Department of General Surgery, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Hubei Key Laboratory of Embryonic Stem Cell Research, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Front Immunol. 2022 Aug 19;13:996836. doi: 10.3389/fimmu.2022.996836. eCollection 2022.
Breast cancer (BC) is now the most frequent and lethal cancer among women. Cuproptosis is a newly identified programmed cell death process that has been connected to tumor therapeutic sensitivity, patient outcomes, and the genesis of cancer. Cuproptosis-related genes (CRGs) are involved in breast cancer, although their roles and potential mechanisms are still unclear. First, we examined the effect of gene mutations and copy number changes on overall survival in 1168 breast cancer samples. Breast cancer patients were split into two molecular categories as determined by the variation in CRG based on clinicopathological traits, overall survival, and cell-infiltrating traits in tumor microenvironments. In addition, we created and validated a CRG score to calculate breast cancer patients' OS. Finally, we created a comprehensive nomogram for the clinical use of the CRG score. Patients whose CRG scores were low showed increased odds of developing OS, a larger mutation load, and immunological activation than those with high CRG scores. The CRG score, the cancer stem cell index, and the responsiveness to chemotherapy or targeted therapies were also shown to be statistically significantly correlated. Our thorough examination of CRGs in breast cancer patients demonstrated that they may be useful predictors of prognosis, clinical characteristics, and tumor microenvironment. These findings provide fresh insight into CRGs in breast cancer and might inspire brand-new approaches to both diagnosing and treating patients there.
乳腺癌(BC)现在是女性中最常见和最致命的癌症。铜死亡是一种新发现的程序性细胞死亡过程,与肿瘤治疗敏感性、患者预后和癌症发生有关。铜死亡相关基因(CRGs)与乳腺癌有关,但其作用和潜在机制尚不清楚。首先,我们研究了 1168 例乳腺癌样本中基因突变和拷贝数变化对总生存期的影响。根据基于 CRG 的临床病理特征、总生存期和肿瘤微环境中细胞浸润特征的变异,将乳腺癌患者分为两个分子类别。此外,我们创建并验证了一个 CRG 评分来计算乳腺癌患者的 OS。最后,我们为 CRG 评分的临床应用创建了一个综合列线图。CRG 评分低的患者比 CRG 评分高的患者更有可能出现 OS 发展、更大的突变负荷和免疫激活。CRG 评分、癌症干细胞指数以及对化疗或靶向治疗的反应性也显示出统计学上显著相关。我们对乳腺癌患者的 CRGs 进行了全面检查,表明它们可能是预后、临床特征和肿瘤微环境的有用预测因子。这些发现为乳腺癌中的 CRGs 提供了新的见解,并可能为诊断和治疗这些患者提供新的方法。