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Bioinformatics analysis of BTK expression in lung adenocarcinoma: implications for immune infiltration, prognostic biomarkers, and therapeutic targeting.

作者信息

Jiao Lijun, Tao Yujian, Ding Huizhen, Wu Feng, Liu Yantong, Li Chuang, Li Feifei

机构信息

Department of Respiratory and Critical Care Medicine, The Affiliated Hospital of Yangzhou University, Yangzhou, China.

Department of Computer and Information Engineering, Kunsan National University, Gunsan, 54150 Republic of Korea.

出版信息

3 Biotech. 2024 Sep;14(9):215. doi: 10.1007/s13205-024-04053-z. Epub 2024 Aug 28.


DOI:10.1007/s13205-024-04053-z
PMID:39220827
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11358563/
Abstract

In recent years, as more and more lung-cancer patients have been treated with immunotherapeutic agents, their survival has been prolonged compared to before. It is well known that BTK (Bruton's tyrosine kinase) is predominantly found in cells of the hematopoietic system. However, there is a distinct lack of literature on BTK expression in lung adenocarcinoma (LUAD) patients and its effect on the immune microenvironment. Consequently, the main goal of this investigation was to analyze how BTK expression in lung adenocarcinoma affects its progression, along with its prognostic significance, through the utilization of bioinformatics online resources and publicly available databases. Data on the sequencing results and clinical records of lung adenocarcinoma patients were gathered from The Cancer Genome Atlas (TCGA) database. Based on the expression level of BKT, TCGA categorized lung adenocarcinoma patients into BTK high-expression and low-expression groups. We investigated the effects of BKT on clinicopathologic, genomic, and immunologic characteristics of lung adenocarcinoma patients. We analyzed BTK mRNA expression in tumors and normal tissues using two key resources: Tumor Immuno Estimation Resource 2.0 (TIMER 2.0) and Gene Expression Profiling Interactive Analysis 2 (GEPIA 2). We analyzed the prognosis of the patients using GEPIA2 and validated the results using univariate and multivariate analyses. In addition, we assessed BTK protein expression by Human Protein Atlas (HPA). We sought to elucidate the clinical prognostic significance of BTK in The TCGA using the online tool GEPIA 2. Furthermore, to clarify the biologic roles and pathways linked to BTK, we conducted a genomic enrichment analysis of the information. To predict the proportion of various immune cell infiltrations in the immune microenvironment of lung adenocarcinoma patients diagnosed in the TCGA database, we performed an analysis using the TIMER online tool. Using TIMER and CIBERSORT, the correlation between genes co-expressed with BTK and the corresponding tumor-infiltrating immune cells was explored; finally, the relationship between BTK expression and immune infiltration and immune checkpoints in the TMB group and the high and low groups was analyzed by R language analysis using the TCGA database. The expression of BTK provides some hints about the prognosis of the patients. The high expression of BTK is involved in immune response regulation signaling pathways, leukocyte-mediated immunity, leukocyte intercellular adhesion, graft rejection, and complement. Analysis of the GEPIA 2 database showed that BTK was co-expressed with the genes FGD2, SASH3, NCKAP1L, CD53, ARHGAP30 and LPXN. Increased expression of the above-mentioned genes resulted in increased proportions of CD8 + T cells, memory CD4 + T cells, B cells, macrophages, and dendritic cells, and decreased proportions of Treg cells and TH2 cells. In addition, our study revealed a strong positive correlation between various key immune checkpoints (e.g., PDCD1, CD274, PDCD1LG2, CTLA4, HAVCR2, LAG3, TIGIT, and SIGLEC15) and BTK expression. In conclusion, increased BTK expression in lung adenocarcinoma is closely associated with prolonged survival of lung-cancer patients. Moreover, the genes classified under the BTK high-expression group exhibit significant enrichment in immune-related pathways, suggesting a potential impact on the tumor microenvironment. We investigated the potential of BTK as a tumor suppressor gene in predicting prolonged patient survival. In addition, we further investigated the possibility that BTK further affects the immunotherapeutic response of patients by influencing the microenvironment of tumor immune infiltration, but the relevant mechanisms remain to be further studied.

摘要

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本文引用的文献

[1]
Immune Determinants of the Association between Tumor Mutational Burden and Immunotherapy Response across Cancer Types.

Cancer Res. 2022-6-6

[2]
Exploring the Crosstalk between Inflammation and Epithelial-Mesenchymal Transition in Cancer.

Mediators Inflamm. 2021

[3]
The Challenges of Tumor Mutational Burden as an Immunotherapy Biomarker.

Cancer Cell. 2021-2-8

[4]
Inhibitors targeting Bruton's tyrosine kinase in cancers: drug development advances.

Leukemia. 2021-2

[5]
The future of cancer immunotherapy: microenvironment-targeting combinations.

Cell Res. 2020-6

[6]
TIMER2.0 for analysis of tumor-infiltrating immune cells.

Nucleic Acids Res. 2020-7-2

[7]
BTK Has Potential to Be a Prognostic Factor for Lung Adenocarcinoma and an Indicator for Tumor Microenvironment Remodeling: A Study Based on TCGA Data Mining.

Front Oncol. 2020-4-15

[8]
Identification and validation of tumor environment phenotypes in lung adenocarcinoma by integrative genome-scale analysis.

Cancer Immunol Immunother. 2020-3-18

[9]
Immunotherapeutic approaches for small-cell lung cancer.

Nat Rev Clin Oncol. 2020-2-13

[10]
Highly efficient and tumor-selective nanoparticles for dual-targeted immunogene therapy against cancer.

Sci Adv. 2020-1-15

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