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免疫原性细胞死亡相关基因在结直肠腺癌患者中的预后和免疫治疗意义。

Prognostic and immunotherapeutic significance of immunogenic cell death-related genes in colon adenocarcinoma patients.

机构信息

Department of Basic Courses, Anhui Medical College, Hefei, 230032, Anhui, China.

Department of Pathology, Hefei First People's Hospital, Hefei, 230001, Anhui, China.

出版信息

Sci Rep. 2023 Nov 6;13(1):19188. doi: 10.1038/s41598-023-46675-y.

Abstract

In recent years, genes associated with immunogenic cell death (ICD)-related genes have garnered significant interest as potential targets for immunotherapy. As a frontier in cancer treatment, immunotherapy has notably enhanced the therapeutic outcomes for cancer patients. However, since only a subset of patients benefits from this treatment approach, there is an imperative need for biomarker research to enhance patient sensitivity to immunotherapy. Expression of ICD-related genes and clinical patient data were sourced from The Cancer Genome Atlas (TCGA) database. Utilizing univariate Cox regression analysis, we constructed a signature for predicting the overall survival of colon adenocarcinoma (COAD) patients. A genomic feature analysis was performed, incorporating tumor mutation burden (TMB) and copy number variation (CNV). The immunological characteristics were analyzed via the ssGSEA and GSEA algorithms, with the resulting data visualized using R software (version 4.2.1). According to the univariate regression analysis for COAD, AIM2 emerged as the gene most significantly associated with overall survival among the 32 ICD-related genes in the TCGA dataset. Patients were divided into two groups based on high or low AIM2 expression, and genomic differences between the groups were explored. Patients expressing high levels of AIM2 had a higher TMB and a lower CNV. In addition, these patients had elevated immune checkpoint, immune cell, and immune function scores, thus indicating increased sensitivity to immunotherapy. TIDE analysis further confirmed that these patients were likely to respond more effectively to immunotherapy. Subclass mapping analysis corroborated our findings, demonstrating that patients with high AIM2 expression responded more positively to immunotherapy. Additionally, our study found that the suppression of AIM2 could significantly enhance the proliferation, invasion, and migration capabilities of colon cancer cells. In this research, we identified a novel prognostic signature suggesting that patients with higher AIM2 expression levels are more likely to respond favorably to immunotherapy.

摘要

近年来,与免疫原性细胞死亡(ICD)相关基因相关的基因已成为免疫治疗的潜在靶点,引起了广泛关注。免疫治疗作为癌症治疗的前沿领域,显著提高了癌症患者的治疗效果。然而,由于只有一部分患者从中受益,因此迫切需要进行生物标志物研究,以提高患者对免疫治疗的敏感性。ICD 相关基因的表达和临床患者数据来自癌症基因组图谱(TCGA)数据库。我们利用单变量 Cox 回归分析构建了一个预测结肠腺癌(COAD)患者总生存率的signature。进行了基因组特征分析,包括肿瘤突变负担(TMB)和拷贝数变异(CNV)。通过 ssGSEA 和 GSEA 算法分析了免疫特征,使用 R 软件(版本 4.2.1)可视化数据。根据 TCGA 数据集中 32 个 ICD 相关基因的单变量回归分析,AIM2 是与 COAD 总生存率最显著相关的基因。根据 AIM2 表达的高低,将患者分为两组,并探讨两组之间的基因组差异。高表达 AIM2 的患者具有更高的 TMB 和更低的 CNV。此外,这些患者的免疫检查点、免疫细胞和免疫功能评分升高,表明对免疫治疗更敏感。TIDE 分析进一步证实这些患者可能对免疫治疗更有效。亚类映射分析证实了我们的发现,表明高表达 AIM2 的患者对免疫治疗的反应更为积极。此外,我们的研究发现,抑制 AIM2 可以显著增强结肠癌细胞的增殖、侵袭和迁移能力。在这项研究中,我们确定了一个新的预后 signature,表明高表达 AIM2 的患者更有可能对免疫治疗产生良好的反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3c/10628212/02f1df673934/41598_2023_46675_Fig1_HTML.jpg

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