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Gene & Protein in Disease





                                        ORIGINAL RESEARCH ARTICLE
                                        Expression of MXRA7 and its prognostic

                                        significance in human bladder cancer



                                        Mingjie Chen , Ting Wang 3  , and Yiqiang Wang *
                                                                                   1
                                                   1,2
                                        1 Wisdom Lake Academy of Pharmacy, Xi’an Jiaotong-Liverpool University, Suzhou, China
                                        2 Cancer Biology (Cancer Informatics) Programme, Department of Surgery and Cancer, Imperial
                                        College London, London, United Kingdom
                                        3  Oncology Department of Integrated Traditional Chinese and Western Medicine, The First Affiliated
                                        Hospital of Anhui Medical University, Hefei, China



                                        Abstract

                                        MXRA7, a gene associated with matrix remodeling, exhibits diverse expression profiles
                                        across various cancers, including bladder cancer (BLCA). Previous studies have linked
                                        elevated MXRA7 levels to poor clinical outcomes in multiple cancer types, although
                                        its precise biological role remains unclear. In this study, bioinformatic analyses were
                                        conducted using the Cancer Genome Atlas (TCGA) data to explore MXRA7 expression
                                        levels in BLCA. Database for annotation, visualization, and integrated discovery
                                        enrichment analysis was then employed to identify pathways associated with
                                        differentially expressed genes (DEGs) between the high expression (MXRA7-H) and
                                        low expression (MXRA7-L) groups. A least absolute shrinkage and selection operator
            *Corresponding author:      regression model was applied to MXRA7 and the DEGs in BLCA to generate a risk
            Yiqiang Wang
            (yiqiang.wang@xjtlu.edu.cn)  score. Multifactor Cox regression analysis, conducted using statistical product and
                                        service software automatically, was performed to identify reliable prognostic factors
            Citation: Chen M, Wang T, Wang Y.
            Expression of MXRA7 and its   for patient survival. The results suggested that MXRA7 may play a role in invasion,
            prognostic significance in human   migration, and microenvironment remodeling in BLCA. Kaplan–Meier survival analysis
            bladder cancer. Gene Protein Dis.   revealed that higher  MXRA7 expression was significantly associated with poorer
            2025;4(2):6256.
            doi: 10.36922/gpd.6256      survival outcomes in BLCA. Seven key factors – “Age”, “MXRA7”, “MXRA7 expression
                                        level”, “Risk score”, “Tumor grade”, “Cancer status”, and “Clinical_N” – were identified as
            Received: November 19, 2024
                                        components of a robust predictive model, achieving an area under curve above 0.80.
            1st revised: March 10, 2025  These findings suggest that MXRA7 could serve as a prognostic biomarker for BLCA
            2nd revised: March 23, 2025  and may aid in the development of targeted therapeutic strategies.
            Accepted: March 27, 2025
                                        Keywords: MXRA7; Bladder cancer; Prognosis; Biomarker; Bioinformatics
            Published online: April 17, 2025
            Copyright: © 2025 Author(s).
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution   1. Introduction
            License, permitting distribution,
            and reproduction in any medium,   Matrix Remodeling Associated 7 (MXRA7) was first identified in 2000 through a
                                                                 1,2
            provided the original work is   pioneering bioinformatic study.  So far, MXRA7 has been shown to play significant
            properly cited.             roles in various biological processes, including liver injury model,  psoriasis and
                                                                                                 3
                                                            4,5
            Publisher’s Note: AccScience   cutaneous injury models,  as well as the differentiation of bone marrow mesenchymal
            Publishing remains neutral with   stem cells.  From the perspective of malignancy, MXRA7 exhibits different expression
                                                6
            regard to jurisdictional claims in                                   7-9
            published maps and institutional   patterns across multiple tumors, including leukemia.  Research indicates that MXRA7 is
                                                                                     -/+
                                                                                              10
            affiliations.               overexpressed in several cancers such as glioma with Pten  genotype,  colorectal cancer
            Volume 4 Issue 2 (2025)                         1                               doi: 10.36922/gpd.6256
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