Wu Zhaoping, Li Wei, Zhu Hecheng, Li Xuewen, Zhou Yi, Chen Quan, Huang Haoxuan, Zhang Wenlong, Jiang Xingjun, Ren Caiping
Department of Neurosurgery, National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Department of Clinical Pharmacology, Hunan Key Laboratory of Pharmacogenetics and National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.
Front Genet. 2023 Mar 1;14:1124439. doi: 10.3389/fgene.2023.1124439. eCollection 2023.
A copper-dependent cell death, cuproptosis, involves copper binding with lipoylated tricarboxylic acid (TCA) cycle components. In cuproptosis, ferredoxin 1 (FDX1) and lipoylation act as key regulators. The mechanism of cuproptosis differs from the current knowledge of cell death, which may invigorate investigations into copper's potential as a cancer treatment. An extremely dismal prognosis is associated with gliomas, the most prevalent primary intracranial tumor. In patients with glioma, conventional therapies, such as surgery and chemotherapy, have shown limited improvement. A variety of cell death modes have been confirmed to be operative in glioma oncogenesis and participate in the tumor microenvironment (TME), implicated in glioma development and progression. In this study, we aimed to explore whether cuproptosis influences glioma oncogenesis. Gene expression profiles related to cuproptosis were comprehensively evaluated by comparing adjacent tissues from glioma tissues in The Cancer Genome Atlas (TCGA) (https://portal.gdc.cancer.gov/) database. Gene expression, prognostic, clinical, and pathological data of lower-grade gliomas (LGG) and glioblastoma were retrieved from TCGA and Gene Expression Omnibus (GEO) (https://www.ncbi.nlm.nih.gov/geo/) databases. The datasets were managed by "Combat" algorithm to eliminate batch effects and then combined. A consensus clustering algorithm based on the Partitioning Around Medoid (PAM) algorithm was used to classified 725 patients with LGG and glioblastoma multiforme (GBM) into two cuproptosis subtypes. According to the differentially expressed genes in the two cuproptosis subtypes, 725 patients were divided into 2 gene subtypes. Additionally, a scoring system that associated with TME was constructed to predict patient survival and patient immunotherapy outcomes. Furthermore, we constructed a prognostic CRG-score and nomogram system to predict the prognosis of glioma patients. 95 tissue specimens from 83 glioma patients undergoing surgical treatment were collected, including adjacent tissues. Using immunohistochemistry and RT-qPCR, we verified cuproptosis-related genes expression and CRG-score predictive ability in these clinical samples. Our results revealed extensive regulatory mechanisms of cuproptosis-related genes in the cell cycle, TME, clinicopathological characteristics, and prognosis of glioma. We also developed a prognostic model based on cuproptosis. Through the verifications of database and clinical samples, we believe that cuproptosis affects the prognosis of glioma and potentially provides novel glioma research approaches. We suggest that cuproptosis has potential importance in treating gliomas and could be utilized in new glioma research efforts.
一种依赖铜的细胞死亡方式——铜死亡,涉及铜与脂酰化三羧酸(TCA)循环成分的结合。在铜死亡中,铁氧化还原蛋白1(FDX1)和脂酰化起着关键调节作用。铜死亡的机制不同于目前已知的细胞死亡机制,这可能会激发对铜作为癌症治疗手段潜力的研究。胶质瘤是最常见的原发性颅内肿瘤,其预后极差。在胶质瘤患者中,手术和化疗等传统疗法的改善有限。已证实多种细胞死亡模式在胶质瘤的发生过程中起作用,并参与肿瘤微环境(TME),与胶质瘤的发展和进展有关。在本研究中,我们旨在探讨铜死亡是否影响胶质瘤的发生。通过比较癌症基因组图谱(TCGA)(https://portal.gdc.cancer.gov/)数据库中胶质瘤组织的相邻组织,全面评估了与铜死亡相关的基因表达谱。从TCGA和基因表达综合数据库(GEO)(https://www.ncbi.nlm.nih.gov/geo/)中检索低级别胶质瘤(LGG)和胶质母细胞瘤的基因表达、预后、临床和病理数据。数据集通过“Combat”算法进行处理以消除批次效应,然后合并。基于围绕中心点划分(PAM)算法的一致性聚类算法用于将725例LGG和多形性胶质母细胞瘤(GBM)患者分为两种铜死亡亚型。根据两种铜死亡亚型中的差异表达基因,将725例患者分为2个基因亚型。此外,构建了一个与TME相关的评分系统来预测患者的生存率和患者免疫治疗结果。此外,我们构建了一个预后CRG评分和列线图系统来预测胶质瘤患者的预后。收集了83例接受手术治疗的胶质瘤患者的95份组织标本,包括相邻组织。使用免疫组织化学和RT-qPCR,我们在这些临床样本中验证了铜死亡相关基因的表达和CRG评分的预测能力。我们的结果揭示了铜死亡相关基因在胶质瘤的细胞周期、TME、临床病理特征和预后中的广泛调控机制。我们还开发了一种基于铜死亡的预后模型。通过数据库和临床样本的验证,我们认为铜死亡影响胶质瘤的预后,并可能提供新的胶质瘤研究方法。我们认为铜死亡在治疗胶质瘤方面具有潜在重要性,可用于新的胶质瘤研究工作。
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