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Uridine-cytidine kinase 2 (UCK2): A potential diagnostic and prognostic biomarker for lung cancer.

Abstract
Lung cancer has the highest morbidity and mortality among all cancers. Discovery of early diagnostic and prognostic biomarkers of lung cancer can greatly facilitate the survival rate and reduce its mortality. In our study, by analyzing Gene Expression Omnibus and Oncomine databases, we found a novel potential oncogene uridine-cytidine kinase 2 (UCK2), which was overexpressed in lung tumor tissues compared to adjacent nontumor tissues or normal lung. Then we confirmed this finding in clinical samples. Specifically, UCK2 was identified as highly expressed in stage IA lung cancer with a high diagnostic accuracy (area under the receiver operating characteristic curve > 0.9). We also found that high UCK2 expression was related to poorer clinicopathological features, such as higher T stage and N stage and higher probability of early recurrence. Furthermore, we found that patients with high UCK2 expression had poorer first progression survival and overall survival than patients with low UCK2 expression. Univariate and multivariate Cox regression analyses showed that UCK2 was an independent risk factor related with worse DFS and OS. By gene set enrichment analysis, tumor-associated biological processes and signaling pathways were enriched in the UCK2 overexpression group, which indicated that UCK2 might play a vital role in lung cancer. Furthermore, in cytology experiments, we found that knockdown of UCK2 could suppress the proliferation and migration of lung cancer cells. In conclusion, our study indicated that UCK2 might be a potential early diagnostic and prognostic biomarker for lung cancer.
AuthorsYingjie Wu, Muhammad Jamal, Tian Xie, Jiaxing Sun, Tianbao Song, Qian Yin, Jingyuan Li, Shan Pan, Xingruo Zeng, Songping Xie, Qiuping Zhang
JournalCancer science (Cancer Sci) Vol. 110 Issue 9 Pg. 2734-2747 (Sep 2019) ISSN: 1349-7006 [Electronic] England
PMID31278886 (Publication Type: Journal Article)
Copyright© 2019 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.
Chemical References
  • Biomarkers, Tumor
  • UCK2 protein, human
  • Uridine Kinase
Topics
  • Aged
  • Biomarkers, Tumor (metabolism)
  • Cell Line, Tumor
  • Cell Proliferation
  • Datasets as Topic
  • Disease-Free Survival
  • Female
  • Gene Knockdown Techniques
  • Humans
  • Lung (pathology)
  • Lung Neoplasms (mortality, pathology, therapy)
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local (diagnosis, pathology)
  • Neoplasm Staging
  • Prognosis
  • Survival Analysis
  • Uridine Kinase (genetics, metabolism)

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