首页|期刊导航|川北医学院学报|TTYH3基因在结直肠癌发生发展中的作用及与预后的关系

TTYH3基因在结直肠癌发生发展中的作用及与预后的关系OA

The role of TTYH3 gene in the occurrence and development of colorectal cancer and its relationship with prognosis

中文摘要英文摘要

目的:探讨TTYH3基因在结直肠癌(CRC)发生发展中的作用及与预后的关系.方法:从TCGA数据库获取CRC患者RNA测序表达谱和临床病理信息;R语言筛选差异表达的基因;KM生存分析TTYH3在CRC预后中的作用;GO和KEGG富集分析TTYH3在CRC中可能的作用;MTT和克隆形成实验分析TTYH3对CRC细胞增殖能力的影响;Cox单因素及多因素分析影响CRC生存相关的独立预后因素;构建列线图预测CRC 1、3、5年的生存率.结果:TTYH3在CRC组织和细胞中高表达(P<0.05);高表达TTYH3的CRC患者总体生存率更低(P<0.05);过表达TTYH3能提高CRC细胞的增殖能力,而敲低TTYH3表达能抑制CRC细胞的增殖能力.高表达TTYH3与低表达TTYH3 CRC患者TNM分期、肿瘤大小及淋巴结转移情况比较,差异有统计学意义(P<0.05).单因素Cox回归分析显示,年龄(P=0.000)、T分期(P<0.001)、N分期(P<0.001)、M分期(P<0.001)和TTYH3表达(P<0.001)与CRC预后相关;多因素Cox分析结果显示,T分期(P=0.001)、N分期(P=0.001)和TTYH3表达(P<0.001)是影响CRC生存相关的独立预后因素.根据预后临床因素(T分期和N分期)和TTYH3表达构建列线图,生存校准曲线表明,列线图预测CRC患者1年、3年和5年的总体生存率与实际观测结果吻合良好.结论:TTYH3在CRC的发生和进展中挥着重要作用,且与预后相关,有可能成为CRC新的预后生物标志物和治疗靶点.

Objective:To explore the role of TTYH3 gene in the occurrence and development of colorectal cancer(CRC)and its relationship with prognosis.Methods:Obtain RNA sequencing expression profiles and clinical pathological information of CRC patients from the TCGA database,R language screening for differentially expressed genes,exploring the prognostic role of TTYH3 in CRC through KM survival analysis.GO and KEGG enrichment analysis to explore the potential role of TTYH3 in CRC,MTT and colony formation experiments were conducted to investigate the effect of TTYH3 on the proliferation ability of CRC cells.Cox univariate and multivariate analysis to identify independent prognostic factors related to CRC survival,construct a nomogram to predict the survival rate of CRC 1,3,5 years.Results:TTYH3 was overexpressed in CRC tissues and cells(P<0.05),the overall survival rate of CRC patients with high expression of TTYH3 was lower(P<0.05),overexpression of TTYH3 could improve the proliferation ability of CRC cells,while knocking down TTYH3 expression could inhibit the proliferation ability of CRC cells.There was a statistically significant difference in TNM staging,tumor size,and lymph node metastasis between CRC patients with high and low expression of TTYH3(P<0.05).Univariate Cox regression analysis determined that age(P=0.000),T stage(P<0.001),N stage(P<0.001),M stage(P<0.001),and TTYH3 expression(P<0.001)were correlated with prognosis.Multivariate Cox analysis showed that T stage(P=0.001),N stage(P=0.001),and TTYH3 expression(P<0.001)were independent prognostic factors related to prognosis.Construct a nomogram based on prognostic clinical factors(T and N stages),the survival calibration curve showed that the predicted overall survival rate of CRC patients at 1,3,and 5 years by the column chart was in good agreement with the actual observation results.Conclusion:TTYH3 was associated with prognosis and played an important role in the occurrence and progression of human CRC.TTYH3 may become a new prognostic biomarker and therapeutic target for CRC.

徐翔宇;徐志华;刘宏

苏州市相城人民医院胃肠外科,江苏苏州 215131苏州大学附属第一医院普外科,江苏苏州 215006苏州市相城人民医院胃肠外科,江苏苏州 215131

医药卫生

TTYH3结直肠癌预后生物标志物治疗靶点生物信息学分析

TTYH3Colorectal cancerPrognosisBiomarkersTherapeutic targetsBioinformatics analysis

《川北医学院学报》 2026 (3)

257-266,10

国家自然科学基金青年基金项目(82573771)

10.3969/j.issn.1005-3697.2026.03.001

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