High Expression of TIMELESS Predicts Poor Prognosis: A Potential Therapeutic Target for Skin Cutaneous Melanoma

BackgroundSkin cutaneous melanoma (SKCM) is the most lethal skin cancer with an increasing incidence worldwide. The poor prognosis of SKCM urgently requires us to discover prognostic biomarkers for accurate therapy. As a regulator of DNA replication, TIMELESS (TIM) has been found to be highly expres...

Full description

Bibliographic Details
Main Authors: Shixin Zhao, Shifeng Wen, Hengdeng Liu, Ziheng Zhou, Yiling Liu, Jinbao Zhong, Julin Xie
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.917776/full
_version_ 1811216475669659648
author Shixin Zhao
Shifeng Wen
Hengdeng Liu
Ziheng Zhou
Yiling Liu
Jinbao Zhong
Julin Xie
author_facet Shixin Zhao
Shifeng Wen
Hengdeng Liu
Ziheng Zhou
Yiling Liu
Jinbao Zhong
Julin Xie
author_sort Shixin Zhao
collection DOAJ
description BackgroundSkin cutaneous melanoma (SKCM) is the most lethal skin cancer with an increasing incidence worldwide. The poor prognosis of SKCM urgently requires us to discover prognostic biomarkers for accurate therapy. As a regulator of DNA replication, TIMELESS (TIM) has been found to be highly expressed in various malignancies but rarely reported in SKCM. The objective of this study was to evaluate the relationship between TIM and SKCM tumorigenesis and prognosis.MethodsWe obtained RNA sequencing data from TCGA and GTEx to analyze TIM expression and differentially expressed genes (DEGs). Subsequently, GO/KEGG, GSEA, immune cell infiltration analysis, and protein-protein interaction (PPI) network were used to perform the functional enrichment analysis of TIM-related DEGs. Moreover, the receiver operating characteristic (ROC) curves, Cox regression analysis, Kaplan–Meier (K-M) analysis, and nomograms were applied to figure out the clinical significance of TIM in SKCM. In addition, we investigated the relationship between TIM promoter methylation and SKCM prognosis through the UALCAN database. Finally, the immunohistochemical (IHC) results of normal skin and SKCM were analyzed to determine expression differences.ResultsTIM was significantly elevated in various malignancies, including SKCM, and high expression of TIM was associated with poor prognosis. Moreover, a total of 402 DEGs were identified between the two distinct TIM expression groups, and functional annotation showed enrichment with positive regulation of cell cycle and classic oncogenic pathways in the high TIM expression phenotype, while keratinization pathways were negatively regulated and enriched. Further analysis showed that TIM was correlated with infiltration of multiple immune cells. Finally, IHC validated the differential expression of TIM in SKCM.ConclusionTIM might play a pivotal role in tumorigenesis of SKCM and is closely related to its prognosis.
first_indexed 2024-04-12T06:39:43Z
format Article
id doaj.art-e2887d2785c7456ba76751e602969c54
institution Directory Open Access Journal
issn 2296-875X
language English
last_indexed 2024-04-12T06:39:43Z
publishDate 2022-05-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Surgery
spelling doaj.art-e2887d2785c7456ba76751e602969c542022-12-22T03:43:47ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-05-01910.3389/fsurg.2022.917776917776High Expression of TIMELESS Predicts Poor Prognosis: A Potential Therapeutic Target for Skin Cutaneous MelanomaShixin Zhao0Shifeng Wen1Hengdeng Liu2Ziheng Zhou3Yiling Liu4Jinbao Zhong5Julin Xie6Department of Burn Surgery, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Orthopedics, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, ChinaDepartment of Burn Surgery, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Burn Surgery, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Burn Surgery, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaDepartment of Dermatology, Guangzhou Institute of Dermatology, Guangzhou, ChinaDepartment of Burn Surgery, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, ChinaBackgroundSkin cutaneous melanoma (SKCM) is the most lethal skin cancer with an increasing incidence worldwide. The poor prognosis of SKCM urgently requires us to discover prognostic biomarkers for accurate therapy. As a regulator of DNA replication, TIMELESS (TIM) has been found to be highly expressed in various malignancies but rarely reported in SKCM. The objective of this study was to evaluate the relationship between TIM and SKCM tumorigenesis and prognosis.MethodsWe obtained RNA sequencing data from TCGA and GTEx to analyze TIM expression and differentially expressed genes (DEGs). Subsequently, GO/KEGG, GSEA, immune cell infiltration analysis, and protein-protein interaction (PPI) network were used to perform the functional enrichment analysis of TIM-related DEGs. Moreover, the receiver operating characteristic (ROC) curves, Cox regression analysis, Kaplan–Meier (K-M) analysis, and nomograms were applied to figure out the clinical significance of TIM in SKCM. In addition, we investigated the relationship between TIM promoter methylation and SKCM prognosis through the UALCAN database. Finally, the immunohistochemical (IHC) results of normal skin and SKCM were analyzed to determine expression differences.ResultsTIM was significantly elevated in various malignancies, including SKCM, and high expression of TIM was associated with poor prognosis. Moreover, a total of 402 DEGs were identified between the two distinct TIM expression groups, and functional annotation showed enrichment with positive regulation of cell cycle and classic oncogenic pathways in the high TIM expression phenotype, while keratinization pathways were negatively regulated and enriched. Further analysis showed that TIM was correlated with infiltration of multiple immune cells. Finally, IHC validated the differential expression of TIM in SKCM.ConclusionTIM might play a pivotal role in tumorigenesis of SKCM and is closely related to its prognosis.https://www.frontiersin.org/articles/10.3389/fsurg.2022.917776/fullskin cutaneous melanomaprognostic signatureoverall survivaltimelessimmune infiltrationbioinformatics
spellingShingle Shixin Zhao
Shifeng Wen
Hengdeng Liu
Ziheng Zhou
Yiling Liu
Jinbao Zhong
Julin Xie
High Expression of TIMELESS Predicts Poor Prognosis: A Potential Therapeutic Target for Skin Cutaneous Melanoma
Frontiers in Surgery
skin cutaneous melanoma
prognostic signature
overall survival
timeless
immune infiltration
bioinformatics
title High Expression of TIMELESS Predicts Poor Prognosis: A Potential Therapeutic Target for Skin Cutaneous Melanoma
title_full High Expression of TIMELESS Predicts Poor Prognosis: A Potential Therapeutic Target for Skin Cutaneous Melanoma
title_fullStr High Expression of TIMELESS Predicts Poor Prognosis: A Potential Therapeutic Target for Skin Cutaneous Melanoma
title_full_unstemmed High Expression of TIMELESS Predicts Poor Prognosis: A Potential Therapeutic Target for Skin Cutaneous Melanoma
title_short High Expression of TIMELESS Predicts Poor Prognosis: A Potential Therapeutic Target for Skin Cutaneous Melanoma
title_sort high expression of timeless predicts poor prognosis a potential therapeutic target for skin cutaneous melanoma
topic skin cutaneous melanoma
prognostic signature
overall survival
timeless
immune infiltration
bioinformatics
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.917776/full
work_keys_str_mv AT shixinzhao highexpressionoftimelesspredictspoorprognosisapotentialtherapeutictargetforskincutaneousmelanoma
AT shifengwen highexpressionoftimelesspredictspoorprognosisapotentialtherapeutictargetforskincutaneousmelanoma
AT hengdengliu highexpressionoftimelesspredictspoorprognosisapotentialtherapeutictargetforskincutaneousmelanoma
AT zihengzhou highexpressionoftimelesspredictspoorprognosisapotentialtherapeutictargetforskincutaneousmelanoma
AT yilingliu highexpressionoftimelesspredictspoorprognosisapotentialtherapeutictargetforskincutaneousmelanoma
AT jinbaozhong highexpressionoftimelesspredictspoorprognosisapotentialtherapeutictargetforskincutaneousmelanoma
AT julinxie highexpressionoftimelesspredictspoorprognosisapotentialtherapeutictargetforskincutaneousmelanoma