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. 2025 Mar 24;16(3):101725.
doi: 10.5306/wjco.v16.i3.101725.

Checkpoint kinase 1 in colorectal cancer: Upregulation of expression and promotion of cell proliferation

Affiliations

Checkpoint kinase 1 in colorectal cancer: Upregulation of expression and promotion of cell proliferation

Yu-Yan Pang et al. World J Clin Oncol. .

Abstract

Background: Colorectal cancer (CRC) is a prevalent malignant tumor characterized by a high mortality rate, with significant challenges persisting in the identification and management of its metastatic stage. The role of checkpoint kinase 1 (CHEK1), a cell cycle checkpoint kinase, in CRC has not been fully clarified. We hypothesize that the upregulation of CHEK1 may enhance the proliferation of CRC cells, indicating its potential as a novel therapeutic target for CRC therapy.

Aim: To investigate the expression and function of CHEK1 in CRC, this study utilizes single-cell RNA sequencing and tissue microarray data.

Methods: Single-cell RNA sequencing technology was employed to analyze CRC cells from the GSE144735 dataset, and immunohistochemistry was conducted to confirm the expression of CHEK1 in CRC and adjacent tissues. We also integrated mRNA expression data from multiple public databases to assess global CHEK1 expression in CRC. Molecular docking experiments were performed to explore the interaction between CHEK1 and the potential drug nitidine chloride (NC), as well as to investigate the influence of CHEK1 on CRC cell proliferation.

Results: We found comparatively elevated CHEK1 expression in the malignant epithelial cells of CRC, with marked upregulation of its mRNA levels in CRC tissues. Immunohistochemical analysis further confirmed the high expression of CHEK1 in CRC tissues, and the receiver operating characteristic curve demonstrated high accuracy (area under the curve = 0.964) for CHEK1 as a biomarker. Analysis of global datasets indicated a statistically significant overexpression of CHEK1 in CRC (standard mean difference = 1.81, P < 0.01), with summary receiver operating characteristic analysis yielding sensitivity and specificity values of 0.83 and 0.88, respectively. Molecular docking studies indicated that NC specifically targeted CHEK1, while clustered regularly interspaced short palindromic repeats knockout experiments demonstrated that CHEK1 promoted CRC cell proliferation.

Conclusion: Upregulation of CHEK1 promotes CRC cell proliferation. However, the dataset's diversity is limited, requiring further investigation into its specific mechanisms.

Keywords: Checkpoint kinase 1; Colorectal cancer; Immunohistochemistry; Molecular docking; Single-cell sequencing.

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Conflict of interest statement

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Figures

Figure 1
Figure 1
Flowchart of this study. Shows the data analysis and main article structure.
Figure 2
Figure 2
Single-cell analysis of checkpoint kinase 1 expression in Colorectal cancer tissues. A: Cell annotation; B: Expression of checkpoint kinase 1 in epithelial cells; C: Expression of checkpoint kinase 1 in malignant and normal epithelial cells.
Figure 3
Figure 3
Expression of checkpoint kinase 1 protein in adjacent non-cancerous tissues (left side of images: 500 μm, middle column: 200 μm, right side: 50 μm). A: Sample 1; B: Sample 2; C: Sample 3; D: Sample 4.
Figure 4
Figure 4
Expression of checkpoint kinase 1 protein in colorectal cancer tissues (left side of images: 500 μm, middle column: 200 μm, right side: 50 μm). A: Sample 1; B: Sample 2; C: Sample 3; D: Sample 4.
Figure 5
Figure 5
Internal tissue microarray analysis of checkpoint kinase 1 expression in colorectal cancer. A: Violin plot; B: Receiver operating characteristic curve. TMA: Tissue microarray; TPR: True positive rate; FPR: False positive rate; AUC: Area under the curve.
Figure 6
Figure 6
Flowchart of the selection process for the checkpoint kinase 1 mRNA dataset. CHEK1: Checkpoint kinase 1.
Figure 7
Figure 7
Differential expression of checkpoint kinase 1 in colorectal cancer samples vs non-colorectal cancer samples within the included datasets. CRC: Colorectal cancer; AUC: Area under the curve.
Figure 8
Figure 8
Continued analysis of the differential expression of checkpoint kinase 1 in colorectal cancer samples compared to non-colorectal cancer samples within the included datasets. CRC: Colorectal cancer; AUC: Area under the curve.
Figure 9
Figure 9
Comprehensive analysis of checkpoint kinase 1 expression in colorectal cancer. A: Random effects model analysis; B: Begg's test for publication bias; C: Egger's test for publication bias.
Figure 10
Figure 10
Quantitative evaluation of checkpoint kinase 1 characteristics in colorectal cancer. A: Summary Receiver Operating Characteristic curve; B: Sensitivity; C: Specificity; D: Positive diagnostic likelihood ratio; E: Negative diagnostic likelihood ratio.
Figure 11
Figure 11
Molecular docking model of nitidine chloride with checkpoint kinase 1 (binding affinity = −11.8 kcal/mol).
Figure 12
Figure 12
Impact of checkpoint kinase 1 on the proliferation of colorectal cancer cell lines. Each row represents a colorectal cancer cell line, with corresponding gene effect scores at the end.

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