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评估肿瘤微环境浸润和识别皮肤黑色素瘤中的血管生成相关亚组。

The evaluation of tumor microenvironment infiltration and the identification of angiogenesis-related subgroups in skin cutaneous melanoma.

机构信息

Department of Plastic and Burns Surgery, National Key Clinical Construction Specialty, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.

Translational Chinese Medicine Key Laboratory of Sichuan Province, Sichuan Institute for Translational Chinese Medicine, Sichuan Academy of Chinese Medicine Sciences, Chengdu, Sichuan, China.

出版信息

J Cancer Res Clin Oncol. 2023 Aug;149(10):7259-7273. doi: 10.1007/s00432-023-04680-8. Epub 2023 Mar 13.

Abstract

BACKGROUND

There are limited studies on the association between angiogenesis-related genes (ARGs) and the predictive risk of melanoma, even though angiogenic factors, which are essential for tumor growth and metastasis, might be secreted by angiogenesis-related protein in skin cutaneous melanoma (SKCM). To forecast patient outcomes, this study attempts to develop a predictive risk signature linked to angiogenesis in cutaneous melanoma.

METHODS

In 650 patients with SKCM, the expression and mutation of ARGs were examined, and this information was related to the clinical prognosis. SKCM patients were split into two groups based on how well they performed on the ARG. The link between ARGs, risk genes, and immunological microenvironment was examined using a range of algorithmic analysis techniques. Based on these five risk genes, an angiogenesis risk signature was created. We developed a nomogram and examined the sensitivity of antineoplastic medications to help the proposed risk model's clinical applicability.

RESULTS

The risk model developed by ARGs revealed that the prognosis for the two groups was significantly different. The predictive risk score was negatively connected with memory B cells, activated memory CD4 + T cells, M1 macrophages, and CD8 + T cells, and favorably correlated with dendritic cells, mast cells, and neutrophils.

CONCLUSIONS

Our findings offer fresh perspectives on prognostic evaluation and imply that ARG modulation is implicated in SKCM. Potential medications for the treatment of individuals with various SKCM subtypes were predicted by drug sensitivity analysis.

摘要

背景

尽管血管生成因子对于肿瘤的生长和转移至关重要,可能由皮肤黑色素瘤(SKCM)中的血管生成相关蛋白分泌,但关于血管生成相关基因(ARGs)与黑色素瘤预测风险之间的关联的研究有限。为了预测患者的预后,本研究试图开发一种与皮肤黑色素瘤血管生成相关的预测风险特征。

方法

在 650 名 SKCM 患者中,检查了 ARGs 的表达和突变,并将这些信息与临床预后相关联。根据 ARG 的表现,将 SKCM 患者分为两组。使用一系列算法分析技术,研究了 ARGs、风险基因和免疫微环境之间的联系。基于这五个风险基因,创建了一个血管生成风险特征。我们开发了一个列线图,并检查了抗肿瘤药物的敏感性,以帮助提出的风险模型的临床适用性。

结果

由 ARGs 开发的风险模型表明,两组的预后有显著差异。预测风险评分与记忆 B 细胞、激活的记忆 CD4+T 细胞、M1 巨噬细胞和 CD8+T 细胞呈负相关,与树突状细胞、肥大细胞和中性粒细胞呈正相关。

结论

我们的研究结果为预后评估提供了新的视角,并表明 ARG 调节与 SKCM 有关。通过药物敏感性分析预测了治疗各种 SKCM 亚型个体的潜在药物。

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