Urine proteomics-based analysis identifies CHI3L1 as an immune marker and potential therapeutic target for bladder cancer

Abstract Background Bladder cancer (BCa) is a prevalent malignancy characterized by a poor prognosis. Numerous studies have increasingly recognized the role of M2 macrophages in cancer progression. Consequently, our objective is to investigate hub genes in BCa associated with M2 macrophages, assessi...

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Main Authors: Chenyang Wang, Kunpeng Li, Runchun Huang, Shun Wan, Siyu Chen, Shanhui Liu, Li Yang
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-025-13668-1
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author Chenyang Wang
Kunpeng Li
Runchun Huang
Shun Wan
Siyu Chen
Shanhui Liu
Li Yang
author_facet Chenyang Wang
Kunpeng Li
Runchun Huang
Shun Wan
Siyu Chen
Shanhui Liu
Li Yang
author_sort Chenyang Wang
collection DOAJ
description Abstract Background Bladder cancer (BCa) is a prevalent malignancy characterized by a poor prognosis. Numerous studies have increasingly recognized the role of M2 macrophages in cancer progression. Consequently, our objective is to investigate hub genes in BCa associated with M2 macrophages, assessing their prognostic significance and exploring potential regulatory mechanisms. Methods We performed a comprehensive bioinformatics analysis using data from urine proteomics, the Gene Expression Omnibus (GEO) database, and The Cancer Genome Atlas (TCGA) database, in conjunction with machine learning methods such as LASSO and SVM to identify intersections of differentially expressed genes (DEGs). Subsequently, the role of hub genes in BCa was validated in vitro and in vivo using CCK-8 assay, wound healing assay, immunofluorescence assay, transwell assay, immunohistochemistry, and xenograft tumor model. Finally, we investigated the correlation between hub genes and M2 macrophage immune infiltration using the TIMER database. Results Chitinase 3 like 1 (CHI3L1) emerged as a pivotal gene linked to M2 macrophages in BCa. Notably, CHI3L1 was associated with a poor prognosis for BCa, with elevated expression correlating to more advanced histologic and pathologic stages in BCa patients. The findings suggest that inhibiting CHI3L1 can effectively impede the proliferation, migration, and invasion of BCa cells and synergistically increase the inhibitory effect of gemcitabine (GEM) on cell activity. Meanwhile, the downregulation of CHI3L1 was accompanied by inhibition of the PI3K-AKT signaling pathway. Additionally, CHI3L1 demonstrated a significant association with M2 macrophage infiltration in the BCa tumor microenvironment (TME). Conclusions The present study suggests that CHI3L1 may promote bladder cancer progression through the PI3K-Akt signaling pathway and is associated with M2 macrophage infiltration.
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spelling doaj.art-f756f289e2084d27afdb0ae243a89b1d2025-02-16T12:35:04ZengBMCBMC Cancer1471-24072025-02-0125111710.1186/s12885-025-13668-1Urine proteomics-based analysis identifies CHI3L1 as an immune marker and potential therapeutic target for bladder cancerChenyang Wang0Kunpeng Li1Runchun Huang2Shun Wan3Siyu Chen4Shanhui Liu5Li Yang6Gansu Province Clinical Research Center for Urology, Lanzhou University Second HospitalGansu Province Clinical Research Center for Urology, Lanzhou University Second HospitalThe First Clinical Medical College, Lanzhou UniversityGansu Province Clinical Research Center for Urology, Lanzhou University Second HospitalGansu Province Clinical Research Center for Urology, Lanzhou University Second HospitalGansu Province Clinical Research Center for Urology, Lanzhou University Second HospitalGansu Province Clinical Research Center for Urology, Lanzhou University Second HospitalAbstract Background Bladder cancer (BCa) is a prevalent malignancy characterized by a poor prognosis. Numerous studies have increasingly recognized the role of M2 macrophages in cancer progression. Consequently, our objective is to investigate hub genes in BCa associated with M2 macrophages, assessing their prognostic significance and exploring potential regulatory mechanisms. Methods We performed a comprehensive bioinformatics analysis using data from urine proteomics, the Gene Expression Omnibus (GEO) database, and The Cancer Genome Atlas (TCGA) database, in conjunction with machine learning methods such as LASSO and SVM to identify intersections of differentially expressed genes (DEGs). Subsequently, the role of hub genes in BCa was validated in vitro and in vivo using CCK-8 assay, wound healing assay, immunofluorescence assay, transwell assay, immunohistochemistry, and xenograft tumor model. Finally, we investigated the correlation between hub genes and M2 macrophage immune infiltration using the TIMER database. Results Chitinase 3 like 1 (CHI3L1) emerged as a pivotal gene linked to M2 macrophages in BCa. Notably, CHI3L1 was associated with a poor prognosis for BCa, with elevated expression correlating to more advanced histologic and pathologic stages in BCa patients. The findings suggest that inhibiting CHI3L1 can effectively impede the proliferation, migration, and invasion of BCa cells and synergistically increase the inhibitory effect of gemcitabine (GEM) on cell activity. Meanwhile, the downregulation of CHI3L1 was accompanied by inhibition of the PI3K-AKT signaling pathway. Additionally, CHI3L1 demonstrated a significant association with M2 macrophage infiltration in the BCa tumor microenvironment (TME). Conclusions The present study suggests that CHI3L1 may promote bladder cancer progression through the PI3K-Akt signaling pathway and is associated with M2 macrophage infiltration.https://doi.org/10.1186/s12885-025-13668-1Chitinase 3-like 1Bladder cancerPrognosisM2 macrophageBiomarker
spellingShingle Chenyang Wang
Kunpeng Li
Runchun Huang
Shun Wan
Siyu Chen
Shanhui Liu
Li Yang
Urine proteomics-based analysis identifies CHI3L1 as an immune marker and potential therapeutic target for bladder cancer
BMC Cancer
Chitinase 3-like 1
Bladder cancer
Prognosis
M2 macrophage
Biomarker
title Urine proteomics-based analysis identifies CHI3L1 as an immune marker and potential therapeutic target for bladder cancer
title_full Urine proteomics-based analysis identifies CHI3L1 as an immune marker and potential therapeutic target for bladder cancer
title_fullStr Urine proteomics-based analysis identifies CHI3L1 as an immune marker and potential therapeutic target for bladder cancer
title_full_unstemmed Urine proteomics-based analysis identifies CHI3L1 as an immune marker and potential therapeutic target for bladder cancer
title_short Urine proteomics-based analysis identifies CHI3L1 as an immune marker and potential therapeutic target for bladder cancer
title_sort urine proteomics based analysis identifies chi3l1 as an immune marker and potential therapeutic target for bladder cancer
topic Chitinase 3-like 1
Bladder cancer
Prognosis
M2 macrophage
Biomarker
url https://doi.org/10.1186/s12885-025-13668-1
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