Targeting inhibition of prognosis-related lipid metabolism genes including CYP19A1 enhances immunotherapeutic response in colon cancer

Abstract Background Lipid metabolic reprogramming in colon cancer shows a potential impact on tumor immune microenvironment and is associated with response to immunotherapy. Therefore, this study aimed to develop a lipid metabolism-related prognostic risk score (LMrisk) to provide new biomarkers and...

Full description

Bibliographic Details
Main Authors: Lilong Liu, Min Mo, Xuehan Chen, Dongchen Chao, Yufan Zhang, Xuewei Chen, Yang Wang, Nan Zhang, Nan He, Xi Yuan, Honglei Chen, Jing Yang
Format: Article
Language:English
Published: BMC 2023-04-01
Series:Journal of Experimental & Clinical Cancer Research
Subjects:
Online Access:https://doi.org/10.1186/s13046-023-02647-8
_version_ 1797845700024729600
author Lilong Liu
Min Mo
Xuehan Chen
Dongchen Chao
Yufan Zhang
Xuewei Chen
Yang Wang
Nan Zhang
Nan He
Xi Yuan
Honglei Chen
Jing Yang
author_facet Lilong Liu
Min Mo
Xuehan Chen
Dongchen Chao
Yufan Zhang
Xuewei Chen
Yang Wang
Nan Zhang
Nan He
Xi Yuan
Honglei Chen
Jing Yang
author_sort Lilong Liu
collection DOAJ
description Abstract Background Lipid metabolic reprogramming in colon cancer shows a potential impact on tumor immune microenvironment and is associated with response to immunotherapy. Therefore, this study aimed to develop a lipid metabolism-related prognostic risk score (LMrisk) to provide new biomarkers and combination therapy strategies for colon cancer immunotherapy. Methods Differentially expressed lipid metabolism-related genes (LMGs) including cytochrome P450 (CYP) 19A1 were screened to construct LMrisk in TCGA colon cancer cohort. The LMrisk was then validated in three GEO datasets. The differences of immune cell infiltration and immunotherapy response between LMrisk subgroups were investigated via bioinformatic analysis. These results were comfirmed by in vitro coculture of colon cancer cells with peripheral blood mononuclear cells, human colon cancer tissue microarray analysis, multiplex immunofluorescence staining and mouse xenograft models of colon cancer. Results Six LMGs including CYP19A1, ALOXE3, FABP4, LRP2, SLCO1A2 and PPARGC1A were selected to establish the LMrisk. The LMrisk was positively correlated with the abundance of macrophages, carcinoma-associated fibroblasts (CAFs), endothelial cells and the levels of biomarkers for immunotherapeutic response including programmed cell death ligand 1 (PD-L1) expression, tumor mutation burden and microsatellite instability, but negatively correlated with CD8+ T cell infiltration levels. CYP19A1 protein expression was an independent prognostic factor, and positively correlated with PD-L1 expression in human colon cancer tissues. Multiplex immunofluorescence analyses revealed that CYP19A1 protein expression was negatively correlated with CD8+ T cell infiltration, but positively correlated with the levels of tumor-associated macrophages, CAFs and endothelial cells. Importantly, CYP19A1 inhibition downregulated PD-L1, IL-6 and TGF-β levels through GPR30-AKT signaling, thereby enhancing CD8+ T cell-mediated antitumor immune response in vitro co-culture studies. CYP19A1 inhibition by letrozole or siRNA strengthened the anti-tumor immune response of CD8+ T cells, induced normalization of tumor blood vessels, and enhanced the efficacy of anti-PD-1 therapy in orthotopic and subcutaneous mouse colon cancer models. Conclusion A risk model based on lipid metabolism-related genes may predict prognosis and immunotherapeutic response in colon cancer. CYP19A1-catalyzed estrogen biosynthesis promotes vascular abnormality and inhibits CD8+ T cell function through the upregulation of PD-L1, IL-6 and TGF-β via GPR30-AKT signaling. CYP19A1 inhibition combined with PD-1 blockade represents a promising therapeutic strategy for colon cancer immunotherapy.
first_indexed 2024-04-09T17:44:20Z
format Article
id doaj.art-d4c1b95583854fb4a0a6dcf61444a674
institution Directory Open Access Journal
issn 1756-9966
language English
last_indexed 2024-04-09T17:44:20Z
publishDate 2023-04-01
publisher BMC
record_format Article
series Journal of Experimental & Clinical Cancer Research
spelling doaj.art-d4c1b95583854fb4a0a6dcf61444a6742023-04-16T11:28:08ZengBMCJournal of Experimental & Clinical Cancer Research1756-99662023-04-0142112010.1186/s13046-023-02647-8Targeting inhibition of prognosis-related lipid metabolism genes including CYP19A1 enhances immunotherapeutic response in colon cancerLilong Liu0Min Mo1Xuehan Chen2Dongchen Chao3Yufan Zhang4Xuewei Chen5Yang Wang6Nan Zhang7Nan He8Xi Yuan9Honglei Chen10Jing Yang11Department of Pharmacology and Hubei Province Key Laboratory of Allergy and Immune-related Diseases, School of Basic Medical Sciences, Wuhan UniversityDepartment of Pharmacology and Hubei Province Key Laboratory of Allergy and Immune-related Diseases, School of Basic Medical Sciences, Wuhan UniversityDepartment of Pharmacology and Hubei Province Key Laboratory of Allergy and Immune-related Diseases, School of Basic Medical Sciences, Wuhan UniversityDepartment of Pharmacology and Hubei Province Key Laboratory of Allergy and Immune-related Diseases, School of Basic Medical Sciences, Wuhan UniversityDepartment of Pharmacology and Hubei Province Key Laboratory of Allergy and Immune-related Diseases, School of Basic Medical Sciences, Wuhan UniversityDepartment of Laboratory Medicine, Zhongnan Hospital of Wuhan UniversityDepartment of Pharmacology and Hubei Province Key Laboratory of Allergy and Immune-related Diseases, School of Basic Medical Sciences, Wuhan UniversityDepartment of Pharmacology and Hubei Province Key Laboratory of Allergy and Immune-related Diseases, School of Basic Medical Sciences, Wuhan UniversityDepartment of Pharmacology and Hubei Province Key Laboratory of Allergy and Immune-related Diseases, School of Basic Medical Sciences, Wuhan UniversityDepartment of Pharmacology and Hubei Province Key Laboratory of Allergy and Immune-related Diseases, School of Basic Medical Sciences, Wuhan UniversityDepartment of Pathology, School of Basic Medical Sciences, Wuhan UniversityDepartment of Pharmacology and Hubei Province Key Laboratory of Allergy and Immune-related Diseases, School of Basic Medical Sciences, Wuhan UniversityAbstract Background Lipid metabolic reprogramming in colon cancer shows a potential impact on tumor immune microenvironment and is associated with response to immunotherapy. Therefore, this study aimed to develop a lipid metabolism-related prognostic risk score (LMrisk) to provide new biomarkers and combination therapy strategies for colon cancer immunotherapy. Methods Differentially expressed lipid metabolism-related genes (LMGs) including cytochrome P450 (CYP) 19A1 were screened to construct LMrisk in TCGA colon cancer cohort. The LMrisk was then validated in three GEO datasets. The differences of immune cell infiltration and immunotherapy response between LMrisk subgroups were investigated via bioinformatic analysis. These results were comfirmed by in vitro coculture of colon cancer cells with peripheral blood mononuclear cells, human colon cancer tissue microarray analysis, multiplex immunofluorescence staining and mouse xenograft models of colon cancer. Results Six LMGs including CYP19A1, ALOXE3, FABP4, LRP2, SLCO1A2 and PPARGC1A were selected to establish the LMrisk. The LMrisk was positively correlated with the abundance of macrophages, carcinoma-associated fibroblasts (CAFs), endothelial cells and the levels of biomarkers for immunotherapeutic response including programmed cell death ligand 1 (PD-L1) expression, tumor mutation burden and microsatellite instability, but negatively correlated with CD8+ T cell infiltration levels. CYP19A1 protein expression was an independent prognostic factor, and positively correlated with PD-L1 expression in human colon cancer tissues. Multiplex immunofluorescence analyses revealed that CYP19A1 protein expression was negatively correlated with CD8+ T cell infiltration, but positively correlated with the levels of tumor-associated macrophages, CAFs and endothelial cells. Importantly, CYP19A1 inhibition downregulated PD-L1, IL-6 and TGF-β levels through GPR30-AKT signaling, thereby enhancing CD8+ T cell-mediated antitumor immune response in vitro co-culture studies. CYP19A1 inhibition by letrozole or siRNA strengthened the anti-tumor immune response of CD8+ T cells, induced normalization of tumor blood vessels, and enhanced the efficacy of anti-PD-1 therapy in orthotopic and subcutaneous mouse colon cancer models. Conclusion A risk model based on lipid metabolism-related genes may predict prognosis and immunotherapeutic response in colon cancer. CYP19A1-catalyzed estrogen biosynthesis promotes vascular abnormality and inhibits CD8+ T cell function through the upregulation of PD-L1, IL-6 and TGF-β via GPR30-AKT signaling. CYP19A1 inhibition combined with PD-1 blockade represents a promising therapeutic strategy for colon cancer immunotherapy.https://doi.org/10.1186/s13046-023-02647-8Lipid metabolismCYP19A1Tumor immune microenvironmentImmunotherapeutic responseColon cancer
spellingShingle Lilong Liu
Min Mo
Xuehan Chen
Dongchen Chao
Yufan Zhang
Xuewei Chen
Yang Wang
Nan Zhang
Nan He
Xi Yuan
Honglei Chen
Jing Yang
Targeting inhibition of prognosis-related lipid metabolism genes including CYP19A1 enhances immunotherapeutic response in colon cancer
Journal of Experimental & Clinical Cancer Research
Lipid metabolism
CYP19A1
Tumor immune microenvironment
Immunotherapeutic response
Colon cancer
title Targeting inhibition of prognosis-related lipid metabolism genes including CYP19A1 enhances immunotherapeutic response in colon cancer
title_full Targeting inhibition of prognosis-related lipid metabolism genes including CYP19A1 enhances immunotherapeutic response in colon cancer
title_fullStr Targeting inhibition of prognosis-related lipid metabolism genes including CYP19A1 enhances immunotherapeutic response in colon cancer
title_full_unstemmed Targeting inhibition of prognosis-related lipid metabolism genes including CYP19A1 enhances immunotherapeutic response in colon cancer
title_short Targeting inhibition of prognosis-related lipid metabolism genes including CYP19A1 enhances immunotherapeutic response in colon cancer
title_sort targeting inhibition of prognosis related lipid metabolism genes including cyp19a1 enhances immunotherapeutic response in colon cancer
topic Lipid metabolism
CYP19A1
Tumor immune microenvironment
Immunotherapeutic response
Colon cancer
url https://doi.org/10.1186/s13046-023-02647-8
work_keys_str_mv AT lilongliu targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer
AT minmo targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer
AT xuehanchen targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer
AT dongchenchao targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer
AT yufanzhang targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer
AT xueweichen targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer
AT yangwang targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer
AT nanzhang targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer
AT nanhe targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer
AT xiyuan targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer
AT hongleichen targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer
AT jingyang targetinginhibitionofprognosisrelatedlipidmetabolismgenesincludingcyp19a1enhancesimmunotherapeuticresponseincoloncancer