鉴定和验证与铜死亡相关基因的预测指标用于食管鳞状细胞癌。
Identification and validation of a prognostic signature of cuproptosis-related genes for esophageal squamous cell carcinoma.
机构信息
Department of Radiation Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou 350014, China.
The First Clinical Medical College, Xuzhou Medical University, Xuzhou 221004, China.
出版信息
Aging (Albany NY). 2023 Sep 2;15(17):8993-9021. doi: 10.18632/aging.205012.
Esophageal squamous cell carcinoma (ESCC) is a highly lethal form of cancer. Cuproptosis is a recently discovered form of regulated cell death. However, its significance in ESCC remains largely unknown. In this study, we observed significant expression differences in most of the 12 cuproptosis-related genes (CRGs) in the TCGA-ESCC dataset, which was validated using GSE20347, GSE38129, and individual ESCC datasets. We were able to divide patients in the TCGA-ESCC cohort into two subgroups based on disease, and found significant differences in survivor outcomes and biological functions between these subgroups. Additionally, we identified 11 prognosis-related genes from the 12 CRGs using LASSO COX regression analysis and constructed a CRGs signature for ESCC. Patients were categorized into high- and low-risk subgroups based on their median risk score, with those in the high-risk subgroup having significantly worse overall survival than those in the low-risk subgroup. The CRGs signature was also highly accurate in predicting prognosis and survival outcomes. Univariate and multivariate Cox regression analyses revealed that 8 of the 11 CRGs were independent prognostic factors for predicting survival in ESCC patients. Furthermore, our nomogram performed well and could serve as a useful tool for predicting prognosis. Finally, our risk model was found to be relevant to the sensitivity of targeted agents and immune infiltration. Functional enrichment analysis demonstrated that the risk model was associated with biological pathways of tumor migration and invasion. In summary, our study may provide a promising prognostic signature based on CRGs and offers potential targets for personalized therapy.
食管鳞状细胞癌(ESCC)是一种高度致命的癌症。铜死亡是一种新发现的细胞死亡形式。然而,其在 ESCC 中的意义在很大程度上尚不清楚。在这项研究中,我们观察到 TCGA-ESCC 数据集的大多数 12 个铜死亡相关基因(CRGs)的表达差异明显,这在 GSE20347、GSE38129 和个体 ESCC 数据集中得到了验证。我们能够根据疾病将 TCGA-ESCC 队列中的患者分为两组,并发现这两组患者的生存结果和生物学功能存在显著差异。此外,我们使用 LASSO COX 回归分析从 12 个 CRGs 中鉴定出 11 个预后相关基因,并构建了 ESCC 的 CRGs 特征。根据中位数风险评分,患者被分为高风险和低风险亚组,高风险亚组的总生存期明显短于低风险亚组。CRGs 特征在预测预后和生存结果方面也具有高度准确性。单因素和多因素 Cox 回归分析显示,11 个 CRGs 中有 8 个是预测 ESCC 患者生存的独立预后因素。此外,我们的列线图表现良好,可以作为预测预后的有用工具。最后,我们的风险模型与靶向药物的敏感性和免疫浸润有关。功能富集分析表明,风险模型与肿瘤迁移和侵袭的生物学途径有关。总之,我们的研究可能为基于 CRGs 的预后提供了一个有前途的标志,并为个性化治疗提供了潜在的靶点。