Objective To explore the differential expression, diagnostic and prognostic value of c-myc and UTP14a in breast cancer tissues and adjacent tissues through bioinformatics analysis and immunohistochemical experiments.
Methods UTP14a and c-myc gene expression and clinical information data of cancer patients were obtained from The Cancer Genome Atlas (TCGA) database, and survival expression was analyzed. Immunohistochemical staining of UTP14a and c-myc was performed on cancer tissue samples from 92 breast cancer patients. The relationship between the expression levels of UTP14a and c-myc in different subgroups and prognosis was analyzed using χ2 test and Spearman correlation coefficient.
Results The results of receiver operating characteristic (ROC) curve analysis showed that the area under curve (AUC) values of UTP14a at 1 year, 3 and 5 years were 0.559 (95%CI: 0.445-0.672), 0.542 (95%CI: 0.480-0.605) and 0.545 (95%CI: 0.488-0.603), respectively. The results of KM survival curve analysis showed that there was no significant difference in survival between UTP14a high risk and low risk groups (P=0.083). The AUC values of c-myc at 1 year, 3 and 5 years were 0.629 (95%CI: 0.550-0.708), 0.530 (95%CI: 0.460-0.600) and 0.514 (95% CI: 0.438-0.590), respectively. The results of KM survival curve analysis showed that there was no significant difference in survival between c-myc high risk and low risk groups (P=0.149). The results of immunohistochemical experiments showed that UTP14a and c-myc were mainly expressed in the nucleus and cytoplasm of cancer cells, and the positive expression rates of UTP14a and c-myc in tumor tissues were higher than those in normal tissues (P<0.05). The expression of UTP14a in breast cancer tissues was significantly correlated with the patient's age, histological grading, and the rate of metastasis to axillary lymph nodes (P<0.05). The expression of c-myc in breast cancer tissues was significantly correlated with histological grading, the rate of metastasis to axillary lymph nodes, nerve invasion ratio and positive expression of estrogen receptor (ER) (P<0.05). There was positive correlation between the expression of c-myc antibody and UTP14a antibody (P<0.05).
Conclusion The combined detection of UTP14a and c-myc may provide important reference for the treatment of breast cancer patients and help clinicians to better individualize treatment. The results of this study need to be validated in a larger cohort in the future to support its application in clinical practice.
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