An immuno-score signature of tumor immune microenvironment predicts clinical outcomes in locally advanced rectal cancer

Background and purposeAccumulating evidence indicates that neoadjuvant chemoradiotherapy(nCRT) success has an immune-associated constituent in locally advanced rectal cancer (LARC). The immune-associated configuration of the tumor microenvironment associated with responses to treatment was explored...

Full description

Bibliographic Details
Main Authors: Zhengfa Xue, Shuxin Yang, Yun Luo, Ming He, Huimin Qiao, Wei Peng, Suxin Tong, Guini Hong, You Guo
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.993726/full
_version_ 1828385221972590592
author Zhengfa Xue
Zhengfa Xue
Shuxin Yang
Yun Luo
Ming He
Huimin Qiao
Wei Peng
Suxin Tong
Guini Hong
You Guo
author_facet Zhengfa Xue
Zhengfa Xue
Shuxin Yang
Yun Luo
Ming He
Huimin Qiao
Wei Peng
Suxin Tong
Guini Hong
You Guo
author_sort Zhengfa Xue
collection DOAJ
description Background and purposeAccumulating evidence indicates that neoadjuvant chemoradiotherapy(nCRT) success has an immune-associated constituent in locally advanced rectal cancer (LARC). The immune-associated configuration of the tumor microenvironment associated with responses to treatment was explored in LARC in this study.Material and methodsA novel analytic framework was developed based on within-sample relative expression orderings for identifying tumor immune-associated gene pairs and identified an immuno-score signature from bulk transcriptome profiling analysis of 200 LARC patients. And sequencing and microarray analysis of gene expression was conducted to investigate the association between the signature and response to nCRT, immunotherapy, and cell function of CD4 and CD8. The results were validated using 111 pretreated samples from publicly available datasets in multiple aspects and survival analyses.ResultsThe immuno-score signature of 18 immune-related gene pairs (referred to as IPS) was validated on bulk microarray and RNA-Seq data. According to the model’s immune score, LARC patients were divided into high- and low-score groups. The patients with high-score were greater sensitivity to nCRT and immunotherapy, gaining a significantly improved prognosis. In addition, the immune-score gene pair signature was associated with type I anti-tumor T cell responses, positive regulators of T cell functions, and chromosomal instability while reflecting differences between CD8+ T cell subtypes.ConclusionThe immuno-score signature underlines a key role of tumor immune components in nCRT response, and predicts the prognosis of LARC patients as well.
first_indexed 2024-12-10T05:16:50Z
format Article
id doaj.art-3c186caf71634945bd30cade2aad840a
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-12-10T05:16:50Z
publishDate 2022-09-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-3c186caf71634945bd30cade2aad840a2022-12-22T02:00:57ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-09-011210.3389/fonc.2022.993726993726An immuno-score signature of tumor immune microenvironment predicts clinical outcomes in locally advanced rectal cancerZhengfa Xue0Zhengfa Xue1Shuxin Yang2Yun Luo3Ming He4Huimin Qiao5Wei Peng6Suxin Tong7Guini Hong8You Guo9Medical Big Data and Bioinformatics Research Centre, First Affiliated Hospital of Gannan Medical University, Ganzhou, ChinaDepartment of Computer Science and Technology, School of Electronic and Information Engineering, Xi’an Jiao Tong University, Xi’an, ChinaSchool of Information Engineering, Jiangxi University of Science and Technology, Ganzhou, ChinaMedical Big Data and Bioinformatics Research Centre, First Affiliated Hospital of Gannan Medical University, Ganzhou, ChinaMedical Big Data and Bioinformatics Research Centre, First Affiliated Hospital of Gannan Medical University, Ganzhou, ChinaMedical Big Data and Bioinformatics Research Centre, First Affiliated Hospital of Gannan Medical University, Ganzhou, ChinaMedical Big Data and Bioinformatics Research Centre, First Affiliated Hospital of Gannan Medical University, Ganzhou, ChinaSchool of Information Engineering, Jiangxi University of Science and Technology, Ganzhou, ChinaSchool of Medical Information Engineering, Gannan Medical University, Ganzhou, ChinaMedical Big Data and Bioinformatics Research Centre, First Affiliated Hospital of Gannan Medical University, Ganzhou, ChinaBackground and purposeAccumulating evidence indicates that neoadjuvant chemoradiotherapy(nCRT) success has an immune-associated constituent in locally advanced rectal cancer (LARC). The immune-associated configuration of the tumor microenvironment associated with responses to treatment was explored in LARC in this study.Material and methodsA novel analytic framework was developed based on within-sample relative expression orderings for identifying tumor immune-associated gene pairs and identified an immuno-score signature from bulk transcriptome profiling analysis of 200 LARC patients. And sequencing and microarray analysis of gene expression was conducted to investigate the association between the signature and response to nCRT, immunotherapy, and cell function of CD4 and CD8. The results were validated using 111 pretreated samples from publicly available datasets in multiple aspects and survival analyses.ResultsThe immuno-score signature of 18 immune-related gene pairs (referred to as IPS) was validated on bulk microarray and RNA-Seq data. According to the model’s immune score, LARC patients were divided into high- and low-score groups. The patients with high-score were greater sensitivity to nCRT and immunotherapy, gaining a significantly improved prognosis. In addition, the immune-score gene pair signature was associated with type I anti-tumor T cell responses, positive regulators of T cell functions, and chromosomal instability while reflecting differences between CD8+ T cell subtypes.ConclusionThe immuno-score signature underlines a key role of tumor immune components in nCRT response, and predicts the prognosis of LARC patients as well.https://www.frontiersin.org/articles/10.3389/fonc.2022.993726/fullimmuno-score signaturelocally advanced rectal cancerneoadjuvant chemoradiotherapyimmune gene pairsprognostic prediction
spellingShingle Zhengfa Xue
Zhengfa Xue
Shuxin Yang
Yun Luo
Ming He
Huimin Qiao
Wei Peng
Suxin Tong
Guini Hong
You Guo
An immuno-score signature of tumor immune microenvironment predicts clinical outcomes in locally advanced rectal cancer
Frontiers in Oncology
immuno-score signature
locally advanced rectal cancer
neoadjuvant chemoradiotherapy
immune gene pairs
prognostic prediction
title An immuno-score signature of tumor immune microenvironment predicts clinical outcomes in locally advanced rectal cancer
title_full An immuno-score signature of tumor immune microenvironment predicts clinical outcomes in locally advanced rectal cancer
title_fullStr An immuno-score signature of tumor immune microenvironment predicts clinical outcomes in locally advanced rectal cancer
title_full_unstemmed An immuno-score signature of tumor immune microenvironment predicts clinical outcomes in locally advanced rectal cancer
title_short An immuno-score signature of tumor immune microenvironment predicts clinical outcomes in locally advanced rectal cancer
title_sort immuno score signature of tumor immune microenvironment predicts clinical outcomes in locally advanced rectal cancer
topic immuno-score signature
locally advanced rectal cancer
neoadjuvant chemoradiotherapy
immune gene pairs
prognostic prediction
url https://www.frontiersin.org/articles/10.3389/fonc.2022.993726/full
work_keys_str_mv AT zhengfaxue animmunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT zhengfaxue animmunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT shuxinyang animmunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT yunluo animmunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT minghe animmunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT huiminqiao animmunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT weipeng animmunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT suxintong animmunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT guinihong animmunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT youguo animmunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT zhengfaxue immunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT zhengfaxue immunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT shuxinyang immunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT yunluo immunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT minghe immunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT huiminqiao immunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT weipeng immunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT suxintong immunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT guinihong immunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer
AT youguo immunoscoresignatureoftumorimmunemicroenvironmentpredictsclinicaloutcomesinlocallyadvancedrectalcancer