Computational Characterizing Necroptosis Reveals Implications for Immune Infiltration and Immunotherapy of Hepatocellular Carcinoma

Necroptosis is a programmed form of necrotic cell death in regulating cancer ontogenesis, progression, and tumor microenvironment (TME) and could drive tumor-infiltrating cells to release pro-inflammatory cytokines, incurring strong immune responses. Nowadays, there are few identified biomarkers app...

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Main Authors: Jun Zhu, Tenghui Han, Shoujie Zhao, Yejing Zhu, Shouzheng Ma, Fenghua Xu, Tingting Bai, Yuxin Tang, Yungang Xu, Lei Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.933210/full
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author Jun Zhu
Jun Zhu
Tenghui Han
Shoujie Zhao
Yejing Zhu
Shouzheng Ma
Fenghua Xu
Tingting Bai
Yuxin Tang
Yungang Xu
Yungang Xu
Lei Liu
author_facet Jun Zhu
Jun Zhu
Tenghui Han
Shoujie Zhao
Yejing Zhu
Shouzheng Ma
Fenghua Xu
Tingting Bai
Yuxin Tang
Yungang Xu
Yungang Xu
Lei Liu
author_sort Jun Zhu
collection DOAJ
description Necroptosis is a programmed form of necrotic cell death in regulating cancer ontogenesis, progression, and tumor microenvironment (TME) and could drive tumor-infiltrating cells to release pro-inflammatory cytokines, incurring strong immune responses. Nowadays, there are few identified biomarkers applied in clinical immunotherapy, and it is increasingly recognized that high levels of tumor necroptosis could enhance the response to immunotherapy. However, comprehensive characterization of necroptosis associated with TME and immunotherapy in Hepatocellular carcinoma (HCC) remains unexplored. Here, we computationally characterized necroptosis landscape in HCC samples from TCGA and ICGA cohorts and stratified them into two necroptosis clusters (A or B) with significantly different characteristics in clinical prognosis, immune cell function, and TME-landscapes. Additionally, to further evaluate the necroptosis levels of each sample, we established a novel necroptosis-related gene score (NRGscore). We further investigated the TME, tumor mutational burden (TMB), clinical response to immunotherapy, and chemotherapeutic drug sensitivity of HCC subgroups stratified by the necroptosis landscapes. The NRGscore is robust and highly predictive of HCC clinical outcomes. Further analysis indicated that the high NRGscore group resembles the immune-inflamed phenotype while the low score group is analogous to the immune-exclusion or metabolism phenotype. Additionally, the high NRGscore group is more sensitive to immune checkpoint blockade-based immunotherapy, which was further validated using an external HCC cohort, metastatic melanoma cohort, and advanced urothelial cancer cohort. Besides, the NRGscore was demonstrated as a potential biomarker for chemotherapy, wherein the high NRGscore patients with more tumor stem cell composition could be more sensitive to Cisplatin, Doxorubicin, Paclitaxel-based chemotherapy, and Sorafenib therapy. Collectively, a comprehensive characterization of the necroptosis in HCC suggested its implications for predicting immune infiltration and response to immunotherapy of HCC, providing promising strategies for treatment.
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spelling doaj.art-421812703d6145689381b0ca0b6cb5482022-12-22T02:29:22ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-07-011210.3389/fonc.2022.933210933210Computational Characterizing Necroptosis Reveals Implications for Immune Infiltration and Immunotherapy of Hepatocellular CarcinomaJun Zhu0Jun Zhu1Tenghui Han2Shoujie Zhao3Yejing Zhu4Shouzheng Ma5Fenghua Xu6Tingting Bai7Yuxin Tang8Yungang Xu9Yungang Xu10Lei Liu11Department of Gastroenterology, Daping Hospital, Army Medical University, Chongqing, ChinaDepartment of General Surgery, The Southern Theater Air Force Hospital, Guangzhou, ChinaDepartment of Neurology, Xijing Hospital, Fourth Military Medical University, Xi’an, ChinaDepartment of General Surgery, Tangdu Hospital, Fourth Military Medical University, Xi’an, ChinaDepartment of General Surgery, Tangdu Hospital, Fourth Military Medical University, Xi’an, ChinaDepartment of Surgery, Tangdu Hospital, Fourth Military Medical University, Xi’an, ChinaDepartment of Gastroenterology, Daping Hospital, Army Medical University, Chongqing, ChinaDepartment of Gastroenterology, Daping Hospital, Army Medical University, Chongqing, ChinaDepartment of Gastroenterology, Daping Hospital, Army Medical University, Chongqing, ChinaDepartment of Cell Biology and Genetics, School of Basic Medical Sciences, Xi’an Jiaotong University Health Science Center, Xi’an, ChinaCentre for Computational Systems Medicine, School of Biomedical Informatics, The University of Texas Health Science Centre at Houston, Houston, TX, United StatesDepartment of Gastroenterology, Daping Hospital, Army Medical University, Chongqing, ChinaNecroptosis is a programmed form of necrotic cell death in regulating cancer ontogenesis, progression, and tumor microenvironment (TME) and could drive tumor-infiltrating cells to release pro-inflammatory cytokines, incurring strong immune responses. Nowadays, there are few identified biomarkers applied in clinical immunotherapy, and it is increasingly recognized that high levels of tumor necroptosis could enhance the response to immunotherapy. However, comprehensive characterization of necroptosis associated with TME and immunotherapy in Hepatocellular carcinoma (HCC) remains unexplored. Here, we computationally characterized necroptosis landscape in HCC samples from TCGA and ICGA cohorts and stratified them into two necroptosis clusters (A or B) with significantly different characteristics in clinical prognosis, immune cell function, and TME-landscapes. Additionally, to further evaluate the necroptosis levels of each sample, we established a novel necroptosis-related gene score (NRGscore). We further investigated the TME, tumor mutational burden (TMB), clinical response to immunotherapy, and chemotherapeutic drug sensitivity of HCC subgroups stratified by the necroptosis landscapes. The NRGscore is robust and highly predictive of HCC clinical outcomes. Further analysis indicated that the high NRGscore group resembles the immune-inflamed phenotype while the low score group is analogous to the immune-exclusion or metabolism phenotype. Additionally, the high NRGscore group is more sensitive to immune checkpoint blockade-based immunotherapy, which was further validated using an external HCC cohort, metastatic melanoma cohort, and advanced urothelial cancer cohort. Besides, the NRGscore was demonstrated as a potential biomarker for chemotherapy, wherein the high NRGscore patients with more tumor stem cell composition could be more sensitive to Cisplatin, Doxorubicin, Paclitaxel-based chemotherapy, and Sorafenib therapy. Collectively, a comprehensive characterization of the necroptosis in HCC suggested its implications for predicting immune infiltration and response to immunotherapy of HCC, providing promising strategies for treatment.https://www.frontiersin.org/articles/10.3389/fonc.2022.933210/fullnecroptosistumor microenvironmentimmunotherapychemotherapytumor-infiltrating cellshepatocellular carcinoma
spellingShingle Jun Zhu
Jun Zhu
Tenghui Han
Shoujie Zhao
Yejing Zhu
Shouzheng Ma
Fenghua Xu
Tingting Bai
Yuxin Tang
Yungang Xu
Yungang Xu
Lei Liu
Computational Characterizing Necroptosis Reveals Implications for Immune Infiltration and Immunotherapy of Hepatocellular Carcinoma
Frontiers in Oncology
necroptosis
tumor microenvironment
immunotherapy
chemotherapy
tumor-infiltrating cells
hepatocellular carcinoma
title Computational Characterizing Necroptosis Reveals Implications for Immune Infiltration and Immunotherapy of Hepatocellular Carcinoma
title_full Computational Characterizing Necroptosis Reveals Implications for Immune Infiltration and Immunotherapy of Hepatocellular Carcinoma
title_fullStr Computational Characterizing Necroptosis Reveals Implications for Immune Infiltration and Immunotherapy of Hepatocellular Carcinoma
title_full_unstemmed Computational Characterizing Necroptosis Reveals Implications for Immune Infiltration and Immunotherapy of Hepatocellular Carcinoma
title_short Computational Characterizing Necroptosis Reveals Implications for Immune Infiltration and Immunotherapy of Hepatocellular Carcinoma
title_sort computational characterizing necroptosis reveals implications for immune infiltration and immunotherapy of hepatocellular carcinoma
topic necroptosis
tumor microenvironment
immunotherapy
chemotherapy
tumor-infiltrating cells
hepatocellular carcinoma
url https://www.frontiersin.org/articles/10.3389/fonc.2022.933210/full
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