Establishment and validation of a cholesterol metabolism-related prognostic signature for hepatocellular carcinoma

Hepatocellular carcinoma (HCC) represents the most important type of liver cancer, the 5-year survival rate for advanced HCC is 2%. The heterogeneity of HCC makes previous models fail to achieve satisfactory results. The role of Cholesterol-based metabolic reprogramming in cancer has attracted more...

Full description

Bibliographic Details
Main Authors: Linsong Tang, Rongli Wei, Ronggao Chen, Guanghan Fan, Junbin Zhou, Zhetuo Qi, Kai Wang, Qiang Wei, Xuyong Wei, Xiao Xu
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Computational and Structural Biotechnology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2001037022003105
_version_ 1797978193970331648
author Linsong Tang
Rongli Wei
Ronggao Chen
Guanghan Fan
Junbin Zhou
Zhetuo Qi
Kai Wang
Qiang Wei
Xuyong Wei
Xiao Xu
author_facet Linsong Tang
Rongli Wei
Ronggao Chen
Guanghan Fan
Junbin Zhou
Zhetuo Qi
Kai Wang
Qiang Wei
Xuyong Wei
Xiao Xu
author_sort Linsong Tang
collection DOAJ
description Hepatocellular carcinoma (HCC) represents the most important type of liver cancer, the 5-year survival rate for advanced HCC is 2%. The heterogeneity of HCC makes previous models fail to achieve satisfactory results. The role of Cholesterol-based metabolic reprogramming in cancer has attracted more and more attention. In this study, we screened cholesterol metabolism-related genes (CMRGs) based on a systematical analysis from TCGA and GEO database. Then, we constructed a prognostic signature based on the screened 5 CMRGs: FDPS, FABP5, ANXA2, ACADL and HMGCS2. The clinical value of the five CMRGs was validated by TCGA database and HPA database. HCC patients were assigned to the high-risk and low-risk groups on the basis of median risk score calculated by the five CMRGs. We evaluated the signature in TCGA database and validated in ICGC database. The results revealed that the prognostic signature had good prognostic performance, even among different clinicopathological subgroups. The function analysis linked CMRGs with KEGG pathway, such as cell adhesion molecules, drug metabolism-cytochrome P450 and other related pathways. In addition, patients in the high-risk group exhibited characteristics of high TP53 mutation, high immune checkpoints expression and high immune cell infiltration. Furthermore, based on the prognostic signature, we identified 25 most significant small molecule drugs as potential drugs for HCC patients. Finally, a nomogram combined risk score and TNM stage was constructed. These results indicated our prognostic signature has an excellent prediction performance. This study is expected to provide a potential diagnostic and therapeutic strategies for HCC.
first_indexed 2024-04-11T05:19:05Z
format Article
id doaj.art-02c866fd02fc40f3be3679d82f8f519b
institution Directory Open Access Journal
issn 2001-0370
language English
last_indexed 2024-04-11T05:19:05Z
publishDate 2022-01-01
publisher Elsevier
record_format Article
series Computational and Structural Biotechnology Journal
spelling doaj.art-02c866fd02fc40f3be3679d82f8f519b2022-12-24T04:53:32ZengElsevierComputational and Structural Biotechnology Journal2001-03702022-01-012044024414Establishment and validation of a cholesterol metabolism-related prognostic signature for hepatocellular carcinomaLinsong Tang0Rongli Wei1Ronggao Chen2Guanghan Fan3Junbin Zhou4Zhetuo Qi5Kai Wang6Qiang Wei7Xuyong Wei8Xiao Xu9Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China; Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou 310024, China; NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Institute of Organ Transplantation, Zhejiang University, Hangzhou 310003, ChinaKey Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China; Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou 310024, China; NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Institute of Organ Transplantation, Zhejiang University, Hangzhou 310003, ChinaNHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Institute of Organ Transplantation, Zhejiang University, Hangzhou 310003, ChinaKey Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China; Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou 310024, China; NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Institute of Organ Transplantation, Zhejiang University, Hangzhou 310003, ChinaKey Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China; Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou 310024, China; NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Institute of Organ Transplantation, Zhejiang University, Hangzhou 310003, ChinaKey Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China; Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou 310024, China; NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Institute of Organ Transplantation, Zhejiang University, Hangzhou 310003, ChinaKey Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China; Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou 310024, China; NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Institute of Organ Transplantation, Zhejiang University, Hangzhou 310003, ChinaKey Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China; Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou 310024, China; NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Institute of Organ Transplantation, Zhejiang University, Hangzhou 310003, ChinaKey Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China; Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou 310024, China; NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Institute of Organ Transplantation, Zhejiang University, Hangzhou 310003, ChinaKey Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China; Westlake Laboratory of Life Sciences and Biomedicine, Hangzhou 310024, China; NHC Key Laboratory of Combined Multi-organ Transplantation, Hangzhou 310003, China; Institute of Organ Transplantation, Zhejiang University, Hangzhou 310003, China; Corresponding author at: Key Laboratory of Integrated Oncology and Intelligent Medicine of Zhejiang Province, Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China.Hepatocellular carcinoma (HCC) represents the most important type of liver cancer, the 5-year survival rate for advanced HCC is 2%. The heterogeneity of HCC makes previous models fail to achieve satisfactory results. The role of Cholesterol-based metabolic reprogramming in cancer has attracted more and more attention. In this study, we screened cholesterol metabolism-related genes (CMRGs) based on a systematical analysis from TCGA and GEO database. Then, we constructed a prognostic signature based on the screened 5 CMRGs: FDPS, FABP5, ANXA2, ACADL and HMGCS2. The clinical value of the five CMRGs was validated by TCGA database and HPA database. HCC patients were assigned to the high-risk and low-risk groups on the basis of median risk score calculated by the five CMRGs. We evaluated the signature in TCGA database and validated in ICGC database. The results revealed that the prognostic signature had good prognostic performance, even among different clinicopathological subgroups. The function analysis linked CMRGs with KEGG pathway, such as cell adhesion molecules, drug metabolism-cytochrome P450 and other related pathways. In addition, patients in the high-risk group exhibited characteristics of high TP53 mutation, high immune checkpoints expression and high immune cell infiltration. Furthermore, based on the prognostic signature, we identified 25 most significant small molecule drugs as potential drugs for HCC patients. Finally, a nomogram combined risk score and TNM stage was constructed. These results indicated our prognostic signature has an excellent prediction performance. This study is expected to provide a potential diagnostic and therapeutic strategies for HCC.http://www.sciencedirect.com/science/article/pii/S2001037022003105Hepatocellular carcinomaCholesterol metabolismPrognostic signatureTherapeutic response
spellingShingle Linsong Tang
Rongli Wei
Ronggao Chen
Guanghan Fan
Junbin Zhou
Zhetuo Qi
Kai Wang
Qiang Wei
Xuyong Wei
Xiao Xu
Establishment and validation of a cholesterol metabolism-related prognostic signature for hepatocellular carcinoma
Computational and Structural Biotechnology Journal
Hepatocellular carcinoma
Cholesterol metabolism
Prognostic signature
Therapeutic response
title Establishment and validation of a cholesterol metabolism-related prognostic signature for hepatocellular carcinoma
title_full Establishment and validation of a cholesterol metabolism-related prognostic signature for hepatocellular carcinoma
title_fullStr Establishment and validation of a cholesterol metabolism-related prognostic signature for hepatocellular carcinoma
title_full_unstemmed Establishment and validation of a cholesterol metabolism-related prognostic signature for hepatocellular carcinoma
title_short Establishment and validation of a cholesterol metabolism-related prognostic signature for hepatocellular carcinoma
title_sort establishment and validation of a cholesterol metabolism related prognostic signature for hepatocellular carcinoma
topic Hepatocellular carcinoma
Cholesterol metabolism
Prognostic signature
Therapeutic response
url http://www.sciencedirect.com/science/article/pii/S2001037022003105
work_keys_str_mv AT linsongtang establishmentandvalidationofacholesterolmetabolismrelatedprognosticsignatureforhepatocellularcarcinoma
AT rongliwei establishmentandvalidationofacholesterolmetabolismrelatedprognosticsignatureforhepatocellularcarcinoma
AT ronggaochen establishmentandvalidationofacholesterolmetabolismrelatedprognosticsignatureforhepatocellularcarcinoma
AT guanghanfan establishmentandvalidationofacholesterolmetabolismrelatedprognosticsignatureforhepatocellularcarcinoma
AT junbinzhou establishmentandvalidationofacholesterolmetabolismrelatedprognosticsignatureforhepatocellularcarcinoma
AT zhetuoqi establishmentandvalidationofacholesterolmetabolismrelatedprognosticsignatureforhepatocellularcarcinoma
AT kaiwang establishmentandvalidationofacholesterolmetabolismrelatedprognosticsignatureforhepatocellularcarcinoma
AT qiangwei establishmentandvalidationofacholesterolmetabolismrelatedprognosticsignatureforhepatocellularcarcinoma
AT xuyongwei establishmentandvalidationofacholesterolmetabolismrelatedprognosticsignatureforhepatocellularcarcinoma
AT xiaoxu establishmentandvalidationofacholesterolmetabolismrelatedprognosticsignatureforhepatocellularcarcinoma