Department of General Surgery, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Department of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Front Immunol. 2024 May 8;15:1378305. doi: 10.3389/fimmu.2024.1378305. eCollection 2024.
The effect of anoikis-related genes (ARGs) on clinicopathological characteristics and tumor microenvironment remains unclear. We comprehensively analyzed anoikis-associated gene signatures of 1057 colorectal cancer (CRC) samples based on 18 ARGs. Anoikis-related molecular subtypes and gene features were identified through consensus clustering analysis. The biological functions and immune cell infiltration were assessed using the GSVA and ssGSEA algorithms. Prognostic risk score was constructed using multivariate Cox regression analysis. The immunological features of high-risk and low-risk groups were compared. Finally, DAPK2-overexpressing plasmid was transfected to measure its effect on tumor proliferation and metastasis and . We identified 18 prognostic ARGs. Three different subtypes of anoikis were identified and demonstrated to be linked to distinct biological processes and prognosis. Then, a risk score model was constructed and identified as an independent prognostic factor. Compared to the high-risk group, patients in the low-risk group exhibited longer survival, higher enrichment of checkpoint function, increased expression of CTLA4 and PD-L1, higher IPS scores, and a higher proportion of MSI-H. The results of RT-PCR indicated that the expression of DAPK2 mRNA was significantly downregulated in CRC tissues compared to normal tissues. Increased DAPK2 expression significantly suppressed cell proliferation, promoted apoptosis, and inhibited migration and invasion. The nude mice xenograft tumor model confirmed that high expression of DAPK2 inhibited tumor growth. Collectively, we discovered an innovative anoikis-related gene signature associated with prognosis and TME. Besides, our study indicated that DAPK2 can serve as a promising therapeutic target for inhibiting the growth and metastasis of CRC.
细胞凋亡相关基因 (ARGs) 对临床病理特征和肿瘤微环境的影响尚不清楚。我们基于 18 个 ARGs ,综合分析了 1057 例结直肠癌 (CRC) 样本的细胞凋亡相关基因特征。通过共识聚类分析确定了与细胞凋亡相关的分子亚型和基因特征。使用 GSVA 和 ssGSEA 算法评估了生物学功能和免疫细胞浸润。使用多变量 Cox 回归分析构建了预后风险评分。比较了高低风险组的免疫特征。最后,通过转染 DAPK2 过表达质粒来测量其对肿瘤增殖和转移的影响。我们确定了 18 个预后相关的 ARGs。鉴定出三种不同的细胞凋亡亚型,表明它们与不同的生物学过程和预后相关。然后,构建了风险评分模型,并将其确定为独立的预后因素。与高危组相比,低危组患者的生存时间更长,检查点功能富集程度更高,CTLA4 和 PD-L1 的表达增加,IPS 评分更高,MSI-H 的比例更高。RT-PCR 的结果表明,CRC 组织中 DAPK2 mRNA 的表达明显低于正常组织。增加 DAPK2 的表达显著抑制细胞增殖,促进细胞凋亡,并抑制迁移和侵袭。裸鼠异种移植肿瘤模型证实高表达 DAPK2 抑制肿瘤生长。总之,我们发现了一种与预后和 TME 相关的创新型细胞凋亡相关基因特征。此外,我们的研究表明 DAPK2 可以作为抑制 CRC 生长和转移的有前途的治疗靶点。
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