A combined immune and exosome-related risk signature as prognostic biomakers in acute myeloid leukemia

ABSTRACTObjectives Acute myeloid leukemia (AML) is one of the common hematological diseases with low survival rates. Studies have highlighted the dysregulated expression of immune-related and exosome-related genes (ERGs) in cancers. Nevertheless, it remains to be determined whether combining these g...

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Main Authors: Zenghui Fang, Jiali Fu, Xin Chen
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Hematology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/16078454.2023.2300855
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author Zenghui Fang
Jiali Fu
Xin Chen
author_facet Zenghui Fang
Jiali Fu
Xin Chen
author_sort Zenghui Fang
collection DOAJ
description ABSTRACTObjectives Acute myeloid leukemia (AML) is one of the common hematological diseases with low survival rates. Studies have highlighted the dysregulated expression of immune-related and exosome-related genes (ERGs) in cancers. Nevertheless, it remains to be determined whether combining these genes have a prognostic significance in AML.Methods Immune-ERG profiles for 151 AML patients from TCGA were analyzed. A risk model was constructed and optimized through the combination of univariate Cox regression and LASSO regression analysis. GEO datasets were utilized as the external validation for the robustness of the risk model. In addition, we performed KEGG and GO enrichment analyses to investigate the role played by these genes in AML. The variations in immune cell infiltrations among risk groups were assessed through four algorithms. Expression of hub gene in specific cell was analyzed by single-cell RNA seq.Results A total of 85 immune-ERGs associated with prognosis were identified, enabling the construction of a risk model for AML. The risk model based on five immune-ERGs (CD37, NUCB2, LSP1, MGST1, and PLXNB1) demonstrated a correlation with the clinical outcomes. Additionally, age, FAB classification, cytogenetics risk, and risk score were identified as independent prognostic factors. The five immune-ERGs exhibited correlations with cytokine-cytokine receptor interaction, and antigen processing and presentation. Notably, the risk model demonstrated significant associations with immune responses and the expression of immune checkpoints.Conclusions An immune-ERG-based risk model was developed to effectively predict prognostic outcomes for AML patients. There is potential for immune therapy in AML targeting the five hub genes.
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spelling doaj.art-abda9ac6532b490fb64b825da13b403d2024-01-08T07:46:14ZengTaylor & Francis GroupHematology1607-84542024-12-0129110.1080/16078454.2023.2300855A combined immune and exosome-related risk signature as prognostic biomakers in acute myeloid leukemiaZenghui Fang0Jiali Fu1Xin Chen2Department of Clinical Laboratory, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, People’s Republic of ChinaDepartment of Clinical Laboratory, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, People’s Republic of ChinaDepartment of Clinical Laboratory, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, People’s Republic of ChinaABSTRACTObjectives Acute myeloid leukemia (AML) is one of the common hematological diseases with low survival rates. Studies have highlighted the dysregulated expression of immune-related and exosome-related genes (ERGs) in cancers. Nevertheless, it remains to be determined whether combining these genes have a prognostic significance in AML.Methods Immune-ERG profiles for 151 AML patients from TCGA were analyzed. A risk model was constructed and optimized through the combination of univariate Cox regression and LASSO regression analysis. GEO datasets were utilized as the external validation for the robustness of the risk model. In addition, we performed KEGG and GO enrichment analyses to investigate the role played by these genes in AML. The variations in immune cell infiltrations among risk groups were assessed through four algorithms. Expression of hub gene in specific cell was analyzed by single-cell RNA seq.Results A total of 85 immune-ERGs associated with prognosis were identified, enabling the construction of a risk model for AML. The risk model based on five immune-ERGs (CD37, NUCB2, LSP1, MGST1, and PLXNB1) demonstrated a correlation with the clinical outcomes. Additionally, age, FAB classification, cytogenetics risk, and risk score were identified as independent prognostic factors. The five immune-ERGs exhibited correlations with cytokine-cytokine receptor interaction, and antigen processing and presentation. Notably, the risk model demonstrated significant associations with immune responses and the expression of immune checkpoints.Conclusions An immune-ERG-based risk model was developed to effectively predict prognostic outcomes for AML patients. There is potential for immune therapy in AML targeting the five hub genes.https://www.tandfonline.com/doi/10.1080/16078454.2023.2300855Immuneexosomerisk scoreacute myeloid leukemiatumor environmentprognosis
spellingShingle Zenghui Fang
Jiali Fu
Xin Chen
A combined immune and exosome-related risk signature as prognostic biomakers in acute myeloid leukemia
Hematology
Immune
exosome
risk score
acute myeloid leukemia
tumor environment
prognosis
title A combined immune and exosome-related risk signature as prognostic biomakers in acute myeloid leukemia
title_full A combined immune and exosome-related risk signature as prognostic biomakers in acute myeloid leukemia
title_fullStr A combined immune and exosome-related risk signature as prognostic biomakers in acute myeloid leukemia
title_full_unstemmed A combined immune and exosome-related risk signature as prognostic biomakers in acute myeloid leukemia
title_short A combined immune and exosome-related risk signature as prognostic biomakers in acute myeloid leukemia
title_sort combined immune and exosome related risk signature as prognostic biomakers in acute myeloid leukemia
topic Immune
exosome
risk score
acute myeloid leukemia
tumor environment
prognosis
url https://www.tandfonline.com/doi/10.1080/16078454.2023.2300855
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