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Updated: Oct 16, 2025

Intracellular Phosphoflow Cytometry of Acute Myeloid Leukemia Patient-Derived Xenotransplants
Published on: June 6, 2025
CDC45 modulates MCM7 expression and inhibits cell proliferation by suppressing the PI3K/AKT pathway in acute myeloid
Rong Zhang1, Zhuogang Liu1, Guojun Zhang1
1Department of Hematology, Shenjing Hospital of China Medical University Shenyang, Liaoning Province, People's Republic of China.
Abstract:
Acute myeloid leukemia (AML) is a heterogenous hematologic disease that has a poor prognosis. This study aimed to identify new targets for the diagnosis and treatment of AML. The GSE65409 and GSE90062 were selected from the AML database of the Gene Expression Omnibus and compared using the GEO2R tool to identify differentially expressed genes (DEGs). The Database for Annotation, Visualization, and Integrated Discovery was used to perform gene ontology and Kyoto Encyclopedia of Genes and Genomes analyses of the DEGs. Protein-protein interactions were visualized using the Search Tool for the Retrieval of Interacting Genes, which identified two potential hub genes that encode CDC45 and MCM7. Relative to AML specimens, normal specimens had higher expression levels of CDC45 and MCM7 based on the Gene Expression Omnibus and The Cancer Genome Atlas databases. Furthermore, Pearson's correlation analysis revealed a significant relationship between CDC45 and MCM7. High expression of CDC45 was positively correlated with complete remission and negatively correlated with white blood cell count, hemoglobin concentration, platelet count, and bone marrow blasts. Moreover, high expression of MCM7 was negatively correlated with white blood cell count, hemoglobin concentration, platelet count, bone marrow blasts, and unfavorable cytogenetics. Overexpression of CDC45 increased the expressions of CDC45 and MCM7, while overexpression of MCM7 increased the expression of MCM7 but not CDC45. Overexpression of CDC45 or MCM7 led to impaired AML cell proliferation and blockage at the G1/S phase transition. Overexpression of CDC45 or MCM7 also attenuated the phosphorylation of PI3K, AKT, and mTOR, while simultaneous down-regulation of MCM7 expression abolished the effects of CDC45 overexpression. These findings suggest a functional relationship between CDC45 and MCM7, which might have use in the diagnosis and treatment of AML.
Insights
This study identifies CDC45 and MCM7 as potential diagnostic and therapeutic targets for acute myeloid leukemia (AML). Their expression levels correlate with treatment outcomes and disease progression, suggesting a role in AML pathogenesis.
Area of Science:
- Hematology
- Oncology
- Molecular Biology
Background:
- Acute myeloid leukemia (AML) is a complex hematologic malignancy with a generally poor prognosis.
- Identifying novel diagnostic and therapeutic targets is crucial for improving AML patient outcomes.
Purpose of the Study:
- To identify novel molecular targets for the diagnosis and treatment of acute myeloid leukemia (AML).
- To investigate the functional roles and interrelationships of potential key genes in AML pathogenesis.
Main Methods:
- Differential gene expression analysis of AML patient data from Gene Expression Omnibus (GEO) datasets (GSE65409, GSE90062) using GEO2R.
- Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses of differentially expressed genes (DEGs) via DAVID.
- Protein-protein interaction network analysis using STRING to identify hub genes (CDC45, MCM7).
- Validation of gene expression using GEO and The Cancer Genome Atlas (TCGA) databases.
- Correlation analysis, gene overexpression studies, cell proliferation assays, and cell cycle analysis.
- Investigation of the PI3K/AKT/mTOR signaling pathway.
Main Results:
- Two potential hub genes, CDC45 and MCM7, were identified as differentially expressed in AML.
- Both CDC45 and MCM7 were found to be downregulated in AML specimens compared to normal controls.
- High expression of CDC45 correlated positively with complete remission and negatively with key clinical parameters.
- High expression of MCM7 correlated negatively with clinical parameters and unfavorable cytogenetics.
- Overexpression of CDC45 or MCM7 impaired AML cell proliferation and induced G1/S phase arrest.
- Overexpression of either gene attenuated PI3K/AKT/mTOR signaling; MCM7 knockdown reversed CDC45 overexpression effects.
Conclusions:
- CDC45 and MCM7 are significantly downregulated in AML and exhibit a functional relationship.
- These genes may serve as potential biomarkers for AML diagnosis and prognosis.
- Targeting CDC45 and MCM7, possibly through the PI3K/AKT/mTOR pathway, could offer new therapeutic strategies for AML.
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