Comprehensive Cancer Centre of Drum Tower Hospital, Medical School of Nanjing University, Clinical Cancer Institute of Nanjing University, Nanjing, China.
Department of Oncology, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, China.
Biochem Genet. 2024 Apr;62(2):1413-1427. doi: 10.1007/s10528-023-10498-3. Epub 2023 Aug 24.
Colorectal cancer (CRC) is a heterogeneous disease with varying clinical outcomes. The identification of distinct subgroups of CRC patients based on molecular profiling can aid in better understanding the disease and improving patient outcomes. This study aimed to investigate the potential of membrane trafficking-related genes (MTRGs) in sub-grouping colorectal cancer patients based on their overall survival and immune microenvironments. Consensus clustering analysis identified two distinct clusters with different expression profiles of membrane trafficking-related genes. The patients in cluster 1 had a significantly better overall survival than those in cluster 2. Furthermore, the immune microenvironments in the two clusters were also found to be significantly different, with cluster 1 having a higher immune score and more immune cells present. Functional analysis of differentially expressed genes between the two clusters revealed that MTRGs were involved in immune response and metabolic processes, and a risk signature model based on MTRGs was established to predict the prognosis of CRC patients. These findings suggest that MTRGs play a crucial role in the immune microenvironment and overall survival of CRC patients and may provide a potential target for personalized therapy.
结直肠癌(CRC)是一种具有不同临床结局的异质性疾病。基于分子谱分析对 CRC 患者进行不同亚组的鉴定有助于更好地了解疾病并改善患者的预后。本研究旨在探讨基于膜转运相关基因(MTRGs)的整体生存和免疫微环境对结直肠癌患者进行分组的潜力。共识聚类分析确定了两个具有不同膜转运相关基因表达谱的不同簇。簇 1 中的患者总体生存率明显优于簇 2 中的患者。此外,两个簇之间的免疫微环境也存在显著差异,簇 1 的免疫评分更高,存在更多的免疫细胞。对两个簇之间差异表达基因的功能分析表明,MTRGs 参与了免疫反应和代谢过程,并且建立了基于 MTRGs 的风险签名模型来预测 CRC 患者的预后。这些发现表明,MTRGs 在 CRC 患者的免疫微环境和总体生存中起着至关重要的作用,可能为个性化治疗提供潜在的靶点。