New Prognostic Gene Signature and Immune Escape Mechanisms of Bladder Cancer

Background: The immune microenvironment profoundly affects tumor prognosis and therapy. The present study aimed to reveal potential immune escape mechanisms and construct a novel prognostic signature via systematic bioinformatic analysis of the bladder cancer (BLCA) immune microenvironment.Patients...

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Main Authors: Yi Jiang, Zhenhao Zeng, Situ Xiong, Ming Jiang, Gaomin Huang, Chiyu Zhang, Xiaoqing Xi
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Cell and Developmental Biology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2022.775417/full
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author Yi Jiang
Zhenhao Zeng
Situ Xiong
Ming Jiang
Gaomin Huang
Chiyu Zhang
Xiaoqing Xi
author_facet Yi Jiang
Zhenhao Zeng
Situ Xiong
Ming Jiang
Gaomin Huang
Chiyu Zhang
Xiaoqing Xi
author_sort Yi Jiang
collection DOAJ
description Background: The immune microenvironment profoundly affects tumor prognosis and therapy. The present study aimed to reveal potential immune escape mechanisms and construct a novel prognostic signature via systematic bioinformatic analysis of the bladder cancer (BLCA) immune microenvironment.Patients and Methods: The transcriptomic data and clinicopathological information for patients with BLCA were obtained from The Cancer Genome Atlas (TCGA). Consensus clustering analysis based on the CIBERSORT and ESTIMATE algorithms was performed with patients with BLCA, which divided them into two clusters. Subsequently, the differentially expressed genes (DEGs) in the two were subjected to univariate Cox and least absolute shrinkage and selection operator (LASSO) regression analyses to identify prognostic genes, which were used to construct a prognostic model. The predictive performance of the model was verified by receiver operating characteristic (ROC) and Kaplan–Meier (K-M) analyses. In addition, we analyzed the differentially altered immune cells, mutation burden, neoantigen load, and subclonal genome fraction between the two clusters to reveal the immune escape mechanism.Results: Based on the ESTIMATE and clustering analyses, patients with BLCA were classified into two heterogeneous clusters: ImmuneScoreH and ImmuneScoreL. Univariate Cox and LASSO regression analyses identified CD96 (HR = 0.83) and IBSP (HR = 1.09), which were used to construct a prognostic gene signature with significant predictive accuracy. Regarding potential immune escape mechanisms, ImmuneScoreH and ImmuneScoreL were characterized by inactivation of innate immune cell chemotaxis. In ImmuneScoreL, a low tumor antigen load might contribute to immune escape. ImmuneScoreH featured high expression of immune checkpoint molecules.Conclusion: CD96 and IBSP were considered prognostic factors for BLCA. Innate immune inactivation and a low tumor antigen load may be associated with immune escape mechanisms in both clusters. Our research complements the exploration of the immune microenvironment in BLCA.
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spelling doaj.art-a4c68c39002a44b8a4950649996a256d2022-12-22T00:36:21ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2022-05-011010.3389/fcell.2022.775417775417New Prognostic Gene Signature and Immune Escape Mechanisms of Bladder CancerYi Jiang0Zhenhao Zeng1Situ Xiong2Ming Jiang3Gaomin Huang4Chiyu Zhang5Xiaoqing Xi6Department of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaBackground: The immune microenvironment profoundly affects tumor prognosis and therapy. The present study aimed to reveal potential immune escape mechanisms and construct a novel prognostic signature via systematic bioinformatic analysis of the bladder cancer (BLCA) immune microenvironment.Patients and Methods: The transcriptomic data and clinicopathological information for patients with BLCA were obtained from The Cancer Genome Atlas (TCGA). Consensus clustering analysis based on the CIBERSORT and ESTIMATE algorithms was performed with patients with BLCA, which divided them into two clusters. Subsequently, the differentially expressed genes (DEGs) in the two were subjected to univariate Cox and least absolute shrinkage and selection operator (LASSO) regression analyses to identify prognostic genes, which were used to construct a prognostic model. The predictive performance of the model was verified by receiver operating characteristic (ROC) and Kaplan–Meier (K-M) analyses. In addition, we analyzed the differentially altered immune cells, mutation burden, neoantigen load, and subclonal genome fraction between the two clusters to reveal the immune escape mechanism.Results: Based on the ESTIMATE and clustering analyses, patients with BLCA were classified into two heterogeneous clusters: ImmuneScoreH and ImmuneScoreL. Univariate Cox and LASSO regression analyses identified CD96 (HR = 0.83) and IBSP (HR = 1.09), which were used to construct a prognostic gene signature with significant predictive accuracy. Regarding potential immune escape mechanisms, ImmuneScoreH and ImmuneScoreL were characterized by inactivation of innate immune cell chemotaxis. In ImmuneScoreL, a low tumor antigen load might contribute to immune escape. ImmuneScoreH featured high expression of immune checkpoint molecules.Conclusion: CD96 and IBSP were considered prognostic factors for BLCA. Innate immune inactivation and a low tumor antigen load may be associated with immune escape mechanisms in both clusters. Our research complements the exploration of the immune microenvironment in BLCA.https://www.frontiersin.org/articles/10.3389/fcell.2022.775417/fullbladder cancerimmune microenvironmentgene signatureimmune escape mechanismprognosis
spellingShingle Yi Jiang
Zhenhao Zeng
Situ Xiong
Ming Jiang
Gaomin Huang
Chiyu Zhang
Xiaoqing Xi
New Prognostic Gene Signature and Immune Escape Mechanisms of Bladder Cancer
Frontiers in Cell and Developmental Biology
bladder cancer
immune microenvironment
gene signature
immune escape mechanism
prognosis
title New Prognostic Gene Signature and Immune Escape Mechanisms of Bladder Cancer
title_full New Prognostic Gene Signature and Immune Escape Mechanisms of Bladder Cancer
title_fullStr New Prognostic Gene Signature and Immune Escape Mechanisms of Bladder Cancer
title_full_unstemmed New Prognostic Gene Signature and Immune Escape Mechanisms of Bladder Cancer
title_short New Prognostic Gene Signature and Immune Escape Mechanisms of Bladder Cancer
title_sort new prognostic gene signature and immune escape mechanisms of bladder cancer
topic bladder cancer
immune microenvironment
gene signature
immune escape mechanism
prognosis
url https://www.frontiersin.org/articles/10.3389/fcell.2022.775417/full
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