Identification and Validation of a Tumor Microenvironment-Related Gene Signature in Hepatocellular Carcinoma Prognosis

Background: Hepatocellular carcinoma (HCC) is a typical inflammatory-related malignant tumor with complex immune tolerance microenvironment and poor prognosis. In this study, we aimed to construct a novel immune-related gene signature for the prognosis of HCC patients, exploring tumor microenvironme...

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Autores principales: Changjing Huang, Chenyue Zhang, Jie Sheng, Dan Wang, Yingke Zhao, Ling Qian, Lin Xie, Zhiqiang Meng
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:75f9bd9727a84f37a441ab9565849eef2021-12-01T07:22:27ZIdentification and Validation of a Tumor Microenvironment-Related Gene Signature in Hepatocellular Carcinoma Prognosis1664-802110.3389/fgene.2021.717319https://doaj.org/article/75f9bd9727a84f37a441ab9565849eef2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fgene.2021.717319/fullhttps://doaj.org/toc/1664-8021Background: Hepatocellular carcinoma (HCC) is a typical inflammatory-related malignant tumor with complex immune tolerance microenvironment and poor prognosis. In this study, we aimed to construct a novel immune-related gene signature for the prognosis of HCC patients, exploring tumor microenvironment (TME) cell infiltration characterization and potential mechanisms.Methods: A total of 364 HCC samples with follow-up information in the TCGA-LIHC dataset were analyzed for the training of the prognostic signature. The Least Absolute Shrinkage and Selector Operation (LASSO) regression based on the IRGs was conducted to identify the prognostic genes and establish an immune risk signature. The immune cell infiltration in TME was estimated via the CIBERSORT method. Gene Set Variation Analysis (GSVA) was conducted to compare the biological pathways involved in the low-risk and high-risk groups. Furthermore, paraffin sections of HCC tissue microarrays containing 77 patients from Fudan University Shanghai Cancer Center were used for IHC staining. The clinical characteristics of the 77 HCC patients were collected and summarized for survival analysis validation via the Kaplan–Meier (KM) method.Results: Three-gene signature with close immune correlation (Risk score = EPO * 0.02838 + BIRC5 * 0.02477 + SPP1 * 0.0002044) was constructed eventually and proven to be an effective prognostic factor for HCC patients. The patients were divided into a high-risk and a low-risk group according to the optimal cutoff, and the survival analysis revealed that HCC samples with high-risk immuno-score had significantly poorer outcomes than the low-risk group (p < 0.0001). The results of CIBERSORT suggested that the immune cell activation was relatively higher in the low-risk group with better prognosis. Besides, GSVA analysis showed multiple signaling differences between the high- and low-risk group, indicating that the three-gene prognostic model can affect the prognosis of patients by affecting immune-related mechanisms. Tissue microarray (TMA) results further confirmed that the expression of three genes in HCC tissues was closely related to the prognosis of patients, respectively.Conclusion: In this study, we constructed and validated a robust three-gene signature with close immune correlation in HCC, which presented a reliable performance in the prediction of HCC patients’ survival.Changjing HuangChangjing HuangChenyue ZhangChenyue ZhangJie ShengJie ShengDan WangDan WangYingke ZhaoYingke ZhaoLing QianLing QianLin XieLin XieZhiqiang MengZhiqiang MengFrontiers Media S.A.articlehepatocellular carcinomatumor microenvironmentprognosisEPOBIRC5SPP1GeneticsQH426-470ENFrontiers in Genetics, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic hepatocellular carcinoma
tumor microenvironment
prognosis
EPO
BIRC5
SPP1
Genetics
QH426-470
spellingShingle hepatocellular carcinoma
tumor microenvironment
prognosis
EPO
BIRC5
SPP1
Genetics
QH426-470
Changjing Huang
Changjing Huang
Chenyue Zhang
Chenyue Zhang
Jie Sheng
Jie Sheng
Dan Wang
Dan Wang
Yingke Zhao
Yingke Zhao
Ling Qian
Ling Qian
Lin Xie
Lin Xie
Zhiqiang Meng
Zhiqiang Meng
Identification and Validation of a Tumor Microenvironment-Related Gene Signature in Hepatocellular Carcinoma Prognosis
description Background: Hepatocellular carcinoma (HCC) is a typical inflammatory-related malignant tumor with complex immune tolerance microenvironment and poor prognosis. In this study, we aimed to construct a novel immune-related gene signature for the prognosis of HCC patients, exploring tumor microenvironment (TME) cell infiltration characterization and potential mechanisms.Methods: A total of 364 HCC samples with follow-up information in the TCGA-LIHC dataset were analyzed for the training of the prognostic signature. The Least Absolute Shrinkage and Selector Operation (LASSO) regression based on the IRGs was conducted to identify the prognostic genes and establish an immune risk signature. The immune cell infiltration in TME was estimated via the CIBERSORT method. Gene Set Variation Analysis (GSVA) was conducted to compare the biological pathways involved in the low-risk and high-risk groups. Furthermore, paraffin sections of HCC tissue microarrays containing 77 patients from Fudan University Shanghai Cancer Center were used for IHC staining. The clinical characteristics of the 77 HCC patients were collected and summarized for survival analysis validation via the Kaplan–Meier (KM) method.Results: Three-gene signature with close immune correlation (Risk score = EPO * 0.02838 + BIRC5 * 0.02477 + SPP1 * 0.0002044) was constructed eventually and proven to be an effective prognostic factor for HCC patients. The patients were divided into a high-risk and a low-risk group according to the optimal cutoff, and the survival analysis revealed that HCC samples with high-risk immuno-score had significantly poorer outcomes than the low-risk group (p < 0.0001). The results of CIBERSORT suggested that the immune cell activation was relatively higher in the low-risk group with better prognosis. Besides, GSVA analysis showed multiple signaling differences between the high- and low-risk group, indicating that the three-gene prognostic model can affect the prognosis of patients by affecting immune-related mechanisms. Tissue microarray (TMA) results further confirmed that the expression of three genes in HCC tissues was closely related to the prognosis of patients, respectively.Conclusion: In this study, we constructed and validated a robust three-gene signature with close immune correlation in HCC, which presented a reliable performance in the prediction of HCC patients’ survival.
format article
author Changjing Huang
Changjing Huang
Chenyue Zhang
Chenyue Zhang
Jie Sheng
Jie Sheng
Dan Wang
Dan Wang
Yingke Zhao
Yingke Zhao
Ling Qian
Ling Qian
Lin Xie
Lin Xie
Zhiqiang Meng
Zhiqiang Meng
author_facet Changjing Huang
Changjing Huang
Chenyue Zhang
Chenyue Zhang
Jie Sheng
Jie Sheng
Dan Wang
Dan Wang
Yingke Zhao
Yingke Zhao
Ling Qian
Ling Qian
Lin Xie
Lin Xie
Zhiqiang Meng
Zhiqiang Meng
author_sort Changjing Huang
title Identification and Validation of a Tumor Microenvironment-Related Gene Signature in Hepatocellular Carcinoma Prognosis
title_short Identification and Validation of a Tumor Microenvironment-Related Gene Signature in Hepatocellular Carcinoma Prognosis
title_full Identification and Validation of a Tumor Microenvironment-Related Gene Signature in Hepatocellular Carcinoma Prognosis
title_fullStr Identification and Validation of a Tumor Microenvironment-Related Gene Signature in Hepatocellular Carcinoma Prognosis
title_full_unstemmed Identification and Validation of a Tumor Microenvironment-Related Gene Signature in Hepatocellular Carcinoma Prognosis
title_sort identification and validation of a tumor microenvironment-related gene signature in hepatocellular carcinoma prognosis
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/75f9bd9727a84f37a441ab9565849eef
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