1. NRXN1 as a Prognostic Biomarker: Linking Copy Number Variation to EMT and Survival in Colon Cancer.
- Author
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Bang HJ, Shim HJ, Park MR, Yoon S, Yoo KH, Kim YK, Lee H, Nam JS, Hwang JE, Bae WK, Chung IJ, Sun EG, and Cho SH
- Subjects
- Humans, Prognosis, Neural Cell Adhesion Molecules metabolism, Neural Cell Adhesion Molecules genetics, Cell Line, Tumor, Male, Female, Middle Aged, Cell Adhesion Molecules, Neuronal genetics, Cell Adhesion Molecules, Neuronal metabolism, Glycogen Synthase Kinase 3 beta metabolism, Glycogen Synthase Kinase 3 beta genetics, Aged, Epithelial-Mesenchymal Transition genetics, DNA Copy Number Variations, Biomarkers, Tumor genetics, Biomarkers, Tumor metabolism, Calcium-Binding Proteins genetics, Calcium-Binding Proteins metabolism, Colonic Neoplasms genetics, Colonic Neoplasms pathology, Colonic Neoplasms mortality, Colonic Neoplasms metabolism, Gene Expression Regulation, Neoplastic
- Abstract
The role of biomarkers in cancer treatment varies significantly depending on the cancer stage. Thus, in clinical practice, tailoring biomarkers to meet the specific needs and challenges of each cancer stage can increase the precision of treatment. Because they reflect underlying genetic alterations that influence cancer progression, copy number variation (CNV) biomarkers can play crucial prognostic roles. In our previous study, we identified potential survival-related genes for colorectal cancer (CRC) by analyzing CNV and gene expression data using a machine-learning approach. To further investigate the biological function of NRXN1, we assessed the use of RNA sequencing, phosphokinase assays, real-time quantitative PCR, and Western blot analysis. We found that NRXN1 copy number deletion was significantly associated with poor overall survival (OS) and recurrence-free survival (RFS), even in patients who received adjuvant chemotherapy. Compared with its expression in normal tissues, NRXN1 expression was lower in tumors, suggesting its potential role as a tumor suppressor. NRXN1 knockdown enhanced CRC cell viability and invasion, and transcriptome analysis indicated that the increased invasion was caused by GSK3β-mediated epithelial-mesenchymal transition. These findings highlight NRXN1 copy number deletion as a novel biomarker for predicting recurrence and survival in patients with resected colon cancer.
- Published
- 2024
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