Khamis Salem Saeed Saad, Lu Jianhua, Yi Yongdong, Rao Shangrui, Sun Weijian
The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Department of General Surgery, Wenzhou Medical University First Affiliated Hospital, Wenzhou, Zhejiang, China.
Front Oncol. 2024 Mar 20;14:1336734. doi: 10.3389/fonc.2024.1336734. eCollection 2024.
Gastric cancer (GC) is a prevalent form of malignancy characterized by significant heterogeneity. The development of a specific prediction model is of utmost importance to improve therapy alternatives. The presence of H. pylori can elicit pyroptosis, a notable carcinogenic process. Furthermore, the administration of chemotherapeutic drugs is often employed as a therapeutic approach to addressing this condition. In the present investigation, it was observed that there were variations in the production of 17 pyroptosis-regulating proteins between stomach tissue with tumor development and GC cells. The predictive relevance of each gene associated with pyroptosis was assessed using the cohort from the cancer genome atlas (TCGA). The least absolute shrinkage and selection operator (LASSO) was utilized to enhance the outcomes of the regression approach. Patients with gastric cancer GC in the cohort from the TCGA were categorized into low-risk or high-risk groups based on their gene expression profiles. Patients with a low risk of gastric cancer had a higher likelihood of survival compared to persons classified as high risk (P<0.0001). A subset of patients diagnosed with GC from a Genes Expression Omnibus (GEO) cohort was stratified according to their overall survival (OS) duration. The statistical analysis revealed a higher significance level (P=0.0063) regarding OS time among low-risk individuals. The study revealed that the GC risk score emerged as a significant independent prognostic factor for OS in patients diagnosed with GC. The results of Gene Ontology (GO) and Kyoto Encyclopaedia of Genes and Genomes (KEGG) research revealed that genes associated with a high-risk group had significantly elevated levels of immune system-related activity. Furthermore, it was found that the state of immunity was diminished within this particular group. The relationship between the immune response to cancer and pyroptosis genes is highly interconnected, suggesting that these genes have the potential to serve as prognostic indicators for GC.
胃癌(GC)是一种普遍存在的恶性肿瘤形式,具有显著的异质性。开发特定的预测模型对于改善治疗方案至关重要。幽门螺杆菌的存在可引发细胞焦亡,这是一个显著的致癌过程。此外,化疗药物的使用通常被用作治疗这种疾病的方法。在本研究中,观察到肿瘤发生的胃组织与GC细胞之间17种细胞焦亡调节蛋白的产生存在差异。使用来自癌症基因组图谱(TCGA)的队列评估了与细胞焦亡相关的每个基因的预测相关性。利用最小绝对收缩和选择算子(LASSO)来增强回归方法的结果。根据TCGA队列中胃癌患者的基因表达谱,将其分为低风险或高风险组。与高风险组相比,低风险胃癌患者的生存可能性更高(P<0.0001)。根据总体生存(OS)时间,将来自基因表达综合数据库(GEO)队列中诊断为GC的一部分患者进行分层。统计分析显示,低风险个体的OS时间具有更高的显著性水平(P=0.0063)。研究表明,GC风险评分是诊断为GC的患者OS的一个重要独立预后因素。基因本体论(GO)和京都基因与基因组百科全书(KEGG)研究结果显示,与高风险组相关的基因的免疫系统相关活性水平显著升高。此外,发现该特定组内的免疫状态有所下降。癌症免疫反应与细胞焦亡基因之间的关系高度相互关联,表明这些基因有可能作为GC的预后指标。