The Expression Patterns and Prognostic Value of the Proteasome Activator Subunit Gene Family in Gastric Cancer Based on Integrated Analysis.

Increasing evidence supports that proteasome activator subunit (PSME) genes play an indispensable role in multiple tumors. The diverse expression patterns, prognostic value, underlying mechanism, and the role in the immunotherapy of genes in gastric cancer (GC) have yet to be fully elucidated. We systematically demonstrated the functions of these genes in GC using various large databases, unbiased approaches, and experimental validation. We found that the median expression levels of all genes were significantly higher in GC tissues than in normal tissues. Our findings showed that up-regulated and expression significantly correlated with favorable overall survival, post-progression survival, and first progression survival in GC patients. The expression of and was positively correlated with the infiltration of most immune cells and the activation of anti-cancer immunity cycle steps. Moreover, GC patients with high and expression have higher immunophenoscore and tumor mutational burden. In addition, a receiver operating characteristic analysis suggested that and had high diagnostic performance for distinguishing GC patients from healthy individuals. Moreover, our further analysis indicated that genes exert an essential role in GC, and the present study indicated that and may be potential prognostic markers for enhancing survival and prognostic accuracy in GC patients and may even act as potential biomarkers for GC patients indicating a response to immunotherapy. may serve as an oncogene in tumorigenesis and may be a promising therapeutic target for GC. PSME4 had excellent diagnostic performance and could serve as a good diagnostic indicator for GC.