AUTHOR=Zheng Xingju , Xu Shilin , Wu JiaYing 

TITLE=Cervical Cancer Imaging Features Associated With ADRB1 as a Risk Factor for Cerebral Neurovascular Metastases

JOURNAL=Frontiers in Neurology

VOLUME=13

YEAR=2022

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2022.905761

DOI=10.3389/fneur.2022.905761

ISSN=1664-2295

ABSTRACT=<p>Bioinformatics tools are used to create a clinical prediction model for cervical cancer metastasis and to investigate the neurovascular-related genes that are involved in brain metastasis of cervical cancer. One hundred eighteen patients with cervical cancer were divided into two groups based on the presence or absence of metastases, and the clinical data and imaging findings of the two groups were compared retrospectively. The nomogram-based model was successfully constructed by taking into account four clinical characteristics (age, stage, N, and T) as well as one imaging characteristic (original_glszm_GrayLevelVariance Rad-score). In patients with cervical cancer, headaches and vomiting were more often reported in the brain metastasis group than in the other metastasis groups. According to the TCGA data, mRNA differential gene expression analysis of patients with cervical cancer revealed an increase in the expression of neurovascular-related gene Adrenoceptor Beta 1 (<italic>ADRB1</italic>) in the brain metastasis group. An analysis of the correlation between imaging features and <italic>ADRB1</italic> expression revealed that <italic>ADRB1</italic> expression was significantly higher in the low Rad-score group compared with the high Rad-score group (<italic>P</italic> = 0.025). Therefore, <italic>ADRB1</italic> expression in cervical cancer was correlated with imaging features and was associated as a risk factor for cerebral neurovascular metastases. This study developed a nomogram prediction model for cervical cancer metastasis using age, stage, N, T and original_glszm_GrayLevelVariance. As a risk factor associated with the development of cerebral neurovascular metastases of cervical cancer, <italic>ADRB1</italic> expression was significantly higher in brain metastases from cervical cancer.</p>