Prognostic value of sirtuin family members and experimental verification identify SIRT5 as diagnostic biomarkers in clear cell renal cell carcinoma

Background The sirtuins (SIRTs) family is a nicotinamide adenine dinucleotide (NAD+) family of dependent deacetylases, which includes SIRT1-7. This family is related to the development and progression of various tumors. However, a comprehensive analysis of the role of SIRTs in clear cell renal cell...

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Main Authors: Lu-Shan Peng, Sai-Li Duan, Run-Qi Li, Zi-Yuan Bai, Chun-Lin Ou, Jun-Pu Wang
Format: Article
Language:English
Published: PeerJ Inc. 2023-04-01
Series:PeerJ
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Online Access:https://peerj.com/articles/15154.pdf
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author Lu-Shan Peng
Sai-Li Duan
Run-Qi Li
Zi-Yuan Bai
Chun-Lin Ou
Jun-Pu Wang
author_facet Lu-Shan Peng
Sai-Li Duan
Run-Qi Li
Zi-Yuan Bai
Chun-Lin Ou
Jun-Pu Wang
author_sort Lu-Shan Peng
collection DOAJ
description Background The sirtuins (SIRTs) family is a nicotinamide adenine dinucleotide (NAD+) family of dependent deacetylases, which includes SIRT1-7. This family is related to the development and progression of various tumors. However, a comprehensive analysis of the role of SIRTs in clear cell renal cell carcinoma (ccRCC) is still lacking, and there are few reports on the inhibitory role of SIRT5 in ccRCC. Methods We used immunohistochemical analysis, and several bioinformatic databases to perform an integrated analysis of the expression and prognostic value of SIRT5 and other SIRT family members in ccRCC along with the associated immune cell infiltration. These databases include TIMER, THPA, cell culture, UALCAN, cBioPortal, WebGestalt, Metascape, DiseaseMeth, STRING database, and Cytoscape. Results The protein expression of SIRT1, 2, 3, 6, and 7 were upregulated in ccRCC for the Human Protein Atlas database, whereas the expression of SIRT4 and SIRT5 was decreased. The expression based on tumor stage, and grade followed a similar trend. Kaplan–Meier analysis showed that high SIRT4 and SIRT5 expression was positively related to better overall survival (OS), whereas SIRT6 and SIRT7 expression was positively related to worse OS. Further, high SIRT3 expression was related to worse relapse-free survival (RFS), whereas high SIRT5 expression was related to better RFS. To explore the mechanism underlying the function of SIRTs in ccRCC, we also used several databases to perform the functional enrichment analysis and explore the relationship between infiltrating immune cells and seven SIRT family members in ccRCC. The results showed that several SIRT family members, and particularly SIRT5, are correlated with the infiltration of some important immune cells. The protein expression of SIRT5 was significantly lower in tumor tissue compared to normal tissue and was negatively related to the age of the patient ccRCC individual tumor stages, and grades. In human ccRCC samples, strong IHC staining expression of SIRT5 was displayed in adjacent normal tissue than in tumor tissues. Conclusion SIRT5 may be a prognostic marker and a novel strategy for the treatment of ccRCC.
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spelling doaj.art-faaf5d903edc4375977310542e8c6e542023-12-03T10:24:14ZengPeerJ Inc.PeerJ2167-83592023-04-0111e1515410.7717/peerj.15154Prognostic value of sirtuin family members and experimental verification identify SIRT5 as diagnostic biomarkers in clear cell renal cell carcinomaLu-Shan Peng0Sai-Li Duan1Run-Qi Li2Zi-Yuan Bai3Chun-Lin Ou4Jun-Pu Wang5Department of Pathology, Xiangya Hospital, Changsha, Hunan, ChinaDepartment of General Surgery, Xiangya Hospital, Changsha, Hunan, ChinaDepartment of Pathology, School of Basic Medicine, Central South University, Changsha, Hunan, ChinaDepartment of Pathology, First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, ChinaDepartment of Pathology, Xiangya Hospital, Changsha, Hunan, ChinaDepartment of Pathology, Xiangya Hospital, Changsha, Hunan, ChinaBackground The sirtuins (SIRTs) family is a nicotinamide adenine dinucleotide (NAD+) family of dependent deacetylases, which includes SIRT1-7. This family is related to the development and progression of various tumors. However, a comprehensive analysis of the role of SIRTs in clear cell renal cell carcinoma (ccRCC) is still lacking, and there are few reports on the inhibitory role of SIRT5 in ccRCC. Methods We used immunohistochemical analysis, and several bioinformatic databases to perform an integrated analysis of the expression and prognostic value of SIRT5 and other SIRT family members in ccRCC along with the associated immune cell infiltration. These databases include TIMER, THPA, cell culture, UALCAN, cBioPortal, WebGestalt, Metascape, DiseaseMeth, STRING database, and Cytoscape. Results The protein expression of SIRT1, 2, 3, 6, and 7 were upregulated in ccRCC for the Human Protein Atlas database, whereas the expression of SIRT4 and SIRT5 was decreased. The expression based on tumor stage, and grade followed a similar trend. Kaplan–Meier analysis showed that high SIRT4 and SIRT5 expression was positively related to better overall survival (OS), whereas SIRT6 and SIRT7 expression was positively related to worse OS. Further, high SIRT3 expression was related to worse relapse-free survival (RFS), whereas high SIRT5 expression was related to better RFS. To explore the mechanism underlying the function of SIRTs in ccRCC, we also used several databases to perform the functional enrichment analysis and explore the relationship between infiltrating immune cells and seven SIRT family members in ccRCC. The results showed that several SIRT family members, and particularly SIRT5, are correlated with the infiltration of some important immune cells. The protein expression of SIRT5 was significantly lower in tumor tissue compared to normal tissue and was negatively related to the age of the patient ccRCC individual tumor stages, and grades. In human ccRCC samples, strong IHC staining expression of SIRT5 was displayed in adjacent normal tissue than in tumor tissues. Conclusion SIRT5 may be a prognostic marker and a novel strategy for the treatment of ccRCC.https://peerj.com/articles/15154.pdfBioinformaticsImmune cell infiltrationRenal cell clear cell carcinomaPrognosisSirtuin
spellingShingle Lu-Shan Peng
Sai-Li Duan
Run-Qi Li
Zi-Yuan Bai
Chun-Lin Ou
Jun-Pu Wang
Prognostic value of sirtuin family members and experimental verification identify SIRT5 as diagnostic biomarkers in clear cell renal cell carcinoma
PeerJ
Bioinformatics
Immune cell infiltration
Renal cell clear cell carcinoma
Prognosis
Sirtuin
title Prognostic value of sirtuin family members and experimental verification identify SIRT5 as diagnostic biomarkers in clear cell renal cell carcinoma
title_full Prognostic value of sirtuin family members and experimental verification identify SIRT5 as diagnostic biomarkers in clear cell renal cell carcinoma
title_fullStr Prognostic value of sirtuin family members and experimental verification identify SIRT5 as diagnostic biomarkers in clear cell renal cell carcinoma
title_full_unstemmed Prognostic value of sirtuin family members and experimental verification identify SIRT5 as diagnostic biomarkers in clear cell renal cell carcinoma
title_short Prognostic value of sirtuin family members and experimental verification identify SIRT5 as diagnostic biomarkers in clear cell renal cell carcinoma
title_sort prognostic value of sirtuin family members and experimental verification identify sirt5 as diagnostic biomarkers in clear cell renal cell carcinoma
topic Bioinformatics
Immune cell infiltration
Renal cell clear cell carcinoma
Prognosis
Sirtuin
url https://peerj.com/articles/15154.pdf
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