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Comparing Metastatic Clear Cell Renal Cell Carcinoma Model Established in Mouse Kidney and on Chicken Chorioallantoic Membrane
Published on: February 8, 2020
Decreased CDKL2 Expression in Clear Cell Renal Cell Carcinoma Predicts Worse Overall Survival
1Department of Urology, CR & WISCO General Hospital, Wuhan University of Science and Technology, Wuhan, China.
Abstract:
Background: Clear cell renal cell carcinoma (ccRCC) is the most frequent and lethal type of kidney cancer. Although differential expression of cyclin-dependent kinase-like 2 (CDKL2) has been reported to be associated with tumor progression in other cancers, its prognostic value, and potential mechanism in patients with ccRCC still remain unknown. Methods: Gene expression analysis was conducted using The Cancer Genome Atlas (TCGA), Gene Expression Omnibus, and International Cancer Genome Consortium databases. Further, clinicopathologic analysis; Kaplan-Meier survival analysis; weighted gene co-expression network analysis; gene set enrichment analysis; gene ontology enrichment; methylation; and immune infiltration analyses were performed using TCGA-kidney renal clear cell carcinoma profiles. CDKL2 translational levels were analyzed using The Human Protein Atlas database. Results: CDKL2 expression was decreased in ccRCC samples retrieved from the four databases. Gender, survival status, histologic grade, clinical stage, TNM classification, and tumor status were closely related to CDKL2 expression. In addition, CDKL2 downregulation was an independent prognostic factor for poor prognosis in multivariate analysis. Enrichment analyses using multiple tests revealed that CDKL2 is not just closely related to immune response but this association is highly correlated as well. Further, we found that CDKL2 expression was significantly correlated with the infiltration levels of T cell CD4 memory resting; monocytes; macrophages M0, M1, and M2; dendritic cells resting; mast cells resting; plasma cells; T cell CD8; and T cell regulatory. Conclusion: This is the first report to study the expression of CDKL2 in ccRCC, wherein we suggest that decreased CDKL2 expression is closely correlated with poor prognosis in ccRCC. We consider that CDKL2 is a novel and potential prognostic biomarker associated with immune infiltrates in ccRCC.
Insights
Decreased expression of cyclin-dependent kinase-like 2 (CDKL2) is linked to poor prognosis in clear cell renal cell carcinoma (ccRCC). This study identifies CDKL2 as a potential biomarker associated with immune cell infiltration in ccRCC.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genomics
Background:
- Clear cell renal cell carcinoma (ccRCC) is a prevalent and lethal kidney cancer.
- The prognostic value and mechanism of cyclin-dependent kinase-like 2 (CDKL2) in ccRCC remain unelucidated, despite its known association with other cancers.
Purpose of the Study:
- To investigate the prognostic significance of CDKL2 expression in ccRCC.
- To explore the potential mechanisms underlying CDKL2's role, particularly its association with immune infiltration in ccRCC.
Main Methods:
- Gene expression analysis utilizing TCGA, GEO, and ICGC databases.
- Clinicopathologic, survival, co-expression network, enrichment, methylation, and immune infiltration analyses were performed on TCGA-ccRCC data.
- Protein expression levels were assessed using The Human Protein Atlas.
Main Results:
- CDKL2 expression was found to be decreased in ccRCC tissues across multiple databases.
- Downregulation of CDKL2 correlated with adverse clinicopathologic features and served as an independent prognostic factor for poor survival.
- CDKL2 expression was significantly associated with various immune cell infiltrates, including T cells, monocytes, and macrophages.
Conclusions:
- This study is the first to report on CDKL2 expression in ccRCC, indicating its downregulation is linked to poor prognosis.
- CDKL2 is proposed as a novel prognostic biomarker in ccRCC, with its expression closely correlating with immune infiltrates.
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