Focus on pattern recognition receptors to identify prognosis and immune microenvironment in colon cancer

In 2011, J. Hoffman, and B. Beutler won the Nobel Prize of medicine for the fact that they discovered the pattern recognition receptors (PRRs) and meanwhile described their effect on cell activation from the innate and adaptive immune systems. There are more and more evidences that have proved the o...

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Main Authors: Pengtao Ren, Yuan Zhang
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.2022.1010023/full
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author Pengtao Ren
Yuan Zhang
author_facet Pengtao Ren
Yuan Zhang
author_sort Pengtao Ren
collection DOAJ
description In 2011, J. Hoffman, and B. Beutler won the Nobel Prize of medicine for the fact that they discovered the pattern recognition receptors (PRRs) and meanwhile described their effect on cell activation from the innate and adaptive immune systems. There are more and more evidences that have proved the obvious effect of PRRs on tumorigenesis progression. Nevertheless, the overall impact of PRR genes on prognosis, tumor microenvironmental characteristics and treatment response in patients with colon adenocarcinoma (COAD) remains unclear. In this research, we systematically assessed 20 PRR genes and comprehensively identified the prognostic value and enrichment degree of PRRs. The unsupervised clustering approach was employed for dividing COAD into 4 PRR subtypes, namely cluster A, cluster B, cluster C and cluster D, which were significantly different in terms of the clinical features, the immune infiltrations, and the functions. Among them, cluster B has better immune activities and functions. Cox and LASSO regression analysis was further applied to identify a prognostic five-PRR-based risk signature. Such signature can well predict patients’ overall survival (OS), together with a good robustness. Confounding parameters were controlled, with results indicating the ability of risk score to independently predict COAD patients’ OS. Besides, a nomogram with a strong reliability was created for enhancing the viability exhibited by the risk score in clinical practice. Also, patients who were classified based on the risk score owned distinguishable immune status and tumor mutation status, response to immunotherapy, as well as sensitivity to chemotherapy. A low risk score, featuring increased tumor stemness index (TSI), human leukocyte antigen (HLA), immune checkpoints, and immune activation, demonstrated a superior immunotherapeutic response. According to the study results, the prognostic PRR-based risk signature could serve as a robust biomarker for predicting the clinical outcomes as well as evaluating therapeutic response for COAD patients.
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spelling doaj.art-8ae5536a05a84d6bb40886a8a1e34f312022-12-22T03:17:47ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-09-011210.3389/fonc.2022.10100231010023Focus on pattern recognition receptors to identify prognosis and immune microenvironment in colon cancerPengtao Ren0Yuan Zhang1Department of Colorectal Anal Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, ChinaElectrocardiogram Room, The Second Hospital of Hebei Medical University, Shijiazhuang, ChinaIn 2011, J. Hoffman, and B. Beutler won the Nobel Prize of medicine for the fact that they discovered the pattern recognition receptors (PRRs) and meanwhile described their effect on cell activation from the innate and adaptive immune systems. There are more and more evidences that have proved the obvious effect of PRRs on tumorigenesis progression. Nevertheless, the overall impact of PRR genes on prognosis, tumor microenvironmental characteristics and treatment response in patients with colon adenocarcinoma (COAD) remains unclear. In this research, we systematically assessed 20 PRR genes and comprehensively identified the prognostic value and enrichment degree of PRRs. The unsupervised clustering approach was employed for dividing COAD into 4 PRR subtypes, namely cluster A, cluster B, cluster C and cluster D, which were significantly different in terms of the clinical features, the immune infiltrations, and the functions. Among them, cluster B has better immune activities and functions. Cox and LASSO regression analysis was further applied to identify a prognostic five-PRR-based risk signature. Such signature can well predict patients’ overall survival (OS), together with a good robustness. Confounding parameters were controlled, with results indicating the ability of risk score to independently predict COAD patients’ OS. Besides, a nomogram with a strong reliability was created for enhancing the viability exhibited by the risk score in clinical practice. Also, patients who were classified based on the risk score owned distinguishable immune status and tumor mutation status, response to immunotherapy, as well as sensitivity to chemotherapy. A low risk score, featuring increased tumor stemness index (TSI), human leukocyte antigen (HLA), immune checkpoints, and immune activation, demonstrated a superior immunotherapeutic response. According to the study results, the prognostic PRR-based risk signature could serve as a robust biomarker for predicting the clinical outcomes as well as evaluating therapeutic response for COAD patients.https://www.frontiersin.org/articles/10.3389/fonc.2022.1010023/fullpattern recognition receptorscolon adenocarcinomaprognosistumor microenvionmentimmunotherapy
spellingShingle Pengtao Ren
Yuan Zhang
Focus on pattern recognition receptors to identify prognosis and immune microenvironment in colon cancer
Frontiers in Oncology
pattern recognition receptors
colon adenocarcinoma
prognosis
tumor microenvionment
immunotherapy
title Focus on pattern recognition receptors to identify prognosis and immune microenvironment in colon cancer
title_full Focus on pattern recognition receptors to identify prognosis and immune microenvironment in colon cancer
title_fullStr Focus on pattern recognition receptors to identify prognosis and immune microenvironment in colon cancer
title_full_unstemmed Focus on pattern recognition receptors to identify prognosis and immune microenvironment in colon cancer
title_short Focus on pattern recognition receptors to identify prognosis and immune microenvironment in colon cancer
title_sort focus on pattern recognition receptors to identify prognosis and immune microenvironment in colon cancer
topic pattern recognition receptors
colon adenocarcinoma
prognosis
tumor microenvionment
immunotherapy
url https://www.frontiersin.org/articles/10.3389/fonc.2022.1010023/full
work_keys_str_mv AT pengtaoren focusonpatternrecognitionreceptorstoidentifyprognosisandimmunemicroenvironmentincoloncancer
AT yuanzhang focusonpatternrecognitionreceptorstoidentifyprognosisandimmunemicroenvironmentincoloncancer