Integrative Cancer Centre, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Department of Oncology, Guangzhou Chest Hospital, Guangzhou, China.
Front Immunol. 2020 Sep 15;11:1933. doi: 10.3389/fimmu.2020.01933. eCollection 2020.
BACKGROUND: Limited treatment strategies are available for squamous-cell lung cancer (SQLC) patients. Few studies have addressed whether immune-related genes (IRGs) or the tumor immune microenvironment can predict the prognosis for SQLC patients. Our study aimed to construct a signature predict prognosis for SQLC patients based on IRGs. METHODS: We constructed and validated a signature from SQLC patients in The Cancer Genome Atlas (TCGA) using bioinformatics analysis. The underlying mechanisms of the signature were also explored with immune cells and mutation profiles. RESULTS: A total of 464 eligible SQLC patients from TCGA dataset were enrolled and were randomly divided into the training cohort ( = 232) and the testing cohort ( = 232). Eight differentially expressed IRGs were identified and applied to construct the immune signature in the training cohort. The signature showed a significant difference in overall survival (OS) between low-risk and high-risk cohorts ( < 0.001), with an area under the curve of 0.76. The predictive capability was verified with the testing and total cohorts. Multivariate analysis revealed that the 8-IRG signature served as an independent prognostic factor for OS in SQLC patients. Naive B cells, resting memory CD4 T cells, follicular helper T cells, and M2 macrophages were found to significantly associate with OS. There was no statistical difference in terms of tumor mutational burden between the high-risk and low-risk cohorts. CONCLUSION: Our study constructed and validated an 8-IRG signature prognostic model that predicts clinical outcomes for SQLC patients. However, this signature model needs further validation with a larger number of patients.
背景:目前针对鳞状细胞肺癌(SQLC)患者的治疗策略有限。很少有研究探讨免疫相关基因(IRGs)或肿瘤免疫微环境是否可以预测 SQLC 患者的预后。我们的研究旨在构建基于 IRGs 的预测 SQLC 患者预后的特征。
方法:我们使用生物信息学分析从癌症基因组图谱(TCGA)中的 SQLC 患者中构建和验证了一个特征。还通过免疫细胞和突变谱探索了该特征的潜在机制。
结果:共纳入 TCGA 数据集的 464 名符合条件的 SQLC 患者,并将其随机分为训练队列(n=232)和测试队列(n=232)。鉴定出 8 个差异表达的 IRGs,并应用于训练队列构建免疫特征。该特征在低风险和高风险队列之间的总生存期(OS)中显示出显著差异(<0.001),曲线下面积为 0.76。该预测能力在测试和总队列中得到了验证。多变量分析显示,8-IRG 特征是 SQLC 患者 OS 的独立预后因素。幼稚 B 细胞、静息记忆 CD4 T 细胞、滤泡辅助 T 细胞和 M2 巨噬细胞与 OS 显著相关。高风险和低风险队列之间的肿瘤突变负担没有统计学差异。
结论:我们构建并验证了一个 8-IRG 特征预后模型,可预测 SQLC 患者的临床结局。然而,该特征模型需要更多患者的进一步验证。
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