与 m5C/m6A/m7G 相关的非凋亡调节性细胞死亡基因用于预测肝细胞癌的预后和免疫浸润状态。

IF 1.5 4区 医学 Q4 ONCOLOGY Translational cancer research Pub Date : 2024-09-30 Epub Date: 2024-08-30 DOI:10.21037/tcr-24-499
Xiangyu Qu, Yigang Zhang, Haoling Li, Yi Tan
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引用次数: 0

摘要

背景:5-甲基胞嘧啶/N6-甲基腺苷/N7-甲基鸟苷(m5C/m6A/m7G)相关基因在肿瘤的发生和发展中起着关键作用,而非凋亡调节性细胞死亡(NARCD)与肿瘤的发展和免疫密切相关。然而,m5C/m6A/m7G 相关 NARCD 基因在肝细胞癌(HCC)中的作用仍不清楚。我们利用m5C/m6A/m7G相关的NARCD基因构建了一个HCC预后模型,用于患者的预后预测和临床治疗:我们从癌症基因组图谱(TCGA)和国际癌症基因组联盟(ICGC)获得了HCC的转录组数据。利用最小绝对收缩和选择算子(LASSO)回归法,我们确定了与m5C/m6A/m7G相关的NARCD基因,并通过多变量Cox回归法构建了一个预后模型。我们使用卡普兰-梅耶曲线和接收器操作特征曲线评估了模型的性能,并使用 ICGC 进行了外部验证。京都基因组百科全书(KEGG)和基因本体(GO)分析用于研究高危组和低危组之间的差异表达基因。我们还研究了高风险组的免疫细胞浸润、药物反应以及肿瘤细胞和免疫细胞之间的细胞通讯:结果:我们发现了140个与m5C/m6A/m7G相关的NARCD基因,并利用其中5个基因建立了预后模型。功能富集分析显示,风险基因在肿瘤和免疫相关通路中富集。高风险组的免疫细胞浸润增加,对免疫检查点抑制剂(ICIs)的反应更好。高危患者对顺铂、多柔比星和丝裂霉素C的反应更强,而低危患者对厄洛替尼更敏感。细胞通讯分析表明,高危肿瘤细胞利用胰岛素样生长因子(IGF)和巨噬细胞迁移抑制因子(MIF)信号通路向免疫细胞发送信号,并通过骨形态发生蛋白(BMP)和淋巴毒素相关诱导配体(LIGHT)通路接收信号:我们建立了一个与m5C/m6A/m7G相关的NARCD基因预后模型,用于预测HCC患者的预后。该模型可帮助我们深入了解免疫疗法和化疗对 HCC 患者的疗效。
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The m5C/m6A/m7G-related non-apoptotic regulatory cell death genes for the prediction of the prognosis and immune infiltration status in hepatocellular carcinoma.

Background: 5-methylcytosine/N6-methyladenosine/N7-methylguanosine (m5C/m6A/m7G)-related genes play a critical role in tumor occurrence and progression, and non-apoptotic regulatory cell death (NARCD) is closely linked to tumor development and immunity. However, the role of m5C/m6A/m7G-related NARCD genes in hepatocellular carcinoma (HCC) remains unclear. We used m5C/m6A/m7G-related NARCD genes to construct a prognostic model of HCC for prognostic prediction and clinical treatment of patients.

Methods: We obtained transcriptome data for HCC from The Cancer Genome Atlas (TCGA) and the International Cancer Genome Consortium (ICGC). Using the least absolute shrinkage and selection operator (LASSO) regression, we identified m5C/m6A/m7G-related NARCD genes and constructed a prognostic model through multivariate Cox regression. Model performance was assessed using Kaplan-Meier and receiver operating characteristic (ROC) curves, with external validation using the ICGC. Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Ontology (GO) analyses were used to study differentially expressed genes between high- and low-risk groups. We also examined immune cell infiltration, drug response, and cell communication between tumor cells and immune cells in high-risk groups.

Results: We identified 140 m5C/m6A/m7G-related NARCD genes, using five of them to build the prognostic model. Functional enrichment analysis revealed enrichment in tumor and immune-related pathways for risk genes. The high-risk group displayed increased immune cell infiltration and better responses to immune checkpoint inhibitors (ICIs). High-risk patients were more responsive to cisplatin, doxorubicin, and mitomycin C, while low-risk patients were more sensitive to erlotinib. Cell communication analysis indicated that high-risk tumor cells used insulin-like growth factor (IGF) and macrophage migration inhibitory factor (MIF) signaling pathways to send signals to immune cells and received signals through the bone morphogenetic protein (BMP) and lymphotoxin-related inducible ligand (LIGHT) pathways.

Conclusions: We have developed a prognostic model with m5C/m6A/m7G-related NARCD genes to predict the prognosis of HCC patients. This model can offer insights into the effectiveness of immunotherapy and chemotherapy for HCC patients.

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CiteScore
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252
期刊介绍: Translational Cancer Research (Transl Cancer Res TCR; Print ISSN: 2218-676X; Online ISSN 2219-6803; http://tcr.amegroups.com/) is an Open Access, peer-reviewed journal, indexed in Science Citation Index Expanded (SCIE). TCR publishes laboratory studies of novel therapeutic interventions as well as clinical trials which evaluate new treatment paradigms for cancer; results of novel research investigations which bridge the laboratory and clinical settings including risk assessment, cellular and molecular characterization, prevention, detection, diagnosis and treatment of human cancers with the overall goal of improving the clinical care of cancer patients. The focus of TCR is original, peer-reviewed, science-based research that successfully advances clinical medicine toward the goal of improving patients'' quality of life. The editors and an international advisory group of scientists and clinician-scientists as well as other experts will hold TCR articles to the high-quality standards. We accept Original Articles as well as Review Articles, Editorials and Brief Articles.
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