1. Integrative Bioinformatics Analysis Reveals New Prognostic Biomarkers of Clear Cell Renal Cell Carcinoma
- Author
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Attila Patócs, Fabio Rotondo, Roy Nofech-Mozes, Kalman Kovacs, Henriett Butz, Hala Girgis, Dina Boles, Lorna Mirham, George M. Yousef, and Peter M. Szabó
- Subjects
Oncology ,medicine.medical_specialty ,Clinical Biochemistry ,Biology ,Transfection ,Bioinformatics ,Cell Movement ,Cell Line, Tumor ,Internal medicine ,Databases, Genetic ,microRNA ,Biomarkers, Tumor ,medicine ,Carcinoma ,Humans ,Gene silencing ,RNA, Small Interfering ,Carcinoma, Renal Cell ,Survival analysis ,Cell Proliferation ,Gene knockdown ,Gene Expression Profiling ,Biochemistry (medical) ,Computational Biology ,High-Throughput Nucleotide Sequencing ,Reproducibility of Results ,Prognosis ,medicine.disease ,Kidney Neoplasms ,DNA-Binding Proteins ,Gene expression profiling ,MicroRNAs ,Clear cell renal cell carcinoma ,Early Diagnosis ,Receptors, Aryl Hydrocarbon ,Data Interpretation, Statistical ,Gene Knockdown Techniques ,Carrier Proteins ,Kidney cancer ,Transcription Factors - Abstract
BACKGROUND The outcome of clear cell renal cell carcinoma (ccRCC) is still unpredictable. Even with new targeted therapies, the average progression-free survival is dismal. Markers for early detection and progression could improve disease outcome. METHODS To identify efficient and hitherto unrecognized pathogenic factors of the disease, we performed a uniquely comprehensive pathway analysis and built a gene interaction network based on large publicly available data sets assembled from 28 publications, comprising a 3-prong approach with high-throughput mRNA, microRNA, and protein expression profiles of 593 ccRCC and 389 normal kidney samples. We validated our results on 2 different data sets of 882 ccRCC and 152 normal tissues. Functional analyses were done by proliferation, migration, and invasion assays following siRNA (small interfering RNA) knockdown. RESULTS After integration of multilevel data, we identified aryl-hydrocarbon receptor (AHR), grainyhead-like-2 (GRHL2), and KIAA0101 as new pathogenic factors. GRHL2 expression was associated with higher chances for disease relapse and retained prognostic utility after controlling for grade and stage [hazard ratio (HR), 3.47, P = 0.012]. Patients with KIAA0101-positive expression suffered worse disease-free survival (HR, 3.64, P < 0.001), and in multivariate analysis KIAA0101 retained its independent prognostic significance. Survival analysis showed that GRHL2- and KIAA0101-positive patients had significantly lower disease-free survival (P = 0.002 and P < 0.001). We also found that KIAA0101 silencing decreased kidney cancer cell migration and invasion in vitro. CONCLUSIONS Using an integrative system biology approach, we identified 3 novel factors as potential biomarkers (AHR, GRHL2 and KIAA0101) involved in ccRCC pathogenesis and not linked to kidney cancer before.
- Published
- 2014
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