目的: 探讨肾上腺髓质素(adrenomedullin, ADM)基因在肝癌中的表达及对肝癌患者生存预后的影响。方法: 利用Kaplan-Meier Plotter数据库分析ADM的表达对肝癌患者总生存期及无进展生存期的影响。结果: BioGPS数据库中ADM在人体正常肝组织中低表达(16.90±0.00);Oncomine数据库检索出ADM基因的研究共有425项,表达差异有统计学意义的研究有43项,其中高表达有22项,低表达有21项;Kaplan-Meier Plotter数据库结果表明ADM高表达组的患者总体生存时间(overall survival, OS)及无进展生存时间(progression-freesurvival, PFS)较低表达组明显缩短(P<0.001)。结论: ADM基因在肝癌组织中呈高表达,且与肝癌患者预后有关,有望为肝癌治疗及预后判断提供重要依据。
Objective: To investigate the expression of adrenomedullin (ADM) gene in liver cancer and its effect on the survival and prognosis. Methods: Kaplan-Meier Plotter database was used to analyze the effect of ADM gene expression on overall survival and progression-free survival of patients with liver cancer. Results: The ADM gene in BioGPS database was lowly expressed in human normal liver tissue (16.90±0.00). A total of 425 studies on ADM gene were retrieved from the Oncomine database, while there were 43 studies with statistically significant differential expression, of which 22 studies were highly expressed and 21 studies were lowly expressed. Kaplan-Meier Plotter database results showed that the overall survival (OS) and progression-free survival (PFS) of patients in the ADM high expression group were significantly shorter than those in the low expression group (P<0.001). Conclusion: ADM is highly expressed in liver cancer tissue, and the ADM expression is related to the prognosis of liver cancer patients. It is expected to provide an important basis for the treatment and prognosis of liver cancer.
[1] Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249.
[2] RL Siegel, KD Miller, HE Fuchs, et al. Cancer statistics, 2021[J]. CA Cancer J Clin, 2021, 71(1)7-33.
[3] Durans R, Jaquissr DB.Hepatocellular carcinoma[J]. N Engl J Med, 2019, 381(1): e2.
[4] Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015[J]. CA Cancer J Clin, 2016, 66(2): 115-132.
[5] Ayuso C, Rimola J, Vilana R, et al. Diagnosis and staging of hepatocellular carcinoma (HCC): current guidelines[J]. Eur J Radiol, 2018, 101: 72-81.
[6] Kanwal F, Singala G. Surveillance for hepatocellular carcinoma: current best practice and future direction[J]. Gastroenterology, 2019, 157(1): 54-64.
[7] Llovet JM, Kelley RK,Villanueva A, et al. Hepatocellular carcinoma[J]. Nat Rev Dis Primers, 2021, 7(1): 6.
[8] Warringtonj I, Richardsg O, Wang N. The role of the calcitonin peptide family in prostate cancer and bone metastasis[J]. CurrMolBiol Rep, 2017, 3(3): 197-203.
[9] Haddad HE, Chaftaria M, Hachemr, et al. Biomarkers of sepsis and bloodstream infections: the role of procalcitonin and proadrenomedullin with emphasis in patients with cancer[J]. Clin Infect Dis,2018, 67(6): 971-977.
[10] Chen Y, Li C, Xie H, et al. Infiltrating mast cells promote renal cell carcinoma angiogenesis by modulating PI3K→AKT→GSK3β→AM signaling[J]. Oncogene, 2017, 36(20): 2879-2888.
[11] 姚杨, 苏杰, 徐锐, 等. 肾上腺髓质素在肝癌患者中的表达及意义[J]. 华西医学, 2016, 31(2): 266-269.
[12] Forner A, Reig M, Bruix J. Hepatocellular carcinoma[J]. Lancet, 2018, 391(10127): 1301-1314.
[13] 戴星, 杨康平, 尹战海, 等. 缺氧诱导下骨肉瘤细胞中肾上腺髓质素的表达[J]. 山西医科大学学报, 2020, 51 (3): 214-218.
[14] 陈玉乐, 杨文杰, 吕伟, 等. 肾上腺髓质素、受体活性调节蛋白2、3在膀胱癌的表达及意义[J]. 现代泌尿外科杂志, 2019, 24 (12): 1038-1041.
[15] 屈振, 徐明, 卢明柱, 等. 肾上腺髓质素在肝癌组织中的表达及其与肿瘤组织微血管密度的关系[J]. 胃肠病学和肝病学杂志, 2014, 23(5): 489-490.
[16] 姚杨, 徐锐, 芦江, 等. 肝癌组织中肾上腺髓质激素的表达及与微血管密度的关系[J]. 海军医学杂志, 2017, 38 (2): 119-121.
[17] Lv YP, Peng LS, Wang QH, et al. Degranulation of mast cells induced by gastric cancer-derived adrenomedullin prompts gastric cancer progression[J]. Cell Death Dis, 2018, 9(10): 1034.
[18] Liu LL, Chen SL, Huang YH, et al. Adrenomedullin inhibits tumor metastasis and is associated with good prognosis in triple-negative breast cancer patients[J]. Am J Transl Res, 2020, 12(3): 773-786.
[19] Paré M, Darini CY, Yao X, et al. Breast cancer mammospheres secrete Adrenomedullin to induce lipolysis and browning of adjacent adipocytes[J]. BMC Cancer, 2020, 20(1): 784.
[20] Zhang Y, Xu Y, Ma J, et al. Adrenomedullin promotes angiogenesis in epithelial ovarian cancer through upregulating hypoxia-inducible factor-1α and vascular endothelial growth factor[J]. Sci Rep, 2017, 7: 40524.
[21] Li MQ, Hong LI, Liao MM, et al. Expression and clinical significance of focal adhesion kinase and adrenomedullin in epithelial ovarian cancer[J]. OncolLett, 2015, 10(2): 1003-1007.
[22] Baranello C, Mariani M, Andreoli M, et al. Adrenomedullin in ovarian cancer: foe in vitro and friend in vivo[J]. PLoS One, 2012, 7(7): e40678.
[23] Zhu Q, Gao JY, Tian G, et al. Adrenomedullin promotes the odontogenic differentiation of dental pulp stem cells through CREB/BMP2 signaling pathway[J]. ActaBiochimBiophys Sin (Shanghai), 2017, 49(7): 609-616.
[24] 杨迪, 张翼, 张卫红. ADM、TfR1、VEGF在骨肉瘤组织中的表达及其对患者预后判断的价值[J]. 实用癌症杂志, 2023, 38(2): 333-336.