DNA Methylation Modification Map to Predict Tumor Molecular Subtypes and Efficacy of Immunotherapy in Bladder Cancer

Background: Considering the heterogeneity and complexity of epigenetic regulation in bladder cancer, the underlying mechanisms of global DNA methylation modification in the immune microenvironment must be investigated to predict the prognosis outcomes and clinical response to immunotherapy.Methods:...

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Autores principales: Fangdie Ye, Yingchun Liang, Jimeng Hu, Yun Hu, Yufei Liu, Zhang Cheng, Yuxi Ou, Chenyang Xu, Haowen Jiang
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/227e965f12f74acab84b3886153e2f1c
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spelling oai:doaj.org-article:227e965f12f74acab84b3886153e2f1c2021-12-03T06:57:33ZDNA Methylation Modification Map to Predict Tumor Molecular Subtypes and Efficacy of Immunotherapy in Bladder Cancer2296-634X10.3389/fcell.2021.760369https://doaj.org/article/227e965f12f74acab84b3886153e2f1c2021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcell.2021.760369/fullhttps://doaj.org/toc/2296-634XBackground: Considering the heterogeneity and complexity of epigenetic regulation in bladder cancer, the underlying mechanisms of global DNA methylation modification in the immune microenvironment must be investigated to predict the prognosis outcomes and clinical response to immunotherapy.Methods: We systematically assessed the DNA methylation modes of 985 integrated bladder cancer samples with the unsupervised clustering algorithm. Subsequently, these DNA methylation modes were analyzed for their correlations with features of the immune microenvironment. The principal analysis algorithm was performed to calculate the DMRscores of each samples for qualification analysis.Findings: Three DNA methylation modes were revealed among 985 bladder cancer samples, and these modes are related to diverse clinical outcomes and several immune microenvironment phenotypes, e.g., immune-desert, immune-inflamed, and immune-excluded ones. Then patients were classified into high- and low-DMRscore subgroups according to the DMRscore, which was calculated based on the expression of DNA methylation related genes (DMRGs). Patients with the low-DMRscore subgroup presented a prominent survival advantage that was significantly correlated to the immune-inflamed phenotype. Further analysis revealed that patients with low DMRscores exhibited less TP53 wild mutation, lower cancer stage and molecular subtypes were mainly papillary subtypes. In addition, an independent immunotherapy cohort confirmed that DMRscore could serve as a signature to predict prognosis outcomes and immune responses.Conclusion: Global DNA methylation modes can be used to predict the immunophenotypes, aggressiveness, and immune responses of bladder cancer. DNA methylation status assessments will strengthen our insights into the features of the immune microenvironment and promote the development of more effective treatment strategies.Fangdie YeFangdie YeYingchun LiangYingchun LiangJimeng HuJimeng HuYun HuYun HuYufei LiuYufei LiuZhang ChengZhang ChengYuxi OuYuxi OuChenyang XuChenyang XuHaowen JiangHaowen JiangHaowen JiangFrontiers Media S.A.articlebladder cancerDNA methylation regulatorsimmunotherapyprognostic modeltumor microenvironmentBiology (General)QH301-705.5ENFrontiers in Cell and Developmental Biology, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic bladder cancer
DNA methylation regulators
immunotherapy
prognostic model
tumor microenvironment
Biology (General)
QH301-705.5
spellingShingle bladder cancer
DNA methylation regulators
immunotherapy
prognostic model
tumor microenvironment
Biology (General)
QH301-705.5
Fangdie Ye
Fangdie Ye
Yingchun Liang
Yingchun Liang
Jimeng Hu
Jimeng Hu
Yun Hu
Yun Hu
Yufei Liu
Yufei Liu
Zhang Cheng
Zhang Cheng
Yuxi Ou
Yuxi Ou
Chenyang Xu
Chenyang Xu
Haowen Jiang
Haowen Jiang
Haowen Jiang
DNA Methylation Modification Map to Predict Tumor Molecular Subtypes and Efficacy of Immunotherapy in Bladder Cancer
description Background: Considering the heterogeneity and complexity of epigenetic regulation in bladder cancer, the underlying mechanisms of global DNA methylation modification in the immune microenvironment must be investigated to predict the prognosis outcomes and clinical response to immunotherapy.Methods: We systematically assessed the DNA methylation modes of 985 integrated bladder cancer samples with the unsupervised clustering algorithm. Subsequently, these DNA methylation modes were analyzed for their correlations with features of the immune microenvironment. The principal analysis algorithm was performed to calculate the DMRscores of each samples for qualification analysis.Findings: Three DNA methylation modes were revealed among 985 bladder cancer samples, and these modes are related to diverse clinical outcomes and several immune microenvironment phenotypes, e.g., immune-desert, immune-inflamed, and immune-excluded ones. Then patients were classified into high- and low-DMRscore subgroups according to the DMRscore, which was calculated based on the expression of DNA methylation related genes (DMRGs). Patients with the low-DMRscore subgroup presented a prominent survival advantage that was significantly correlated to the immune-inflamed phenotype. Further analysis revealed that patients with low DMRscores exhibited less TP53 wild mutation, lower cancer stage and molecular subtypes were mainly papillary subtypes. In addition, an independent immunotherapy cohort confirmed that DMRscore could serve as a signature to predict prognosis outcomes and immune responses.Conclusion: Global DNA methylation modes can be used to predict the immunophenotypes, aggressiveness, and immune responses of bladder cancer. DNA methylation status assessments will strengthen our insights into the features of the immune microenvironment and promote the development of more effective treatment strategies.
format article
author Fangdie Ye
Fangdie Ye
Yingchun Liang
Yingchun Liang
Jimeng Hu
Jimeng Hu
Yun Hu
Yun Hu
Yufei Liu
Yufei Liu
Zhang Cheng
Zhang Cheng
Yuxi Ou
Yuxi Ou
Chenyang Xu
Chenyang Xu
Haowen Jiang
Haowen Jiang
Haowen Jiang
author_facet Fangdie Ye
Fangdie Ye
Yingchun Liang
Yingchun Liang
Jimeng Hu
Jimeng Hu
Yun Hu
Yun Hu
Yufei Liu
Yufei Liu
Zhang Cheng
Zhang Cheng
Yuxi Ou
Yuxi Ou
Chenyang Xu
Chenyang Xu
Haowen Jiang
Haowen Jiang
Haowen Jiang
author_sort Fangdie Ye
title DNA Methylation Modification Map to Predict Tumor Molecular Subtypes and Efficacy of Immunotherapy in Bladder Cancer
title_short DNA Methylation Modification Map to Predict Tumor Molecular Subtypes and Efficacy of Immunotherapy in Bladder Cancer
title_full DNA Methylation Modification Map to Predict Tumor Molecular Subtypes and Efficacy of Immunotherapy in Bladder Cancer
title_fullStr DNA Methylation Modification Map to Predict Tumor Molecular Subtypes and Efficacy of Immunotherapy in Bladder Cancer
title_full_unstemmed DNA Methylation Modification Map to Predict Tumor Molecular Subtypes and Efficacy of Immunotherapy in Bladder Cancer
title_sort dna methylation modification map to predict tumor molecular subtypes and efficacy of immunotherapy in bladder cancer
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/227e965f12f74acab84b3886153e2f1c
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