Prognostic prediction using a gene signature developed based on exhausted T cells for liver cancer patients

Background: Liver hepatocellular carcinoma (LIHC) is a solid primary malignancy with poor prognosis. This study discovered key prognostic genes based on T cell exhaustion and used them to develop a prognostic prediction model for LIHC. Methods: SingleR's annotations combined with Seurat was use...

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Main Authors: Yu Zhou, Wanrui Wu, Wei Cai, Dong Zhang, Weiwei Zhang, Yunling Luo, Fujing Cai, Zhenjing Shi
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024041872
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author Yu Zhou
Wanrui Wu
Wei Cai
Dong Zhang
Weiwei Zhang
Yunling Luo
Fujing Cai
Zhenjing Shi
author_facet Yu Zhou
Wanrui Wu
Wei Cai
Dong Zhang
Weiwei Zhang
Yunling Luo
Fujing Cai
Zhenjing Shi
author_sort Yu Zhou
collection DOAJ
description Background: Liver hepatocellular carcinoma (LIHC) is a solid primary malignancy with poor prognosis. This study discovered key prognostic genes based on T cell exhaustion and used them to develop a prognostic prediction model for LIHC. Methods: SingleR's annotations combined with Seurat was used to automatically annotate the single-cell clustering results of the LIHC dataset GSE166635 downloaded from the Gene Expression Omnibus (GEO) database and to identify clusters related to exhausted T cells. Patients were classified using ConsensusClusterPlus package. Next, weighted gene co-expression network analysis (WGCNA) package was employed to distinguish key gene module, based on which least absolute shrinkage and selection operator (Lasso) and multi/univariate cox analysis were performed to construct a RiskScore system. Kaplan-Meier (KM) analysis and receiver operating characteristic curve (ROC) were employed to evaluate the efficacy of the model. To further optimize the risk model, a nomogram capable of predicting immune infiltration and immunotherapy sensitivity in different risk groups was developed. Expressions of genes were measured by quantitative real-time polymerase chain reaction (qRT-PCR), and immunofluorescence and Cell Counting Kit-8 (CCK-8) were performed for analyzing cell functions. Results: We obtained 18,413 cells and clustered them into 7 immune and non-immune cell subpopulations. Based on highly variable genes among T cell exhaustion clusters, 3 molecular subtypes (C1, C2 and C3) of LIHC were defined, with C3 subtype showing the highest score of exhausted T cells and a poor prognosis. The Lasso and multivariate cox analysis selected 7 risk genes from the green module, which were closely associated with the C3 subtype. All the patients were divided into low- and high-risk groups based on the medium value of RiskScore, and we found that high-risk patients had higher immune infiltration and immune escape and poorer prognosis. The nomogram exhibited a strong performance for predicting long-term LIHC prognosis. In vitro experiments revealed that the 7 risk genes all had a higher expression in HCC cells, and that both liver HCC cell numbers and cell viability were reduced by knocking down MMP-9. Conclusion: We developed a RiskScore model for predicting LIHC prognosis based on the scRNA-seq and RNA-seq data. The RiskScore as an independent prognostic factor could improve the clinical treatment for LIHC patients.
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spelling doaj.art-28a1b17adcab4092a6dc9cff05c4c7742024-04-04T05:06:56ZengElsevierHeliyon2405-84402024-03-01106e28156Prognostic prediction using a gene signature developed based on exhausted T cells for liver cancer patientsYu Zhou0Wanrui Wu1Wei Cai2Dong Zhang3Weiwei Zhang4Yunling Luo5Fujing Cai6Zhenjing Shi7Department of Infectious, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, ChinaDepartment of Vasointerventional, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, ChinaDepartment of Infectious, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, ChinaDepartment of Infectious, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, ChinaDepartment of Infectious, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, ChinaDepartment of Infectious, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, ChinaDepartment of Infectious, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China; Corresponding author.Department of Vasointerventional, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China; Corresponding author.Background: Liver hepatocellular carcinoma (LIHC) is a solid primary malignancy with poor prognosis. This study discovered key prognostic genes based on T cell exhaustion and used them to develop a prognostic prediction model for LIHC. Methods: SingleR's annotations combined with Seurat was used to automatically annotate the single-cell clustering results of the LIHC dataset GSE166635 downloaded from the Gene Expression Omnibus (GEO) database and to identify clusters related to exhausted T cells. Patients were classified using ConsensusClusterPlus package. Next, weighted gene co-expression network analysis (WGCNA) package was employed to distinguish key gene module, based on which least absolute shrinkage and selection operator (Lasso) and multi/univariate cox analysis were performed to construct a RiskScore system. Kaplan-Meier (KM) analysis and receiver operating characteristic curve (ROC) were employed to evaluate the efficacy of the model. To further optimize the risk model, a nomogram capable of predicting immune infiltration and immunotherapy sensitivity in different risk groups was developed. Expressions of genes were measured by quantitative real-time polymerase chain reaction (qRT-PCR), and immunofluorescence and Cell Counting Kit-8 (CCK-8) were performed for analyzing cell functions. Results: We obtained 18,413 cells and clustered them into 7 immune and non-immune cell subpopulations. Based on highly variable genes among T cell exhaustion clusters, 3 molecular subtypes (C1, C2 and C3) of LIHC were defined, with C3 subtype showing the highest score of exhausted T cells and a poor prognosis. The Lasso and multivariate cox analysis selected 7 risk genes from the green module, which were closely associated with the C3 subtype. All the patients were divided into low- and high-risk groups based on the medium value of RiskScore, and we found that high-risk patients had higher immune infiltration and immune escape and poorer prognosis. The nomogram exhibited a strong performance for predicting long-term LIHC prognosis. In vitro experiments revealed that the 7 risk genes all had a higher expression in HCC cells, and that both liver HCC cell numbers and cell viability were reduced by knocking down MMP-9. Conclusion: We developed a RiskScore model for predicting LIHC prognosis based on the scRNA-seq and RNA-seq data. The RiskScore as an independent prognostic factor could improve the clinical treatment for LIHC patients.http://www.sciencedirect.com/science/article/pii/S2405844024041872Single cell profileT cell exhaustionPrognosis signatureLiver hepatocellular carcinoma (LIHC)
spellingShingle Yu Zhou
Wanrui Wu
Wei Cai
Dong Zhang
Weiwei Zhang
Yunling Luo
Fujing Cai
Zhenjing Shi
Prognostic prediction using a gene signature developed based on exhausted T cells for liver cancer patients
Heliyon
Single cell profile
T cell exhaustion
Prognosis signature
Liver hepatocellular carcinoma (LIHC)
title Prognostic prediction using a gene signature developed based on exhausted T cells for liver cancer patients
title_full Prognostic prediction using a gene signature developed based on exhausted T cells for liver cancer patients
title_fullStr Prognostic prediction using a gene signature developed based on exhausted T cells for liver cancer patients
title_full_unstemmed Prognostic prediction using a gene signature developed based on exhausted T cells for liver cancer patients
title_short Prognostic prediction using a gene signature developed based on exhausted T cells for liver cancer patients
title_sort prognostic prediction using a gene signature developed based on exhausted t cells for liver cancer patients
topic Single cell profile
T cell exhaustion
Prognosis signature
Liver hepatocellular carcinoma (LIHC)
url http://www.sciencedirect.com/science/article/pii/S2405844024041872
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