APOL4, a Novel Immune-Related Prognostic Biomarker for Glioma

Glioma is the common, most aggressive and poorest prognostic tumor type in the brain. More and more biomarkers associated with glioma treatment, prognosis, and immunity are being discovered. Here, we aimed to explore the underlying biological functions and prognostic predictive value of Apolipoprote...

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Main Authors: Hua Zhu, Xinyao Hu, Shi Feng, Yuntao Li, Yonggang Zhang, Sheng Qiu, Ran Chen, Yingze Ye, Lijuan Gu, Zhihong Jian, Ximing Xu, Xiaoxing Xiong
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/19/5765
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author Hua Zhu
Xinyao Hu
Shi Feng
Yuntao Li
Yonggang Zhang
Sheng Qiu
Ran Chen
Yingze Ye
Lijuan Gu
Zhihong Jian
Ximing Xu
Xiaoxing Xiong
author_facet Hua Zhu
Xinyao Hu
Shi Feng
Yuntao Li
Yonggang Zhang
Sheng Qiu
Ran Chen
Yingze Ye
Lijuan Gu
Zhihong Jian
Ximing Xu
Xiaoxing Xiong
author_sort Hua Zhu
collection DOAJ
description Glioma is the common, most aggressive and poorest prognostic tumor type in the brain. More and more biomarkers associated with glioma treatment, prognosis, and immunity are being discovered. Here, we aimed to explore the underlying biological functions and prognostic predictive value of Apolipoprotein L4 (APOL4) in glioma. We downloaded the expression data of APOL4 and clinical information from several databases and used R software for preprocessing. The clinical significance of APOL4 in a glioma outcome was explored by the Cox regression analysis and Kaplan–Meier survival analysis. In addition, immune infiltrates and microenvironmental indicators were assessed by CIBERSORT and TIMER. GO and KEGG analyses were used to analyze the potential functions of APOL4 in gliomas. APOL4 expression was increased in glioma specimens compared to normal tissues and correlated dramatically with the WHO grade. A survival analysis showed a shorter overall survival (OS) in glioma patients with APOL4 overexpression, and a Cox regression analysis showed that APOL4 was an independent prognostic factor for the OS of glioma patients. GSEA, GO, and KEGG enrichment analyses showed remarkable enrichment in immune-related pathways. APOL4 expression was positively correlated with immune infiltration (including DC cells, neutrophils, CD8+ T cells, B cells, macrophages, CD4+ T cells, etc.) and microenvironmental parameters (including immune, stromal, and ESTIMATE scores) in gliomas. Glioma patients with a higher expression of APOL4 may be more sensitive to immune checkpoint inhibitors (ICI). In conclusion, these findings suggest that APOL4 is associated with the tumor grade and immune infiltrates; APOL4 may be a new and potential biomarker for therapeutic and prognostic evaluations that may further suggest the therapeutic efficacy of immunotherapy.
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spelling doaj.art-c0d2b88395844832b2ea72235449b11c2023-11-23T20:48:23ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011119576510.3390/jcm11195765APOL4, a Novel Immune-Related Prognostic Biomarker for GliomaHua Zhu0Xinyao Hu1Shi Feng2Yuntao Li3Yonggang Zhang4Sheng Qiu5Ran Chen6Yingze Ye7Lijuan Gu8Zhihong Jian9Ximing Xu10Xiaoxing Xiong11Department of Neurosurgery, The Affiliated Huzhou Hospital, Zhejiang University School of Medicine, Huzhou Central Hospital, Huzhou 313000, ChinaCancer Center, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaDepartment of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaDepartment of Neurosurgery, The Affiliated Huzhou Hospital, Zhejiang University School of Medicine, Huzhou Central Hospital, Huzhou 313000, ChinaDepartment of Neurosurgery, The Affiliated Huzhou Hospital, Zhejiang University School of Medicine, Huzhou Central Hospital, Huzhou 313000, ChinaDepartment of Neurosurgery, The Affiliated Huzhou Hospital, Zhejiang University School of Medicine, Huzhou Central Hospital, Huzhou 313000, ChinaDepartment of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaDepartment of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaCentral Laboratory, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaDepartment of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaCancer Center, Renmin Hospital of Wuhan University, Wuhan 430060, ChinaDepartment of Neurosurgery, The Affiliated Huzhou Hospital, Zhejiang University School of Medicine, Huzhou Central Hospital, Huzhou 313000, ChinaGlioma is the common, most aggressive and poorest prognostic tumor type in the brain. More and more biomarkers associated with glioma treatment, prognosis, and immunity are being discovered. Here, we aimed to explore the underlying biological functions and prognostic predictive value of Apolipoprotein L4 (APOL4) in glioma. We downloaded the expression data of APOL4 and clinical information from several databases and used R software for preprocessing. The clinical significance of APOL4 in a glioma outcome was explored by the Cox regression analysis and Kaplan–Meier survival analysis. In addition, immune infiltrates and microenvironmental indicators were assessed by CIBERSORT and TIMER. GO and KEGG analyses were used to analyze the potential functions of APOL4 in gliomas. APOL4 expression was increased in glioma specimens compared to normal tissues and correlated dramatically with the WHO grade. A survival analysis showed a shorter overall survival (OS) in glioma patients with APOL4 overexpression, and a Cox regression analysis showed that APOL4 was an independent prognostic factor for the OS of glioma patients. GSEA, GO, and KEGG enrichment analyses showed remarkable enrichment in immune-related pathways. APOL4 expression was positively correlated with immune infiltration (including DC cells, neutrophils, CD8+ T cells, B cells, macrophages, CD4+ T cells, etc.) and microenvironmental parameters (including immune, stromal, and ESTIMATE scores) in gliomas. Glioma patients with a higher expression of APOL4 may be more sensitive to immune checkpoint inhibitors (ICI). In conclusion, these findings suggest that APOL4 is associated with the tumor grade and immune infiltrates; APOL4 may be a new and potential biomarker for therapeutic and prognostic evaluations that may further suggest the therapeutic efficacy of immunotherapy.https://www.mdpi.com/2077-0383/11/19/5765APOL4gliomaprognosisICItumor-infiltrating cells
spellingShingle Hua Zhu
Xinyao Hu
Shi Feng
Yuntao Li
Yonggang Zhang
Sheng Qiu
Ran Chen
Yingze Ye
Lijuan Gu
Zhihong Jian
Ximing Xu
Xiaoxing Xiong
APOL4, a Novel Immune-Related Prognostic Biomarker for Glioma
Journal of Clinical Medicine
APOL4
glioma
prognosis
ICI
tumor-infiltrating cells
title APOL4, a Novel Immune-Related Prognostic Biomarker for Glioma
title_full APOL4, a Novel Immune-Related Prognostic Biomarker for Glioma
title_fullStr APOL4, a Novel Immune-Related Prognostic Biomarker for Glioma
title_full_unstemmed APOL4, a Novel Immune-Related Prognostic Biomarker for Glioma
title_short APOL4, a Novel Immune-Related Prognostic Biomarker for Glioma
title_sort apol4 a novel immune related prognostic biomarker for glioma
topic APOL4
glioma
prognosis
ICI
tumor-infiltrating cells
url https://www.mdpi.com/2077-0383/11/19/5765
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