Expression of FOXM1 and Aurora-A predicts prognosis and sorafenib efficacy in patients with hepatocellular carcinoma
Autor: | Chang-Shen Lin, Kung-Kai Kuo, Wen-Tsan Chang, King-Teh Lee, Yu-Chu Wang, Jian-Wei Huang, Lin-An Chen, Shen-Nien Wang, Shih-Chang Chuang, Wen-Lung Su |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Oncology
Male Cancer Research Datasets as Topic Aurora-A hepatocellular carcinoma (HCC) Medicine Aurora Kinase A Aged 80 and over 05 social sciences Cell Cycle Liver Neoplasms General Medicine Cell cycle Middle Aged Sorafenib Prognosis Up-Regulation Gene Expression Regulation Neoplastic Liver Hepatocellular carcinoma Cohort embryonic structures Biomarker (medicine) Female biological phenomena cell phenomena and immunity 050104 developmental & child psychology medicine.drug Research Article Adult medicine.medical_specialty Carcinoma Hepatocellular Adolescent Disease-Free Survival Young Adult Internal medicine Cell Line Tumor Genetics Biomarkers Tumor Humans 0501 psychology and cognitive sciences Gene 0505 law Aged business.industry Forkhead Box Protein M1 FOXM1 medicine.disease digestive system diseases Drug Resistance Neoplasm Concomitant 050501 criminology Neoplasm Recurrence Local business Follow-Up Studies |
Zdroj: | Cancer Biomarkers |
ISSN: | 1875-8592 1574-0153 |
Popis: | Background Effective prognostic biomarkers and powerful target-therapeutic drugs are needed for improving the treatment of Hepatocellular carcinoma (HCC). Objective This study aimed to evaluate the expression of FOXM1 and Aurora-A and their prognostic value in HCC. Methods We determined the differentially expressed genes signature in HCC using the Gene Set Enrichment Analysis (GSEA), and then evaluated the expression of FOXM1 and Aurora-A in TCGA and KMUH cohort. Associations between co-expression of FOXM1 and Aurora-A and clinical variables were calculated. Overall survival (OS) and recurrence-free survival (RFS) were estimated with different FOXM1 and Aurora-A expression status. Results FOXM1-related gene sets were mostly associated with cell cycle regulation in HCC tissues. We found a positive correlation between the expression of FOXM1 and Aurora-A. Overexpression of FOXM1 and Aurora-A was associated with larger tumor size, advanced stage, higher grade, and double-positive for HBV and HCV. The coordinated overexpression of FOXM1 and Aurora-A was the most significant independent prognostic factor for OS and RFS. Furthermore, the concomitant high expression of FOXM1 and Aurora-A predicted the worst OS of sorafenib-treated patients with HCC. Conclusions The co-expression of FOXM1 and Aurora-A could be a reliable biomarker to predict the sorafenib response and prognosis of HCC patients. |
Databáze: | OpenAIRE |
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