Department of Neurosurgery and Radiology, The Third Hospital of Shijiazhuang City, Shijiazhuang, China.
Department of Neurology, The People Hospital of Xingtai City, Xingtai, China.
Medicine (Baltimore). 2023 Sep 15;102(37):e35084. doi: 10.1097/MD.0000000000035084.
To explore the expression and prognosis of Fc fragment of IgG low affinity IIb receptor (FCGR2B) in glioma and its relationship with immune microenvironment, so as to provide potential molecular targets for the treatment of glioma. We analyzed the gene expression of FCGR2B using the Cancer Genome Atlas database, Chinese Glioma Genome Atlas, Gene Expression Omnibus database and other glioma related databases. Moreover, we generated survival receiver operating characteristic curve, carried out univariate and multivariate Cox analysis and nomograph construction, and analyzed the relationship between FCGR2B and prognosis. According to the median of FCGR2B gene expression value, the differential expression analysis was carried out by high and low grouping method, and the gene ontology, Kyoto encyclopedia of genes and genomes, and gene set enrichment analysis enrichment analysis were carried out to explore the possible mechanism. Then, the correlation between immune score of glioma and prognosis, World Health Organization grade and FCGR2B expression was analyzed. Finally, the correlation between FCGR2B expression and the proportion of tumor infiltrating immune cells, immune checkpoints, tumor mutation load and immune function was analyzed. The expression of FCGR2B in gliomas was higher than that in normal tissues and was associated with poor prognosis. Independent prognostic analysis showed that FCGR2B was an independent prognostic factor for glioma. The analysis of gene ontology and gene set enrichment analysis showed that FCGR2B was closely related to immune-related functions. The analysis of immune scores and prognosis, World Health Organization grade and FCGR2B expression in gliomas indicated that patients with high immune scores had significantly poorer overall survival and higher tumor pathological grade. In addition, immune scores were significantly positively correlated with the expression of FCGR2B. The analysis of tumor infiltrating immune cells suggested that the expression level of FCGR2B affected the immune activity of TME. In addition, the expression of FCGR2B was positively correlated with almost all immune checkpoint molecules including CD28, CD44, TNFSF14, PDCD1LG2, LAIR1, and CD48 and was significantly positively correlated with tumor mutation load. All immunobiological functions of the high expression group of FCGR2B were significantly inhibited. FCGR2B may play an important role in the occurrence, development and invasion of tumor by influencing the tumor microenvironment of immunosuppression. FCGR2B may be an important target for the treatment of glioma.
探讨 Fc 段 IgG 低亲和力 IIb 受体(FCGR2B)在神经胶质瘤中的表达与预后及其与免疫微环境的关系,为神经胶质瘤的治疗提供潜在的分子靶点。我们使用癌症基因组图谱数据库、中国神经胶质瘤基因组图谱、基因表达综合数据库和其他神经胶质瘤相关数据库分析了 FCGR2B 的基因表达。此外,我们生成了生存接收者操作特征曲线,进行了单因素和多因素 Cox 分析和列线图构建,并分析了 FCGR2B 与预后的关系。根据 FCGR2B 基因表达值的中位数,采用高、低分组方法进行差异表达分析,进行基因本体、京都基因与基因组百科全书和基因集富集分析富集分析,探讨可能的机制。然后,分析神经胶质瘤免疫评分与预后、世界卫生组织分级和 FCGR2B 表达的相关性。最后,分析 FCGR2B 表达与肿瘤浸润免疫细胞、免疫检查点、肿瘤突变负荷和免疫功能的比例的相关性。神经胶质瘤中 FCGR2B 的表达高于正常组织,与预后不良相关。独立预后分析表明,FCGR2B 是神经胶质瘤的独立预后因素。基因本体和基因集富集分析表明,FCGR2B 与免疫相关功能密切相关。神经胶质瘤免疫评分和预后、世界卫生组织分级和 FCGR2B 表达的分析表明,免疫评分高的患者总生存率显著降低,肿瘤病理分级较高。此外,免疫评分与 FCGR2B 的表达呈显著正相关。肿瘤浸润免疫细胞分析表明,FCGR2B 的表达水平影响 TME 的免疫活性。此外,FCGR2B 的表达与包括 CD28、CD44、TNFSF14、PDCD1LG2、LAIR1 和 CD48 在内的几乎所有免疫检查点分子呈正相关,与肿瘤突变负荷呈显著正相关。FCGR2B 高表达组的所有免疫生物学功能均受到显著抑制。FCGR2B 可能通过影响免疫抑制性肿瘤微环境在肿瘤的发生、发展和侵袭中发挥重要作用。FCGR2B 可能是神经胶质瘤治疗的重要靶点。