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Combined single cell and spatial transcriptome analysis reveals cellular heterogeneity of hedgehog pathway in gastric cancer. 单细胞和空间转录组联合分析揭示了胃癌中刺猬通路的细胞异质性。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-09-09 DOI: 10.1038/s41435-024-00297-0
Guoliang Zhang, Guojun Xia, Chunxu Zhang, Shaodong Li, Huangen Wang, Difeng Zheng

Gastric cancer (GC) is one of the most common and deadly malignancies in the world. Abnormal activation of hedgehog pathway is closely related to tumor development and progression. However, potential therapeutic targets for GC based on the hedgehog pathway have not been clearly identified. In the present study, we combined single-cell sequencing data and spatial transcriptomics to deeply investigate the role of hedgehog pathway in GC. Based on a comprehensive scoring algorithm, we found that fibroblasts from GC tumor tissues were characterized by a highly enriched hedgehog pathway. By analyzing the development process of fibroblasts, we found that CCND1 plays an important role at the end stage of fibroblast development, which may be related to the formation of tumor-associated fibroblasts. Based on spatial transcriptome data, we deeply mined the role of CCND1 in fibroblasts. We found that CCND1-negative and -positive fibroblasts have distinct characteristics. Based on bulk transcriptome data, we verified that highly infiltrating CCND1 + fibroblasts are a risk factor for GC patients and can influence the immune and chemotherapeutic efficacy of GC patients. Our study provides unique insights into GC and hedgehog pathways and also new directions for cancer treatment strategies.

胃癌(GC)是世界上最常见、最致命的恶性肿瘤之一。刺猬通路的异常激活与肿瘤的发生和发展密切相关。然而,基于刺猬通路的胃癌潜在治疗靶点尚未明确确定。在本研究中,我们结合单细胞测序数据和空间转录组学深入研究了刺猬通路在 GC 中的作用。基于综合评分算法,我们发现来自 GC 肿瘤组织的成纤维细胞具有高度富集 hedgehog 通路的特征。通过分析成纤维细胞的发育过程,我们发现CCND1在成纤维细胞发育的末期发挥了重要作用,这可能与肿瘤相关成纤维细胞的形成有关。基于空间转录组数据,我们深入挖掘了CCND1在成纤维细胞中的作用。我们发现,CCND1阴性和阳性成纤维细胞具有不同的特征。基于大量转录组数据,我们验证了高浸润 CCND1 + 成纤维细胞是 GC 患者的一个危险因素,并可影响 GC 患者的免疫和化疗效果。我们的研究为 GC 和刺猬通路提供了独特的见解,也为癌症治疗策略提供了新的方向。
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引用次数: 0
LncRNA sequencing reveals an essential role for the lncRNA-mediated ceRNA network in penile squamous cell carcinoma. LncRNA测序揭示了lncRNA介导的ceRNA网络在阴茎鳞状细胞癌中的重要作用。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-09-06 DOI: 10.1038/s41435-024-00295-2
Jian Cao, Lin Du, Xueheng Zhao, Zhizhong Liu, Junbin Yuan, Yanwei Luo, Shanshan Zhang, Zailong Qin, Jie Guo

Penile squamous cell carcinoma (PSCC) is becoming increasingly common and posing a severe threat to men's health, particularly in developing countries. The function of long non-coding RNAs (lncRNAs) in PSCC progression remains mysterious. Therefore, we explored the significance of lncRNAs in the competing endogenous RNA (ceRNA) network in PSCC tumor progression. The 5 healthy and 6 tumor tissue samples were subjected to lncRNA sequencing. Using miRcode, LncBase, miRTarBase, miRWalk, and TargetScan, we constructed a ceRNA network of differentially expressed lncRNAs, miRNAs, and mRNAs. Our analysis resulted in a ceRNA network consisting of 4 lncRNAs, 18 miRNAs, and 38 mRNAs, whose upstream regulators, the lncRNAs MIR205HG, MIAT, HCP5, and PVT1, were all elevated in PSCC. Immunohistochemical staining confirmed that cell proliferation-related genes TFAP2C, MKI67, and TP63, positively regulated by 4 lncRNAs, were considerably overexpressed in tumor tissues. Immune analysis revealed a significant upregulation in macrophage and exhausted T cell infiltration in PSCC. Our study identified a lncRNA-miRNA-mRNA ceRNA network for PSCC, revealing possible molecular mechanisms involved in the regulation of PSCC progression by key lncRNAs and their connections to the immunosuppressive tumor microenvironment. The ceRNA network provides a novel perspective for elucidating the pathogenesis of PSCC.

阴茎鳞状细胞癌(PSCC)越来越常见,对男性健康构成严重威胁,尤其是在发展中国家。长非编码RNA(lncRNA)在PSCC进展中的功能仍是一个谜。因此,我们探讨了竞争性内源性RNA(ceRNA)网络中的lncRNA在PSCC肿瘤进展中的意义。我们对5个健康样本和6个肿瘤组织样本进行了lncRNA测序。利用miRcode、LncBase、miRTarBase、miRWalk和TargetScan,我们构建了一个由差异表达的lncRNA、miRNA和mRNA组成的ceRNA网络。分析结果显示,ceRNA网络由4个lncRNA、18个miRNA和38个mRNA组成,它们的上游调控因子--lncRNA MIR205HG、MIAT、HCP5和PVT1在PSCC中均有升高。免疫组化染色证实,受4种lncRNAs正向调控的细胞增殖相关基因TFAP2C、MKI67和TP63在肿瘤组织中显著过表达。免疫分析显示,PSCC中巨噬细胞和T细胞浸润明显上调。我们的研究发现了PSCC的lncRNA-miRNA-mRNA ceRNA网络,揭示了关键lncRNA调控PSCC进展的可能分子机制及其与免疫抑制性肿瘤微环境的联系。ceRNA网络为阐明PSCC的发病机制提供了一个新的视角。
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引用次数: 0
Integrated analyses reveal CST7 and DUSP5 regulate Th2 cells differentiation to promote chronic HBV infection. 综合分析表明,CST7 和 DUSP5 可调控 Th2 细胞分化,从而促进慢性 HBV 感染。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-09-05 DOI: 10.1038/s41435-024-00296-1
Gang Ning, Xianxiang Liao, Hongye Jiang

Chronicity of HBV infection is a complex process influenced by both viral and host factors. Understanding the complex interplay between HBV and cellular immunity is critical. In this study, we used bulk expression datasets for CHB liver tissue from GSE83148 and GSE84044, and scRNA-seq data of CHB liver samples from GSE182159 to find critical genes and immune cells accounted for CHB. We first identified DEGs closely associated with CHB by WGCNA and these genes were intricately linked to differentiation of Th2 cells, which were significantly higher in CHB and positively associated with ALT, AST, HBV-DNA, Scheuer grade and Scheuer stage. Among these DEGs, CST7 and DUSP5 highly expressed in CHB and positively associated with ALT, AST, HBV-DNA, Scheuer grade and Scheuer stage. Moreover, through scRNA-seq, we also found that CST7 and DUSP5 upregulated in Th2 cells and regulated differentiation of naive CD4+ T cells to Th2 cells. Finally, in-vitro studies also showed that HBV infection could significantly up-regulate DUSP5 and CST7 expression. This research strongly revealed that HBV could up-regulate CST7 and DUSP5 to drive differentiation of naive CD4+ T cells into Th2 cells and contribute to CHB, which may pave the way for immunotherapeutic interventions.

HBV 感染的慢性化是一个受病毒和宿主因素影响的复杂过程。了解 HBV 与细胞免疫之间复杂的相互作用至关重要。在本研究中,我们使用了来自 GSE83148 和 GSE84044 的慢性乙型肝炎肝组织的大量表达数据集,以及来自 GSE182159 的慢性乙型肝炎肝脏样本的 scRNA-seq 数据,以寻找慢性乙型肝炎的关键基因和免疫细胞。我们首先通过WGCNA发现了与CHB密切相关的DEGs,这些基因与Th2细胞的分化密切相关,Th2细胞在CHB中显著增高,并与ALT、AST、HBV-DNA、Scheuer分级和Scheuer分期正相关。在这些DEGs中,CST7和DUSP5在CHB中高表达,并与ALT、AST、HBV-DNA、Scheuer分级和Scheuer分期正相关。此外,通过 scRNA-seq,我们还发现 CST7 和 DUSP5 在 Th2 细胞中上调,并调控幼稚 CD4+ T 细胞向 Th2 细胞分化。最后,体外研究还表明,HBV 感染能显著上调 DUSP5 和 CST7 的表达。这项研究有力地揭示了 HBV 可上调 CST7 和 DUSP5,从而促使幼稚 CD4+ T 细胞分化为 Th2 细胞,并导致慢性阻塞性肺病,这可能为免疫治疗干预铺平道路。
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引用次数: 0
Integrated machine learning survival framework to decipher diverse cell death patterns for predicting prognosis in lung adenocarcinoma. 整合机器学习生存框架,破解用于预测肺腺癌预后的多种细胞死亡模式。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-08-31 DOI: 10.1038/s41435-024-00291-6
Fangchao Zhao, Xu Zhang, Yanhua Tian, Haiyong Zhu, Shujun Li

Various forms of programmed cell death (PCD) collectively regulate the occurrence, development and metastasis of tumors. Nevertheless, a comprehensive analysis of the diverse types of PCD in lung adenocarcinoma (LUAD) is currently lacking. The study encompassed a total of 1481 genes associated with the regulation of 13 distinct PCD patterns. Ten machine learning algorithms were amalgamated into 101 combinations, from which the optimal algorithm was chosen to formulate an artificial intelligence-derived prognostic signature based on the average C-index across four multicenter cohorts. The established optimal cell death index (CDI) model emerged as an independent risk factor for overall survival, demonstrating robust and consistent performance. Notably, CDI exhibited significantly higher accuracy compared to traditional clinical variables and molecular features. It exhibited superior performance than other published models. By integrating CDI with relevant clinical features, a nomogram with excellent predictive performance was developed. LUAD patients with low CDI score had a higher immune modulators, TIDE scores and immune scores, indicating a better immunotherapy benefit. More importantly, we found that the regulation of antigen presentation is the crucial mechanism of PCD. SCG2 is a key molecule that inhibits the malignant progression of LUAD. CDI holds great potential as a robust and promising tool for enhancing clinical outcomes in patients with LUAD.

各种形式的程序性细胞死亡(PCD)共同调控着肿瘤的发生、发展和转移。然而,目前还缺乏对肺腺癌(LUAD)中各种类型的程序性细胞死亡的全面分析。这项研究涵盖了与 13 种不同 PCD 模式调控相关的 1481 个基因。研究人员将十种机器学习算法合并成101种组合,从中选出最优算法,根据四个多中心队列的平均C指数制定人工智能衍生预后特征。已建立的最佳细胞死亡指数(CDI)模型成为总生存期的独立风险因素,表现出稳健而一致的性能。值得注意的是,与传统的临床变量和分子特征相比,CDI的准确性明显更高。与其他已发表的模型相比,它表现出更优越的性能。通过将 CDI 与相关临床特征相结合,我们开发出了一个具有出色预测性能的提名图。低 CDI 得分的 LUAD 患者的免疫调节剂、TIDE 评分和免疫评分均较高,表明其免疫治疗效果更好。更重要的是,我们发现抗原呈递调控是 PCD 的关键机制。SCG2是抑制LUAD恶性进展的关键分子。CDI作为一种强大而有前途的工具,在提高LUAD患者的临床疗效方面具有巨大潜力。
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引用次数: 0
Next-generation DC vaccines with an immunogenic trajectory against cancer: therapeutic opportunities vs. resistance mechanisms. 具有抗癌免疫原性轨迹的下一代直流电疫苗:治疗机会与抗药性机制。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-08-27 DOI: 10.1038/s41435-024-00294-3
Jenny Sprooten, Abhishek D Garg
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引用次数: 0
Integrated analysis reveals NLRC4 as a potential biomarker in sepsis pathogenesis. 综合分析揭示 NLRC4 是败血症发病机制中的潜在生物标记。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-08-24 DOI: 10.1038/s41435-024-00293-4
Chunhui Jiang, Jiani Chen, Jiaqing Xu, Chen Chen, Hongguo Zhu, Yinghe Xu, Hui Zhao, Jiaxi Chen

Sepsis remains a significant global health burden and contributor to mortality, yet the precise molecular mechanisms underlying the immune response are not fully elucidated. To gain insight into this issue, we performed a comprehensive analysis using a variety of techniques including bulk RNA sequencing, single-cell RNA sequencing, and enzyme-linked immunosorbent assay (ELISA). We performed enrichment analysis of differentially expressed genes in sepsis and healthy individuals by utilizing Gene Ontology (GO) analysis and indicated significant enrichment of immune-related response. Following Weighted Gene Co-Expression Network Analysis (WGCNA) and protein-protein interaction analysis (PPI) were used to identify key immune-related hub genes and validated by ELISA to show that NLRC4 is highly expressed in sepsis. Additionally, an analysis of scRNA-seq data from newly diagnosed sepsis, sepsis diagnosis at 6 hours, and healthy samples demonstrates a significant increase in both the expression levels and proportions of NLRC4 in sepsis monocytes and neutrophils. In addition, using pySCENIC we identified upstream transcription factors that regulate NLRC4. Our study provides valuable insights into the identification of NLRC4 in peripheral blood as a potential candidate gene for the diagnosis and treatment of sepsis.

败血症仍然是全球健康的一个重大负担,也是导致死亡的一个因素,但免疫反应的确切分子机制尚未完全阐明。为了深入了解这一问题,我们采用了多种技术进行了综合分析,包括大量 RNA 测序、单细胞 RNA 测序和酶联免疫吸附试验(ELISA)。我们利用基因本体(Gene Ontology,GO)分析法对败血症患者和健康人体内不同表达基因进行了富集分析,结果表明免疫相关反应显著富集。我们利用加权基因共表达网络分析(WGCNA)和蛋白-蛋白相互作用分析(PPI)确定了关键的免疫相关枢纽基因,并通过酶联免疫吸附试验进行了验证,结果表明 NLRC4 在败血症中高度表达。此外,对新诊断出的脓毒症、6 小时后诊断出的脓毒症和健康样本的 scRNA-seq 数据进行分析表明,脓毒症单核细胞和中性粒细胞中 NLRC4 的表达水平和比例均显著增加。此外,我们还利用 pySCENIC 发现了调控 NLRC4 的上游转录因子。我们的研究为确定外周血中的 NLRC4 作为脓毒症诊断和治疗的潜在候选基因提供了有价值的见解。
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引用次数: 0
Deciphering the role of oxidative stress genes in idiopathic pulmonary fibrosis: a multi-omics mendelian randomization approach. 解密氧化应激基因在特发性肺纤维化中的作用:一种多组学孟德尔随机方法。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-08-22 DOI: 10.1038/s41435-024-00292-5
Xin Liu, Dengfeng Zhang, Fangchao Zhao, Shujun Li, Haiyong Zhu, Xu Zhang

Oxidative stress (OS) is crucial in idiopathic pulmonary fibrosis (IPF) pathogenesis, with its genes potentially acting as both causes and consequences of the disease. We identified OS-related genes from GeneCards and performed a meta-analysis on pulmonary transcriptome datasets to discover differentially expressed genes (DEGs) related to OS in IPF. We integrated this data with the largest available IPF GWAS summaries, expression quantitative trait loci (eQTLs), and DNA methylation QTLs (mQTLs) from blood. This approach aimed to identify blood OS genes and regulatory elements linked to IPF risk, incorporating the latest pulmonary eQTLs and bronchoalveolar lavage fluid microbial QTLs (bmQTLs) for a comprehensive view of gene-lung microbiota interactions through SMR and colocalization analyses. Sensitivity analyses were conducted using two additional mendelian randomization (MR) methods. Meta-analysis revealed 1090 differentially expressed OS genes between IPF patients and controls. Integration with IPF GWAS, eQTL, and mQTL data identified key genes and regulatory elements involved in IPF pathogenesis, highlighting the role of specific genes such as KCNMA1 and SLC22A5 in modulating IPF risk through epigenetic mechanisms. Colocalization analysis further identified potential interactions between gene expression and lung microbiota. Our findings elucidate the complex interplay between OS genes and IPF, suggesting potential therapeutic targets and highlighting the importance of considering epigenetic and microbial interactions in the disease's etiology and progression.

氧化应激(OS)在特发性肺纤维化(IPF)发病机制中至关重要,其基因可能既是疾病的原因,也是疾病的后果。我们从基因卡片(GeneCards)中确定了与OS相关的基因,并对肺转录组数据集进行了荟萃分析,以发现与IPF中OS相关的差异表达基因(DEGs)。我们将这些数据与现有最大的 IPF GWAS 摘要、表达定量性状位点(eQTL)和血液中的 DNA 甲基化 QTL(mQTL)进行了整合。这种方法旨在确定与 IPF 风险相关的血液 OS 基因和调控元件,并结合最新的肺 eQTL 和支气管肺泡灌洗液微生物 QTL(bmQTL),通过 SMR 和共定位分析全面了解基因与肺微生物区系的相互作用。另外还使用两种泯灭随机(MR)方法进行了敏感性分析。元分析显示,IPF 患者和对照组之间有 1090 个不同表达的 OS 基因。与 IPF GWAS、eQTL 和 mQTL 数据相结合,确定了参与 IPF 发病机制的关键基因和调控元件,突出了 KCNMA1 和 SLC22A5 等特定基因在通过表观遗传机制调节 IPF 风险方面的作用。共定位分析进一步确定了基因表达与肺部微生物群之间潜在的相互作用。我们的研究结果阐明了OS基因与IPF之间复杂的相互作用,提出了潜在的治疗靶点,并强调了考虑表观遗传学和微生物相互作用在该疾病的病因学和进展中的重要性。
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引用次数: 0
Innate immune dynamics in the context of multisite EGFR mutations in lung adenocarcinoma. 肺腺癌多位点表皮生长因子受体突变背景下的先天免疫动态。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-08-06 DOI: 10.1038/s41435-024-00288-1
Yuan Peng, Chuan Zeng, Rongxin Liao, Lu Shen, Yan Zhou, Zhenzhou Yang

Based on favorable outcomes and decreased propensity for lymph node and distant metastasis, multiple ground-glass nodules (GGNs) are now predominantly recognized as early-stage primary independent lung cancer. In this study, we discuss a case involving a patient with reoperative multifocal GGNs who was ultimately diagnosed with early multiple intrapulmonary metastases and multifocal primary lung cancers. This patient exhibited multisite epidermal growth factor receptor (EGFR) mutations, including the classical L858R, exon 19 deletion and the rare V834L variant. Despite a high tumor burden and the presence of various EGFR driver mutations, the patient experienced prolonged dormancy and exceptionally slow lesion growth, even without any systemic treatment. Our research indicates that the patient's immune response against the tumor remained robust throughout the disease course. Furthermore, we found that pathways associated with integrin-mediated cell extracellular matrix adhesion played a role in activating her innate immune responses and regulating tumor dormancy. Our findings suggest that the interplay between cancer cell mutations and the tumor microenvironment (TME) phenotype during tumor evolution contributed to this patient's prolonged survival. Integrating these aspects for lung tumor stratification is expected to improve predictions of growth potential and aid in clinical decision making.

基于良好的预后以及淋巴结和远处转移倾向的降低,多发性磨玻璃结节(GGNs)目前主要被认为是早期原发性独立肺癌。在本研究中,我们讨论了一例再手术多灶性 GGNs 患者,该患者最终被诊断为早期多发性肺内转移和多灶性原发性肺癌。该患者表现出多位表皮生长因子受体(EGFR)突变,包括经典的L858R、19号外显子缺失和罕见的V834L变异。尽管患者的肿瘤负荷很高,而且存在多种表皮生长因子受体驱动突变,但患者的休眠期很长,病灶生长异常缓慢,即使没有接受任何系统治疗也是如此。我们的研究表明,患者对肿瘤的免疫反应在整个病程中都保持强劲。此外,我们还发现,与整合素介导的细胞细胞外基质粘附相关的通路在激活她的先天性免疫反应和调节肿瘤休眠方面发挥了作用。我们的研究结果表明,在肿瘤演变过程中,癌细胞突变与肿瘤微环境(TME)表型之间的相互作用促成了该患者的长期生存。整合这些方面进行肺部肿瘤分层有望改善对肿瘤生长潜力的预测,并有助于临床决策。
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引用次数: 0
Apolipoprotein E deficiency leads to the polarization of splenic macrophages towards M1 phenotype by increasing iron content. 载脂蛋白 E 缺乏会通过增加铁含量导致脾巨噬细胞向 M1 表型极化。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-08-05 DOI: 10.1038/s41435-024-00290-7
Meng-Qi Shen, Qian Guo, Wei Li, Zhong-Ming Qian

Apolipoprotein E (ApoE) plays a crucial role in iron homeostasis in the body, while macrophages are the principal cells responsible for handling iron in mammals. However, it is unknown whether ApoE can affect the functional subtypes and the iron handling capacity of splenic macrophages (SM). Here, we investigated the effects of ApoE deficiency (ApoE-/-) on the polarization and iron content of SM and its potential mechanisms. ApoE-/- was found to induce a significant increase in the expressions of M1 marker genes CD86, IL-1β, IL-6, IL-12, TNF-α and iNOS and a reduction in M2 marker genes CD206, Arg-1, IL-10 and Ym-1 in SM of mice aged 28 weeks, Meanwhile, ApoE-/- caused a significant increase in iron content and expression of ferritin, transferrin receptor 1 (TfR1), iron regulatory protein 1 (IRP1) and heme oxygenase-1 (HO-1) and a reduction in ferroportin1 (Fpn1) in spleen and/or SM of mice aged 28 weeks. It was concluded that ApoE-/- can increase iron content through increased iron uptake mediated by TfR/ IRPs and decreased iron release mediated by Fpn1, leading to polarization of the SM to M1 phenotype.

载脂蛋白 E(ApoE)在体内铁平衡中起着至关重要的作用,而巨噬细胞是哺乳动物体内负责处理铁的主要细胞。然而,载脂蛋白 E 是否会影响脾脏巨噬细胞(SM)的功能亚型和铁处理能力尚不清楚。在这里,我们研究了载脂蛋白E缺乏(ApoE-/-)对脾巨噬细胞极化和铁含量的影响及其潜在机制。研究发现,载脂蛋白E-/-诱导28周龄小鼠脾脏巨噬细胞中M1标记基因CD86、IL-1β、IL-6、IL-12、TNF-α和iNOS的表达显著增加,M2标记基因CD206、Arg-1、IL-10和Ym-1的表达减少、同时,ApoE-/-导致28周龄小鼠脾脏和/或SM中铁含量和铁蛋白、转铁蛋白受体1(TfR1)、铁调节蛋白1(IRP1)和血红素加氧酶1(HO-1)的表达显著增加,铁蛋白1(Fpn1)减少。结论是载脂蛋白E-/-可通过TfR/IRPs介导的铁摄取增加和Fpn1介导的铁释放减少来增加铁含量,从而导致SM极化为M1表型。
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引用次数: 0
Machine-learning and scRNA-Seq-based diagnostic and prognostic models illustrating survival and therapy response of lung adenocarcinoma. 基于机器学习和 scRNA-Seq 的诊断和预后模型,说明肺腺癌的存活率和治疗反应。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-07-29 DOI: 10.1038/s41435-024-00289-0
Qingyu Cheng, Weidong Zhao, Xiaoyuan Song, Tengchuan Jin

Lung cancer is a major cause accounting for cancer-related mortalities, with lung adenocarcinoma (LUAD) being the most prevalent subtype. Given the high clinical and cellular heterogeneities of LUAD, accurate diagnosis and prognosis are crucial to avoid overdiagnosis and overtreatment. Taking full advantage of scRNA-Seq data to resolve the tumor heterogeneities, we explored the overall landscape of LUAD microenvironment. Utilizing the stage-specific tumor cell markers, we have developed highly accurate diagnostic and prognostic models with elevated sensitivity and specificity. The diagnostic model, developed through random forest algorithms with a thirteen-gene signature, achieved an accuracy of 96.4% and an AUC of 0.993. These metrics were further demonstrated by benchmarking with available models and scoring systems in independent cohorts. Concurrently, the prognostic model, formulated via Cox regression with a six-gene signature, effectively predicted overall survival, with elevated risk scores associated with increased fractions of cancer-associated fibroblasts, and higher likelihood of immune escape and T-cell exclusion. Subsequently, two nomograms were developed to predict survival and drug responses, facilitating their integration into clinical practice. Overall, this study underscores the potential of our models for efficient, rapid, and cost-effective diagnosis and prognosis of LUAD, adaptable to multiple expression profiling platforms and quantification methods.

肺癌是造成癌症相关死亡的主要原因,其中肺腺癌(LUAD)是最常见的亚型。鉴于肺腺癌的临床和细胞异质性较高,准确诊断和预后对于避免过度诊断和过度治疗至关重要。我们充分利用 scRNA-Seq 数据解决肿瘤异质性问题,探索了 LUAD 微环境的整体情况。利用分期特异性肿瘤细胞标记物,我们开发出了具有较高灵敏度和特异性的高精度诊断和预后模型。通过随机森林算法开发的诊断模型具有 13 个基因特征,准确率达到 96.4%,AUC 为 0.993。通过与独立队列中的现有模型和评分系统进行比对,这些指标得到了进一步证实。同时,通过六基因特征的 Cox 回归建立的预后模型能有效预测总生存期,风险评分的升高与癌症相关成纤维细胞的比例增加以及免疫逃逸和 T 细胞排斥的可能性增加有关。随后,研究人员还开发了两个提名图来预测生存率和药物反应,以便将其应用于临床实践。总之,这项研究强调了我们的模型在高效、快速和经济有效地诊断 LUAD 和预后方面的潜力,并能适应多种表达谱平台和量化方法。
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引用次数: 0
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