The expression profiles of signature genes from CD103+LAG3+ tumour-infiltrating lymphocyte subsets predict breast cancer survival

Abstract Background Tumour-infiltrating lymphocytes (TILs), including T and B cells, have been demonstrated to be associated with tumour progression. However, the different subpopulations of TILs and their roles in breast cancer remain poorly understood. Large-scale analysis using multiomics data co...

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Main Authors: Zi-An Xia, Can Lu, Can Pan, Jia Li, Jun Li, Yitao Mao, Lunquan Sun, Jiang He
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12916-023-02960-1
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author Zi-An Xia
Can Lu
Can Pan
Jia Li
Jun Li
Yitao Mao
Lunquan Sun
Jiang He
author_facet Zi-An Xia
Can Lu
Can Pan
Jia Li
Jun Li
Yitao Mao
Lunquan Sun
Jiang He
author_sort Zi-An Xia
collection DOAJ
description Abstract Background Tumour-infiltrating lymphocytes (TILs), including T and B cells, have been demonstrated to be associated with tumour progression. However, the different subpopulations of TILs and their roles in breast cancer remain poorly understood. Large-scale analysis using multiomics data could uncover potential mechanisms and provide promising biomarkers for predicting immunotherapy response. Methods Single-cell transcriptome data for breast cancer samples were analysed to identify unique TIL subsets. Based on the expression profiles of marker genes in these subsets, a TIL-related prognostic model was developed by univariate and multivariate Cox analyses and LASSO regression for the TCGA training cohort containing 1089 breast cancer patients. Multiplex immunohistochemistry was used to confirm the presence of TIL subsets in breast cancer samples. The model was validated with a large-scale transcriptomic dataset for 3619 breast cancer patients, including the METABRIC cohort, six chemotherapy transcriptomic cohorts, and two immunotherapy transcriptomic cohorts. Results We identified two TIL subsets with high expression of CD103 and LAG3 (CD103+LAG3+), including a CD8+ T-cell subset and a B-cell subset. Based on the expression profiles of marker genes in these two subpopulations, we further developed a CD103+LAG3+ TIL-related prognostic model (CLTRP) based on CXCL13 and BIRC3 genes for predicting the prognosis of breast cancer patients. CLTRP-low patients had a better prognosis than CLTRP-high patients. The comprehensive results showed that a low CLTRP score was associated with a high TP53 mutation rate, high infiltration of CD8 T cells, helper T cells, and CD4 T cells, high sensitivity to chemotherapeutic drugs, and a good response to immunotherapy. In contrast, a high CLTRP score was correlated with a low TP53 mutation rate, high infiltration of M0 and M2 macrophages, low sensitivity to chemotherapeutic drugs, and a poor response to immunotherapy. Conclusions Our present study showed that the CLTRP score is a promising biomarker for distinguishing prognosis, drug sensitivity, molecular and immune characteristics, and immunotherapy outcomes in breast cancer patients. The CLTRP could serve as a valuable tool for clinical decision making regarding immunotherapy.
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spelling doaj.art-285c7edfa62c41228d226bef30b3f7072023-07-30T11:17:30ZengBMCBMC Medicine1741-70152023-07-0121111810.1186/s12916-023-02960-1The expression profiles of signature genes from CD103+LAG3+ tumour-infiltrating lymphocyte subsets predict breast cancer survivalZi-An Xia0Can Lu1Can Pan2Jia Li3Jun Li4Yitao Mao5Lunquan Sun6Jiang He7Department of Integrated Traditional Chinese and Western Medicine, Xiangya Hospital, Central South UniversityDepartment of Pathology, Xiangya Hospital, Central South UniversitySchool of Clinical Medicine, Hunan University of Traditional Chinese MedicineDepartment of Emergency, Xiangya Hospital, Central South UniversityDepartment of Nuclear Medicine, Peking University Shenzhen HospitalDepartment of Radiology, Xiangya Hospital, Central South UniversityNational Clinical Research Center for Geriatric Disorders, XiangyaHospital, Central South UniversityNational Clinical Research Center for Geriatric Disorders, XiangyaHospital, Central South UniversityAbstract Background Tumour-infiltrating lymphocytes (TILs), including T and B cells, have been demonstrated to be associated with tumour progression. However, the different subpopulations of TILs and their roles in breast cancer remain poorly understood. Large-scale analysis using multiomics data could uncover potential mechanisms and provide promising biomarkers for predicting immunotherapy response. Methods Single-cell transcriptome data for breast cancer samples were analysed to identify unique TIL subsets. Based on the expression profiles of marker genes in these subsets, a TIL-related prognostic model was developed by univariate and multivariate Cox analyses and LASSO regression for the TCGA training cohort containing 1089 breast cancer patients. Multiplex immunohistochemistry was used to confirm the presence of TIL subsets in breast cancer samples. The model was validated with a large-scale transcriptomic dataset for 3619 breast cancer patients, including the METABRIC cohort, six chemotherapy transcriptomic cohorts, and two immunotherapy transcriptomic cohorts. Results We identified two TIL subsets with high expression of CD103 and LAG3 (CD103+LAG3+), including a CD8+ T-cell subset and a B-cell subset. Based on the expression profiles of marker genes in these two subpopulations, we further developed a CD103+LAG3+ TIL-related prognostic model (CLTRP) based on CXCL13 and BIRC3 genes for predicting the prognosis of breast cancer patients. CLTRP-low patients had a better prognosis than CLTRP-high patients. The comprehensive results showed that a low CLTRP score was associated with a high TP53 mutation rate, high infiltration of CD8 T cells, helper T cells, and CD4 T cells, high sensitivity to chemotherapeutic drugs, and a good response to immunotherapy. In contrast, a high CLTRP score was correlated with a low TP53 mutation rate, high infiltration of M0 and M2 macrophages, low sensitivity to chemotherapeutic drugs, and a poor response to immunotherapy. Conclusions Our present study showed that the CLTRP score is a promising biomarker for distinguishing prognosis, drug sensitivity, molecular and immune characteristics, and immunotherapy outcomes in breast cancer patients. The CLTRP could serve as a valuable tool for clinical decision making regarding immunotherapy.https://doi.org/10.1186/s12916-023-02960-1Large-scale data analysisTumour-infiltrating lymphocytesCD103LAG3ImmunotherapyChemotherapy
spellingShingle Zi-An Xia
Can Lu
Can Pan
Jia Li
Jun Li
Yitao Mao
Lunquan Sun
Jiang He
The expression profiles of signature genes from CD103+LAG3+ tumour-infiltrating lymphocyte subsets predict breast cancer survival
BMC Medicine
Large-scale data analysis
Tumour-infiltrating lymphocytes
CD103
LAG3
Immunotherapy
Chemotherapy
title The expression profiles of signature genes from CD103+LAG3+ tumour-infiltrating lymphocyte subsets predict breast cancer survival
title_full The expression profiles of signature genes from CD103+LAG3+ tumour-infiltrating lymphocyte subsets predict breast cancer survival
title_fullStr The expression profiles of signature genes from CD103+LAG3+ tumour-infiltrating lymphocyte subsets predict breast cancer survival
title_full_unstemmed The expression profiles of signature genes from CD103+LAG3+ tumour-infiltrating lymphocyte subsets predict breast cancer survival
title_short The expression profiles of signature genes from CD103+LAG3+ tumour-infiltrating lymphocyte subsets predict breast cancer survival
title_sort expression profiles of signature genes from cd103 lag3 tumour infiltrating lymphocyte subsets predict breast cancer survival
topic Large-scale data analysis
Tumour-infiltrating lymphocytes
CD103
LAG3
Immunotherapy
Chemotherapy
url https://doi.org/10.1186/s12916-023-02960-1
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