Pan-cancer analysis identifies telomerase-associated signatures and cancer subtypes
Pan-cancer analysis identifies telomerase-associated signatures and cancer subtypes
复制标题
泛癌分析识别端粒酶相关特征和癌症亚型
DOI:
10.1186/s12943-019-1035-x
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发表时间:
2019-06-10
期刊:
影响因子:
37.3
通讯作者:
Xiong, Yuanyan
中科院分区:
文献类型:
--
作者:
Luo, Zhenhua;Wang, Weixu;Xiong, Yuanyan
BackgroundCancer cells become immortalized through telomere maintenance mechanisms, such as telomerase reverse transcriptase (TERT) activation. In addition to maintaining telomere length, TERT activates manifold cell survival signaling pathways. However, telomerase-associated gene signatures in cancer remain elusive.MethodsWe performed a systematic analysis of TERT high (TERThigh) and low (TERTlow) cancers using multidimensional data from The Cancer Genome Atlas (TCGA). Multidimensional data were analyzed by propensity score matching weight algorithm. Coexpression networks were constructed by weight gene coexpression network analysis (WGCNA). Random forest classifiers were generated to identify cancer subtypes.ResultsThe TERThigh-specific mRNA expression signature is associated with cell cycle-related coexpression modules across cancer types. Experimental screening of hub genes in the cell cycle module suggested TPX2 and EXO1 as potential regulators of telomerase activity and cell survival. MiRNA analysis revealed that the TERThigh-specific miR-17-92 cluster can target biological processes enriched in TERTlowcancer and that its expression is negatively correlated with the tumor/normal telomere length ratio. Intriguingly, TERThighcancers tend to have mutations in extracellular matrix organization genes and amplify MAPK signaling. By mining the clinical actionable gene database, we uncovered a number of TERThigh-specific somatic mutations, amplifications and high expression genes containing therapeutic targets. Finally, a random forest classifier integrating telomerase-associated multi-omics signatures identifies two cancer subtypes showed profound differences in telomerase activity and patient survival.ConclusionsIn summary, our results depict a telomerase-associated molecular landscape in cancers and provide therapeutic opportunities for cancer treatment.