Unveiling <i>DENND2D</i> as a Novel Prognostic Biomarker for Prostate Cancer Recurrence: From Gene to Prognosis

<b>Background:</b> Prostate cancer is a major global health burden, with biochemical recurrence (BCR) following radical prostatectomy affecting 20–40% of patients and posing significant challenges to prognosis and treatment. Emerging evidence suggests a critical role for differentially e...

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Main Authors: Chi-Fen Chang, Lih-Chyang Chen, Yei-Tsung Chen, Chao-Yuan Huang, Chia-Cheng Yu, Victor C. Lin, Te-Ling Lu, Shu-Pin Huang, Bo-Ying Bao
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/1/25
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author Chi-Fen Chang
Lih-Chyang Chen
Yei-Tsung Chen
Chao-Yuan Huang
Chia-Cheng Yu
Victor C. Lin
Te-Ling Lu
Shu-Pin Huang
Bo-Ying Bao
author_facet Chi-Fen Chang
Lih-Chyang Chen
Yei-Tsung Chen
Chao-Yuan Huang
Chia-Cheng Yu
Victor C. Lin
Te-Ling Lu
Shu-Pin Huang
Bo-Ying Bao
author_sort Chi-Fen Chang
collection DOAJ
description <b>Background:</b> Prostate cancer is a major global health burden, with biochemical recurrence (BCR) following radical prostatectomy affecting 20–40% of patients and posing significant challenges to prognosis and treatment. Emerging evidence suggests a critical role for differentially expressed in normal and neoplastic cell (<i>DENN</i>) domain-containing genes in oncogenesis; however, their implications in prostate cancer and BCR risk remain underexplored. <b>Methods:</b> This study systematically evaluated 151 single-nucleotide polymorphisms in <i>DENN</i> domain-containing genes in 458 patients with prostate cancer and BCR, followed by validation in an independent cohort of 185 patients. <b>Results:</b> Multivariate Cox regression analyses identified <i>DENND2D</i> rs610261 G>A as significantly associated with improved BCR-free survival in both cohorts (adjusted hazard ratio = 0.39, 95% confidence interval = 0.23–0.66, <i>p</i> = 0.001). Functional analysis revealed rs610261’s regulatory potential, with the protective A allele correlating with increased <i>DENND2D</i> expression in various human tissues. Compared to normal prostate tissues, <i>DENND2D</i> expression was reduced in prostate cancer, with higher expression being linked to favorable patient prognosis (<i>p</i> = 0.03). Gene set enrichment analysis revealed an association between <i>DENND2D</i> expression and the negative regulation of <i>MYC</i> target genes, including <i>MAD2L1</i>, <i>ERH</i>, and <i>CLNS1A</i>, which are overexpressed in prostate cancer and associated with poor survival. Furthermore, the elevated <i>DENND2D</i> expression promotes immune infiltration in prostate cancer, supporting its role in immune modulation. <b>Conclusions:</b> <i>DENND2D</i> is a prognostic biomarker for BCR in prostate cancer and offers new avenues for personalized treatment strategies.
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spelling doaj-art-f401c33d20c1406c8e3c812be1e351a42025-01-24T13:23:45ZengMDPI AGBiomedicines2227-90592024-12-011312510.3390/biomedicines13010025Unveiling <i>DENND2D</i> as a Novel Prognostic Biomarker for Prostate Cancer Recurrence: From Gene to PrognosisChi-Fen Chang0Lih-Chyang Chen1Yei-Tsung Chen2Chao-Yuan Huang3Chia-Cheng Yu4Victor C. Lin5Te-Ling Lu6Shu-Pin Huang7Bo-Ying Bao8Department of Anatomy, School of Medicine, China Medical University, Taichung 406, TaiwanDepartment of Medicine, Mackay Medical College, New Taipei City 252, TaiwanDepartment of Life Sciences and Institute of Genome Sciences, National Yang Ming Chiao Tung University, Taipei 112, TaiwanDepartment of Urology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei 100, TaiwanDivision of Urology, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung 813, TaiwanDepartment of Urology, E-Da Hospital, Kaohsiung 824, TaiwanDepartment of Pharmacy, China Medical University, Taichung 404, TaiwanGraduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, TaiwanDepartment of Pharmacy, China Medical University, Taichung 404, Taiwan<b>Background:</b> Prostate cancer is a major global health burden, with biochemical recurrence (BCR) following radical prostatectomy affecting 20–40% of patients and posing significant challenges to prognosis and treatment. Emerging evidence suggests a critical role for differentially expressed in normal and neoplastic cell (<i>DENN</i>) domain-containing genes in oncogenesis; however, their implications in prostate cancer and BCR risk remain underexplored. <b>Methods:</b> This study systematically evaluated 151 single-nucleotide polymorphisms in <i>DENN</i> domain-containing genes in 458 patients with prostate cancer and BCR, followed by validation in an independent cohort of 185 patients. <b>Results:</b> Multivariate Cox regression analyses identified <i>DENND2D</i> rs610261 G>A as significantly associated with improved BCR-free survival in both cohorts (adjusted hazard ratio = 0.39, 95% confidence interval = 0.23–0.66, <i>p</i> = 0.001). Functional analysis revealed rs610261’s regulatory potential, with the protective A allele correlating with increased <i>DENND2D</i> expression in various human tissues. Compared to normal prostate tissues, <i>DENND2D</i> expression was reduced in prostate cancer, with higher expression being linked to favorable patient prognosis (<i>p</i> = 0.03). Gene set enrichment analysis revealed an association between <i>DENND2D</i> expression and the negative regulation of <i>MYC</i> target genes, including <i>MAD2L1</i>, <i>ERH</i>, and <i>CLNS1A</i>, which are overexpressed in prostate cancer and associated with poor survival. Furthermore, the elevated <i>DENND2D</i> expression promotes immune infiltration in prostate cancer, supporting its role in immune modulation. <b>Conclusions:</b> <i>DENND2D</i> is a prognostic biomarker for BCR in prostate cancer and offers new avenues for personalized treatment strategies.https://www.mdpi.com/2227-9059/13/1/25prostate cancerrecurrence<i>DENN</i> domain-containing genesgene set enrichment analysisbiomarker
spellingShingle Chi-Fen Chang
Lih-Chyang Chen
Yei-Tsung Chen
Chao-Yuan Huang
Chia-Cheng Yu
Victor C. Lin
Te-Ling Lu
Shu-Pin Huang
Bo-Ying Bao
Unveiling <i>DENND2D</i> as a Novel Prognostic Biomarker for Prostate Cancer Recurrence: From Gene to Prognosis
Biomedicines
prostate cancer
recurrence
<i>DENN</i> domain-containing genes
gene set enrichment analysis
biomarker
title Unveiling <i>DENND2D</i> as a Novel Prognostic Biomarker for Prostate Cancer Recurrence: From Gene to Prognosis
title_full Unveiling <i>DENND2D</i> as a Novel Prognostic Biomarker for Prostate Cancer Recurrence: From Gene to Prognosis
title_fullStr Unveiling <i>DENND2D</i> as a Novel Prognostic Biomarker for Prostate Cancer Recurrence: From Gene to Prognosis
title_full_unstemmed Unveiling <i>DENND2D</i> as a Novel Prognostic Biomarker for Prostate Cancer Recurrence: From Gene to Prognosis
title_short Unveiling <i>DENND2D</i> as a Novel Prognostic Biomarker for Prostate Cancer Recurrence: From Gene to Prognosis
title_sort unveiling i dennd2d i as a novel prognostic biomarker for prostate cancer recurrence from gene to prognosis
topic prostate cancer
recurrence
<i>DENN</i> domain-containing genes
gene set enrichment analysis
biomarker
url https://www.mdpi.com/2227-9059/13/1/25
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