Chen Rongxi, Li Yuhui, Sun Wenhao, Wang Junhui, Lan Tianjun, Li Jinsong, Wu Fan, Huang Zijing
Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Guangdong-Hong Kong Joint Laboratory for RNA Medicine, Medical Research Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Transl Cancer Res. 2025 Jun 30;14(6):3797-3811. doi: 10.21037/tcr-2025-998. Epub 2025 Jun 23.
BACKGROUND: Glycolysis is a crucial metabolic pathway for energy production in tumor cells. This study aimed to identify glycolysis-related genes (GRGs) that are linked to the prognosis of oral squamous cell carcinoma (OSCC) and to develop a prognostic model based on these GRGs. METHODS: Transcriptomic data were obtained from The Cancer Genome Atlas (TCGA) database. A gene set enrichment analysis (GSEA), univariate and multivariate Cox proportional hazards analyses, and a least absolute shrinkage and selection operator (LASSO) regression analysis were used to identify the prognostically relevant GRGs, and construct a predictive model and risk-score system. A nomogram integrating the gene-based risk signature and clinical variables was subsequently established. The predictive performance of the model was validated using an external dataset obtained from the Gene Expression Omnibus (GEO) platform. Additionally, the association of the risk score with immune cell infiltration levels was assessed through CIBERSORT and TIMER, tools specifically designed for deconvoluting and quantifying immune cell populations from bulk gene expression data. RESULTS: The risk score was established based on six GRGs (i.e., , , , , and ), which were independent risk factors in the prognosis of OSCC according to multivariate Cox regression analysis [hazard ratio (HR): 1.208, 95% confidence interval (CI): 1.116-1.308, P<0.001]. Taking the median value of the risk score as the cut-off value, the patients were allocated to high- and low-risk cohorts. The Kaplan-Meier (KM) survival curve showed that the patients in the low-risk group had significantly improved overall survival. The six GRGs were then included in a nomogram, which showed excellent predictive capability in both TCGA and GEO datasets. The patient's risk score was associated with the infiltration levels of specific immune cells, including regulatory T cells, resting mast cells, and activated mast cells. This study was conducted based on comprehensive bioinformatics analysis of GRGs. CONCLUSIONS: The GRG-based risk score and prognostic nomogram could serve as tools for predicting clinical outcomes in OSCC patients. Moreover, enhanced glycolytic activity is associated with immune cell infiltration in the tumor microenvironment, suggesting a promising avenue for the development of immunotherapeutic strategies and novel anti-cancer targets in OSCC.
背景:糖酵解是肿瘤细胞能量产生的关键代谢途径。本研究旨在鉴定与口腔鳞状细胞癌(OSCC)预后相关的糖酵解相关基因(GRGs),并基于这些GRGs建立预后模型。 方法:从癌症基因组图谱(TCGA)数据库获取转录组数据。采用基因集富集分析(GSEA)、单变量和多变量Cox比例风险分析以及最小绝对收缩和选择算子(LASSO)回归分析来鉴定与预后相关的GRGs,并构建预测模型和风险评分系统。随后建立了一个整合基于基因的风险特征和临床变量的列线图。使用从基因表达综合数据库(GEO)平台获得的外部数据集验证模型的预测性能。此外,通过CIBERSORT和TIMER评估风险评分与免疫细胞浸润水平的关联,这两种工具专门用于从大量基因表达数据中解卷积和量化免疫细胞群体。 结果:基于六个GRGs(即 、 、 、 、 和 )建立了风险评分,根据多变量Cox回归分析,这些基因是OSCC预后的独立危险因素[风险比(HR):1.208,95%置信区间(CI):1.116 - 1.308,P < 0.001]。以风险评分的中位数作为截断值,将患者分为高风险和低风险队列。Kaplan-Meier(KM)生存曲线显示,低风险组患者的总生存期显著改善。然后将这六个GRGs纳入列线图,该列线图在TCGA和GEO数据集中均显示出优异的预测能力。患者的风险评分与特定免疫细胞的浸润水平相关,包括调节性T细胞、静息肥大细胞和活化肥大细胞。本研究基于对GRGs的综合生物信息学分析进行。 结论:基于GRG的风险评分和预后列线图可作为预测OSCC患者临床结局的工具。此外,糖酵解活性增强与肿瘤微环境中的免疫细胞浸润相关,这为OSCC免疫治疗策略和新型抗癌靶点的开发提供了一条有前景的途径。
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