Prediction of prognosis and immunotherapy response in lung adenocarcinoma based on CD79A, DKK1 and VEGFC

Background: Tumor immune microenvironment (TIME) is crucial for tumor initiation, progression, and metastasis; however, its relationship with lung adenocarcinoma (LUAD) is unknown. Traditional predictive models screen for biomarkers that are too general and infrequently associated with immune genes....

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Main Authors: Qilong Zhang, Mingyuan Zhao, Shuangyan Lin, Qi Han, He Ye, Fang Peng, Li Li
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023057110
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author Qilong Zhang
Mingyuan Zhao
Shuangyan Lin
Qi Han
He Ye
Fang Peng
Li Li
author_facet Qilong Zhang
Mingyuan Zhao
Shuangyan Lin
Qi Han
He Ye
Fang Peng
Li Li
author_sort Qilong Zhang
collection DOAJ
description Background: Tumor immune microenvironment (TIME) is crucial for tumor initiation, progression, and metastasis; however, its relationship with lung adenocarcinoma (LUAD) is unknown. Traditional predictive models screen for biomarkers that are too general and infrequently associated with immune genes. Methods: RNA sequencing data of LUAD patients and immune-related gene sets were retrieved from public databases. Using the common genes shared by The Cancer Genome Atlas (TCGA) and Immunology Database and Analysis Portal (ImmPort), differential gene expression analysis, survival analysis, Lasso regression analysis, and univariate and multivariate Cox regression analyses were performed to generate a novel risk score model. LUAD cohort in International Cancer Genome Consortium (ICGC), GSE68465 cohort in Gene Expression Omnibus (GEO) and an immunohistochemical assay were used to validate the key genes constructed risk score. The LUAD-related prognosis, clinical indicators, immune infiltrate characteristics, response to immunotherapy, and response to chemotherapeutic agents in different risk groups were evaluated by CIBERSORT, ImmuCellAI, pRRophetic and other tools. Results: The risk score model was constructed using CD79a molecule (CD79A), Dickkopf WNT signaling pathway inhibitor 1 (DKK1), and vascular endothelial growth factor C (VEGFC). High risk score was identified as a negative predictor for overall survival (OS) in subgroup analyses with tumor stage, TNM classification, therapy outcome, and ESTIMATE scores (P < 0.05). Low risk score was positively associated with plasma cells, memory B cells, CD8 T cells, regulatory T cells and γδT cells (P < 0.05). In low-risk group, programmed cell death 1 receptor (PD1), cytotoxic T-lymphocyte associated protein 4 (CTLA4), and lymphocyte activating 3 (LAG3) and indoleamine 2,3-dioxygenase (IDO) were more robustly expressed (P < 0.05). The treatment responses of immune checkpoint blockade (ICB) therapy and chemotherapy were likewise superior in low-risk group (P < 0.05). In immunohistochemical analysis, the tumor group had significantly higher levels of CD79A, DKK1, and VEGFC than the adjacent normal group (P < 0.01). Conclusions: CD79A, DKK1 and VEGFC are important differential genes related to LUAD, risk score could reliably predict prognosis, composition of TIME and immunotherapy responses in LUAD patients. The excellent performance of the risk model shows its strong and broad application potential.
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spelling doaj.art-93e2fc4c2d0049e19487b57dce7c14752023-08-30T05:51:33ZengElsevierHeliyon2405-84402023-08-0198e18503Prediction of prognosis and immunotherapy response in lung adenocarcinoma based on CD79A, DKK1 and VEGFCQilong Zhang0Mingyuan Zhao1Shuangyan Lin2Qi Han3He Ye4Fang Peng5Li Li6Department of Pharmacy, Zhejiang Hospital, Hangzhou, Zhejiang 310007, ChinaDepartment of Pathology, Zhejiang Hospital, Hangzhou, Zhejiang 310007, ChinaDepartment of Pathology, Zhejiang Hospital, Hangzhou, Zhejiang 310007, ChinaDepartment of Pharmacy, Zhejiang Hospital, Hangzhou, Zhejiang 310007, ChinaDepartment of Pharmacy, Zhejiang Hospital, Hangzhou, Zhejiang 310007, ChinaDepartment of Pathology, Zhejiang Hospital, Hangzhou, Zhejiang 310007, China; Corresponding author. Department of Pathology, Zhejiang Hospital, 1229 Gudun Road, Hangzhou, Zhejiang 310007, China.Department of Pharmacy, Zhejiang Hospital, Hangzhou, Zhejiang 310007, China; Corresponding author. Department of Pharmacy, Zhejiang Hospital, 1229 Gudun Road, Hangzhou, Zhejiang 310007, China.Background: Tumor immune microenvironment (TIME) is crucial for tumor initiation, progression, and metastasis; however, its relationship with lung adenocarcinoma (LUAD) is unknown. Traditional predictive models screen for biomarkers that are too general and infrequently associated with immune genes. Methods: RNA sequencing data of LUAD patients and immune-related gene sets were retrieved from public databases. Using the common genes shared by The Cancer Genome Atlas (TCGA) and Immunology Database and Analysis Portal (ImmPort), differential gene expression analysis, survival analysis, Lasso regression analysis, and univariate and multivariate Cox regression analyses were performed to generate a novel risk score model. LUAD cohort in International Cancer Genome Consortium (ICGC), GSE68465 cohort in Gene Expression Omnibus (GEO) and an immunohistochemical assay were used to validate the key genes constructed risk score. The LUAD-related prognosis, clinical indicators, immune infiltrate characteristics, response to immunotherapy, and response to chemotherapeutic agents in different risk groups were evaluated by CIBERSORT, ImmuCellAI, pRRophetic and other tools. Results: The risk score model was constructed using CD79a molecule (CD79A), Dickkopf WNT signaling pathway inhibitor 1 (DKK1), and vascular endothelial growth factor C (VEGFC). High risk score was identified as a negative predictor for overall survival (OS) in subgroup analyses with tumor stage, TNM classification, therapy outcome, and ESTIMATE scores (P < 0.05). Low risk score was positively associated with plasma cells, memory B cells, CD8 T cells, regulatory T cells and γδT cells (P < 0.05). In low-risk group, programmed cell death 1 receptor (PD1), cytotoxic T-lymphocyte associated protein 4 (CTLA4), and lymphocyte activating 3 (LAG3) and indoleamine 2,3-dioxygenase (IDO) were more robustly expressed (P < 0.05). The treatment responses of immune checkpoint blockade (ICB) therapy and chemotherapy were likewise superior in low-risk group (P < 0.05). In immunohistochemical analysis, the tumor group had significantly higher levels of CD79A, DKK1, and VEGFC than the adjacent normal group (P < 0.01). Conclusions: CD79A, DKK1 and VEGFC are important differential genes related to LUAD, risk score could reliably predict prognosis, composition of TIME and immunotherapy responses in LUAD patients. The excellent performance of the risk model shows its strong and broad application potential.http://www.sciencedirect.com/science/article/pii/S2405844023057110Lung adenocarcinomaTumor immune microenvironmentPrognosisCD79ADKK1VEGFC
spellingShingle Qilong Zhang
Mingyuan Zhao
Shuangyan Lin
Qi Han
He Ye
Fang Peng
Li Li
Prediction of prognosis and immunotherapy response in lung adenocarcinoma based on CD79A, DKK1 and VEGFC
Heliyon
Lung adenocarcinoma
Tumor immune microenvironment
Prognosis
CD79A
DKK1
VEGFC
title Prediction of prognosis and immunotherapy response in lung adenocarcinoma based on CD79A, DKK1 and VEGFC
title_full Prediction of prognosis and immunotherapy response in lung adenocarcinoma based on CD79A, DKK1 and VEGFC
title_fullStr Prediction of prognosis and immunotherapy response in lung adenocarcinoma based on CD79A, DKK1 and VEGFC
title_full_unstemmed Prediction of prognosis and immunotherapy response in lung adenocarcinoma based on CD79A, DKK1 and VEGFC
title_short Prediction of prognosis and immunotherapy response in lung adenocarcinoma based on CD79A, DKK1 and VEGFC
title_sort prediction of prognosis and immunotherapy response in lung adenocarcinoma based on cd79a dkk1 and vegfc
topic Lung adenocarcinoma
Tumor immune microenvironment
Prognosis
CD79A
DKK1
VEGFC
url http://www.sciencedirect.com/science/article/pii/S2405844023057110
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