4.6 Article

Comprehensive characterization of cancer-testis genes in testicular germ cell tumor

Journal

CANCER MEDICINE
Volume 8, Issue 7, Pages 3511-3519

Publisher

WILEY
DOI: 10.1002/cam4.2223

Keywords

cancer-testis gene; stem cell maintenance; survival; testicular germ cell tumor

Categories

Funding

  1. Jiangsu Planned Projects for Postdoctoral Research Funds [1701041A]
  2. Ten Thousand Talent Program [PPZY2015A067]
  3. Priority Academic Program for the Development of Jiangsu Higher Education Institutions (Public Health and Preventive Medicine) [PPZY2015A067]
  4. Top-notch Academic Programs Project of Jiangsu Higher Education Institutions [PPZY2015A067]
  5. China Postdoctoral Science Foundation [2017M610339, 2018M630584]
  6. Young Scientists Fund of the National Natural Science Foundation of China [81702266, 81703295]
  7. State Key Program of National Natural Science of China [31530047]

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Cancer-testis (CT) genes are a group of genes restrictedly expressed in testis and multiple cancers and can serve as candidate driver genes participating in the development of cancers. Our previous study identified a number of CT genes in nongerm cell tumors, but their expression pattern in testicular germ cell tumor (TGCT), a cancer type characterized by less genomic alterations, remained largely unknown. In this study, we systematically investigated the expression pattern of CT genes in TGCT samples and evaluated the transcriptome difference between TGCT and normal testis tissues, using datasets from the UCSC Xena platform, The Cancer Genome Atlas (TCGA) and the Genotype-Tissue Expression (GTEx) project. Pathway enrichment analysis and survival analysis were conducted to evaluate the biological function and prognostic effect of expressed CT genes. We identified that 1036 testis-specific expressed protein-coding genes and 863 testis-specific expressed long noncoding RNAs (lncRNAs) were expressed in TGCT samples, including 883 CT protein-coding genes and 710 CT lncRNAs defined previously. The number of expressed CT genes was significantly higher in seminomas (P = 3.48 x 10(-13)) which were characterized by frequent mutations in driver genes (KIT, KRAS and NRAS). In contrast, the number of expressed CT genes showed a moderate negative correlation with the fraction of copy number altered genomes (cor = -0.28, P = 1.20 x 10(-3)). Unlike other cancers, our analysis revealed that 96.16% of the CT genes were down-regulated in TGCT samples, while CT genes in stem cell maintenance related pathways were up-regulated. Further survival analysis provided evidence that CT genes could also predict the prognosis of TGCT patients with both disease-free interval and progression-free interval as clinical endpoints. Taken together, our study provided a global view of CT genes in TGCT and provided evidence that CT genes played important roles in the progression and maintenance of TGCT.

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