Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Department of endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China.
Int J Mol Sci. 2023 May 13;24(10):8720. doi: 10.3390/ijms24108720.
The combination of a PD-L1 inhibitor and an anti-angiogenic agent has become the new reference standard in the first-line treatment of non-excisable hepatocellular carcinoma (HCC) due to the survival advantage, but its objective response rate remains low at 36%. Evidence shows that PD-L1 inhibitor resistance is attributed to hypoxic tumor microenvironment. In this study, we performed bioinformatics analysis to identify genes and the underlying mechanisms that improve the efficacy of PD-L1 inhibition. Two public datasets of gene expression profiles, (1) HCC tumor versus adjacent normal tissue ( = 214) and (2) normoxia versus anoxia of HepG2 cells ( = 6), were collected from Gene Expression Omnibus (GEO) database. We identified HCC-signature and hypoxia-related genes, using differential expression analysis, and their 52 overlapping genes. Of these 52 genes, 14 PD-L1 regulator genes were further identified through the multiple regression analysis of TCGA-LIHC dataset ( = 371), and 10 hub genes were indicated in the protein-protein interaction (PPI) network. It was found that , , , , and play critical roles in the response and overall survival in cancer patients under PD-L1 inhibitor treatment. Our study provides new insights and potential biomarkers to enhance the immunotherapeutic role of PD-L1 inhibitors in HCC, which can help in exploring new therapeutic strategies.
由于生存优势,PD-L1 抑制剂联合抗血管生成药物已成为不可切除肝细胞癌(HCC)一线治疗的新标准,但客观缓解率仍较低,为 36%。有证据表明,PD-L1 抑制剂耐药性归因于缺氧肿瘤微环境。在这项研究中,我们进行了生物信息学分析,以确定可提高 PD-L1 抑制疗效的基因和潜在机制。我们从基因表达综合数据库(GEO)数据库中收集了两个公共基因表达谱数据集:(1)HCC 肿瘤与相邻正常组织(=214)和(2)HepG2 细胞常氧与缺氧(=6)。我们使用差异表达分析鉴定了 HCC 特征基因和与缺氧相关的基因,及其 52 个重叠基因。在 TCGA-LIHC 数据集(=371)的多元回归分析中,进一步鉴定出 14 个 PD-L1 调节基因,在蛋白质-蛋白质相互作用(PPI)网络中显示出 10 个枢纽基因。研究发现,在 PD-L1 抑制剂治疗下,癌症患者的反应和总生存率中, 、 、 、 和 发挥着关键作用。我们的研究为增强 HCC 中 PD-L1 抑制剂的免疫治疗作用提供了新的见解和潜在的生物标志物,有助于探索新的治疗策略。