CMTM6 significantly relates to PD-L1 and predicts the prognosis of gastric cancer patients

Background The CKLF-like MARVEL transmembrane domain containing 6 (CMTM6) is a key regulator of the programed death receptor ligand-1 (PD-L1) protein. However, the usefulness of CMTM6 expression as a prognostic indicator and the relationship between CMTM6 and PD-L1 expression in gastric cancer (GC)...

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Main Authors: Xin Li, Ling Chen, Chuan Gu, Qiaoli Sun, Jia Li
Format: Article
Language:English
Published: PeerJ Inc. 2020-08-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/9536.pdf
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author Xin Li
Ling Chen
Chuan Gu
Qiaoli Sun
Jia Li
author_facet Xin Li
Ling Chen
Chuan Gu
Qiaoli Sun
Jia Li
author_sort Xin Li
collection DOAJ
description Background The CKLF-like MARVEL transmembrane domain containing 6 (CMTM6) is a key regulator of the programed death receptor ligand-1 (PD-L1) protein. However, the usefulness of CMTM6 expression as a prognostic indicator and the relationship between CMTM6 and PD-L1 expression in gastric cancer (GC) remains unclear. Objectives We evaluated the expression and prognostic implications of CMTM6 in GC tissue and its relationship with PD-L1 expression. Patients and methods The protein expressions of CMTM6 and PD-L1 were detected in 122 cases of postoperative GC tissue using immunohistochemical (IHC) assays. Kaplan–Meier survival analysis was used to calculate the survival probability and a log-rank test was used to compare the survival curves. Univariate and multivariate Cox proportional hazard regression analyses were used to evaluate the clinically-related factors associated with survival. Pearson’s correlation was used to determine the correlation analysis and estimate the statistical significance. The univariate and multivariate logistic regression analyses were used to analyze the relationship between clinically-related factors and PD-L1 expression. Results Kaplan–Meier survival analysis showed that patients with high CMTM6 expression had shorter overall survival (OS) than those with low expression (P < 0.001). The expression of CMTM6 was an independent risk factor for prognosis in multivariate Cox proportional hazard regression analyses (HR:2.221, CI% [1.36–3.628], P = 0.001). The OS of patients with positively expressed PD-L1 was significantly shorter than those with negatively expressed PD-L1 (P = 0.003). The expression of CMTM6 was significantly related to the positive expression of PD-L1 in gastric cancer tissues (r = 0.186, P = 0.041). The expression of CMTM6 was the independent risk factor for PD-L1 expression in multivariate logistic regression analysis (OR:2.538, CI% [1.128–5.714], P = 0.024). Conclusion CMTM6 expression is significantly related to PD-L1 and may be a useful prognostic indicator and a specific therapeutic target for cancer immunotherapy for GC patients.
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spelling doaj.art-e11b0d59933048538cffa1db81eaf0722023-12-03T10:15:25ZengPeerJ Inc.PeerJ2167-83592020-08-018e953610.7717/peerj.9536CMTM6 significantly relates to PD-L1 and predicts the prognosis of gastric cancer patientsXin Li0Ling Chen1Chuan Gu2Qiaoli Sun3Jia Li4Department of Oncology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine (TCM), Shanghai, ChinaDepartment of Oncology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine (TCM), Shanghai, ChinaDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, ChinaInstitute of Digestive Diseases, Longhua Hospital, Shanghai University of Traditional Chinese Medicine (TCM), Shanghai, ChinaDepartment of Integrated Chinese and Western Medicine, Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, ChinaBackground The CKLF-like MARVEL transmembrane domain containing 6 (CMTM6) is a key regulator of the programed death receptor ligand-1 (PD-L1) protein. However, the usefulness of CMTM6 expression as a prognostic indicator and the relationship between CMTM6 and PD-L1 expression in gastric cancer (GC) remains unclear. Objectives We evaluated the expression and prognostic implications of CMTM6 in GC tissue and its relationship with PD-L1 expression. Patients and methods The protein expressions of CMTM6 and PD-L1 were detected in 122 cases of postoperative GC tissue using immunohistochemical (IHC) assays. Kaplan–Meier survival analysis was used to calculate the survival probability and a log-rank test was used to compare the survival curves. Univariate and multivariate Cox proportional hazard regression analyses were used to evaluate the clinically-related factors associated with survival. Pearson’s correlation was used to determine the correlation analysis and estimate the statistical significance. The univariate and multivariate logistic regression analyses were used to analyze the relationship between clinically-related factors and PD-L1 expression. Results Kaplan–Meier survival analysis showed that patients with high CMTM6 expression had shorter overall survival (OS) than those with low expression (P < 0.001). The expression of CMTM6 was an independent risk factor for prognosis in multivariate Cox proportional hazard regression analyses (HR:2.221, CI% [1.36–3.628], P = 0.001). The OS of patients with positively expressed PD-L1 was significantly shorter than those with negatively expressed PD-L1 (P = 0.003). The expression of CMTM6 was significantly related to the positive expression of PD-L1 in gastric cancer tissues (r = 0.186, P = 0.041). The expression of CMTM6 was the independent risk factor for PD-L1 expression in multivariate logistic regression analysis (OR:2.538, CI% [1.128–5.714], P = 0.024). Conclusion CMTM6 expression is significantly related to PD-L1 and may be a useful prognostic indicator and a specific therapeutic target for cancer immunotherapy for GC patients.https://peerj.com/articles/9536.pdfCMTM6PD-L1Gastric cancerPrognosis
spellingShingle Xin Li
Ling Chen
Chuan Gu
Qiaoli Sun
Jia Li
CMTM6 significantly relates to PD-L1 and predicts the prognosis of gastric cancer patients
PeerJ
CMTM6
PD-L1
Gastric cancer
Prognosis
title CMTM6 significantly relates to PD-L1 and predicts the prognosis of gastric cancer patients
title_full CMTM6 significantly relates to PD-L1 and predicts the prognosis of gastric cancer patients
title_fullStr CMTM6 significantly relates to PD-L1 and predicts the prognosis of gastric cancer patients
title_full_unstemmed CMTM6 significantly relates to PD-L1 and predicts the prognosis of gastric cancer patients
title_short CMTM6 significantly relates to PD-L1 and predicts the prognosis of gastric cancer patients
title_sort cmtm6 significantly relates to pd l1 and predicts the prognosis of gastric cancer patients
topic CMTM6
PD-L1
Gastric cancer
Prognosis
url https://peerj.com/articles/9536.pdf
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