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SAC3D1在肝细胞癌中的高表达及其对预后和药敏性的影响OA

High expression of SAC3D1 in hepatocellular carcinoma and its impact on prognosis and drug sensitivity

中文摘要英文摘要

目的 探讨含有SAC3 结构域的蛋白 1(SAC3D1)在肝细胞癌(HCC)中的表达水平及其与预后和药敏性的关系.方法 免疫组织化学评估SAC3D1 在HCC中的表达及其与临床参数的关系.单细胞RNA测序(scRNA-seq)分析SAC3D1 在HCC单细胞的表达.整合GEO、TCGA等数据库的HCC数据评估SAC3D1 mRNA表达.单因素Cox分析及Kaplan-Meier预后分析评估SAC3D1 对HCC生存的影响.药敏分析探索SAC3D1 与抗HCC药物相关性.富集分析揭示SAC3D1 促HCC的潜在通路.结果 SAC3D1 蛋白在HCC组织的表达水平高于正常肝组织,且与年龄、T分期和临床分期呈正相关(P<0.05).scRNA-seq显示SAC3D1表达在上皮细胞.SAC3D1 mRNA在HCC中上调(标准化均数差为 1.30,曲线下面积为 0.90),其高表达与不良预后相关(风险比为 2.17,95%CI=1.42~3.34,P<0.05).药敏分析显示SAC3D1 表达量与抗HCC药物的半数抑制浓度相关(|相关系数|>0.3,P<0.05).SAC3D1 相关基因富集于细胞周期相关通路.结论 SAC3D1 可能通过调控细胞周期促进HCC进展及抗肿瘤药物耐药.

Objective To investigate the expression level of SAC3 domain-containing protein 1(SAC3D1)in hepatocellular carcinoma(HCC)and its relationship with prognosis and drug sensitivity.Methods Immunohistochemistry was used to evaluate SAC3D1 expression in HCC and its correlation with clinical parameters.Single-cell RNA sequencing(scRNA-seq)was employed to analyze SAC3D1 expression at the single-cell level in HCC.HCC data from GEO,TCGA,and other databases were integrated to assess SAC3D1 mRNA expression.Univariate Cox analysis and Kaplan-Meier survival analysis were conducted to evaluate the impact of SAC3D1 on HCC prognosis.Drug sensitivity analysis explored the correlation between SAC3D1 and anti-HCC drugs.Enrichment analysis was performed to identify potential pathways through which SAC3D1 promotes HCC progression.Results SAC3D1 protein expression was significantly higher in HCC tissues than in normal liver tissues and positively correlated with age,T stage,and clinical stage(P<0.05).scRNA-seq revealed elevated SAC3D1 expression in epithelial cells.SAC3D1 mRNA was upregulated in HCC(standardized mean difference=1.30,area under the curve=0.90),and its high expression was associated with poor prognosis(hazard ratio=2.17,95%CI=1.42-3.34,P<0.05).Drug sensitivity analysis indicated that SAC3D1 expression correlated with the half-maximal inhibitory concentration of anti-HCC drugs(|R|>0.3,P<0.05).SAC3D1-related genes were enriched in cell cycle-related pathways.Conclusion SAC3D1 may promote HCC progression and drug resistance by regulating cell cycle pathways.

黄庆玲;李建棣;王磊;池邦藤;林茜;黄婉英;熊丹丹;何融泉;陈罡

广西医科大学第一附属医院病理科,广西 南宁 530021广西医科大学第一附属医院病理科,广西 南宁 530021广西医科大学第一附属医院病理科,广西 南宁 530021广西医科大学第一附属医院病理科,广西 南宁 530021广西医科大学第一附属医院病理科,广西 南宁 530021广西医科大学第一附属医院病理科,广西 南宁 530021广西医科大学第一附属医院病理科,广西 南宁 530021广西医科大学第一附属医院肿瘤内科,广西 南宁 530021广西医科大学第一附属医院病理科,广西 南宁 530021

医药卫生

肝细胞癌SAC3D1单细胞RNA测序免疫组织化学

Hepatocellular carcinomaSAC3D1Single-cell RNA sequencingImmunohistochemistry

《中国医药科学》 2025 (16)

10-14,41,6

国家自然科学基金(8216076282460783)广西医科大学大学生创新训练计划项目(S202410598060XX202410598360)广西医科大学"未来学术之星"大学生课外创新科研课题(WLXSZX24074).

10.20116/j.issn2095-0616.2025.16.02

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