The First Clinical Medical College, Beijing University of Chinese Medicine, Beijing 100029, China.
School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China.
Int J Mol Sci. 2023 Jun 25;24(13):10625. doi: 10.3390/ijms241310625.
High levels of M2 macrophage infiltration invariably contribute to poor cancer prognosis and can be manipulated by metabolic reprogramming in the tumor microenvironment. However, the metabolism-related genes (MRGs) affecting M2 macrophage infiltration and their clinical implications are not fully understood. In this study, we identified 173 MRGs associated with M2 macrophage infiltration in cases of gastric cancer (GC) using the TCGA and GEO databases. Twelve MRGs were eventually adopted as the prognostic signature to develop a risk model. In the high-risk group, the patients showed poorer survival outcomes than patients in the low-risk group. Additionally, the patients in the high-risk group were less sensitive to certain drugs, such as 5-Fluorouracil, Oxaliplatin, and Cisplatin. Risk scores were positively correlated with the infiltration of multiple immune cells, including CD8+ T cells and M2 macrophages. Furthermore, a difference was observed in the expression and distribution between the 12 signature genes in the tumor microenvironment through single-cell sequencing analysis. In vitro experiments proved that the M2 polarization of macrophages was suppressed by Sorcin-knockdown GC cells, thereby hindering the proliferation and migration of GC cells. These findings provide a valuable prognostic signature for evaluating clinical outcomes and corresponding treatment options and identifying potential targets for GC treatment.
高水平的 M2 巨噬细胞浸润总是与不良的癌症预后相关,并可通过肿瘤微环境中的代谢重编程进行调控。然而,影响 M2 巨噬细胞浸润的代谢相关基因(MRGs)及其临床意义尚不完全清楚。在这项研究中,我们使用 TCGA 和 GEO 数据库鉴定了 173 个与胃癌(GC)中 M2 巨噬细胞浸润相关的 MRGs。最终采用 12 个 MRGs 作为预后特征来开发风险模型。在高危组中,患者的生存结果比低危组患者更差。此外,高危组患者对某些药物(如 5-氟尿嘧啶、奥沙利铂和顺铂)的敏感性较低。风险评分与包括 CD8+T 细胞和 M2 巨噬细胞在内的多种免疫细胞的浸润呈正相关。此外,通过单细胞测序分析观察到在肿瘤微环境中 12 个特征基因的表达和分布存在差异。体外实验证明 Sorcin 敲低 GC 细胞可抑制巨噬细胞的 M2 极化,从而阻碍 GC 细胞的增殖和迁移。这些发现为评估临床结果和相应的治疗方案提供了有价值的预后特征,并确定了 GC 治疗的潜在靶点。