Development and validation of a novel hypoxia-related signature for prognostic and immunogenic evaluation in head and neck squamous cell carcinoma

Hypoxia plays a critical role in head and neck squamous cell carcinoma (HNSCC) prognosis. However, till now, robust and reliable hypoxia-related prognostic signatures have not been established for an accurate prognostic evaluation in HNSCC patients. This article focused on establishing a risk score...

Full description

Bibliographic Details
Main Authors: Su-Ran Li, Qi-Wen Man, Bing Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.943945/full
_version_ 1811224985446907904
author Su-Ran Li
Qi-Wen Man
Qi-Wen Man
Bing Liu
Bing Liu
author_facet Su-Ran Li
Qi-Wen Man
Qi-Wen Man
Bing Liu
Bing Liu
author_sort Su-Ran Li
collection DOAJ
description Hypoxia plays a critical role in head and neck squamous cell carcinoma (HNSCC) prognosis. However, till now, robust and reliable hypoxia-related prognostic signatures have not been established for an accurate prognostic evaluation in HNSCC patients. This article focused on establishing a risk score model to evaluate the prognosis and guide treatment for HNSCC patients. RNA-seq data and clinical information of 502 HNSCC patients and 44 normal samples were downloaded from The Cancer Genome Atlas (TCGA) database. 433 samples from three Gene Expression Omnibus (GEO) datasets were incorporated as an external validation cohort. In the training cohort, prognostic-related genes were screened and LASSO regression analyses were performed for signature establishment. A scoring system based on SRPX, PGK1, STG1, HS3ST1, CDKN1B, and HK1 showed an excellent prediction capacity for an overall prognosis for HNSCC patients. Patients were divided into high- and low-risk groups, and the survival status of the two groups exhibited a statistically significant difference. Subsequently, gene set enrichment analysis (GSEA) was carried out to explore the underlying mechanisms for the prognosis differences between the high- and low-risk groups. The tumor immune microenvironment was evaluated by CIBERSORT, ESTIMATE, TIDE, and xCell algorithm, etc. Then, we explored the relationships between this prognostic model and the levels of immune checkpoint-related genes. Cox regression analysis and nomogram plot indicated the scoring system was an independent predictor for HNSCC. Moreover, a comparison of predictive capability has been made between the present signature and existing prognostic signatures for HNSCC patients. Finally, we detected the expression levels of proteins encoded by six-HRGs via immunohistochemical analysis in tissue microarray. Collectively, a novel integrated signature considering both HRGs and clinicopathological parameters will serve as a prospective candidate for the prognostic evaluation of HNSCC patients.
first_indexed 2024-04-12T08:58:10Z
format Article
id doaj.art-3fa42cfb1a814590a0114d6d6618f298
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-04-12T08:58:10Z
publishDate 2022-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-3fa42cfb1a814590a0114d6d6618f2982022-12-22T03:39:19ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-11-011210.3389/fonc.2022.943945943945Development and validation of a novel hypoxia-related signature for prognostic and immunogenic evaluation in head and neck squamous cell carcinomaSu-Ran Li0Qi-Wen Man1Qi-Wen Man2Bing Liu3Bing Liu4The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, ChinaThe State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, ChinaDepartment of Oral Maxillofacial Head Neck Oncology, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, ChinaThe State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, ChinaDepartment of Oral Maxillofacial Head Neck Oncology, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, ChinaHypoxia plays a critical role in head and neck squamous cell carcinoma (HNSCC) prognosis. However, till now, robust and reliable hypoxia-related prognostic signatures have not been established for an accurate prognostic evaluation in HNSCC patients. This article focused on establishing a risk score model to evaluate the prognosis and guide treatment for HNSCC patients. RNA-seq data and clinical information of 502 HNSCC patients and 44 normal samples were downloaded from The Cancer Genome Atlas (TCGA) database. 433 samples from three Gene Expression Omnibus (GEO) datasets were incorporated as an external validation cohort. In the training cohort, prognostic-related genes were screened and LASSO regression analyses were performed for signature establishment. A scoring system based on SRPX, PGK1, STG1, HS3ST1, CDKN1B, and HK1 showed an excellent prediction capacity for an overall prognosis for HNSCC patients. Patients were divided into high- and low-risk groups, and the survival status of the two groups exhibited a statistically significant difference. Subsequently, gene set enrichment analysis (GSEA) was carried out to explore the underlying mechanisms for the prognosis differences between the high- and low-risk groups. The tumor immune microenvironment was evaluated by CIBERSORT, ESTIMATE, TIDE, and xCell algorithm, etc. Then, we explored the relationships between this prognostic model and the levels of immune checkpoint-related genes. Cox regression analysis and nomogram plot indicated the scoring system was an independent predictor for HNSCC. Moreover, a comparison of predictive capability has been made between the present signature and existing prognostic signatures for HNSCC patients. Finally, we detected the expression levels of proteins encoded by six-HRGs via immunohistochemical analysis in tissue microarray. Collectively, a novel integrated signature considering both HRGs and clinicopathological parameters will serve as a prospective candidate for the prognostic evaluation of HNSCC patients.https://www.frontiersin.org/articles/10.3389/fonc.2022.943945/fullhead and neck squamous cell carcinomahypoxiaThe Cancer Genome AtlasGene Expression Omnibustumor microenvironmentprognostic signature
spellingShingle Su-Ran Li
Qi-Wen Man
Qi-Wen Man
Bing Liu
Bing Liu
Development and validation of a novel hypoxia-related signature for prognostic and immunogenic evaluation in head and neck squamous cell carcinoma
Frontiers in Oncology
head and neck squamous cell carcinoma
hypoxia
The Cancer Genome Atlas
Gene Expression Omnibus
tumor microenvironment
prognostic signature
title Development and validation of a novel hypoxia-related signature for prognostic and immunogenic evaluation in head and neck squamous cell carcinoma
title_full Development and validation of a novel hypoxia-related signature for prognostic and immunogenic evaluation in head and neck squamous cell carcinoma
title_fullStr Development and validation of a novel hypoxia-related signature for prognostic and immunogenic evaluation in head and neck squamous cell carcinoma
title_full_unstemmed Development and validation of a novel hypoxia-related signature for prognostic and immunogenic evaluation in head and neck squamous cell carcinoma
title_short Development and validation of a novel hypoxia-related signature for prognostic and immunogenic evaluation in head and neck squamous cell carcinoma
title_sort development and validation of a novel hypoxia related signature for prognostic and immunogenic evaluation in head and neck squamous cell carcinoma
topic head and neck squamous cell carcinoma
hypoxia
The Cancer Genome Atlas
Gene Expression Omnibus
tumor microenvironment
prognostic signature
url https://www.frontiersin.org/articles/10.3389/fonc.2022.943945/full
work_keys_str_mv AT suranli developmentandvalidationofanovelhypoxiarelatedsignatureforprognosticandimmunogenicevaluationinheadandnecksquamouscellcarcinoma
AT qiwenman developmentandvalidationofanovelhypoxiarelatedsignatureforprognosticandimmunogenicevaluationinheadandnecksquamouscellcarcinoma
AT qiwenman developmentandvalidationofanovelhypoxiarelatedsignatureforprognosticandimmunogenicevaluationinheadandnecksquamouscellcarcinoma
AT bingliu developmentandvalidationofanovelhypoxiarelatedsignatureforprognosticandimmunogenicevaluationinheadandnecksquamouscellcarcinoma
AT bingliu developmentandvalidationofanovelhypoxiarelatedsignatureforprognosticandimmunogenicevaluationinheadandnecksquamouscellcarcinoma