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



            2.6. TIMER database analysis                       CUL4A, CUL4B,  and CUL9, whereas  CUL3, CUL5,  and

            TIMER (https://cistrome.shinyapps.io/timer/) is a web-  CUL7 were downregulated in kidney cancer.  CUL1
            based  tool  aimed  at  enabling  in-depth  assessment  of   and  CUL2 mRNA levels were overexpressed 2.172-fold
            immune cell infiltration and its clinical significance.  We   and 2.617-fold, respectively, in Wilms’ tumor compared to
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            analyzed the expression levels of cullin proteins and their   healthy control tissues.  According to Jones et al.,  CUL3
            associations with tumor purity and immune cell infiltration   expression was reduced in clear cell RCC (CCRCC; relative
            in KIRC, including B cells, macrophages, neutrophils,   change = −2.340) and renal pelvis urothelial carcinoma
            CD4 T cells, CD8  T cells, and dendritic cells.    (relative change = −2.133). It was also downregulated in renal
                          +
                +
                                                               oncocytoma (relative change = −4.876) and chromophobe
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            3. Results                                         RCC (relative change = −5.238) in the Yusenko  et al.
                                                               dataset. In the same dataset, CUL4A was also shown to be
            3.1. Transcriptional expression of cullin genes in   higher in Wilms’ tumor (relative change = 4.757) compared
            patients with kidney cancer                        to control samples.  When compared to healthy controls,
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            The ONCOMINE database was employed to probe the    Beroukhim et al.  discovered that in hereditary CCRCC,
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            differential expression patterns of cullins in patients with   the expression of CUL4B mRNA was heightened (relative
            kidney cancer. Initially, we assessed the transcriptional   change = 2.192). CUL5 expression was downregulated in
            profiles in both malignant and healthy tissues. Our   renal oncocytoma (relative change = −3.055), CCRCC
            analysis revealed that the expression of all nine cullin   (relative change = −3.264), and renal pelvis urothelial
            family genes (CUL1  – 9) varied significantly in renal   carcinoma (relative change = 2.548) in a study by Jones
            cancer (Figure  1). Specifically, ONCOMINE analysis   et al.  CUL5 expression was downregulated in Wilms tumor
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            showed elevated mRNA expression of  CUL1, CUL2,    (relative change = −2.094), according to Cutcliffe et al.
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            Figure 1. Differences in the transcription levels of cullin genes in cancer versus normal tissues across various cancer types. The threshold is using the
            following stringent criteria: an absolute log  fold change (|log (fold change)|) of ≥1 and p<0.05. These criteria were employed to ensure that only data
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            exhibiting both substantial and statistically significant alterations were considered. The numerical values within each cell denote the number of datasets
            that fulfill these criteria, indicating instances where the biological or experimental differences were both quantitatively pronounced and statistically robust.
            In the heatmap, the intensity of the red coloration corresponds to the significance level of upregulation, whereas the intensity of the blue coloration reflects
            the significance level of downregulation.

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