Identification and validation of a novel cuproptosis-related gene signature in multiple myeloma

Background: Cuproptosis is a newly identified unique copper-triggered modality of mitochondrial cell death, distinct from known death mechanisms such as necroptosis, pyroptosis, and ferroptosis. Multiple myeloma (MM) is a hematologic neoplasm characterized by the malignant proliferation of plasma ce...

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Main Authors: Bingxin Zhang, Quanqiang Wang, Tianyu Zhang, Ziwei Zheng, Zhili Lin, Shujuan Zhou, Dong Zheng, Zixing Chen, Sisi Zheng, Yu Zhang, Xuanru Lin, Rujiao Dong, Jingjing Chen, Honglan Qian, Xudong Hu, Yan Zhuang, Qianying Zhang, Zhouxiang Jin, Songfu Jiang, Yongyong Ma
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Cell and Developmental Biology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2023.1159355/full
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author Bingxin Zhang
Quanqiang Wang
Tianyu Zhang
Ziwei Zheng
Zhili Lin
Shujuan Zhou
Dong Zheng
Zixing Chen
Sisi Zheng
Yu Zhang
Xuanru Lin
Rujiao Dong
Jingjing Chen
Honglan Qian
Xudong Hu
Yan Zhuang
Qianying Zhang
Zhouxiang Jin
Songfu Jiang
Yongyong Ma
Yongyong Ma
Yongyong Ma
author_facet Bingxin Zhang
Quanqiang Wang
Tianyu Zhang
Ziwei Zheng
Zhili Lin
Shujuan Zhou
Dong Zheng
Zixing Chen
Sisi Zheng
Yu Zhang
Xuanru Lin
Rujiao Dong
Jingjing Chen
Honglan Qian
Xudong Hu
Yan Zhuang
Qianying Zhang
Zhouxiang Jin
Songfu Jiang
Yongyong Ma
Yongyong Ma
Yongyong Ma
author_sort Bingxin Zhang
collection DOAJ
description Background: Cuproptosis is a newly identified unique copper-triggered modality of mitochondrial cell death, distinct from known death mechanisms such as necroptosis, pyroptosis, and ferroptosis. Multiple myeloma (MM) is a hematologic neoplasm characterized by the malignant proliferation of plasma cells. In the development of MM, almost all patients undergo a relatively benign course from monoclonal gammopathy of undetermined significance (MGUS) to smoldering myeloma (SMM), which further progresses to active myeloma. However, the prognostic value of cuproptosis in MM remains unknown.Method: In this study, we systematically investigated the genetic variants, expression patterns, and prognostic value of cuproptosis-related genes (CRGs) in MM. CRG scores derived from the prognostic model were used to perform the risk stratification of MM patients. We then explored their differences in clinical characteristics and immune patterns and assessed their value in prognosis prediction and treatment response. Nomograms were also developed to improve predictive accuracy and clinical applicability. Finally, we collected MM cell lines and patient samples to validate marker gene expression by quantitative real-time PCR (qRT-PCR).Results: The evolution from MGUS and SMM to MM was also accompanied by differences in the CRG expression profile. Then, a well-performing cuproptosis-related risk model was developed to predict prognosis in MM and was validated in two external cohorts. The high-risk group exhibited higher clinical risk indicators. Cox regression analyses showed that the model was an independent prognostic predictor in MM. Patients in the high-risk group had significantly lower survival rates than those in the low-risk group (p < 0.001). Meanwhile, CRG scores were significantly correlated with immune infiltration, stemness index and immunotherapy sensitivity. We further revealed the close association between CRG scores and mitochondrial metabolism. Subsequently, the prediction nomogram showed good predictive power and calibration. Finally, the prognostic CRGs were further validated by qRT-PCR in vitro.Conclusion: CRGs were closely related to the immune pattern and self-renewal biology of cancer cells in MM. This prognostic model provided a new perspective for the risk stratification and treatment response prediction of MM patients.
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spelling doaj.art-d77fb40a6a3f43dcb69d0962d35a3cca2023-04-20T05:54:29ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2023-04-011110.3389/fcell.2023.11593551159355Identification and validation of a novel cuproptosis-related gene signature in multiple myelomaBingxin Zhang0Quanqiang Wang1Tianyu Zhang2Ziwei Zheng3Zhili Lin4Shujuan Zhou5Dong Zheng6Zixing Chen7Sisi Zheng8Yu Zhang9Xuanru Lin10Rujiao Dong11Jingjing Chen12Honglan Qian13Xudong Hu14Yan Zhuang15Qianying Zhang16Zhouxiang Jin17Songfu Jiang18Yongyong Ma19Yongyong Ma20Yongyong Ma21Department of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaKey Laboratory of Intelligent Treatment and Life Support for Critical Diseases of Zhejiang Province, Wenzhou, Zhejiang, ChinaZhejiang Engineering Research Center for Hospital Emergency and Process Digitization, Wenzhou, Zhejiang, ChinaBackground: Cuproptosis is a newly identified unique copper-triggered modality of mitochondrial cell death, distinct from known death mechanisms such as necroptosis, pyroptosis, and ferroptosis. Multiple myeloma (MM) is a hematologic neoplasm characterized by the malignant proliferation of plasma cells. In the development of MM, almost all patients undergo a relatively benign course from monoclonal gammopathy of undetermined significance (MGUS) to smoldering myeloma (SMM), which further progresses to active myeloma. However, the prognostic value of cuproptosis in MM remains unknown.Method: In this study, we systematically investigated the genetic variants, expression patterns, and prognostic value of cuproptosis-related genes (CRGs) in MM. CRG scores derived from the prognostic model were used to perform the risk stratification of MM patients. We then explored their differences in clinical characteristics and immune patterns and assessed their value in prognosis prediction and treatment response. Nomograms were also developed to improve predictive accuracy and clinical applicability. Finally, we collected MM cell lines and patient samples to validate marker gene expression by quantitative real-time PCR (qRT-PCR).Results: The evolution from MGUS and SMM to MM was also accompanied by differences in the CRG expression profile. Then, a well-performing cuproptosis-related risk model was developed to predict prognosis in MM and was validated in two external cohorts. The high-risk group exhibited higher clinical risk indicators. Cox regression analyses showed that the model was an independent prognostic predictor in MM. Patients in the high-risk group had significantly lower survival rates than those in the low-risk group (p < 0.001). Meanwhile, CRG scores were significantly correlated with immune infiltration, stemness index and immunotherapy sensitivity. We further revealed the close association between CRG scores and mitochondrial metabolism. Subsequently, the prediction nomogram showed good predictive power and calibration. Finally, the prognostic CRGs were further validated by qRT-PCR in vitro.Conclusion: CRGs were closely related to the immune pattern and self-renewal biology of cancer cells in MM. This prognostic model provided a new perspective for the risk stratification and treatment response prediction of MM patients.https://www.frontiersin.org/articles/10.3389/fcell.2023.1159355/fullmultiple myelomacuproptosisprognostic gene signaturetumor microenvironmenttricarboxylic acid cycle
spellingShingle Bingxin Zhang
Quanqiang Wang
Tianyu Zhang
Ziwei Zheng
Zhili Lin
Shujuan Zhou
Dong Zheng
Zixing Chen
Sisi Zheng
Yu Zhang
Xuanru Lin
Rujiao Dong
Jingjing Chen
Honglan Qian
Xudong Hu
Yan Zhuang
Qianying Zhang
Zhouxiang Jin
Songfu Jiang
Yongyong Ma
Yongyong Ma
Yongyong Ma
Identification and validation of a novel cuproptosis-related gene signature in multiple myeloma
Frontiers in Cell and Developmental Biology
multiple myeloma
cuproptosis
prognostic gene signature
tumor microenvironment
tricarboxylic acid cycle
title Identification and validation of a novel cuproptosis-related gene signature in multiple myeloma
title_full Identification and validation of a novel cuproptosis-related gene signature in multiple myeloma
title_fullStr Identification and validation of a novel cuproptosis-related gene signature in multiple myeloma
title_full_unstemmed Identification and validation of a novel cuproptosis-related gene signature in multiple myeloma
title_short Identification and validation of a novel cuproptosis-related gene signature in multiple myeloma
title_sort identification and validation of a novel cuproptosis related gene signature in multiple myeloma
topic multiple myeloma
cuproptosis
prognostic gene signature
tumor microenvironment
tricarboxylic acid cycle
url https://www.frontiersin.org/articles/10.3389/fcell.2023.1159355/full
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