Volume 47, Issue 2 pp. 266-275
ORIGINAL ARTICLE

Clinical Significance of Complement and Coagulation Cascades Genes for Patients With Acute Lymphoblastic Leukemia

Yuting Tang

Yuting Tang

Laboratory of Radiation Biology, Department of Blood Transfusion, Laboratory Medicine Center, the Second Affiliated Hospital, Army Medical University, Chongqing, China

Laboratory of Precision Medicine, Department of Blood Transfusion, Laboratory Medicine Center, the Second Affiliated Hospital, Army Medical University, Chongqing, China

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Li Chen

Li Chen

Laboratory of Radiation Biology, Department of Blood Transfusion, Laboratory Medicine Center, the Second Affiliated Hospital, Army Medical University, Chongqing, China

Laboratory of Precision Medicine, Department of Blood Transfusion, Laboratory Medicine Center, the Second Affiliated Hospital, Army Medical University, Chongqing, China

Hematopoietic Acute Radiation Syndrome Medical and Pharmaceutical Basic Research Innovation Center, Ministry of Education of the People's Republic of China, Laboratory Medicine Center, Department of Blood Transfusion, the Second Affiliated Hospital, Army Medical University, Chongqing, China

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Yanni Xiao

Yanni Xiao

Laboratory of Radiation Biology, Department of Blood Transfusion, Laboratory Medicine Center, the Second Affiliated Hospital, Army Medical University, Chongqing, China

Hematopoietic Acute Radiation Syndrome Medical and Pharmaceutical Basic Research Innovation Center, Ministry of Education of the People's Republic of China, Laboratory Medicine Center, Department of Blood Transfusion, the Second Affiliated Hospital, Army Medical University, Chongqing, China

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Qian Ran

Qian Ran

Laboratory of Radiation Biology, Department of Blood Transfusion, Laboratory Medicine Center, the Second Affiliated Hospital, Army Medical University, Chongqing, China

Hematopoietic Acute Radiation Syndrome Medical and Pharmaceutical Basic Research Innovation Center, Ministry of Education of the People's Republic of China, Laboratory Medicine Center, Department of Blood Transfusion, the Second Affiliated Hospital, Army Medical University, Chongqing, China

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Zhongjun Li

Corresponding Author

Zhongjun Li

Laboratory of Radiation Biology, Department of Blood Transfusion, Laboratory Medicine Center, the Second Affiliated Hospital, Army Medical University, Chongqing, China

Laboratory of Precision Medicine, Department of Blood Transfusion, Laboratory Medicine Center, the Second Affiliated Hospital, Army Medical University, Chongqing, China

Hematopoietic Acute Radiation Syndrome Medical and Pharmaceutical Basic Research Innovation Center, Ministry of Education of the People's Republic of China, Laboratory Medicine Center, Department of Blood Transfusion, the Second Affiliated Hospital, Army Medical University, Chongqing, China

Correspondence:

Zhongjun Li ([email protected])

Maoshan Chen ([email protected])

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Maoshan Chen

Corresponding Author

Maoshan Chen

Laboratory of Radiation Biology, Department of Blood Transfusion, Laboratory Medicine Center, the Second Affiliated Hospital, Army Medical University, Chongqing, China

Laboratory of Precision Medicine, Department of Blood Transfusion, Laboratory Medicine Center, the Second Affiliated Hospital, Army Medical University, Chongqing, China

Hematopoietic Acute Radiation Syndrome Medical and Pharmaceutical Basic Research Innovation Center, Ministry of Education of the People's Republic of China, Laboratory Medicine Center, Department of Blood Transfusion, the Second Affiliated Hospital, Army Medical University, Chongqing, China

Correspondence:

Zhongjun Li ([email protected])

Maoshan Chen ([email protected])

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First published: 10 November 2024

Funding: This work was supported by the Chongqing Key Program of Natural Science Foundation (CSTC2020JCYJ-ZDXMX0013), Chongqing Natural Science Foundation (CSTB2022NSCQ-MSX0190), and Xinqiao Young Postdoc Talent Incubation Program (2022YQB042).

ABSTRACT

Introduction

Acute lymphoblastic leukemia (ALL) is the second most common acute leukemia in adults and the 5-year survival remains low.

Methods

We analyzed the gene expression profiles of the complement and coagulation cascades pathway (CCCP) in 998 bone marrow (BM) and 122 peripheral blood (PB) samples of ALL patients and healthy individuals obtained from the TCGA database and evaluated their clinical significance in terms of being diagnostic and prognostic biomarkers.

Results

We identified 18 CCCP genes (SERPINA1, C5AR1, F5, CD55, PLAUR, C3AR1, THBD, CD59, PLAU, VWF, CFD, F13A1, C1QA, C1QB, C1QC, A2M, SERPINE1 and CR2) differentially expressed in the BM samples of ALL patients compared to healthy individuals. The expression levels of CD55, F13A1 and CR2 in BM were linked with the overall survival of ALL patients. While in PB only 11 CCCP genes (e.g., SERPINA1, C5AR1, F5, PLAUR, C3AR1, THBD, CFD, F13A1, C1QA, SERPINE1, and CR2) were differentially expressed and F13A1 was significantly associated with ALL patient survival. Machine learning enabled us to predict ALL using the CCCP genes and the accuracy can reach 0.9701 and 0.9167 using the BM and PB, respectively. Furthermore, using single-cell RNA sequencing, we found that the differential expression of CCCP genes was found with diversity in the BM-derived immune cells of ALL patients.

Conclusion

Our findings suggest that the CCCP genes may play a key role in the progression of ALL and can be used as potential therapeutic targets and diagnostic markers.

Conflicts of Interest

The authors declare no conflicts of interest.

Data Availability Statement

The gene expression profiles of BM and PB samples of ALL patients can be accessed on the TCGA website (https://portal.gdc.cancer.gov); the gene expression microarray data of BM samples of ALL patients can be accessed from the NCBI GEO platform via the accession number GSE128254; and the raw expression matrix data of single-cell RNA sequencing data for BM-derived immune cells of ALL patients can be accessed from the NCBI GEO platform via the accession number GSE130116.

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