Di Ji, Chai Yan, Yang Xin, Dong Haibin, Jiang Bo, Ji Faxiang
Department of Medical Oncology, Affiliated Hospital of Qinghai University, Xining, China.
School of Clinical Medicine, Tsinghua University, Beijing, China.
Front Med (Lausanne). 2022 Feb 9;9:803617. doi: 10.3389/fmed.2022.803617. eCollection 2022.
Gastric cancer (GC) is the fifth leading cancer around world. And prognosis of patients with GC is still undesirable. Our study aimed to explore potential prognostic biomarkers for patients with GC.
The clinical samples were collected from the Qinghai University Affiliated Hospital, which were subjected to the whole exome sequencing (WES). The other GC-related data were obtained from The Cancer Genome Atlas (TCGA) database. Cross analyses were done to determine the candidate genes. And the final mutated genes were determined by survival analyses, univariate and multivariate Cox regression analyses. CIBERSORT and GSEA were used for immune cell infiltration analysis and functional enrichment, respectively.
After cross analyses, 160 candidate-mutated genes were identified. And mutated ELP6 and PLIN5 were significantly independently correlated with the overall survival (OS) of patients with GC. Patients with GC with ELP6 and PLIN5 mutations had worse and better prognosis, respectively. Totally 5 types of immune cells were significantly differentially infiltrated in wild-type and mutated ELP6 and PLIN5 GC samples. In mutated ELP6 and PLIN5 GC samples, totally 7 and 11 pathways were significantly enriched, respectively.
The ELP6 and PLIN5 mutations were probably prognostic biomarkers for patients with GC.
胃癌(GC)是全球第五大常见癌症。GC患者的预后仍然不理想。我们的研究旨在探索GC患者潜在的预后生物标志物。
从青海大学附属医院收集临床样本,进行全外显子组测序(WES)。其他与GC相关的数据从癌症基因组图谱(TCGA)数据库中获取。进行交叉分析以确定候选基因。通过生存分析、单因素和多因素Cox回归分析确定最终的突变基因。分别使用CIBERSORT和GSEA进行免疫细胞浸润分析和功能富集分析。
经过交叉分析,鉴定出160个候选突变基因。ELP6和PLIN5突变与GC患者的总生存期(OS)显著独立相关。ELP6和PLIN5突变的GC患者分别具有较差和较好的预后。在野生型以及ELP6和PLIN5突变的GC样本中,共有5种免疫细胞存在显著差异浸润。在ELP6和PLIN5突变的GC样本中,分别有7条和11条通路显著富集。
ELP6和PLIN5突变可能是GC患者的预后生物标志物。