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Identification of an Immune-Related Signature for Predicting Prognosis in Patients With Pancreatic Ductal Adenocarcinoma.

作者信息

Wang Weijia, Yan Liang, Guan Xiaoya, Dong Bin, Zhao Min, Wu Jianhui, Tian Xiuyun, Hao Chunyi

机构信息

Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Hepato-Pancreato-Biliary Surgery, Peking University Cancer Hospital & Institute, Beijing, China.

Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Central Laboratory, Peking University Cancer Hospital & Institute, Beijing, China.

出版信息

Front Oncol. 2021 Feb 24;10:618215. doi: 10.3389/fonc.2020.618215. eCollection 2020.


DOI:10.3389/fonc.2020.618215
PMID:33718118
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7945593/
Abstract

PURPOSE: Pancreatic ductal adenocarcinoma (PDAC) is one of the highest fatality rate cancers with poor survival rates. The tumor microenvironment (TME) is vital for tumor immune responses, leading to resistance to chemotherapy and poor prognosis of PDAC patients. This study aimed to provide a comprehensive evaluation of the immune genes and microenvironment in PDAC that might help in predicting prognosis and guiding clinical treatments. METHODS: We developed a prognosis-associated immune signature (i.e., PAIS) based on immune-associated genes to predict the overall survival of patients with PDAC. The clinical significance and immune landscapes of the signature were comprehensively analyzed. RESULTS: Owing to gene expression profiles from TCGA database, functional enrichment analysis revealed a significant difference in the immune response between PDAC and normal pancreas. Using transcriptome data analysis of a training set, we identified an immune signature represented by 5 genes (ESR2, IDO1, IL20RB, PPP3CA, and PLAU) related to the overall survival of patients with PDAC, significantly. This training set was well-validated in a test set. Our results indicated a clear association between a high-risk score and a very poor prognosis. Stratification analysis and multivariate Cox regression analysis revealed that PAIS was an important prognostic factor. We also found that the risk score was positively correlated with the inflammatory response, antigen-presenting process, and expression level of some immunosuppressive checkpoint molecules (e.g., CD73, PD-L1, CD80, and B7-H3). These results suggested that high-risk patients had a suppressed immune response. However, they could respond better to chemotherapy. In addition, PAIS was positively correlated with the infiltration of M2 macrophages in PDAC. CONCLUSIONS: This study highlighted the relationship between the immune response and prognosis in PDAC and developed a clinically feasible signature that might serve as a powerful prognostic tool and help further optimize the cancer therapy paradigm.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/67c4e1d8247c/fonc-10-618215-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/1f5c38d6f8c1/fonc-10-618215-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/2ee3bb2ee023/fonc-10-618215-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/7129530cfc99/fonc-10-618215-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/f3360f3648b9/fonc-10-618215-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/1befcdcb53e3/fonc-10-618215-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/67c4e1d8247c/fonc-10-618215-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/1f5c38d6f8c1/fonc-10-618215-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/2ee3bb2ee023/fonc-10-618215-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/7129530cfc99/fonc-10-618215-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/f3360f3648b9/fonc-10-618215-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/1befcdcb53e3/fonc-10-618215-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d187/7945593/67c4e1d8247c/fonc-10-618215-g006.jpg

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[1]
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Discov Oncol. 2025-7-21

[2]
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J Med Case Rep. 2025-7-12

[3]
New insights into imaging of pulmonary metastases from extra-thoracic neoplasms.

Radiol Med. 2025-4-1

[4]
Unveiling the Hub Genes Associated with the Enhanced Effects of Selenium on Pancreas Function in Diabetic Mice.

Mol Biotechnol. 2025-3-25

[5]
B7 homolog 3 in pancreatic cancer.

World J Gastroenterol. 2024-8-21

[6]
The complex role of macrophages in pancreatic cancer tumor microenvironment: a review on cancer progression and potential therapeutic targets.

Discov Oncol. 2024-8-26

[7]
Construction and validation of a RARRES3-based prognostic signature related to the specific immune microenvironment of pancreatic cancer.

Front Oncol. 2024-2-5

[8]
Genomic insights and prognostic significance of novel biomarkers in pancreatic ductal adenocarcinoma: A comprehensive analysis.

Biochem Biophys Rep. 2023-11-25

[9]
Cancer-associated fibroblast-related prognostic signature predicts prognosis and immunotherapy response in pancreatic adenocarcinoma based on single-cell and bulk RNA-sequencing.

Sci Rep. 2023-9-29

[10]
Roles of differently polarized macrophages in the initiation and progressionof pancreatic cancer.

Front Immunol. 2023

本文引用的文献

[1]
A novel immune checkpoint-related seven-gene signature for predicting prognosis and immunotherapy response in melanoma.

Int Immunopharmacol. 2020-10

[2]
Identification of prognosis-related genes and construction of multi-regulatory networks in pancreatic cancer microenvironment by bioinformatics analysis.

Cancer Cell Int. 2020-7-25

[3]
Current Insights into Combination Therapies with MAPK Inhibitors and Immune Checkpoint Blockade.

Int J Mol Sci. 2020-4-5

[4]
A 15-Gene Immune, Stromal, and Proliferation Gene Signature that Significantly Associates with Poor Survival in Patients with Pancreatic Ductal Adenocarcinoma.

Clin Cancer Res. 2020-7-15

[5]
Remodeling tumor immune microenvironment via targeted blockade of PI3K-γ and CSF-1/CSF-1R pathways in tumor associated macrophages for pancreatic cancer therapy.

J Control Release. 2020-5-10

[6]
Emerging nanomedicine-based strategies for preventing metastasis of pancreatic cancer.

J Control Release. 2020-4-10

[7]
Identification of dissociation factors in pancreatic Cancer using a mass spectrometry-based proteomic approach.

BMC Cancer. 2020-1-20

[8]
FOXM1 functions collaboratively with PLAU to promote gastric cancer progression.

J Cancer. 2020-1-1

[9]
Genetic landscape of prognostic value in pancreatic ductal adenocarcinoma microenvironment.

Ann Transl Med. 2019-11

[10]
Cancer statistics, 2020.

CA Cancer J Clin. 2020-1-8

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