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Molecular subtyping of acute myeloid leukemia through ferroptosis signatures predicts prognosis and deciphers the immune microenvironment.

作者信息

Fu Denggang, Zhang Biyu, Wu Shiyong, Feng Jueping, Jiang Hua

机构信息

College of Medicine, Medical University of South Carolina, Charleston, SC, United States.

School of Chemical Engineering and Pharmacy, Wuhan Institute of Technology Wuhan, Wuhan, China.

出版信息

Front Cell Dev Biol. 2023 Aug 24;11:1207642. doi: 10.3389/fcell.2023.1207642. eCollection 2023.


DOI:10.3389/fcell.2023.1207642
PMID:37691822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10483833/
Abstract

Acute myeloid leukemia (AML) is one of the most aggressive hematological malignancies with a low 5-year survival rate and high rate of relapse. Developing more efficient therapies is an urgent need for AML treatment. Accumulating evidence showed that ferroptosis, an iron-dependent form of programmed cell death, is closely correlated with cancer initiation and clinical outcome through reshaping the tumor microenvironment. However, understanding of AML heterogeneity based on extensive profiling of ferroptosis signatures remains to be investigated yet. Herein, five independent AML transcriptomic datasets (TCGA-AML, GSE37642, GSE12417, GSE10358, and GSE106291) were obtained from the GEO and TCGA databases. Then, we identified two ferroptosis-related molecular subtypes (C1 and C2) with distinct prognosis and tumor immune microenvironment (TIME) by consensus clustering. Patients in the C1 subtype were associated with favorable clinical outcomes and increased cytotoxic immune cell infiltration, including CD8/central memory T cells, natural killer (NK) cells, and non-regulatory CD4 T cells while showing decreased suppressive immune subsets such as M2 macrophages, neutrophils, and monocytes. Functional enrichment analysis of differentially expressed genes (DEGs) implied that cell activation involved in immune response, leukocyte cell-cell adhesion and migration, and cytokine production were the main biological processes. Phagosome, antigen processing and presentation, cytokine-cytokine receptor interaction, B-cell receptor, and chemokine were identified as the major pathways. To seize the distinct landscape in C1 vs. C2 subtypes, a 5-gene prognostic signature (LSP1, IL1R2, MPO, CRIP1, and SLC24A3) was developed using LASSO Cox stepwise regression analysis and further validated in independent AML cohorts. Patients were divided into high- and low-risk groups, and decreased survival rates were observed in high- vs. low-risk groups. The TIME between high- and low-risk groups has a similar scenery in C1 vs. C2 subtypes. Single-cell-level analysis verified that LSP1 and CRIP1 were upregulated in AML and exhausted CD8 T cells. Dual targeting of these two markers might present a promising immunotherapeutic for AML. In addition, potential effective chemical drugs for AML were predicted. Thus, we concluded that molecular subtyping using ferroptosis signatures could characterize the TIME and provide implications for monitoring clinical outcomes and predicting novel therapies.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c402/10483833/730962bd4f0f/fcell-11-1207642-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c402/10483833/833ddfa8df4d/fcell-11-1207642-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c402/10483833/c8c0d304e67c/fcell-11-1207642-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c402/10483833/c4f0b164e0fa/fcell-11-1207642-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c402/10483833/12bba16138d3/fcell-11-1207642-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c402/10483833/730962bd4f0f/fcell-11-1207642-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c402/10483833/833ddfa8df4d/fcell-11-1207642-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c402/10483833/c8c0d304e67c/fcell-11-1207642-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c402/10483833/c4f0b164e0fa/fcell-11-1207642-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c402/10483833/12bba16138d3/fcell-11-1207642-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c402/10483833/730962bd4f0f/fcell-11-1207642-g006.jpg

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[9]
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[10]
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本文引用的文献

[1]
A ferroptosis-related gene signature and immune infiltration patterns predict the overall survival in acute myeloid leukemia patients.

Front Mol Biosci. 2022-8-15

[2]
Single-cell transcriptomics uncover the key ferroptosis regulators contribute to cancer progression in head and neck squamous cell carcinoma.

Front Mol Biosci. 2022-8-8

[3]
S100A8 regulates autophagy-dependent ferroptosis in microglia after experimental subarachnoid hemorrhage.

Exp Neurol. 2022-11

[4]
The NADPH oxidase NOX2 is a marker of adverse prognosis involved in chemoresistance of acute myeloid leukemias.

Haematologica. 2022-11-1

[5]
LILRB3 supports acute myeloid leukemia development and regulates T-cell antitumor immune responses through the TRAF2-cFLIP-NF-κB signaling axis.

Nat Cancer. 2021-11

[6]
A Ferroptosis-Related Gene Signature for Predicting the Prognosis and Drug Sensitivity of Head and Neck Squamous Cell Carcinoma.

Front Genet. 2021-10-21

[7]
CEBPG promotes acute myeloid leukemia progression by enhancing EIF4EBP1.

Cancer Cell Int. 2021-11-7

[8]
clusterProfiler 4.0: A universal enrichment tool for interpreting omics data.

Innovation (Camb). 2021-7-1

[9]
Novel CAR T therapy is a ray of hope in the treatment of seriously ill AML patients.

Stem Cell Res Ther. 2021-8-20

[10]
A novel ferroptosis-related 12-gene signature predicts clinical prognosis and reveals immune relevancy in clear cell renal cell carcinoma.

BMC Cancer. 2021-7-19

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