Research on radiotherapy related genes and prognostic target identification of rectal cancer based on multi-omics

Yi Liu1, Yanguang Yang1, Feng Ni1

  • 1Department of Radiotherapy, Affiliated Tumor Hospital of Nantong University, Nantong Tumor Hospital, Nantong, Jiangsu, China.

PubMed
Abstract

Insights

Researchers identified five key genes (TOP2A, MATR3, APOL6, JOSD1, HOXC6) linked to rectal cancer radiosensitivity and patient prognosis. These genes may serve as potential biomarkers for improving radiotherapy efficacy in rectal cancer treatment.

Area of Science:

  • Oncology
  • Genetics
  • Radiotherapy

Background:

  • Rectal cancer radiosensitivity is crucial for treatment efficacy and patient outcomes.
  • The specific genes and molecular mechanisms influencing rectal cancer radiosensitivity remain largely unclear.
  • This study aimed to identify radiosensitivity-related genes in rectal cancer using a multi-omics approach.

Purpose of the Study:

  • To explore genes associated with rectal cancer radiosensitivity.
  • To identify potential molecular biomarkers for predicting radiotherapy response in rectal cancer patients.
  • To investigate the role of these genes in immune infiltration, drug sensitivity, and prognosis.

Main Methods:

  • Utilized mRNA expression data from TCGA and GEO databases for rectum adenocarcinoma (READ).
  • Screened differentially expressed genes between radiosensitive and radioinsensitive groups, followed by GO and KEGG pathway analyses.
  • Employed random survival forest analysis to identify five core prognostic genes, followed by drug sensitivity, immune cell infiltration, and transcriptional regulatory network analyses, and qRT-PCR validation.

Main Results:

  • Identified 600 up-regulated and 553 down-regulated genes between radiosensitive and radioinsensitive rectal cancer groups.
  • Five key genes (TOP2A, MATR3, APOL6, JOSD1, HOXC6) were selected as core genes associated with rectal cancer prognosis.
  • These genes demonstrated associations with immune cell infiltration, immune-related genes, and chemosensitivity; MATR3 showed differential expression in tumor tissues.

Conclusions:

  • Discovered five radiosensitivity-related genes (TOP2A, MATR3, APOL6, JOSD1, HOXC6) impacting rectal cancer prognosis.
  • These genes are implicated in immune infiltration, immune-related genes, chemosensitivity, and transcriptional networks.
  • These findings suggest potential utility of these genes as biomarkers for rectal cancer radiotherapy.