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Prognosis and Characterization of Immune Microenvironment in Acute Myeloid Leukemia Through Identification of an Autophagy-Related Signature.

作者信息

Fu Denggang, Zhang Biyu, Wu Shiyong, Zhang Yinghua, Xie Jingwu, Ning Wangbin, Jiang Hua

机构信息

Department of Pediatrics, The Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN, United States.

School of Pharmacy and Life Science, Jiujiang University, Jiujiang, China.

出版信息

Front Immunol. 2021 May 31;12:695865. doi: 10.3389/fimmu.2021.695865. eCollection 2021.


DOI:10.3389/fimmu.2021.695865
PMID:34135913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8200670/
Abstract

Acute myeloid leukemia (AML) is one of the most common hematopoietic malignancies that has an unfavorable outcome and a high rate of relapse. Autophagy plays a vital role in the development of and therapeutic responses to leukemia. This study identifies a potential autophagy-related signature to monitor the prognoses of patients of AML. Transcriptomic profiles of AML patients (GSE37642) with the relevant clinical information were downloaded from Gene Expression Omnibus (GEO) as the training set while TCGA-AML and GSE12417 were used as validation cohorts. Univariate regression analyses and multivariate stepwise Cox regression analysis were respectively applied to identify the autophagy-related signature. The univariate Cox regression analysis identified 32 autophagy-related genes (ARGs) that were significantly associated with the overall survival (OS) of the patients, and were mainly rich in signaling pathways for autophagy, p53, AMPK, and TNF. A prognostic signature that comprised eight ARGs (BAG3, CALCOCO2, CAMKK2, CANX, DAPK1, P4HB, TSC2, and ULK1) and had good predictive capacity was established by LASSO-Cox stepwise regression analysis. High-risk patients were found to have significantly shorter OS than patients in low-risk group. The signature can be used as an independent prognostic predictor after adjusting for clinicopathological parameters, and was validated on two external AML sets. Differentially expressed genes analyzed in two groups were involved in inflammatory and immune signaling pathways. An analysis of tumor-infiltrating immune cells confirmed that high-risk patients had a strong immunosuppressive microenvironment. Potential druggable OS-related ARGs were then investigated through protein-drug interactions. This study provides a systematic analysis of ARGs and develops an OS-related prognostic predictor for AML patients. Further work is needed to verify its clinical utility and identify the underlying molecular mechanisms in AML.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/1122298b665b/fimmu-12-695865-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/7fa7bfeb5009/fimmu-12-695865-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/b1d4979ff685/fimmu-12-695865-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/b43374ab577c/fimmu-12-695865-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/6eb53f8e772d/fimmu-12-695865-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/195a8d8950d4/fimmu-12-695865-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/1aef779a988c/fimmu-12-695865-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/1122298b665b/fimmu-12-695865-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/7fa7bfeb5009/fimmu-12-695865-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/b1d4979ff685/fimmu-12-695865-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/b43374ab577c/fimmu-12-695865-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/6eb53f8e772d/fimmu-12-695865-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/195a8d8950d4/fimmu-12-695865-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/1aef779a988c/fimmu-12-695865-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b12c/8200670/1122298b665b/fimmu-12-695865-g007.jpg

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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Eur J Pediatr. 2025-6-9

[8]
A comprehensive analysis identified an autophagy-related risk model for predicting recurrence and immunotherapy response in stage I lung adenocarcinoma.

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[9]
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[10]
circKCNQ5 promotes the proliferation of DNA-methyltransferase 3A R882 mutated acute myeloid leukemia cells by elevating high-mobility group box 1 expression.

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本文引用的文献

[1]
Development of an Immune-Related Risk Signature for Predicting Prognosis in Lung Squamous Cell Carcinoma.

Front Genet. 2020-8-28

[2]
The role of autophagy in targeted therapy for acute myeloid leukemia.

Autophagy. 2021-10

[3]
Systematic Analysis of Autophagy-Related Signature Uncovers Prognostic Predictor for Acute Myeloid Leukemia.

DNA Cell Biol. 2020-8-12

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Integrative Proteomic Characterization of Human Lung Adenocarcinoma.

Cell. 2020-7-9

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Curr Oncol Rep. 2020-6-1

[6]
CAPN1 promotes malignant behavior and erlotinib resistance mediated by phosphorylation of c-Met and PIK3R2 via degrading PTPN1 in lung adenocarcinoma.

Thorac Cancer. 2020-7

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Cancers (Basel). 2020-3-17

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eEF2 kinase mediated autophagy as a potential therapeutic target for paclitaxel-resistant triple-negative breast cancer.

Ann Transl Med. 2019-12

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Cancer statistics, 2020.

CA Cancer J Clin. 2020-1-8

[10]
DAPK1 loss triggers tumor invasion in colorectal tumor cells.

Cell Death Dis. 2019-11-26

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