Tumor Necrosis Factor Family Member Profile Predicts Prognosis and Adjuvant Chemotherapy Benefit for Patients With Small-Cell Lung Cancer

Tumor necrosis factor (TNF) family members participate in the body’s antitumor immunity response and influence tumor prognosis and treatment response. However, little is known about the roles of TNF family members in small cell lung cancer (SCLC). Therefore, we conducted the first comprehensive inve...

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Autores principales: Zhihui Zhang, Peng Wu, Chaoqi Zhang, Yuejun Luo, Guochao Zhang, Qingpeng Zeng, Lide Wang, Zhaoyang Yang, Nan Sun, Jie He
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/043e68500fe84285a2abee0da4e37ff8
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spelling oai:doaj.org-article:043e68500fe84285a2abee0da4e37ff82021-11-18T09:03:41ZTumor Necrosis Factor Family Member Profile Predicts Prognosis and Adjuvant Chemotherapy Benefit for Patients With Small-Cell Lung Cancer1664-322410.3389/fimmu.2021.745769https://doaj.org/article/043e68500fe84285a2abee0da4e37ff82021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fimmu.2021.745769/fullhttps://doaj.org/toc/1664-3224Tumor necrosis factor (TNF) family members participate in the body’s antitumor immunity response and influence tumor prognosis and treatment response. However, little is known about the roles of TNF family members in small cell lung cancer (SCLC). Therefore, we conducted the first comprehensive investigation of TNF family members in patients with SCLC, with the goal of using them to predict prognosis and chemotherapy benefit. Abnormal genetic alterations and expression of TNF family members were found to be widespread in SCLC patients. Using LASSO Cox regression analysis, we constructed a TNF family-based signature that separated SCLC patients in the training set (n=77) into high- and low-risk groups with distinct survival and chemotherapy benefit, and the signature was well-validated in the validation set (n=137) by RT-qPCR. Importantly, the signature exhibited superior predictive performance and was identified as a novel independent prognostic factor. Additionally, different immune phenotypes were found between the low-risk and high-risk groups, and high-risk patients had higher CMTM6 expression, suggesting that these patients could benefit from therapeutic methods targeting CMTM6. We constructed the first clinically applicable TNF family-based signature for predicting prognosis and chemotherapy benefit for patients with SCLC. The findings reported here provide a new method for predicting the prognosis of SCLC patients and optimizing clinical management.Zhihui ZhangPeng WuChaoqi ZhangYuejun LuoGuochao ZhangQingpeng ZengLide WangZhaoyang YangNan SunJie HeFrontiers Media S.A.articlesmall cell lung cancerantitumor immunitytumor necrosis factor familyprognostic predictionchemotherapy responseImmunologic diseases. AllergyRC581-607ENFrontiers in Immunology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic small cell lung cancer
antitumor immunity
tumor necrosis factor family
prognostic prediction
chemotherapy response
Immunologic diseases. Allergy
RC581-607
spellingShingle small cell lung cancer
antitumor immunity
tumor necrosis factor family
prognostic prediction
chemotherapy response
Immunologic diseases. Allergy
RC581-607
Zhihui Zhang
Peng Wu
Chaoqi Zhang
Yuejun Luo
Guochao Zhang
Qingpeng Zeng
Lide Wang
Zhaoyang Yang
Nan Sun
Jie He
Tumor Necrosis Factor Family Member Profile Predicts Prognosis and Adjuvant Chemotherapy Benefit for Patients With Small-Cell Lung Cancer
description Tumor necrosis factor (TNF) family members participate in the body’s antitumor immunity response and influence tumor prognosis and treatment response. However, little is known about the roles of TNF family members in small cell lung cancer (SCLC). Therefore, we conducted the first comprehensive investigation of TNF family members in patients with SCLC, with the goal of using them to predict prognosis and chemotherapy benefit. Abnormal genetic alterations and expression of TNF family members were found to be widespread in SCLC patients. Using LASSO Cox regression analysis, we constructed a TNF family-based signature that separated SCLC patients in the training set (n=77) into high- and low-risk groups with distinct survival and chemotherapy benefit, and the signature was well-validated in the validation set (n=137) by RT-qPCR. Importantly, the signature exhibited superior predictive performance and was identified as a novel independent prognostic factor. Additionally, different immune phenotypes were found between the low-risk and high-risk groups, and high-risk patients had higher CMTM6 expression, suggesting that these patients could benefit from therapeutic methods targeting CMTM6. We constructed the first clinically applicable TNF family-based signature for predicting prognosis and chemotherapy benefit for patients with SCLC. The findings reported here provide a new method for predicting the prognosis of SCLC patients and optimizing clinical management.
format article
author Zhihui Zhang
Peng Wu
Chaoqi Zhang
Yuejun Luo
Guochao Zhang
Qingpeng Zeng
Lide Wang
Zhaoyang Yang
Nan Sun
Jie He
author_facet Zhihui Zhang
Peng Wu
Chaoqi Zhang
Yuejun Luo
Guochao Zhang
Qingpeng Zeng
Lide Wang
Zhaoyang Yang
Nan Sun
Jie He
author_sort Zhihui Zhang
title Tumor Necrosis Factor Family Member Profile Predicts Prognosis and Adjuvant Chemotherapy Benefit for Patients With Small-Cell Lung Cancer
title_short Tumor Necrosis Factor Family Member Profile Predicts Prognosis and Adjuvant Chemotherapy Benefit for Patients With Small-Cell Lung Cancer
title_full Tumor Necrosis Factor Family Member Profile Predicts Prognosis and Adjuvant Chemotherapy Benefit for Patients With Small-Cell Lung Cancer
title_fullStr Tumor Necrosis Factor Family Member Profile Predicts Prognosis and Adjuvant Chemotherapy Benefit for Patients With Small-Cell Lung Cancer
title_full_unstemmed Tumor Necrosis Factor Family Member Profile Predicts Prognosis and Adjuvant Chemotherapy Benefit for Patients With Small-Cell Lung Cancer
title_sort tumor necrosis factor family member profile predicts prognosis and adjuvant chemotherapy benefit for patients with small-cell lung cancer
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/043e68500fe84285a2abee0da4e37ff8
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AT chaoqizhang tumornecrosisfactorfamilymemberprofilepredictsprognosisandadjuvantchemotherapybenefitforpatientswithsmallcelllungcancer
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