Miao Dan, Xu Qian, Zeng Yuan, Zhao Rui, Song Xian, Chen Zhuoyan, Zeng Liuwei, Zhao Luying, Lin Zhuo, Yu Fujun
Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Laboratory Animal Centre, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
J Cancer. 2022 Feb 28;13(5):1418-1435. doi: 10.7150/jca.65080. eCollection 2022.
Hepatocellular carcinoma (HCC) is a highly heterogeneous disease, which makes the prognostic prediction challenging. Abnormal peroxisomes can promote the development of cancers. This study aimed to construct a prognostic model based on peroxisome-related genes and identify its prognostic prediction and immune distinction abilities in HCC. The prognostic model was constructed based on The Cancer Genome Atlas (TCGA) and The International Cancer Genome Consortium (ICGC). Kaplan-Meier curve, time-dependent receiver operating characteristic curve and Cox analysis were used to evaluate the model. The immune status, tumor microenvironment, drug sensitivity and expression levels of the mRNA and protein between HCC and adjacent non-tumorous tissues were analyzed and compared. A prognostic model of 9 peroxisome-related genes was established and validated. Overall survival was markedly higher in the low-risk group relative to the high-risk group. The risk score was an independent prognostic factor. Tumor-related pathways were enriched in the high-risk group and the HCC patients in high-risk group showed depleted immune status. Furthermore, immune checkpoint-related genes, cell cycle-related genes, and multidrug resistance-related genes were overexpressed in the high-risk group. The expression levels of prognostic genes were negatively related to the anti-tumor drugs sensitivity. In addition, the expression level of each prognostic gene in HCC tissues was higher than that in adjacent non-tumorous tissues in an independent sample cohort and the similar results were found in most cancer types. A signature based on the nine peroxisome-related genes is a promising biomarker of HCC and is beneficial to the realization of individualized treatment.
肝细胞癌(HCC)是一种高度异质性疾病,这使得预后预测具有挑战性。异常过氧化物酶体可促进癌症发展。本研究旨在构建基于过氧化物酶体相关基因的预后模型,并确定其在HCC中的预后预测和免疫区分能力。该预后模型基于癌症基因组图谱(TCGA)和国际癌症基因组联盟(ICGC)构建。采用Kaplan-Meier曲线、时间依赖性受试者工作特征曲线和Cox分析来评估该模型。分析并比较了HCC与癌旁非肿瘤组织之间的免疫状态、肿瘤微环境、药物敏感性以及mRNA和蛋白质的表达水平。建立并验证了一个包含9个过氧化物酶体相关基因的预后模型。低风险组的总生存期显著高于高风险组。风险评分是一个独立的预后因素。肿瘤相关通路在高风险组中富集,且高风险组的HCC患者免疫状态较差。此外,免疫检查点相关基因、细胞周期相关基因和多药耐药相关基因在高风险组中过表达。预后基因的表达水平与抗肿瘤药物敏感性呈负相关。此外,在一个独立样本队列中,HCC组织中各预后基因的表达水平高于癌旁非肿瘤组织,且在大多数癌症类型中也发现了类似结果。基于9个过氧化物酶体相关基因的特征是一种有前景的HCC生物标志物,有利于实现个体化治疗。