Identification of an Immune-Related Prognostic Predictor in Hepatocellular Carcinoma

Liver hepatocellular carcinoma (LIHC) is the most prevalent primary cancer of the liver, and immune-related genes (IRGs) regulate its development. So far, there is still no precise biomarker that predicts response to immunotherapy in LIHC. Therefore, this research seeks to identify immunogenic progn...

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Main Authors: Lei Wu, Wen Quan, Qiong Luo, Ying Pan, Dongxu Peng, Guihai Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-09-01
Series:Frontiers in Molecular Biosciences
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fmolb.2020.567950/full
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author Lei Wu
Wen Quan
Qiong Luo
Ying Pan
Dongxu Peng
Guihai Zhang
author_facet Lei Wu
Wen Quan
Qiong Luo
Ying Pan
Dongxu Peng
Guihai Zhang
author_sort Lei Wu
collection DOAJ
description Liver hepatocellular carcinoma (LIHC) is the most prevalent primary cancer of the liver, and immune-related genes (IRGs) regulate its development. So far, there is still no precise biomarker that predicts response to immunotherapy in LIHC. Therefore, this research seeks to identify immunogenic prognostic biomarkers and explore potential predictors for the efficacy of anti-PD-1/PD-L1 therapies in LIHC. The clinical data and gene expression profiles of patients diagnosed with LIHC were downloaded from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases. Moreover, IRGs were obtained from the ImmPort database. We discovered 35 IRGs that were differentially expressed between LIHC tissues and corresponding normal tissues. Through univariate Cox regression analysis, eight prognostic differentially expressed IRGs (PDEIRGs) were identified. Further, three optimal PDEIRGs (BIRC5, LPA, and ROBO1) were identified and used to construct a prognostic risk signature of LIHC patients via multivariate Cox regression analysis. The signature was validated by ROC curves. Subsequently, based on gene set enrichment analysis (GSEA) analysis, two out of the three optimal PDEIRGs (BIRC5 and LPA) were significantly enriched in the mismatch repair (MMR) pathway. Moreover, the two PDEIRGs (BIRC5 and LPA) were significantly correlated with the expression of genes related to mismatch repair (MLH1, MSH2, MSH6, and PMS2). Furthermore, correlations between the two PDEIRGs (BIRC5 and LPA) and immune checkpoints of cancer treatment (such as CTLA4, PD-1, and PD-L1) were demonstrated. Hyperprogressive disease (HPD) is a novel pattern of tumor progression which has a close relationship with immune checkpoint inhibitors (ICIs) utilization. MDM2 family amplification might promote the HPD phenomenon. Finally, we found a positive regulatory relationship between HPD related gene (MDM2) and BIRC5. Notably, MDM2 can either interact directly with BIRC5 or indirectly via downstream transcription factors of BIRC5. Overall, our study uncovered a novel 3-immune-related prognostic genes in LIHC.
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spelling doaj.art-f1b23e12d2e34e0c82c4c091fbc90a802022-12-22T01:32:15ZengFrontiers Media S.A.Frontiers in Molecular Biosciences2296-889X2020-09-01710.3389/fmolb.2020.567950567950Identification of an Immune-Related Prognostic Predictor in Hepatocellular CarcinomaLei Wu0Wen Quan1Qiong Luo2Ying Pan3Dongxu Peng4Guihai Zhang5Department of Oncology, Zhuhai People’s Hospital (Zhuhai Hospital Affiliated With Jinan University), Zhuhai, ChinaDepartment of Oncology, Zhuhai People’s Hospital (Zhuhai Hospital Affiliated With Jinan University), Zhuhai, ChinaDepartment of Oncology, Affiliated Zhuhai Hospital, Southern Medical University, Zhuhai, ChinaDepartment of Oncology, Zhuhai People’s Hospital (Zhuhai Hospital Affiliated With Jinan University), Zhuhai, ChinaDepartment of Oncology, Zhuhai People’s Hospital (Zhuhai Hospital Affiliated With Jinan University), Zhuhai, ChinaDepartment of Oncology, Zhuhai People’s Hospital (Zhuhai Hospital Affiliated With Jinan University), Zhuhai, ChinaLiver hepatocellular carcinoma (LIHC) is the most prevalent primary cancer of the liver, and immune-related genes (IRGs) regulate its development. So far, there is still no precise biomarker that predicts response to immunotherapy in LIHC. Therefore, this research seeks to identify immunogenic prognostic biomarkers and explore potential predictors for the efficacy of anti-PD-1/PD-L1 therapies in LIHC. The clinical data and gene expression profiles of patients diagnosed with LIHC were downloaded from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases. Moreover, IRGs were obtained from the ImmPort database. We discovered 35 IRGs that were differentially expressed between LIHC tissues and corresponding normal tissues. Through univariate Cox regression analysis, eight prognostic differentially expressed IRGs (PDEIRGs) were identified. Further, three optimal PDEIRGs (BIRC5, LPA, and ROBO1) were identified and used to construct a prognostic risk signature of LIHC patients via multivariate Cox regression analysis. The signature was validated by ROC curves. Subsequently, based on gene set enrichment analysis (GSEA) analysis, two out of the three optimal PDEIRGs (BIRC5 and LPA) were significantly enriched in the mismatch repair (MMR) pathway. Moreover, the two PDEIRGs (BIRC5 and LPA) were significantly correlated with the expression of genes related to mismatch repair (MLH1, MSH2, MSH6, and PMS2). Furthermore, correlations between the two PDEIRGs (BIRC5 and LPA) and immune checkpoints of cancer treatment (such as CTLA4, PD-1, and PD-L1) were demonstrated. Hyperprogressive disease (HPD) is a novel pattern of tumor progression which has a close relationship with immune checkpoint inhibitors (ICIs) utilization. MDM2 family amplification might promote the HPD phenomenon. Finally, we found a positive regulatory relationship between HPD related gene (MDM2) and BIRC5. Notably, MDM2 can either interact directly with BIRC5 or indirectly via downstream transcription factors of BIRC5. Overall, our study uncovered a novel 3-immune-related prognostic genes in LIHC.https://www.frontiersin.org/article/10.3389/fmolb.2020.567950/fullhepatocellular carcinomaPD-1immuneHPDPD-L1
spellingShingle Lei Wu
Wen Quan
Qiong Luo
Ying Pan
Dongxu Peng
Guihai Zhang
Identification of an Immune-Related Prognostic Predictor in Hepatocellular Carcinoma
Frontiers in Molecular Biosciences
hepatocellular carcinoma
PD-1
immune
HPD
PD-L1
title Identification of an Immune-Related Prognostic Predictor in Hepatocellular Carcinoma
title_full Identification of an Immune-Related Prognostic Predictor in Hepatocellular Carcinoma
title_fullStr Identification of an Immune-Related Prognostic Predictor in Hepatocellular Carcinoma
title_full_unstemmed Identification of an Immune-Related Prognostic Predictor in Hepatocellular Carcinoma
title_short Identification of an Immune-Related Prognostic Predictor in Hepatocellular Carcinoma
title_sort identification of an immune related prognostic predictor in hepatocellular carcinoma
topic hepatocellular carcinoma
PD-1
immune
HPD
PD-L1
url https://www.frontiersin.org/article/10.3389/fmolb.2020.567950/full
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