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TOP2A-TTK-KIF2C基因网络在肝细胞癌免疫微环境和靶向治疗中的作用

余粲 秦志伟 承泽农 张磊 陆进

中国医科大学学报2026,Vol.55Issue(4):315-322,8.
中国医科大学学报2026,Vol.55Issue(4):315-322,8.DOI:10.12007/j.issn.0258-4646.2026.04.005

TOP2A-TTK-KIF2C基因网络在肝细胞癌免疫微环境和靶向治疗中的作用

Role of TOP2A-TTK-KIF2C network in the immune microenvironment and its application in targeted therapy for hepatocellular carcinoma

余粲 1秦志伟 1承泽农 2张磊 3陆进4

作者信息

  • 1. 蚌埠医科大学 第一临床医学院,安徽 蚌埠 233030
  • 2. 蚌埠医科大学 第一附属医院病理科,安徽 蚌埠 233030
  • 3. 蚌埠医科大学 第二附属医院普外科,安徽 蚌埠 233030
  • 4. 蚌埠医科大学 数字医学与智慧健康安徽省重点实验室,安徽 蚌埠 233030
  • 折叠

摘要

Abstract

Objective To investigate the expression and prognostic value of the DNA topoisomerase Ⅱ alpha(TOP2A)and its key genes TTK and KIF2C in hepatocellular carcinoma(HCC).We also examined their roles in the immune microenvironment and assessed their potential utility in targeted therapy.Methods To determine gene expression and prognosis,an integrated analysis of The Cancer Genome Atlas and Gene Expression Omnibus databases was performed.A PPI network was constructed,and LASSO-Cox regression was used to screen key genes.Furthermore,immune infiltration and drug sensitivity were analyzed,and molecular docking and immunohistochemistry experiments were performed for validation.Results We found that TOP2A,TTK,and KIF2C were significantly overexpressed in HCC,with TTK and KIF2C being identified as key genes with a risk model AUC of 0.745.Moreover,the high expression of these genes was posi-tively correlated with CD8+T cell infiltration and independently associated with a poor prognosis.Furthermore,mutations were positively correlated with microsatellite instability.Molecular docking confirmed that Sorafenib and other drugs could stably bind to these targets.Conclusion Our findings revealed that the TOP2A-TTK-KIF2C network is abnormally activated in HCC and is closely associated with the immune microenvironment.TTK and KIF2C were identified as potential biomarkers and therapeutic targets for the treatment of HCC.

关键词

肝细胞癌/风险模型/基因/总生存期

Key words

hepatocellular carcinoma/risk model/gene/overall survival

分类

医药卫生

引用本文复制引用

余粲,秦志伟,承泽农,张磊,陆进..TOP2A-TTK-KIF2C基因网络在肝细胞癌免疫微环境和靶向治疗中的作用[J].中国医科大学学报,2026,55(4):315-322,8.

基金项目

安徽省高校自然科学研究重点项目(2023AH051929) (2023AH051929)

安徽省大学生创新创业训练计划项目(S202410367113) (S202410367113)

中国医科大学学报

0258-4646

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