Zhao Qian, Li Feng, Li Jing, Xia Yuan, Wang Jing, Chen Lijuan
Department of Hematology, Jiangsu Province Hospital, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210003, China.
Department of Hematology, Jinling Hospital, Nanjing Medical University, Nanjing, 210002, China.
Clin Exp Med. 2024 Jan 27;24(1):16. doi: 10.1007/s10238-023-01277-w.
Multiple myeloma (MM) is a highly heterogeneous and incurable disease. Inflammation plays a vital role in cancer genesis and progression. However, the relationship between inflammatory response-related genes (IRRGs) and the prognosis of MM patients remains unknown. We constructed a IRRGs prognosis model by least absolute shrinkage and selection operator regression analysis. Moreover, clinical multivariate regression was performed to identify clinical implications. Gene set enrichment analysis was implemented to conduct its biological properties. CIBERSORT deconvolution algorithm was utilized to calculate the immune cell infiltration in different risk groups. The flow cytometry was utilized to perform protein expression of prognostic gene. A Six-IRRGs (VCAM1, RGS1, KIT, CD81, BLNK, and BIRC3) prognostic risk model was successfully constructed and validated. The risk model was an independent predictor for overall survival. Enrichment analysis revealed autophagy and PI3K-Akt signaling pathways were enriched in the high-risk group. Furthermore, we found CD81 widely impacted on the infiltration of immune cells, especially on monocytes and macrophages2. At last, the role of CD81 in MM was confirmed to be an adverse prognostic factor in clinical. Our study explores the potential application value of IRRGs in MM. These findings may provide new insights into the treatment for MM patients.
多发性骨髓瘤(MM)是一种高度异质性且无法治愈的疾病。炎症在癌症的发生和发展中起着至关重要的作用。然而,炎症反应相关基因(IRRGs)与MM患者预后之间的关系仍不清楚。我们通过最小绝对收缩和选择算子回归分析构建了一个IRRGs预后模型。此外,进行了临床多变量回归以确定其临床意义。实施基因集富集分析以探究其生物学特性。利用CIBERSORT反卷积算法计算不同风险组中的免疫细胞浸润情况。采用流式细胞术检测预后基因的蛋白表达。成功构建并验证了一个由六个IRRGs(VCAM1、RGS1、KIT、CD81、BLNK和BIRC3)组成的预后风险模型。该风险模型是总生存期的独立预测因子。富集分析显示自噬和PI3K-Akt信号通路在高风险组中富集。此外,我们发现CD81对免疫细胞的浸润有广泛影响,尤其是对单核细胞和巨噬细胞。最后,CD81在MM中的作用在临床上被确认为不良预后因素。我们的研究探索了IRRGs在MM中的潜在应用价值。这些发现可能为MM患者的治疗提供新的见解。