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解析鞘脂代谢基因在骨肉瘤进展和微环境中的作用,构建预后标志物。

Dissecting the effect of sphingolipid metabolism gene in progression and microenvironment of osteosarcoma to develop a prognostic signature.

机构信息

Department of Orthopedics, Renmin Hospital of Wuhan University, Wuhan, China.

Department of Biomedical Sciences, College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong SAR, China.

出版信息

Front Endocrinol (Lausanne). 2022 Oct 14;13:1030655. doi: 10.3389/fendo.2022.1030655. eCollection 2022.

DOI:10.3389/fendo.2022.1030655
PMID:36313783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9613955/
Abstract

Sphingolipid metabolism (SM) fuels tumorigenesis and the malignant progression of osteosarcoma (OS), which leads to an unfavorable prognosis. Elucidating the molecular mechanisms underlying SM in osteosarcoma and developing a SM-based prognostic signature could be beneficial in the clinical setting. This study included 88 frozen OS samples to recognize the vital SM-relevant genes in the development of OS utilizing univariate Cox regression. The Least Absolute Shrinkage and Selection Operator (LASSO) regression analysis was conducted on the SM- relevant genes to minimize the risk of overfitting. The prognostic signature was generate utilizing the multivariable Cox regression analysis and was verified in the validation cohort. Moreover, cellular and molecular mechanisms associated with SM have an unfavorable prognosis for OS patients and have been widely studied. Resultantly, an SM-based prognostic risk model was established according to critical prognostic genes (CBS, and , which had an excellent ability to predict the prognosis of OS patients (AUC for the train cohort was 0.887 and AUC for validation cohort was 0.737). The high-risk OS patients identified based on this prognostic signature had significantly poor immune microenvironment, indicated by significantly low immune score (mean=216.290 ± 662.463), reduced infiltrations of 25 immune cells, including NK cells (LogFC= -0.3597), CD8+T cells ((LogFC=-0.2346), Cytolytic activity ((LogFC=-0.1998), etc. The immunosuppressive microenvironment could be due to dysregulated SM of glycolipids. Further, a nomogram was constructed by integrating the SM-based prognostic signature and clinical paraments to facilitate clinical application. The nomogram could accurately predict the prognosis of OS invalids. Collectively, this study clarified the function of SM in the development of OS and helped develop a tool for risk stratification based on SM-related genes with application in clinical settings. The results of our study will aid in identifying high-risk patients and provide individualized treatments.

摘要

鞘脂代谢(SM)为骨肉瘤(OS)的发生和恶性进展提供动力,导致预后不良。阐明骨肉瘤中 SM 的分子机制,并开发基于 SM 的预后标志物,可能对临床有帮助。本研究纳入 88 例冷冻骨肉瘤样本,利用单因素 Cox 回归识别骨肉瘤发生发展中重要的 SM 相关基因。对 SM 相关基因进行最小绝对收缩和选择算子(LASSO)回归分析,以最小化过度拟合的风险。利用多变量 Cox 回归分析生成预后标志物,并在验证队列中进行验证。此外,与 SM 相关的细胞和分子机制与骨肉瘤患者的不良预后相关,已被广泛研究。因此,根据关键预后基因(CBS 和 )建立了基于 SM 的预后风险模型,该模型具有很好的预测骨肉瘤患者预后的能力(训练队列的 AUC 为 0.887,验证队列的 AUC 为 0.737)。根据该预后标志物确定的高危骨肉瘤患者的免疫微环境明显较差,免疫评分明显较低(均值=216.290±662.463),25 种免疫细胞浸润减少,包括 NK 细胞(LogFC=-0.3597)、CD8+T 细胞(LogFC=-0.2346)、细胞溶解活性(LogFC=-0.1998)等。免疫抑制微环境可能是由于糖脂的 SM 失调所致。进一步通过整合基于 SM 的预后标志物和临床参数构建列线图,以方便临床应用。该列线图可以准确预测骨肉瘤患者的预后。总之,本研究阐明了 SM 在骨肉瘤发生发展中的作用,并有助于开发基于 SM 相关基因的风险分层工具,应用于临床。我们的研究结果将有助于识别高危患者,并提供个体化治疗。

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