Department of Laboratory Medicine.
Blood Transfusion Department.
Medicine (Baltimore). 2021 Mar 26;100(12):e24903. doi: 10.1097/MD.0000000000024903.
Papillary renal cell carcinoma (PRCC) is the second most common type of renal carcinoma following clear cell renal cell carcinoma, and the role of immune-related genes (IRGs) in tumorigenesis and metastasis is evident; its prognostic value in PRCC remains unclear. In this study, we downloaded the gene expression profiles and clinical data of patients with PRCC from The Cancer Genome Atlas (TCGA) database and obtained IRGs from the ImmPort database. A total of 371 differentially expressed IRGs (DEIRGs) were discovered between PRCC and normal kidney tissues. Prognostic DEIRGs (PDEIRGs) were identified by univariate Cox regression analysis. Then, we screened the four most representative PDEIRGs (IL13RA2, CCL19, BIRC5, and INHBE) and used them to construct a risk model to predict the prognosis of patients with PRCC. This model precisely stratified survival outcome and accurately identified mutation burden in PRCC. Thus, our results suggest that these four PDEIRGs are available prognostic predictors for PRCC. They could be used to assess the prognosis and to guide individualized treatments for patients with PRCC.
乳头状肾细胞癌 (PRCC) 是继透明细胞肾细胞癌之后第二常见的肾癌类型,免疫相关基因 (IRGs) 在肿瘤发生和转移中的作用已经很明显;但其在 PRCC 中的预后价值尚不清楚。在这项研究中,我们从癌症基因组图谱 (TCGA) 数据库下载了 PRCC 患者的基因表达谱和临床数据,并从 ImmPort 数据库获得了 IRGs。在 PRCC 和正常肾组织之间发现了 371 个差异表达的 IRGs (DEIRGs)。通过单因素 Cox 回归分析确定了预后 DEIRGs (PDEIRGs)。然后,我们筛选了四个最具代表性的 PDEIRGs(IL13RA2、CCL19、BIRC5 和 INHBE),并使用它们构建了一个风险模型来预测 PRCC 患者的预后。该模型精确地分层了生存结果,并准确地识别了 PRCC 中的突变负担。因此,我们的研究结果表明,这四个 PDEIRGs 是 PRCC 的可用预后预测因子。它们可用于评估 PRCC 患者的预后,并指导个体化治疗。