A neutrophil extracellular traps-related classification predicts prognosis and response to immunotherapy in colon cancer

Abstract Neutrophil extracellular traps (NETs) have been categorized as a form of inflammatory cell death mode of neutrophils (NETosis) involved in natural immunity and the regulation of adaptive immunity. More and more studies revealed the ability of NETs to reshape the tumor immune microenvironmen...

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Main Authors: Cheng Feng, Yuan Li, Yi Tai, Weili Zhang, Hao Wang, Shaopu Lian, E-er-man-bie-ke Jin-si-han, Yuanyuan Liu, Xinghui Li, Qifeng Chen, Meng He, Zhenhai Lu
Format: Article
Language:English
Published: Nature Portfolio 2023-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-45558-6
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author Cheng Feng
Yuan Li
Yi Tai
Weili Zhang
Hao Wang
Shaopu Lian
E-er-man-bie-ke Jin-si-han
Yuanyuan Liu
Xinghui Li
Qifeng Chen
Meng He
Zhenhai Lu
author_facet Cheng Feng
Yuan Li
Yi Tai
Weili Zhang
Hao Wang
Shaopu Lian
E-er-man-bie-ke Jin-si-han
Yuanyuan Liu
Xinghui Li
Qifeng Chen
Meng He
Zhenhai Lu
author_sort Cheng Feng
collection DOAJ
description Abstract Neutrophil extracellular traps (NETs) have been categorized as a form of inflammatory cell death mode of neutrophils (NETosis) involved in natural immunity and the regulation of adaptive immunity. More and more studies revealed the ability of NETs to reshape the tumor immune microenvironment (TIME) by limiting antitumor effector cells, which may impair the efficacy of immunotherapy. To explore whether NETs-related genes make vital impacts on Colon carcinoma (COAD), we have carried out a systematic analysis and showed several findings in the present work. First, we obtained the patient's data from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) dataset, aiming to detect two NETs-associated subtypes by consensus clustering. For the purpose of annotating the roles of NETs-related pathways, gene ontology enrichment analyses were adopted. Next, we constructed a 6 novel NETs-related genes score using the Least Absolute Shrinkage and Selection Operator (LASSO) Cox regression model. We found that the NETs risk score was notably upregulated in COAD patient samples, and its levels were notably correlated with tumor clinicopathological and immune traits. Then, according to NETs-associated molecular subtypes and the risk signature, this study compared immune cell infiltration calculated through the estimate, CIBERSORT, TIMER, ssGSEA algorithms, tumor immune dysfunction, as well as exclusion (TIDE). Furthermore, we confirm that MPO(myeloperoxidase) was significantly upregulated in COAD patient samples, and its levels were significantly linked to tumor malignancy and clinic outcome. Moreover, multiplex immunohistochemistry (mIHC) spatial analysis confirmed that MPO was closely related to Treg and PD-1 + Treg in spatial location which suggested MPO may paly an important role in TIME formation. Altogether, the obtained results indicated that a six NETs-related genes prognostic signature was conducive to estimating the prognosis and response of chemo-/immuno-therapy of COAD patients.
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spelling doaj.art-911491888c8c42829d10c1a7af94c5ba2023-11-12T12:17:51ZengNature PortfolioScientific Reports2045-23222023-11-0113111710.1038/s41598-023-45558-6A neutrophil extracellular traps-related classification predicts prognosis and response to immunotherapy in colon cancerCheng Feng0Yuan Li1Yi Tai2Weili Zhang3Hao Wang4Shaopu Lian5E-er-man-bie-ke Jin-si-han6Yuanyuan Liu7Xinghui Li8Qifeng Chen9Meng He10Zhenhai Lu11Department of Colorectal Surgery, Sun Yat-sen University Cancer Center, Sun Yat-sen UniversityDepartment of Colorectal Surgery, Sun Yat-sen University Cancer Center, Sun Yat-sen UniversityDepartment of Musculoskeletal Oncology, Sun Yat-Senen University Cancer CenterDepartment of Colorectal Surgery, Sun Yat-sen University Cancer Center, Sun Yat-sen UniversityDepartment of Colorectal Surgery, Sun Yat-sen University Cancer Center, Sun Yat-sen UniversityDepartment of Colorectal Surgery, Sun Yat-sen University Cancer Center, Sun Yat-sen UniversityDepartment of Colorectal Surgery, Sun Yat-sen University Cancer Center, Sun Yat-sen UniversityDepartment of Radiation Oncology, The First Hospital of Hunan University of Chinese MedicineDepartment of Cardiology General Hospital of Xinjiang Military CommandDepartment of Minimally Invasive Interventional Therapy, Liver Cancer Study and Service Group, Sun Yat-Sen University Cancer CenterDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital and Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Colorectal Surgery, Sun Yat-sen University Cancer Center, Sun Yat-sen UniversityAbstract Neutrophil extracellular traps (NETs) have been categorized as a form of inflammatory cell death mode of neutrophils (NETosis) involved in natural immunity and the regulation of adaptive immunity. More and more studies revealed the ability of NETs to reshape the tumor immune microenvironment (TIME) by limiting antitumor effector cells, which may impair the efficacy of immunotherapy. To explore whether NETs-related genes make vital impacts on Colon carcinoma (COAD), we have carried out a systematic analysis and showed several findings in the present work. First, we obtained the patient's data from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) dataset, aiming to detect two NETs-associated subtypes by consensus clustering. For the purpose of annotating the roles of NETs-related pathways, gene ontology enrichment analyses were adopted. Next, we constructed a 6 novel NETs-related genes score using the Least Absolute Shrinkage and Selection Operator (LASSO) Cox regression model. We found that the NETs risk score was notably upregulated in COAD patient samples, and its levels were notably correlated with tumor clinicopathological and immune traits. Then, according to NETs-associated molecular subtypes and the risk signature, this study compared immune cell infiltration calculated through the estimate, CIBERSORT, TIMER, ssGSEA algorithms, tumor immune dysfunction, as well as exclusion (TIDE). Furthermore, we confirm that MPO(myeloperoxidase) was significantly upregulated in COAD patient samples, and its levels were significantly linked to tumor malignancy and clinic outcome. Moreover, multiplex immunohistochemistry (mIHC) spatial analysis confirmed that MPO was closely related to Treg and PD-1 + Treg in spatial location which suggested MPO may paly an important role in TIME formation. Altogether, the obtained results indicated that a six NETs-related genes prognostic signature was conducive to estimating the prognosis and response of chemo-/immuno-therapy of COAD patients.https://doi.org/10.1038/s41598-023-45558-6
spellingShingle Cheng Feng
Yuan Li
Yi Tai
Weili Zhang
Hao Wang
Shaopu Lian
E-er-man-bie-ke Jin-si-han
Yuanyuan Liu
Xinghui Li
Qifeng Chen
Meng He
Zhenhai Lu
A neutrophil extracellular traps-related classification predicts prognosis and response to immunotherapy in colon cancer
Scientific Reports
title A neutrophil extracellular traps-related classification predicts prognosis and response to immunotherapy in colon cancer
title_full A neutrophil extracellular traps-related classification predicts prognosis and response to immunotherapy in colon cancer
title_fullStr A neutrophil extracellular traps-related classification predicts prognosis and response to immunotherapy in colon cancer
title_full_unstemmed A neutrophil extracellular traps-related classification predicts prognosis and response to immunotherapy in colon cancer
title_short A neutrophil extracellular traps-related classification predicts prognosis and response to immunotherapy in colon cancer
title_sort neutrophil extracellular traps related classification predicts prognosis and response to immunotherapy in colon cancer
url https://doi.org/10.1038/s41598-023-45558-6
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