Pan-cancer investigation of RFX family and associated genes identifies RFX8 as a therapeutic target in leukemia

Zelong Cui1, Yue Fu1,2, Minran Zhou1

  • 1Department of Hematology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.

Heliyon
|August 22, 2024
PubMed
Abstract

Insights

The RFX gene family plays a role in cancer progression. RFX8 is notably upregulated in acute myeloid leukemia (AML) and influences tumorigenesis and treatment response.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • The RFX (Regulatory Factor X) gene family, including RFX1-8, RFXAP, and RFXANK, encodes transcription factors and co-factors.
  • Emerging evidence links RFX family genes to cancer development and progression.
  • A comprehensive multi-omic analysis of these genes in cancer has been lacking.

Purpose of the Study:

  • To conduct a pan-cancer analysis of RFX family and associated genes' expression and prognostic value.
  • To investigate the clinicopathological and therapeutic relevance of RFX8.
  • To experimentally validate RFX8's function in acute myeloid leukemia (AML).

Main Methods:

  • Utilized combined TCGA and GTEx pan-cancer datasets for expression and survival analysis.
  • Focused on RFX8 for detailed clinicopathological and therapeutic feature analysis.
  • Performed experimental validation of RFX8 in AML models.

Main Results:

  • RFX5 and RFXANK were upregulated, while RFX6 was downregulated across many cancers; RFX8 showed highest upregulation in LAML.
  • RFX2, RFXAP, and RFX8 demonstrated significant prognostic value in multiple cancer types.
  • RFX8 expression correlated with tumor stage, MSI, TMB, immune infiltration, and immune-checkpoint expression.
  • RFX8 was experimentally shown to regulate tumorigenesis and chelerythrine sensitivity in AML.

Conclusions:

  • This study provides a comprehensive landscape of the RFX gene family in pan-cancer analysis.
  • RFX8 plays a specific and significant role in AML progression and therapeutic response.
  • Findings offer potential targets for future cancer research and therapeutic strategies.