Prenatal Diagnosis Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Math Biosci Eng. 2023 Jan;20(2):4018-4039. doi: 10.3934/mbe.2023188. Epub 2022 Dec 16.
Uterine corpus endometrial cancer (UCEC) is the sixth most common female cancer worldwide, with an increasing incidence. Improving the prognosis of patients living with UCEC is a top priority. Endoplasmic reticulum (ER) stress has been reported to be involved in tumor malignant behaviors and therapy resistance, but its prognostic value in UCEC has been rarely investigated. The present study aimed to construct an ER stress-related gene signature for risk stratification and prognosis prediction in UCEC. The clinical and RNA sequencing data of 523 UCEC patients were extracted from TCGA database and were randomly assigned into a test group (n = 260) and training group (n = 263). An ER stress-related gene signature was established by LASSO and multivariate Cox regression in the training group and validated by Kaplan-Meier survival analysis, Receiver Operating Characteristic (ROC) curves and nomograms in the test group. Tumor immune microenvironment was analyzed by CIBERSORT algorithm and single-sample gene set enrichment analysis. R packages and the Connectivity Map database were used to screen the sensitive drugs. Four ERGs (ATP2C2, CIRBP, CRELD2 and DRD2) were selected to build the risk model. The high-risk group had significantly reduced overall survival (OS) (P < 0.05). The risk model had better prognostic accuracy than clinical factors. Tumor-infiltrating immune cells analysis depicted that CD8+ T cells and regulatory T cells were more abundant in the low-risk group, which may be related to better OS, while activated dendritic cells were active in the high-risk group and associated with unfavorable OS. Several kinds of drugs sensitive to the high-risk group were screened out. The present study constructed an ER stress-related gene signature, which has the potential to predict the prognosis of UCEC patients and have implications for UCEC treatment.
子宫内膜癌(UCEC)是全球第六大常见女性癌症,发病率呈上升趋势。改善 UCEC 患者的预后是当务之急。内质网(ER)应激已被报道参与肿瘤恶性行为和治疗耐药性,但在 UCEC 中其预后价值很少被研究。本研究旨在构建 ER 应激相关基因签名,用于 UCEC 的风险分层和预后预测。从 TCGA 数据库中提取了 523 名 UCEC 患者的临床和 RNA 测序数据,并将其随机分配到测试组(n = 260)和训练组(n = 263)。在训练组中通过 LASSO 和多变量 Cox 回归建立 ER 应激相关基因签名,并在测试组中通过 Kaplan-Meier 生存分析、ROC 曲线和列线图进行验证。通过 CIBERSORT 算法和单样本基因集富集分析分析肿瘤免疫微环境。使用 R 包和 Connectivity Map 数据库筛选敏感药物。选择四个 ERGs(ATP2C2、CIRBP、CRELD2 和 DRD2)构建风险模型。高危组的总生存期(OS)显著降低(P < 0.05)。风险模型的预后准确性优于临床因素。肿瘤浸润免疫细胞分析表明,低危组中 CD8+T 细胞和调节性 T 细胞更为丰富,这可能与更好的 OS 相关,而高危组中激活的树突状细胞活跃,与不良的 OS 相关。筛选出几种对高危组敏感的药物。本研究构建的 ER 应激相关基因签名,有望预测 UCEC 患者的预后,并对 UCEC 治疗具有启示意义。
Cell Biol Toxicol. 2025-2-20
Cell Biochem Biophys. 2024-6