of the module II is 9.6, and the score of the module III is 9.294 (figure 4).
6. And performing GO function analysis and KEGG signal path analysis on 10 genes of the functional module I with the highest score, and then verifying the significance of the genes on clinic. The biological processes of these 10 genes CPSF1, DHX38, HNRNPA0, SNRPB, SRSF7, SNRPA, NUDT21, SF3a2, PQBP1, POLR2E) were found to be mainly enriched in mRNA spicing, via spidiosomes, termination of RNA polymerase II translation; analysis of cellular composition shows that most of these genes are enriched in nucleoplasm, nucleous. In terms of molecular function, these genes were significantly associated with poly (a) RNA binding (fig. 5A). Analysis of these 10 important genes revealed that they had a positive correlation (FIGS. 5B-C). To further validate the clinical value of key genes, we evaluated the relationship between gene expression levels and clinical profiles. We found that high expression of SRSF7, SNRPB, SNRPA, SF3a2, PQBP1 was associated with high survival (fig. 6A), and that high expression of SNRPA, SF3a2 and PQBP1 in HPA databases showed good prognosis in cervical squamous cell carcinoma patients (fig. 6B).
Example 2 prediction of transcription factors of target genes
1. Transcription factors capable of modulating the expression of SRSF7, SNRPB, SNRPA, SF3a2 and PQBP1 were further predicted using the networkanalysis tool. We found that ZBTB7A, TFDP1 and ELF1 could regulate the expression of these 5 genes (fig. 7A).
2. Correlation analysis showed that ELF1 was negatively correlated with SNRPB, SNRPA, PQBP1 (fig. 7C).
3. To find the ELF1 sequence, we used the JASPAR analysis. As can be seen from the sequence tag of ELF1, the ELF1 sequence was higher in the conserved versions 7-10, and the frequency of occurrence of G and A bases was high (FIG. 7D).
4. We predicted the binding sequence of ELF1 to SNRPB, SNRPA and PQBP1 by JASPAR, and showed that ELF1 binds upstream of these genes. The study was scored using a 90% threshold, with a relative score of 0.9066 for SNRPB, 0.9384 for SNRPA, and 0.9038 for PQBP1 (fig. 7E).
Example 3 verification of the correlation of target genes with the efficacy of chemoradiotherapy for locally advanced cervical squamous carcinoma
1. The expression level difference of target genes in patients sensitive to and insensitive to local advanced cervical squamous carcinoma radiotherapy and chemotherapy is as follows:
(1) screening the expression level of the target gene in 3 data sets (GSE 563203-GPL 10191, GSE 563203-GPL 16025 and GSE 56363);
(2) dividing the samples in 3 data sets into a chemoradiotherapy sensitive group and an insensitive progenitor group respectively; (ii) a
(3) Statistical analysis was performed and the difference between the two sets of data was determined by t-test, p-value <0.05 and log2| FC | >0.5 was considered statistically significant.
(4) The results of the difference of the expression levels of the target genes in the patients with sensitive and insensitive chemoradiotherapy of the local advanced cervical squamous carcinoma are shown in the table 2:
TABLE 2 expression level differences of target genes in patients with sensitive and insensitive chemoradiotherapy of cervical squamous carcinoma in late local stage
2. Evaluation and analysis of target gene expression level on treatment effect of local advanced cervical squamous carcinoma chemoradiotherapy: an operating characteristic curve (ROC) can be used for judging the classification effect, and the Area (AUC) under the ROC curve is used for evaluating the quality of the classifier.
(1) Firstly, screening the expression quantity of a target gene in 3 data sets (GSE 563203-GPL 10191, GSE 563203-GPL 16025 and GSE 56363);
(2) establishing a Logistic regression model by utilizing a glmnet software package of the R platform, and predicting data;
(3) and (3) utilizing an ROCR software package to draw an ROC curve of the prediction result, and calculating an area AUC value under the curve, wherein the result is shown in FIG. 8.
In conclusion, the application collects a data set related to the curative effect of the local advanced cervical squamous carcinoma radiotherapy and chemotherapy, 5 target genes are obtained through bioinformatics analysis, and the functional annotation of the genes and the enriched signal transduction pathway are found to be related to the curative effect of the local advanced cervical squamous carcinoma radiotherapy and chemotherapy, so that a theoretical basis is provided for the research of the difference of the curative effect of the local advanced cervical squamous carcinoma radiotherapy and chemotherapy.
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Claims (10)
1. A marker for predicting the curative effect of cervical squamous carcinoma chemotherapy, wherein the marker is at least one of SRSF7, SNRPB, SNRPA, SF3A2 and PQBP1 genes.
2. The application of the reagent for detecting the marker for predicting the chemotherapy curative effect of the cervical squamous carcinoma in preparing the product for predicting the effect of the cervical squamous carcinoma based on the combination of cisplatin and radiotherapy and chemotherapy is characterized in that the reagent is used for detecting the frequency or the expression level of SRSF7, SNRPB, SNRPA, SF3A2 or PQBP1 genes.
3. The use of claim 2, wherein the reagents for detecting the gene frequency comprise reagents for detecting gene frequency of the SRSF7, SNRPB, SNRPA, SF3A2 or PQBP1 genes using an immunohistochemical library sequencing method.
4. The use of claim 2, wherein the agent for detecting the level of expression of said gene comprises a probe, primer, antibody or ligand directed against the SRSF7, SNRPB, SNRPA, SF3A2 or PQBP1 gene.
5. The use of claim 2, wherein the product further comprises an RNA extraction reagent, GAPDH internal reference primer, PCR reaction, reverse transcription reagent, negative control and positive control.
6. A kit for auxiliary diagnosis or curative effect prediction of cervical squamous carcinoma is characterized by comprising a primer for detecting the expression level of SRSF7, SNRPB, SNRPA, SF3A2 or PQBP1 genes, wherein the primer sequence is as follows:
SRSF7-F:5’-CTATGAGTGTGGCGAAAAGGGAC-3’;
SRSF7-R:5’-GAGTATCGCCTTCCTCTGGATC-3’;
SNRPB-F:5’-TTGGCACCTTCAAGGCTTTTGAC-3’;
SNRPB-R:5’-AGACCGAGGACTCGCTTCTCTT-3’;
SNRPA-F:5’-CTGGTATCACGGAGCCTGAAGA-3’;
SNRPA-R:5’-TGAGTCGGTCTTGGCATACTGG-3’;
SF3A2-F:5’-GAAGAACCACCTGGGCTCCTAT-3’;
SF3A2-R:5’-CAGGTTGGTCTGGTGCTTCTTC-3’;
PQBP1-F:5’-ACTCCGTGGTTACCAAATCGGC-3’;
PQBP1-R:5’-CCCTGTCTAGTTTCTCATGGCTG-3’。
7. the screening method for predicting the therapeutic effect marker of cervical squamous carcinoma chemotherapy according to claim 1, which comprises the following steps:
(1) searching gene expression profiles related to radiotherapy and chemotherapy of cervical squamous carcinoma in a GEO database, and searching GSE 5603-GPL 10191, GSE 560331-GPL 16025 and GSE56363 datasets;
(2) based on the retrieved data set, performing normalization processing on the data by adopting R software, grouping according to the effectiveness and the ineffectiveness of the radiotherapy and chemotherapy, and screening out differential genes by adopting limma software, wherein the screening standard is as follows: p <0.05 and log | FC | > 0.5;
(3) taking intersection genes from the difference genes obtained from each data set in the step (2) in pairs respectively to obtain difference genes with common expression tendency;
(4) carrying out GO and KEGG signal path enrichment analysis on the differential gene with the common expression trend obtained in the step (3) by using a DAVID tool, and detecting the difference between the data of the gene ontology and the data of the KEGG signal path by adopting ANOVA;
(5) obtaining an interaction network of the protein by using a STRING tool, and obtaining an important functional module and an important gene by using a Cytoscape plug MCODE;
(6) finding out the prognosis of important genes verified by cervical squamous cell carcinoma patients in TCGA database and HPA database, and obtaining target genes.
8. The screening method according to claim 7, wherein the difference in the co-expression trend in step (3) is due to significant co-up-regulation and co-down-regulation of genes compared to non-responders in chemotherapy.
9. The screening method according to claim 8, wherein the genes having different expression trends in common in step (4) are co-upregulated genes.
10. The screening method according to claim 9, wherein the target genes obtained in step (6) include SRSF7, SNRPB, SNRPA, SF3A2 and PQBP1 genes.
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