Identifying CDCA3 as a pivotal biomarker for predicting outcomes and immunotherapy efficacy in pan-renal cell carcinoma.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-09-30 Epub Date: 2024-09-26 DOI:10.21037/tau-24-233
Hongwei Luo, Huichan He, Zezhen Liu, Yuting Liu, Feifei Hou, Yao Xie, Le Zhang, Jianming Lu, Shan Tang, Weide Zhong
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Abstract

Background: Renal cell carcinoma (RCC) is a heterogeneous disease. Identifying effective biomarkers is crucial for improving prognostic accuracy and therapy outcomes. This study investigates cell division cycle-associated 3 (CDCA3) as a novel biomarker for prognostic assessment and immunotherapy response in RCC.

Methods: This study analyzed multi-omics data from The Cancer Genome Atlas (TCGA) for kidney renal clear cell carcinoma (KIRC), kidney renal papillary cell carcinoma (KIRP), and kidney chromophobe (KICH) subtypes to evaluate CDCA3 expression and its clinical implications. Functional enrichment and immune infiltration analyses were performed using bioinformatics tools gene set enrichment analysis (GSEA) and xCell. The prognostic value of CDCA3 was assessed through Cox regression and Kaplan-Meier survival analysis. Immunohistochemistry (IHC) was employed to confirm CDCA3 expression at the protein level in RCC samples.

Results: Higher CDCA3 expression correlated with poor survival outcomes and reduced response to programmed cell death protein 1 (PD-1) blockade therapies. Statistical analysis indicated that CDCA3 was an independent prognostic factor for poor survival in RCC. CDCA3 was consistently overexpressed in RCC tissues compared to normal tissues and was associated with adverse clinical features, including high Th2 cell infiltration and suppression of immune pathways.

Conclusions: CDCA3 is a promising biomarker for RCC, offering insights into the tumor's prognosis and potential response to immunotherapy. The strong association between CDCA3 expression and poor therapeutic outcomes suggests that CDCA3 could be targeted in future therapeutic strategies.

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确定 CDCA3 是预测泛肾细胞癌预后和免疫疗法疗效的关键生物标记物。
背景:肾细胞癌(RCC)是一种异质性疾病。确定有效的生物标志物对提高预后准确性和治疗效果至关重要。本研究将细胞分裂周期相关3(CDCA3)作为一种新型生物标志物,用于RCC的预后评估和免疫治疗反应:本研究分析了癌症基因组图谱(TCGA)中肾透明细胞癌(KIRC)、肾乳头状细胞癌(KIRP)和肾嗜色细胞癌(KICH)亚型的多组学数据,以评估CDCA3的表达及其临床意义。利用生物信息学工具基因组富集分析(GSEA)和xCell进行了功能富集和免疫浸润分析。通过Cox回归和Kaplan-Meier生存分析评估了CDCA3的预后价值。免疫组织化学(IHC)用于确认RCC样本中CDCA3在蛋白水平上的表达:结果:较高的CDCA3表达与较差的生存结果和对程序性细胞死亡蛋白1(PD-1)阻断疗法的反应减弱相关。统计分析表明,CDCA3是RCC不良生存率的独立预后因素。与正常组织相比,CDCA3在RCC组织中持续过表达,并与不良临床特征相关,包括高Th2细胞浸润和免疫通路抑制:结论:CDCA3是一种很有前景的RCC生物标记物,能帮助人们了解肿瘤的预后和对免疫疗法的潜在反应。CDCA3的表达与治疗效果不佳之间的密切联系表明,CDCA3可作为未来治疗策略的靶点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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