Shan Li, Zhu Xiaoli, Qiu Hui-Zhu, Zuo Er-Dong, Cheng Xu
Department of Oncology, Soochow University Affiliated Taicang Hospital, (The First People's Hospital of Taicang), Jiangsu, China.
Front Neurol. 2023 Apr 6;14:1162394. doi: 10.3389/fneur.2023.1162394. eCollection 2023.
Gliomas are the most aggressive of all brain tumors. In this study, it was found that there is a significant expression of transmembrane-like 131 (TMEM131L) in glioma tissues. The relevance of TMEM131L in the diagnosis and clinical prognosis of GBM and LGG was verified by additional clinical correlation and survival analysis. The area under the curve (AUC) of the receiver operating characteristic (ROC) curve reflected the diagnostic effect of TMEM131L on the clinicopathologic features of glioma. As a unique molecular marker for the poor prognosis of overall survival (OS), PFI, and DSS in patients with GCB and LGG, TMEM131L might be employed, according to time-dependent ROC curves and Kaplan-Meier survival analysis at 1, 3, and 5 years. The potential methylation sites of TMEM131L were selected by correlation analysis between TMEM131L and DNA methylation sites. Meanwhile, TMEM131L was significantly correlated with matrix, immunity, and estimated scores of GBM and LGG. The CIBERSORT analysis revealed a significant correlation between immune checkpoint and infiltration of 22 different kinds of immune cells. Coexpression genes of TMEM131L associated with oxidative stress phenotype were screened by the LASSO logistic regression analysis. Nomogram and calibration curves further confirmed that the prognostic model composed of SYT1, CREB3L3, ITPR1, RASGRF2, PDX1, and RASGRF1 has good stability and potential application value for poor prognosis in patients with glioma.
神经胶质瘤是所有脑肿瘤中侵袭性最强的。在本研究中,发现跨膜样蛋白131(TMEM131L)在神经胶质瘤组织中显著表达。通过额外的临床相关性和生存分析验证了TMEM131L在胶质母细胞瘤(GBM)和低级别胶质瘤(LGG)诊断及临床预后中的相关性。受试者工作特征(ROC)曲线的曲线下面积(AUC)反映了TMEM131L对神经胶质瘤临床病理特征的诊断效果。根据1年、3年和5年的时间依赖性ROC曲线及Kaplan-Meier生存分析,TMEM131L作为GBM和LGG患者总生存期(OS)、无进展生存期(PFI)和疾病特异性生存期(DSS)预后不良的独特分子标志物,可能具有应用价值。通过TMEM131L与DNA甲基化位点的相关性分析筛选出TMEM131L的潜在甲基化位点。同时,TMEM131L与GBM和LGG的基质、免疫及估计评分显著相关。CIBERSORT分析显示免疫检查点与22种不同免疫细胞的浸润之间存在显著相关性。通过LASSO逻辑回归分析筛选出与氧化应激表型相关的TMEM131L共表达基因。列线图和校准曲线进一步证实,由SYT1、CREB3L3、ITPR1、RASGRF2、PDX1和RASGRF1组成的预后模型对神经胶质瘤患者的预后不良具有良好的稳定性和潜在应用价值。