APOBEC 介导的突变是膀胱癌患者预后和免疫治疗的有利预测指标:来自泛癌症分析和多个数据库的证据。

APOBEC-mediated mutagenesis is a favorable predictor of prognosis and immunotherapy for bladder cancer patients: evidence from pan-cancer analysis and multiple databases.

机构信息

Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Department of Oncology, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.

出版信息

Theranostics. 2022 May 16;12(9):4181-4199. doi: 10.7150/thno.73235. eCollection 2022.

Abstract

The APOBEC (apolipoprotein B mRNA editing enzyme, catalytic polypeptide-like) family-mediated mutagenesis is widespread in human cancers. However, our knowledge of the biological feature and clinical relevance of APOBECs and APOBEC mutagenesis in cancers remains limited. In this study, with a series of bioinformatic and statistical approaches, we performed a comprehensive analysis of multiple levels of data, including whole-exome sequencing (WES) and targeted next-generation sequencing (NGS), transcriptome (bulk RNA-seq and single-cell RNA-seq), immune signatures and immune checkpoint blockade (ICB) potential, patient survival and drug sensitivity, to reveal the distribution characteristics and clinical significance of APOBECs and APOBEC mutagenesis in pan-cancer especially bladder cancer (BLCA). APOBEC mutagenesis dominates in the mutational patterns of BLCA. A higher enrichment score of APOBEC mutagenesis correlates with favorable prognosis, immune activation and potential ICB response in BLCA patients. APOBEC3A and 3B play a significant role in the malignant progression and cell differentiation within the tumor microenvironment. Furthermore, using machine learning approaches, a prognostic APOBEC mutagenesis-related model was established and validated in different BLCA cohorts. Our study illustrates the characterization of APOBECs and APOBEC mutagenesis in multiple cancer types and highlights its potential value as a promising biomarker for prognosis and immunotherapy in BLCA.

摘要

APOBEC(载脂蛋白 B mRNA 编辑酶,催化多肽样)家族介导的突变广泛存在于人类癌症中。然而,我们对 APOBEC 及其在癌症中的突变的生物学特征和临床相关性的了解仍然有限。在这项研究中,我们使用一系列生物信息学和统计学方法,对包括全外显子组测序(WES)和靶向下一代测序(NGS)、转录组(批量 RNA-seq 和单细胞 RNA-seq)、免疫特征和免疫检查点阻断(ICB)潜力、患者生存和药物敏感性在内的多个层次的数据进行了全面分析,以揭示 APOBEC 和 APOBEC 突变在泛癌(尤其是膀胱癌(BLCA))中的分布特征和临床意义。APOBEC 突变在 BLCA 的突变模式中占主导地位。APOBEC 突变的富集评分越高,与 BLCA 患者的预后良好、免疫激活和潜在的 ICB 反应相关。APOBEC3A 和 3B 在肿瘤微环境中的恶性进展和细胞分化中发挥重要作用。此外,我们还使用机器学习方法,在不同的 BLCA 队列中建立和验证了预后 APOBEC 突变相关模型。本研究阐明了 APOBEC 在多种癌症类型中的特征及其作为 BLCA 预后和免疫治疗有前途的生物标志物的潜在价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9e6/9169361/04a668eb4ec8/thnov12p4181g001.jpg

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