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Gene & Protein in Disease                                        Cullin family members as biomarkers in KIRC



            recurrence or metastatic disease.  Therefore, exploring   following parameters were used: p<0.05, fold change >2,
                                        4
            effective biomarkers for KIRC diagnosis and prognosis is   and genes ranked within the top 10%. Using the messenger
            urgently needed.                                   ribonucleic acid (mRNA) expression from The Cancer
                                                               Genome Atlas (TCGA, https://portal.gdc.cancer.gov/),
              Cancer development entails the gradual transformation
            of normal cells into malignant ones, stemming from   cancer versus normal data were analyzed. For statistically
                                                               significant data, the following information was collected:
            abnormal responses to stimuli.  This process is regulated   cancer types, genes, dataset reference, sample sizes, fold
                                     5
            at multiple levels – including transcription, translation,   changes, t-test results, and p-values.
            and post-translational modifications – that are essential
            in  maintaining  cellular homeostasis.   The ubiquitin-  2.2. UALCAN data analysis
                                           6,7
            proteasome system (UPS) facilitates rapid degradation of   UALCAN (http://ualcan.path.uab.edu/analysis.html) is
            transient proteins and plays an indispensable role in diverse   a robust web-based tool. It specializes in processing data
            biological processes, including genome stability and cell   from two prominent resources: The MET500 cohort and
                         8
            cycle regulation.  As a result, aberrant UPS function and   TCGA, enabling in-depth genomic analysis.  We analyzed
                                                                                                  14
            regulation disrupt protein homeostasis, leading to a variety   the relative expression of  CUL1 – 3, CUL4A, CUL4B,
            of illnesses, including cancer. 9                  CUL5, CUL7,  and CUL9  based on cancer stage across
              In humans, the cullin family forms cullin-RING ligases   various tumor subtypes. Student’s  t-test was employed
            (CRLs) with a RING protein during the ubiquitination   to evaluate the disparity between the two groups, and
            process. CRL dysfunction has been linked to kidney   statistical significance was defined as p<0.05.
            cancer in recent investigations.  For instance, RCC has
                                     10
            been associated with the dysfunction of CRLs containing   2.3. Gene expression profiling interactive analysis
            CUL3. In the inherited condition known as Von Hippel-  (GEPIA)
            Lindau (VHL) disease, mutations in the CUL2-associated   The GEPIA tool (http://gepia.cancer-pku.cn/) is an intuitive
            substrate receptor VHL lead to the development of KIRC.    web application integrating data from 8587 healthy and
                                                         11
            Furthermore, multiple investigations have found a link   9736 neoplastic samples from the TCGA and the Genotype-
                                                                                      15
            between CUL3 and Kelch-like ECH-associated protein 1   Tissue Expression initiatives.  We made use of the KIRC
            (Keap1) malfunction and papillary renal cell cancer. 12  dataset within the TCGA database to explore how cullin
                                                               family proteins were expressed in 523  patients. Patients
              Consequently, we aimed to investigate the biological   were categorized into low-  and high-expression groups
            roles and prognostic relevance of cullins in KIRC. In this   based on individual gene transcript levels. The log-rank and
            study, we identified the transcriptional patterns of cullin   Mantel-Cox tests were utilized for statistical comparisons.
            family members using ONCOMINE. We then performed
            gene ontology (GO) functional and biological pathways   In a separate cohort of 515 at-risk patients, we analyzed
            analysis of cullins and their 20 related genes. Finally, we   overall survival (OS) and disease-free survival (DFS). Where
            examined their clinical characteristics and prognostic   necessary, we calculated hazard ratios, 95% confidence
            values in KIRC. Our findings reveal the potential biological   intervals, and p-values to assess statistical significance.
            function and prognostic value of cullins, which may aid   2.4. GeneMANIA data analysis
            future diagnostic and therapeutic approaches for KIRC.
                                                               GeneMANIA (http://www.genemania.org) serves as an
            2. Materials and methods                           online resource for comprehensive analysis of genetic

            2.1. ONCOMINE data analysis                        and protein  interactions,  domain-protein  similarities,
                                                                                                16
                                                               co-localization, and biological pathways.  This tool was
            Designed  specifically  for  translational  research,  the   used to examine the link between cullins and their related
            ONCOMINE  platform  (http://oncomine.org) offers a   genes in the current investigation.
            vast suite of bioinformatics tools. These resources enable
            in-depth interrogation of gene expression profiles across   2.5. Metascape analysis
            the entire genome, empowering researchers to derive   Metascape (http://metascape.org) represents a software
            meaningful insights from complex genomic data.  Using   application designed for annotating genes and conducting
                                                    13
            the “gene overview” and “dataset exploration” functions,   enrichment analysis.  In this research, we used Metascape
                                                                               17
            transcriptional profiles of cullin family members (CUL1,   to  explore  the  roles  of  cullin  family  proteins  and  their
            CUL2, CUL3, CUL4A, CUL4B, CUL5, CUL7, and CUL9)    coexpressed genes. A significance threshold of p=0.01 was
            across multiple malignancies were retrieved. Statistical   established, with enrichment factors >1.5 and a minimum
            significance was calculated through Student’s  t-test. The   count of 3 considered statistically significant.


            Volume 4 Issue 3 (2025)                         2                           doi: 10.36922/GPD025070014
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