膀胱癌内质网应激的综合表征揭示其与肿瘤免疫微环境及预后的关联

Comprehensive characterization of endoplasmic reticulum stress in bladder cancer revealing the association with tumor immune microenvironment and prognosis.

作者信息

Lin Yuda, Li Tengfei, Li Zhuolun, Shen Chong, Wu Zhouliang, Zhang Zhe, Li Zhi, Yang Shaobo, Wang Zejin, Li Peng, Fu Chong, Guo Jian, Hu Hailong

机构信息

Department of Urology, The Second Hospital of Tianjin Medical University, Tianjin, China.

Tianjin Key Laboratory of Urology, Tianjin Institute of Urology, The Second Hospital of Tianjin Medical University, Tianjin, China.

出版信息

Front Genet. 2023 Apr 7;14:1097179. doi: 10.3389/fgene.2023.1097179. eCollection 2023.

Abstract

This study constructs a molecular subtype and prognostic model of bladder cancer (BLCA) through endoplasmic reticulum stress (ERS) related genes, thus helping to clinically guide accurate treatment and prognostic assessment. The Bladder Cancer (BLCA) gene expression data was downloaded from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) database. We clustered by ERS-related genes which obtained through GeneCards database, results in the establishment of a new molecular typing of bladder cancer. Further, we explored the characteristics of each typology in terms of immune microenvironment, mutations, and drug screening. By analyzing the ERS-related genes with univariate Cox, LASSO and multivariate Cox analyses, we also developed the four-gene signature, while validating the prognostic effect of the model in GSE32894 and GSE13507 cohorts. Finally, we evaluated the prognostic value of the clinical data in the high and low ERS score groups and constructed a prognostic score line graph by Nomogram. We constructed four molecular subtypes (C1- C4) of bladder cancer, in which patients with C2 had a poor prognosis and those with C3 had a better prognosis. The C2 had a high degree of TP53 mutation, significant immune cell infiltration and high immune score. In contrast, C3 had a high degree of FGFR3 mutation, insignificant immune cell infiltration, and reduced immune checkpoint expression. After that, we built ERS-related risk signature to calculate ERS score, including ATP2A3, STIM2, VWF and P4HB. In the GSE32894 and GSE13507, the signature also had good predictive value for prognosis. In addition, ERS scores were shown to correlate well with various clinical features. Finally, we correlated the ERS clusters and ERS score. Patients with high ERS score were more likely to have the C2 phenotype, while patients with low ERS score were C3. In summary, we identified four novel molecular subtypes of BLCA by ERS-related genes which could provide some new insights into precision medicine. Prognostic models constructed from ERS-related genes can be used to predict clinical outcomes. Our study contributes to the study of personalized treatment and mechanisms of BLCA.

摘要

本研究通过内质网应激(ERS)相关基因构建膀胱癌(BLCA)的分子亚型和预后模型,从而有助于临床指导精准治疗和预后评估。膀胱癌(BLCA)基因表达数据从癌症基因组图谱(TCGA)和基因表达综合数据库(GEO)下载。我们通过在GeneCards数据库中获取的ERS相关基因进行聚类,建立了一种新的膀胱癌分子分型。此外,我们从免疫微环境、突变和药物筛选方面探索了各分型的特征。通过单因素Cox、LASSO和多因素Cox分析ERS相关基因,我们还构建了四基因特征,并在GSE32894和GSE13507队列中验证了该模型的预后效果。最后,我们评估了高、低ERS评分组临床数据的预后价值,并通过列线图构建了预后评分线图。我们构建了膀胱癌的四种分子亚型(C1 - C4),其中C2亚型患者预后较差,C3亚型患者预后较好。C2亚型具有高度的TP53突变、显著的免疫细胞浸润和高免疫评分。相比之下,C3亚型具有高度的FGFR3突变、不显著的免疫细胞浸润和免疫检查点表达降低。之后,我们构建了与ERS相关的风险特征来计算ERS评分,包括ATP2A3、STIM2、VWF和P4HB。在GSE32894和GSE13507中,该特征对预后也具有良好的预测价值。此外,ERS评分与各种临床特征显示出良好的相关性。最后,我们将ERS聚类与ERS评分相关联。ERS评分高的患者更有可能具有C2表型,而ERS评分低的患者为C3表型。总之,我们通过ERS相关基因鉴定出四种新的BLCA分子亚型,可为精准医学提供一些新的见解。由ERS相关基因构建的预后模型可用于预测临床结局。我们的研究有助于膀胱癌个性化治疗及机制的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ec/10119429/c7a0a2294908/fgene-14-1097179-g001.jpg

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