探索肿瘤突变负担作为前列腺癌的预后生物标志物及相关枢纽基因鉴定。
Exploration of the Tumor Mutational Burden as a Prognostic Biomarker and Related Hub Gene Identification in Prostate Cancer.
机构信息
Department of Urology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.
Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China.
出版信息
Technol Cancer Res Treat. 2021 Jan-Dec;20:15330338211052154. doi: 10.1177/15330338211052154.
To explore the signature function of the tumor mutational burden (TMB) and potential biomarkers in prostate cancer (PCa), transcriptome profiles, somatic mutation data, and clinicopathologic feature information were downloaded from The Cancer Genome Atlas (TCGA) database. R software package was used to generate a waterfall plot to summarize the specific mutation information and calculate the TMB value of PCa. Least absolute shrinkage and selection operator (LASSO) Cox regression analysis was used to select the hub genes related to the TMB from the ImmPort network to build a risk score (RS) model to evaluate prognostic values and plot Kaplan-Meier (K-M) curves to predict PCa patients survival. The results showed that PCa patients with a high TMB exhibited higher infiltration of CD8+ T cells and CD4+ T cells and better overall survival (OS) than those with a low TMB. The anti-Mullerian hormone (AMH), baculoviral IAP repeat-containing 5 (BIRC5), and opoid receptor kappa 1 (OPRK1) genes were three hub genes and their copy number variation (CNV) was relatively likely to affect the infiltration of immune cells. Moreover, PCa patients with low AMH or BIRC5 expression had a longer survival time and lower cancer recurrence, while elevated AMH or BIRC5 expression favored PCa progression. In contrast, PCa patients with low OPRK1 expression had poorer OS in the early stage of PCa and a higher recurrent rate than those with high expression. Taken together, these results suggest that the TMB may be a promising prognostic biomarker for PCa and that AMH, OPRK1, and BIRC5 are hub genes affecting the TMB; AMH, OPRK1, and BIRC5 could serve as potential immunotherapeutic targets for PCa treatment.
为了探索肿瘤突变负荷(TMB)在前列腺癌(PCa)中的特征功能和潜在生物标志物,从癌症基因组图谱(TCGA)数据库中下载了转录组谱、体细胞突变数据和临床病理特征信息。使用 R 软件包生成瀑布图以总结特定的突变信息并计算 PCa 的 TMB 值。最小绝对收缩和选择算子(LASSO)Cox 回归分析用于从 ImmPort 网络中选择与 TMB 相关的枢纽基因,构建风险评分(RS)模型来评估预后价值并绘制 Kaplan-Meier(K-M)曲线以预测 PCa 患者的生存情况。结果表明,TMB 较高的 PCa 患者比 TMB 较低的患者具有更高的 CD8+T 细胞和 CD4+T 细胞浸润和更好的总体生存率(OS)。抗苗勒管激素(AMH)、杆状病毒 IAP 重复序列包含 5(BIRC5)和阿片受体 κ1(OPRK1)基因是三个枢纽基因,其拷贝数变异(CNV)相对可能影响免疫细胞的浸润。此外,AMH 或 BIRC5 表达水平低的 PCa 患者具有更长的生存时间和更低的癌症复发率,而 AMH 或 BIRC5 表达水平升高则有利于 PCa 进展。相比之下,在 PCa 的早期阶段,AMH 或 BIRC5 表达水平低的 PCa 患者的 OS 较差,复发率较高。总之,这些结果表明 TMB 可能是 PCa 的一种有前途的预后生物标志物,AMH、OPRK1 和 BIRC5 是影响 TMB 的枢纽基因;AMH、OPRK1 和 BIRC5 可能成为 PCa 治疗的潜在免疫治疗靶点。