Department of Hepatobiliary and Pancreatic Surgery, First Hospital of China Medical University, Shenyang, Liaoning 110001, China.
Department of Pharmacology, School of Pharmacy, China Medical University, Shenyang, Liaoning 110122, China.
Int Immunopharmacol. 2024 Jun 15;134:112266. doi: 10.1016/j.intimp.2024.112266. Epub 2024 May 17.
Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive cancer, with limited treatment options. In this study, we investigated the role of immune cell infiltration in PDAC progression and constructed an immune-related predictive model for patients with PDAC based on the International Cancer Genome Consortium (ICGC) cohort. Related algorithms have been used to assess the immune microenvironment. Least Absolute Shrinkage and Selection Operator (LASSO) Cox analysis was used to construct the model, and receiver operating characteristic and decision curve analysis analyses were conducted to evaluate its diagnostic and prognostic efficacy. The results demonstrated a correlation between high immune infiltration and better prognosis in PDAC. The immune-related prognostic model (IPM) identified four genes through LASSO Cox analysis, with the high IPM group being associated with a worse prognosis. Cox regression analysis confirmed that IPM is an independent risk factor for PDAC. Validation through analysis of The Cancer Genome Atlas cohort and our own individual tumor samples revealed a similar trend to that observed in the ICGC cohort. Finally, a nomogram incorporating age and IPM demonstrated efficacy in the prognostic evaluation of patients with PDAC. In conclusion, we developed a novel immune-related prognosis prediction model for PDAC that offers new possibilities for the measurement of immunotherapy and prognostic assessment of patients.
胰腺导管腺癌(PDAC)是一种高度侵袭性的癌症,治疗选择有限。在这项研究中,我们研究了免疫细胞浸润在 PDAC 进展中的作用,并基于国际癌症基因组联盟(ICGC)队列为 PDAC 患者构建了一个免疫相关的预测模型。相关算法已用于评估免疫微环境。最小绝对收缩和选择算子(LASSO)Cox 分析用于构建模型,并且进行了接收器操作特征和决策曲线分析以评估其诊断和预后功效。结果表明,PDAC 中高免疫浸润与更好的预后相关。免疫相关预后模型(IPM)通过 LASSO Cox 分析确定了四个基因,高 IPM 组与预后不良相关。Cox 回归分析证实 IPM 是 PDAC 的独立危险因素。通过对 The Cancer Genome Atlas 队列和我们自己的个体肿瘤样本的分析进行验证,发现与 ICGC 队列观察到的趋势相似。最后,包含年龄和 IPM 的列线图在 PDAC 患者的预后评估中表现出疗效。总之,我们开发了一种新的用于 PDAC 的免疫相关预后预测模型,为免疫治疗的测量和患者的预后评估提供了新的可能性。