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生物信息学鉴定与肝细胞癌缺氧诱导的 PD-L1 抑制剂耐药相关的调控基因及机制

Bioinformatics Identification of Regulatory Genes and Mechanism Related to Hypoxia-Induced PD-L1 Inhibitor Resistance in Hepatocellular Carcinoma.

机构信息

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.

出版信息

Int J Mol Sci. 2023 May 13;24(10):8720. doi: 10.3390/ijms24108720.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8edc/10218698/6c172d321c3a/ijms-24-08720-g001.jpg

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