Leveraging a cuproptosis-based signature to predict the prognosis and drug sensitivity of cutaneous melanoma

Abstract Immunotherapy is a vital treatment for patients with cutaneous melanoma (CM), but effective predictors to guide clinical immunotherapy are lacking. Cuproptosis is a newly discovered mode of cell death related to tumorigenesis. Exploring the relationship between the mode of cuproptosis and t...

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Main Authors: Da Liu, Fan Yang, Tongtong Zhang, Rui Mao
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Journal of Translational Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12967-023-03891-4
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author Da Liu
Fan Yang
Tongtong Zhang
Rui Mao
author_facet Da Liu
Fan Yang
Tongtong Zhang
Rui Mao
author_sort Da Liu
collection DOAJ
description Abstract Immunotherapy is a vital treatment for patients with cutaneous melanoma (CM), but effective predictors to guide clinical immunotherapy are lacking. Cuproptosis is a newly discovered mode of cell death related to tumorigenesis. Exploring the relationship between the mode of cuproptosis and the effect of immunotherapy on CM could better guide clinical management. We clustered all patients with CM in the Cancer Genome Atlas (TCGA) database based on cuproptosis-related genes (CRGs). Prognosis, immunotherapeutic effect, tumor microenvironment score, expression of CD274, CTLA4, and PDCD1, and abundance of CD8 + T infiltration in group A were higher than in group B. Using a combination of LASSO and COX regression analysis, we identified 10 molecules significant to prognosis from differentially expressed genes between the two groups and constructed a cuproptosis-related scoring system (CRSS). Compared with the American Joint Committee on Cancer (AJCC) staging system, CRSS more accurately stratified CM patient risk and guided immunotherapy. CRSS successfully stratified risk and predicted the effect of immunotherapy in 869 patients with eight CM immunotherapy datasets and multiple other tumor immunotherapy cohorts. The nomogram model, which combined AJCC stage and CRSS, greatly improved the ability and accuracy of prognosis prediction. In general, our cuproptosis-related scoring system and nomogram model accurately stratified risk in CM patients and effectively predicted prognosis and the effect of immunotherapy in CM patients.
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spelling doaj.art-102bcb20baff45029b3b75ceda14a05c2023-02-05T12:22:26ZengBMCJournal of Translational Medicine1479-58762023-01-0121111510.1186/s12967-023-03891-4Leveraging a cuproptosis-based signature to predict the prognosis and drug sensitivity of cutaneous melanomaDa Liu0Fan Yang1Tongtong Zhang2Rui Mao3Department of Dermatology, Xiangya Hospital, Central South UniversityEmergency Department, Peking University Third Hospital, Peking University School of MedicineThe Center of Gastrointestinal and Minimally Invasive Surgery, The Third People’s Hospital of ChengduDepartment of Dermatology, Xiangya Hospital, Central South UniversityAbstract Immunotherapy is a vital treatment for patients with cutaneous melanoma (CM), but effective predictors to guide clinical immunotherapy are lacking. Cuproptosis is a newly discovered mode of cell death related to tumorigenesis. Exploring the relationship between the mode of cuproptosis and the effect of immunotherapy on CM could better guide clinical management. We clustered all patients with CM in the Cancer Genome Atlas (TCGA) database based on cuproptosis-related genes (CRGs). Prognosis, immunotherapeutic effect, tumor microenvironment score, expression of CD274, CTLA4, and PDCD1, and abundance of CD8 + T infiltration in group A were higher than in group B. Using a combination of LASSO and COX regression analysis, we identified 10 molecules significant to prognosis from differentially expressed genes between the two groups and constructed a cuproptosis-related scoring system (CRSS). Compared with the American Joint Committee on Cancer (AJCC) staging system, CRSS more accurately stratified CM patient risk and guided immunotherapy. CRSS successfully stratified risk and predicted the effect of immunotherapy in 869 patients with eight CM immunotherapy datasets and multiple other tumor immunotherapy cohorts. The nomogram model, which combined AJCC stage and CRSS, greatly improved the ability and accuracy of prognosis prediction. In general, our cuproptosis-related scoring system and nomogram model accurately stratified risk in CM patients and effectively predicted prognosis and the effect of immunotherapy in CM patients.https://doi.org/10.1186/s12967-023-03891-4Cutaneous melanomaCuproptosis-related genesImmunotherapyPrognosisNomogram
spellingShingle Da Liu
Fan Yang
Tongtong Zhang
Rui Mao
Leveraging a cuproptosis-based signature to predict the prognosis and drug sensitivity of cutaneous melanoma
Journal of Translational Medicine
Cutaneous melanoma
Cuproptosis-related genes
Immunotherapy
Prognosis
Nomogram
title Leveraging a cuproptosis-based signature to predict the prognosis and drug sensitivity of cutaneous melanoma
title_full Leveraging a cuproptosis-based signature to predict the prognosis and drug sensitivity of cutaneous melanoma
title_fullStr Leveraging a cuproptosis-based signature to predict the prognosis and drug sensitivity of cutaneous melanoma
title_full_unstemmed Leveraging a cuproptosis-based signature to predict the prognosis and drug sensitivity of cutaneous melanoma
title_short Leveraging a cuproptosis-based signature to predict the prognosis and drug sensitivity of cutaneous melanoma
title_sort leveraging a cuproptosis based signature to predict the prognosis and drug sensitivity of cutaneous melanoma
topic Cutaneous melanoma
Cuproptosis-related genes
Immunotherapy
Prognosis
Nomogram
url https://doi.org/10.1186/s12967-023-03891-4
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