Suppr超能文献

DNA聚合酶ε水平升高的促肿瘤作用预示着透明细胞肾细胞癌中的免疫抑制微环境。

Protumorigenic Role of Elevated Levels of DNA Polymerase Epsilon Predicts an Immune-Suppressive Microenvironment in Clear Cell Renal Cell Carcinoma.

作者信息

Wu Xiaohui, Tang Haijia, Xu Wen-Hao, Tang Haidan, Wei Shiyin, Anwaier Aihetaimujiang, Huang Haineng, Qu Yuan-Yuan, Zhang Hailiang, Zhao Shuai, Li Hui, Liu Wangrui, Chen Hongjing, Ding Chen, Ye Dingwei

机构信息

Department of Urology, Fudan University Shanghai Cancer Center, State Key Laboratory of Genetic Engineering, Collaborative Innovation Center for Genetics and Development, School of Life Sciences, Institute of Biomedical Sciences, and Human Phenome Institute, Fudan University, Shanghai, China.

Department of Integrated Medicine, Nanjing University of Chinese Medicine, Nanjing, China.

出版信息

Front Genet. 2021 Dec 7;12:751977. doi: 10.3389/fgene.2021.751977. eCollection 2021.

Abstract

Increasing evidence indicates that DNA polymerase epsilon (POLE), which mediates DNA damage repair, is significantly associated with tumor prognosis. This study aimed to analyze POLE expression in tumor samples and its prognostic value for patients with clear cell renal cell carcinoma (ccRCC). We found significantly elevated POLE expression in ccRCC tissues compared with normal tissues of multiple independent cohorts. The POLE expression levels of 523 patients with ccRCC (The Cancer Genome Atlas RNA-seq data) and 179 patients with ccRCC with immunohistochemical data (Fudan University Shanghai Cancer Center) were analyzed to investigate the prognostic implications of POLE expression. Cox regression analyses were implemented to explore the effect of POLE expression on the prognosis of pan-cancer. These findings revealed that elevated POLE expression levels significantly correlated with shorter overall survival ( < 0.001, = 701) of patients with ccRCC. These data indicate that POLE expression may serve as a prognostic biomarker for cancers. Although POLE mutations were not significantly associated with survival benefits conferred upon patients with ccRCC, a CD4 T cell-regulated immune microenvironment was significantly activated. Moreover, we found that POLE expression in cancers significantly correlated with an immunosuppressive tumor microenvironment, higher intratumoral heterogeneity, and expression of immune checkpoint genes PDCD1, CTLA4, and CD86, possibly mediated via the JAK/STAT and Notch signaling pathways. In conclusion, the present study is the first to our knowledge to indicate that elevated POLE expression is significantly associated with poor survival and an immune-suppressive tumor microenvironment in ccRCC. These findings suggest that POLE can serve as a biomarker for guiding molecular diagnosis and facilitating the development of novel individual therapeutic strategies for patients with advanced ccRCC.

摘要

越来越多的证据表明,介导DNA损伤修复的DNA聚合酶ε(POLE)与肿瘤预后显著相关。本研究旨在分析POLE在肿瘤样本中的表达及其对透明细胞肾细胞癌(ccRCC)患者的预后价值。我们发现,与多个独立队列的正常组织相比,ccRCC组织中POLE表达显著升高。分析了523例ccRCC患者(癌症基因组图谱RNA测序数据)和179例具有免疫组化数据的ccRCC患者(复旦大学附属肿瘤医院)的POLE表达水平,以研究POLE表达的预后意义。进行Cox回归分析以探讨POLE表达对泛癌预后的影响。这些发现表明,POLE表达水平升高与ccRCC患者较短的总生存期显著相关(<0.001,=701)。这些数据表明,POLE表达可能作为癌症的预后生物标志物。虽然POLE突变与ccRCC患者的生存获益无显著相关性,但CD4 T细胞调节的免疫微环境被显著激活。此外,我们发现癌症中的POLE表达与免疫抑制性肿瘤微环境、更高的肿瘤内异质性以及免疫检查点基因PDCD1、CTLA4和CD86的表达显著相关,可能是通过JAK/STAT和Notch信号通路介导的。总之,据我们所知,本研究首次表明POLE表达升高与ccRCC患者的不良生存和免疫抑制性肿瘤微环境显著相关。这些发现表明,POLE可作为一种生物标志物,用于指导分子诊断并促进晚期ccRCC患者新型个体化治疗策略的开发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a89/8689073/e87782c70596/fgene-12-751977-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验