A novel T-cell exhaustion-related feature can accurately predict the prognosis of OC patients

The phenomenon of T Cell exhaustion (TEX) entails a progressive deterioration in the functionality of T cells within the immune system during prolonged conflicts with chronic infections or tumors. In the context of ovarian cancer immunotherapy, the development, and outcome of treatment are closely l...

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Main Authors: Kemiao Yuan, Songyun Zhao, Bicheng Ye, Qi Wang, Yuan Liu, Pengpeng Zhang, Jiaheng Xie, Hao Chi, Yu Chen, Chao Cheng, Jinhui Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2023.1192777/full
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author Kemiao Yuan
Songyun Zhao
Bicheng Ye
Qi Wang
Yuan Liu
Pengpeng Zhang
Jiaheng Xie
Hao Chi
Yu Chen
Chao Cheng
Jinhui Liu
author_facet Kemiao Yuan
Songyun Zhao
Bicheng Ye
Qi Wang
Yuan Liu
Pengpeng Zhang
Jiaheng Xie
Hao Chi
Yu Chen
Chao Cheng
Jinhui Liu
author_sort Kemiao Yuan
collection DOAJ
description The phenomenon of T Cell exhaustion (TEX) entails a progressive deterioration in the functionality of T cells within the immune system during prolonged conflicts with chronic infections or tumors. In the context of ovarian cancer immunotherapy, the development, and outcome of treatment are closely linked to T-cell exhaustion. Hence, gaining an in-depth understanding of the features of TEX within the immune microenvironment of ovarian cancer is of paramount importance for the management of OC patients. To this end, we leveraged single-cell RNA data from OC to perform clustering and identify T-cell marker genes utilizing the Unified Modal Approximation and Projection (UMAP) approach. Through GSVA and WGCNA in bulk RNA-seq data, we identified 185 TEX-related genes (TEXRGs). Subsequently, we transformed ten machine learning algorithms into 80 combinations and selected the most optimal one to construct TEX-related prognostic features (TEXRPS) based on the mean C-index of the three OC cohorts. In addition, we explored the disparities in clinicopathological features, mutational status, immune cell infiltration, and immunotherapy efficacy between the high-risk (HR) and low-risk (LR) groups. Upon the integration of clinicopathological features, TEXRPS displayed robust predictive power. Notably, patients in the LR group exhibited a superior prognosis, higher tumor mutational load (TMB), greater immune cell infiltration abundance, and enhanced sensitivity to immunotherapy. Lastly, we verified the differential expression of the model gene CD44 using qRT-PCR. In conclusion, our study offers a valuable tool to guide clinical management and targeted therapy of OC.
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spelling doaj.art-03800633e58e4259a7000a346c3cd5cf2023-05-22T04:29:48ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122023-05-011410.3389/fphar.2023.11927771192777A novel T-cell exhaustion-related feature can accurately predict the prognosis of OC patientsKemiao Yuan0Songyun Zhao1Bicheng Ye2Qi Wang3Yuan Liu4Pengpeng Zhang5Jiaheng Xie6Hao Chi7Yu Chen8Chao Cheng9Jinhui Liu10Department of Oncology, Traditional Chinese Medicine Hospital of Wuxi, Wuxi, ChinaDepartment of Neurosurgery, Wuxi People’s Hospital Affiliated to Nanjing Medical University, Wuxi, ChinaSchool of Clinical Medicine, Yangzhou Polytechnic College, Yangzhou, ChinaDepartment of Gastroenterology, Affiliated Hospital of Jiangsu University, Zhenjiang, ChinaDepartment of General Surgery, Wuxi People’s Hospital Affiliated to Nanjing Medical University, Wuxi, ChinaThe First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaThe First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaSouthwest Medical University, Luzhou, ChinaWuxi Maternal and Child Health Care Hospital, Wuxi, ChinaDepartment of Neurosurgery, Wuxi People’s Hospital Affiliated to Nanjing Medical University, Wuxi, ChinaDepartment of Gynecology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaThe phenomenon of T Cell exhaustion (TEX) entails a progressive deterioration in the functionality of T cells within the immune system during prolonged conflicts with chronic infections or tumors. In the context of ovarian cancer immunotherapy, the development, and outcome of treatment are closely linked to T-cell exhaustion. Hence, gaining an in-depth understanding of the features of TEX within the immune microenvironment of ovarian cancer is of paramount importance for the management of OC patients. To this end, we leveraged single-cell RNA data from OC to perform clustering and identify T-cell marker genes utilizing the Unified Modal Approximation and Projection (UMAP) approach. Through GSVA and WGCNA in bulk RNA-seq data, we identified 185 TEX-related genes (TEXRGs). Subsequently, we transformed ten machine learning algorithms into 80 combinations and selected the most optimal one to construct TEX-related prognostic features (TEXRPS) based on the mean C-index of the three OC cohorts. In addition, we explored the disparities in clinicopathological features, mutational status, immune cell infiltration, and immunotherapy efficacy between the high-risk (HR) and low-risk (LR) groups. Upon the integration of clinicopathological features, TEXRPS displayed robust predictive power. Notably, patients in the LR group exhibited a superior prognosis, higher tumor mutational load (TMB), greater immune cell infiltration abundance, and enhanced sensitivity to immunotherapy. Lastly, we verified the differential expression of the model gene CD44 using qRT-PCR. In conclusion, our study offers a valuable tool to guide clinical management and targeted therapy of OC.https://www.frontiersin.org/articles/10.3389/fphar.2023.1192777/fullt cell exhaustionOCScRNA-seqmachine learningimmunotherapy
spellingShingle Kemiao Yuan
Songyun Zhao
Bicheng Ye
Qi Wang
Yuan Liu
Pengpeng Zhang
Jiaheng Xie
Hao Chi
Yu Chen
Chao Cheng
Jinhui Liu
A novel T-cell exhaustion-related feature can accurately predict the prognosis of OC patients
Frontiers in Pharmacology
t cell exhaustion
OC
ScRNA-seq
machine learning
immunotherapy
title A novel T-cell exhaustion-related feature can accurately predict the prognosis of OC patients
title_full A novel T-cell exhaustion-related feature can accurately predict the prognosis of OC patients
title_fullStr A novel T-cell exhaustion-related feature can accurately predict the prognosis of OC patients
title_full_unstemmed A novel T-cell exhaustion-related feature can accurately predict the prognosis of OC patients
title_short A novel T-cell exhaustion-related feature can accurately predict the prognosis of OC patients
title_sort novel t cell exhaustion related feature can accurately predict the prognosis of oc patients
topic t cell exhaustion
OC
ScRNA-seq
machine learning
immunotherapy
url https://www.frontiersin.org/articles/10.3389/fphar.2023.1192777/full
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