一种新型基因标志物来源于趋化因子受体的 CXC 亚家族,可预测肺腺癌患者的预后和免疫浸润。

A novel gene signature derived from the CXC subfamily of chemokine receptors predicts the prognosis and immune infiltration of patients with lung adenocarcinoma.

机构信息

Department of Thoracic and Cardiovascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, P. R. China.

Department of Thoracic and Cardiovascular Surgery,The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi Zhuang Autonomous Region, P. R. China.

出版信息

Medicine (Baltimore). 2022 Oct 14;101(41):e30982. doi: 10.1097/MD.0000000000030982.

Abstract

The highly malignant nature of lung adenocarcinoma (LUAD) makes its early diagnosis and prognostic assessment particularly important. However, whether the CXC subfamily of chemokine receptors (CXCR) is involved in the development and prognosis of LUAD remains unclear. Here, differentially expressed genes (DEGs) associated with overall survival (OS) were selected from the cancer genome atlas (TCGA) dataset using univariate Cox analysis and least absolute shrinkage and selection operator (LASSO) regression analysis. Then, a prognostic gene signature was constructed, which was evaluated using Kaplan-Meier curves, receiver operating characteristics curves, nomogram curves, and an external gene expression omnibus (GEO) dataset. Finally, we verified the functions of the genes comprising the signature using the gene expression profiling interactive analysis (GEPIA) and the immune system interaction database (TISIDB) web portals. We constructed a 7-gene signature (SHC1, PRKCD, VEGFC, RPS6KA1, CAT, CDC25C, and GPI) that stratified patients into high- and low-risk categories. Notably, the risk score of the signature was a separate and effective predictor for OS (P < .001). Patients in the low-risk category had a better prognosis than those in the high-risk category. The receiver operating characteristics and nomogram curves verified the predictive power of the signature. Moreover, in both categories, biological processes and pathways associated with cell migration were enriched. Immune infiltration statuses differed between the 2 risk categories. Critically, the results from the GEPIA and TISIDB web portals indicated that the expression of the 7-gene signature was associated with survival, clinical stage, and immune subtypes of LUAD patients. We identified a CXCR-related gene signature that could assess prognosis and provide a reference for the diagnosis and treatment of LUAD.

摘要

肺腺癌 (LUAD) 的高度恶性性质使其早期诊断和预后评估尤为重要。然而,趋化因子受体 (CXCR) 的 CXC 亚家族是否参与 LUAD 的发生和预后尚不清楚。在这里,使用单变量 Cox 分析和最小绝对收缩和选择算子 (LASSO) 回归分析从癌症基因组图谱 (TCGA) 数据集选择与总生存期 (OS) 相关的差异表达基因 (DEGs)。然后,构建了一个预后基因特征,使用 Kaplan-Meier 曲线、接收器操作特性曲线、列线图和外部基因表达综合 (GEO) 数据集进行评估。最后,我们使用基因表达谱交互分析 (GEPIA) 和免疫系统相互作用数据库 (TISIDB) 门户网站验证了特征基因的功能。我们构建了一个 7 基因特征 (SHC1、PRKCD、VEGFC、RPS6KA1、CAT、CDC25C 和 GPI),将患者分为高风险和低风险两类。值得注意的是,该特征的风险评分是 OS 的独立且有效的预测因子 (P <.001)。低风险组的患者预后优于高风险组。接收器操作特性和列线图验证了特征的预测能力。此外,在这两个类别中,与细胞迁移相关的生物学过程和途径都得到了富集。两个风险类别之间的免疫浸润状态存在差异。至关重要的是,GEPIA 和 TISIDB 门户网站的结果表明,7 基因特征的表达与 LUAD 患者的生存、临床分期和免疫亚型相关。我们确定了一个与 CXCR 相关的基因特征,该特征可以评估预后,并为 LUAD 的诊断和治疗提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3d2/9575749/4e4a84c98bf1/medi-101-e30982-g001.jpg

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