A prognostic signature consisting of N6-methyladenosine modified mRNAs demonstrates clinical potential in prediction of biochemical recurrence and guidance on precision therapy in prostate cancer

Novel biomarkers are urgently needed to improve the prediction of clinical outcomes and guide personalized treatment for prostate cancer (PCa) patients. However, the role of N6-methyladenosine (m6A) modifications in PCa initiation and progression remains largely elusive. In our study, we collected b...

Full description

Bibliographic Details
Main Authors: Jianming Lu, Jiahong Chen, Zhuoyuan Lin, Qinwei Liu, Chuanfan Zhong, Zhouda Cai, Zhenyu Jia, Weide Zhong, Yingke Liang, Chao Cai
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Translational Oncology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1936523323000566
_version_ 1797823388020899840
author Jianming Lu
Jiahong Chen
Zhuoyuan Lin
Qinwei Liu
Chuanfan Zhong
Zhouda Cai
Zhenyu Jia
Weide Zhong
Yingke Liang
Chao Cai
author_facet Jianming Lu
Jiahong Chen
Zhuoyuan Lin
Qinwei Liu
Chuanfan Zhong
Zhouda Cai
Zhenyu Jia
Weide Zhong
Yingke Liang
Chao Cai
author_sort Jianming Lu
collection DOAJ
description Novel biomarkers are urgently needed to improve the prediction of clinical outcomes and guide personalized treatment for prostate cancer (PCa) patients. However, the role of N6-methyladenosine (m6A) modifications in PCa initiation and progression remains largely elusive. In our study, we collected benign Prostate Hyperplasia (BPH), localized PCa, and metastatic PCa samples from patients and performed methylated RNA immunoprecipitation sequencing (MeRIP-Seq) to map m6A-methylated mRNAs. Furthermore, we developed a prognostic signature based on 239 differentially methylated RNAs and the TCGA-PRAD dataset, which can be used to calculate an m6A-modified mRNA (MMM) score for a PCa patient, validated by independent multi-center cohorts. Our findings revealed that differential m6A modifications were positively correlated with altered expressions of mapped m6A-modified mRNAs. Higher MMM scores were associated with shorter times to biochemical recurrence (BCR) in PCa patients, and the MMM scoring system outperformed three well-established signatures in nine independent validation cohorts, as demonstrated by Kaplan-Meier survival analysis, C-index and ROC. Patients who did not respond to androgen receptor signaling inhibitor (ARSI) therapy and immunotherapy were found to have high MMM scores. Two hub genes, TLE1 and PFKL, were confirmed to have m6A sites through MeRIP-qPCR, and their knockdown promoted PCa cell invasion. Bioinformatics analysis of single-cell databases identified cell types with high transcript abundance levels of these two genes. In summary, our study is the first to perform transcriptome-wide m6A mapping in prostate tissues. The translational potential of a prognostic signature, comprising m6A-methylated mRNAs, in predicting clinical outcomes and therapy responses for PCa patients, is demonstrated.
first_indexed 2024-03-13T10:23:16Z
format Article
id doaj.art-e7a882712efa46fe9f09f31745b6acd7
institution Directory Open Access Journal
issn 1936-5233
language English
last_indexed 2024-03-13T10:23:16Z
publishDate 2023-07-01
publisher Elsevier
record_format Article
series Translational Oncology
spelling doaj.art-e7a882712efa46fe9f09f31745b6acd72023-05-20T04:29:45ZengElsevierTranslational Oncology1936-52332023-07-0133101670A prognostic signature consisting of N6-methyladenosine modified mRNAs demonstrates clinical potential in prediction of biochemical recurrence and guidance on precision therapy in prostate cancerJianming Lu0Jiahong Chen1Zhuoyuan Lin2Qinwei Liu3Chuanfan Zhong4Zhouda Cai5Zhenyu Jia6Weide Zhong7Yingke Liang8Chao Cai9Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University; Guangdong Key Laboratory of Urology; Guangzhou, Guangdong 510230, China; Department of Andrology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou 510180, ChinaDepartment of Urology, Huizhou Municipal Central Hospital, Huizhou, Guangdong 516001, ChinaDepartment of Urology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, ChinaDepartment of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University; Guangdong Key Laboratory of Urology; Guangzhou, Guangdong 510230, ChinaDepartment of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, ChinaDepartment of Andrology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou 510180, ChinaDepartment of Botany and Plant Sciences, University of California, Riverside, CA 92521, USADepartment of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University; Guangdong Key Laboratory of Urology; Guangzhou, Guangdong 510230, China; Department of Urology, Guangdong Key Laboratory of Clinical Molecular Medicine and Diagnostics, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou 510180, China; Macau Institute for Applied Research in Medicine and Health, Macau University of Science and Technology, Macau, ChinaDepartment of Urology, Guangdong Key Laboratory of Clinical Molecular Medicine and Diagnostics, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou 510180, ChinaDepartment of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University; Guangdong Key Laboratory of Urology; Guangzhou, Guangdong 510230, China; Corresponding author.Novel biomarkers are urgently needed to improve the prediction of clinical outcomes and guide personalized treatment for prostate cancer (PCa) patients. However, the role of N6-methyladenosine (m6A) modifications in PCa initiation and progression remains largely elusive. In our study, we collected benign Prostate Hyperplasia (BPH), localized PCa, and metastatic PCa samples from patients and performed methylated RNA immunoprecipitation sequencing (MeRIP-Seq) to map m6A-methylated mRNAs. Furthermore, we developed a prognostic signature based on 239 differentially methylated RNAs and the TCGA-PRAD dataset, which can be used to calculate an m6A-modified mRNA (MMM) score for a PCa patient, validated by independent multi-center cohorts. Our findings revealed that differential m6A modifications were positively correlated with altered expressions of mapped m6A-modified mRNAs. Higher MMM scores were associated with shorter times to biochemical recurrence (BCR) in PCa patients, and the MMM scoring system outperformed three well-established signatures in nine independent validation cohorts, as demonstrated by Kaplan-Meier survival analysis, C-index and ROC. Patients who did not respond to androgen receptor signaling inhibitor (ARSI) therapy and immunotherapy were found to have high MMM scores. Two hub genes, TLE1 and PFKL, were confirmed to have m6A sites through MeRIP-qPCR, and their knockdown promoted PCa cell invasion. Bioinformatics analysis of single-cell databases identified cell types with high transcript abundance levels of these two genes. In summary, our study is the first to perform transcriptome-wide m6A mapping in prostate tissues. The translational potential of a prognostic signature, comprising m6A-methylated mRNAs, in predicting clinical outcomes and therapy responses for PCa patients, is demonstrated.http://www.sciencedirect.com/science/article/pii/S1936523323000566Prostate cancerN6-methyladenosine modified mRNAPrognostic signatureBiochemical recurrenceAndrogen receptor signaling inhibitorImmunotherapy
spellingShingle Jianming Lu
Jiahong Chen
Zhuoyuan Lin
Qinwei Liu
Chuanfan Zhong
Zhouda Cai
Zhenyu Jia
Weide Zhong
Yingke Liang
Chao Cai
A prognostic signature consisting of N6-methyladenosine modified mRNAs demonstrates clinical potential in prediction of biochemical recurrence and guidance on precision therapy in prostate cancer
Translational Oncology
Prostate cancer
N6-methyladenosine modified mRNA
Prognostic signature
Biochemical recurrence
Androgen receptor signaling inhibitor
Immunotherapy
title A prognostic signature consisting of N6-methyladenosine modified mRNAs demonstrates clinical potential in prediction of biochemical recurrence and guidance on precision therapy in prostate cancer
title_full A prognostic signature consisting of N6-methyladenosine modified mRNAs demonstrates clinical potential in prediction of biochemical recurrence and guidance on precision therapy in prostate cancer
title_fullStr A prognostic signature consisting of N6-methyladenosine modified mRNAs demonstrates clinical potential in prediction of biochemical recurrence and guidance on precision therapy in prostate cancer
title_full_unstemmed A prognostic signature consisting of N6-methyladenosine modified mRNAs demonstrates clinical potential in prediction of biochemical recurrence and guidance on precision therapy in prostate cancer
title_short A prognostic signature consisting of N6-methyladenosine modified mRNAs demonstrates clinical potential in prediction of biochemical recurrence and guidance on precision therapy in prostate cancer
title_sort prognostic signature consisting of n6 methyladenosine modified mrnas demonstrates clinical potential in prediction of biochemical recurrence and guidance on precision therapy in prostate cancer
topic Prostate cancer
N6-methyladenosine modified mRNA
Prognostic signature
Biochemical recurrence
Androgen receptor signaling inhibitor
Immunotherapy
url http://www.sciencedirect.com/science/article/pii/S1936523323000566
work_keys_str_mv AT jianminglu aprognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT jiahongchen aprognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT zhuoyuanlin aprognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT qinweiliu aprognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT chuanfanzhong aprognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT zhoudacai aprognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT zhenyujia aprognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT weidezhong aprognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT yingkeliang aprognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT chaocai aprognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT jianminglu prognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT jiahongchen prognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT zhuoyuanlin prognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT qinweiliu prognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT chuanfanzhong prognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT zhoudacai prognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT zhenyujia prognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT weidezhong prognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT yingkeliang prognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer
AT chaocai prognosticsignatureconsistingofn6methyladenosinemodifiedmrnasdemonstratesclinicalpotentialinpredictionofbiochemicalrecurrenceandguidanceonprecisiontherapyinprostatecancer