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基于免疫相关基因的肝癌患者预后指标的探索。

Exploration of prognostic index based on immune-related genes in patients with liver hepatocellular carcinoma.

机构信息

Department of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.

Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.

出版信息

Biosci Rep. 2020 Jul 31;40(7). doi: 10.1042/BSR20194240.

Abstract

The present study aimed to screen the immune-related genes (IRGs) in patients with liver hepatocellular carcinoma (LIHC) and construct a synthetic index for indicating the prognostic outcomes. The bioinformatic analysis was performed on the data of 374 cancer tissues and 50 normal tissues, which were downloaded from TCGA database. We observed that 17 differentially expressed IRGs were significantly associated with survival in LIHC patients. These LIHC-specific IRGs were validated with function analysis and molecular characteristics. Cox analysis was applied for constructing a RiskScore for predicting the survival. The RiskScore involved six IRGs and corresponding coefficients, which was calculated with the following formula: RiskScore = [Expression level of FABP5 *(0.064)] + [Expression level of TRAF3 * (0.198)] + [Expression level of CSPG5 * (0.416)] + [Expression level of IL17D * (0.197)] + [Expression level of STC2 * (0.036)] + [Expression level of BRD8 * (0.140)]. The RiskScore was positively associated with the poor survival, which was verified with the dataset from ICGC database. Further analysis revealed that the RiskScore was independent of any other clinical feature, while it was linked with the infiltration levels of six types of immune cells. Our study reported the survival-associated IRGs in LIHC and then constructed IRGs-based RiskScore as prognostic indicator for screening patients with high risk of short survival. Both the screened IRGs and IRGs-based RiskScore were clinically significant, which may be informative for promoting the individualized immunotherapy against LIHC.

摘要

本研究旨在筛选肝癌(LIHC)患者的免疫相关基因(IRGs),并构建一个综合指标来指示预后结果。对从 TCGA 数据库下载的 374 个癌症组织和 50 个正常组织的数据进行了生物信息学分析。我们观察到 17 个差异表达的 IRGs 与 LIHC 患者的生存显著相关。这些 LIHC 特异性 IRGs 通过功能分析和分子特征进行了验证。Cox 分析用于构建预测生存的 RiskScore。RiskScore 涉及六个 IRG 和相应的系数,其计算公式为:RiskScore = [FABP5 的表达水平*(0.064)] + [TRAF3 的表达水平*(0.198)] + [CSPG5 的表达水平*(0.416)] + [IL17D 的表达水平*(0.197)] + [STC2 的表达水平*(0.036)] + [BRD8 的表达水平*(0.140)]。RiskScore 与不良生存呈正相关,这在 ICGC 数据库的数据集上得到了验证。进一步分析表明,RiskScore 独立于任何其他临床特征,而与六种免疫细胞浸润水平相关。我们的研究报告了 LIHC 中与生存相关的 IRGs,然后构建了基于 IRGs 的 RiskScore 作为筛选短期生存风险高的患者的预后指标。筛选出的 IRGs 和基于 IRGs 的 RiskScore 均具有临床意义,可能有助于促进针对 LIHC 的个体化免疫治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0053/7327182/a36421063706/bsr-40-bsr20194240-g1.jpg

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