Qi Teng, Hu Yujie, Wan Junhao, Zhao Bo, Xiao Jinsuo, Liu Jie, Cheng Ye, Wu He, Lv Yonggang, Ji Fuqing
School of Medicine, Northwest University, Xi'an, Shaanxi, China.
Xi'an NO.3 Hospital, The Affiliated Hospital of Northwest University, Xi'an, Shaanxi, China.
Front Cell Dev Biol. 2024 Oct 17;12:1478478. doi: 10.3389/fcell.2024.1478478. eCollection 2024.
BACKGROUND: Breast cancer, despite significant advancements in treatment, remains a major cause of cancer-related deaths among women. Immunotherapy, an emerging therapeutic strategy, offers promise for better outcomes, particularly through the modulation of immune functions. Glioma-Associated Oncogene Homolog 1 (GLI1), a transcription factor implicated in cancer biology, has shown varying roles in different cancers. However, its immunoregulatory functions in breast invasive carcinoma (BRCA) remain elusive. The current study aimed to unravel the expression patterns and immune-regulatory roles of GLI1 in BRCA. METHODS: Utilizing multiple bioinformatic platforms (TIMER2.0, GEPIA2, and R packages) based on The Cancer Genome Atlas (TCGA) and/or Genotype-Tissue Expression (GTEx) databases, we analyzed the expression of GLI1 in BRCA and its pan-cancer expression profiles. We further validated these findings by conducting qPCR and immunohistochemical staining on clinical BRCA samples. Kaplan-Meier analysis and Cox proportional hazards regression were performed to assess the prognostic value of GLI1. Additionally, the association between GLI1 expression and immune infiltration within the tumor immune microenvironment (TMIE) was examined. RESULTS: The findings reveal dysregulated expression of GLI1 in numerous cancers, with a significant decrease observed in BRCA. High GLI1 expression indicated better survival outcomes and was correlated with the age and stage of BRCA patients. GLI1 was involved in immune status, as evidenced by its strong correlations with immune and stromal scores and the infiltration levels of multiple immune cells. Meanwhile, GLI1 was co-expressed with multiple immune-related genes, and high GLI1 expression was associated with the activation of immune-related pathways, such as binding to proteasome and mismatch repair and retinol metabolism signaling pathways. Additionally, the differential expression of GLI1 may be related to the effect of immunotherapy on CTLA-4, PD-1, and other signals, and can effectively predict the immune efficacy. CONCLUSION: Our study underscores the critical role of GLI1 in BRCA, both as a potential tumor suppressor and an immune regulator. The association between GLI1 expression and favorable prognosis suggests its potential as a prognostic biomarker and immunotherapeutic target in BRCA.
背景:尽管乳腺癌治疗取得了重大进展,但它仍是女性癌症相关死亡的主要原因。免疫疗法作为一种新兴的治疗策略,有望带来更好的治疗效果,特别是通过调节免疫功能。胶质瘤相关癌基因同源物1(GLI1)是一种与癌症生物学相关的转录因子,在不同癌症中表现出不同的作用。然而,其在乳腺浸润性癌(BRCA)中的免疫调节功能仍不清楚。本研究旨在揭示GLI1在BRCA中的表达模式和免疫调节作用。 方法:利用基于癌症基因组图谱(TCGA)和/或基因型-组织表达(GTEx)数据库的多个生物信息学平台(TIMER2.0、GEPIA2和R包),我们分析了GLI1在BRCA中的表达及其泛癌表达谱。我们通过对临床BRCA样本进行qPCR和免疫组织化学染色进一步验证了这些发现。进行Kaplan-Meier分析和Cox比例风险回归以评估GLI1的预后价值。此外,还研究了GLI1表达与肿瘤免疫微环境(TMIE)内免疫浸润之间的关联。 结果:研究结果显示GLI1在多种癌症中表达失调,在BRCA中显著降低。高GLI1表达表明生存结果更好,并且与BRCA患者的年龄和分期相关。GLI1参与免疫状态,这通过其与免疫和基质评分以及多种免疫细胞浸润水平的强相关性得到证明。同时,GLI1与多个免疫相关基因共表达,高GLI1表达与免疫相关途径的激活有关,如与蛋白酶体、错配修复和视黄醇代谢信号通路的结合。此外,GLI1的差异表达可能与免疫疗法对CTLA-4、PD-1等信号的影响有关,并且可以有效预测免疫疗效。 结论:我们的研究强调了GLI1在BRCA中的关键作用,它既是一种潜在的肿瘤抑制因子,也是一种免疫调节因子。GLI1表达与良好预后之间的关联表明其作为BRCA预后生物标志物和免疫治疗靶点的潜力。
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