Identification and validation of a miRNA-related expression signature for tumor mutational burden in colorectal cancer

Abstract Background Tumor mutational burden (TMB) is a promising predictor, which could stratify colorectal cancer (CRC) patients based on the response to immune checkpoint inhibitors (ICIs). MicroRNAs (miRNAs) act as the key regulators of anti-cancer immune response. However, the relationship betwe...

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Main Authors: Lijun Xu, Qing Zheng
Format: Article
Language:English
Published: BMC 2021-02-01
Series:World Journal of Surgical Oncology
Subjects:
Online Access:https://doi.org/10.1186/s12957-021-02137-1
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author Lijun Xu
Qing Zheng
author_facet Lijun Xu
Qing Zheng
author_sort Lijun Xu
collection DOAJ
description Abstract Background Tumor mutational burden (TMB) is a promising predictor, which could stratify colorectal cancer (CRC) patients based on the response to immune checkpoint inhibitors (ICIs). MicroRNAs (miRNAs) act as the key regulators of anti-cancer immune response. However, the relationship between TMB and miRNA expression profiles is not elucidated in CRC. Methods Differentially expressed miRNAs (DE miRNAs) between the TMBhigh group and the TMBlow group were identified for the CRC cohort of the TCGA database. In the training cohort, a miRNA-related expression signature for predicting TMB level was developed by the least absolute shrinkage and selection operator (LASSO) method and tested with reference to its discrimination, calibration, and decision curve analysis (DCA) in the validation cohort. Functional enrichment analysis of these TMB-related miRNAs was performed. The correlation between this miRNA-related expression signature and three immune checkpoints was analyzed. Results Twenty-one out of 43 DE miRNAs were identified as TMB-related miRNAs, which were used to develop a miRNA-related expression signature. This TMB-related miRNA signature demonstrated great discrimination (AUCtest set = 0.970), satisfactory calibration (P > 0.05), and clinical utility in the validation cohort. Functional enrichment results revealed that these TMB-related miRNAs were mainly involved in biological processes associated with immune response and signaling pathways related with cancer. This miRNA-related expression signature showed a median positive correlation with PD-L1 (R = 0.47, P < 0.05) and CTLA4 (R = 0.39, P < 0.05) and a low positive correlation with PD-1 (R = 0.16, P < 0.05). Conclusion This study presents a miRNA-related expression signature which could stratify CRC patients with different TMB levels.
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spelling doaj.art-fad6dd199c1248a2b8a42041a78f53382022-12-21T17:13:31ZengBMCWorld Journal of Surgical Oncology1477-78192021-02-0119111210.1186/s12957-021-02137-1Identification and validation of a miRNA-related expression signature for tumor mutational burden in colorectal cancerLijun Xu0Qing Zheng1Division of Gastroenterology and Hepatology, Key Laboratory of Gastroenterology and Hepatology, Inflammatory Bowel Disease Research Center, Shanghai Institute of Digestive Disease, Renji Hospital, School of Medicine Shanghai Jiao Tong University, Ministry of HealthDivision of Gastroenterology and Hepatology, Key Laboratory of Gastroenterology and Hepatology, Inflammatory Bowel Disease Research Center, Shanghai Institute of Digestive Disease, Renji Hospital, School of Medicine Shanghai Jiao Tong University, Ministry of HealthAbstract Background Tumor mutational burden (TMB) is a promising predictor, which could stratify colorectal cancer (CRC) patients based on the response to immune checkpoint inhibitors (ICIs). MicroRNAs (miRNAs) act as the key regulators of anti-cancer immune response. However, the relationship between TMB and miRNA expression profiles is not elucidated in CRC. Methods Differentially expressed miRNAs (DE miRNAs) between the TMBhigh group and the TMBlow group were identified for the CRC cohort of the TCGA database. In the training cohort, a miRNA-related expression signature for predicting TMB level was developed by the least absolute shrinkage and selection operator (LASSO) method and tested with reference to its discrimination, calibration, and decision curve analysis (DCA) in the validation cohort. Functional enrichment analysis of these TMB-related miRNAs was performed. The correlation between this miRNA-related expression signature and three immune checkpoints was analyzed. Results Twenty-one out of 43 DE miRNAs were identified as TMB-related miRNAs, which were used to develop a miRNA-related expression signature. This TMB-related miRNA signature demonstrated great discrimination (AUCtest set = 0.970), satisfactory calibration (P > 0.05), and clinical utility in the validation cohort. Functional enrichment results revealed that these TMB-related miRNAs were mainly involved in biological processes associated with immune response and signaling pathways related with cancer. This miRNA-related expression signature showed a median positive correlation with PD-L1 (R = 0.47, P < 0.05) and CTLA4 (R = 0.39, P < 0.05) and a low positive correlation with PD-1 (R = 0.16, P < 0.05). Conclusion This study presents a miRNA-related expression signature which could stratify CRC patients with different TMB levels.https://doi.org/10.1186/s12957-021-02137-1Colorectal cancerImmune checkpoint inhibitorsMicroRNAsTCGATumor mutational burden
spellingShingle Lijun Xu
Qing Zheng
Identification and validation of a miRNA-related expression signature for tumor mutational burden in colorectal cancer
World Journal of Surgical Oncology
Colorectal cancer
Immune checkpoint inhibitors
MicroRNAs
TCGA
Tumor mutational burden
title Identification and validation of a miRNA-related expression signature for tumor mutational burden in colorectal cancer
title_full Identification and validation of a miRNA-related expression signature for tumor mutational burden in colorectal cancer
title_fullStr Identification and validation of a miRNA-related expression signature for tumor mutational burden in colorectal cancer
title_full_unstemmed Identification and validation of a miRNA-related expression signature for tumor mutational burden in colorectal cancer
title_short Identification and validation of a miRNA-related expression signature for tumor mutational burden in colorectal cancer
title_sort identification and validation of a mirna related expression signature for tumor mutational burden in colorectal cancer
topic Colorectal cancer
Immune checkpoint inhibitors
MicroRNAs
TCGA
Tumor mutational burden
url https://doi.org/10.1186/s12957-021-02137-1
work_keys_str_mv AT lijunxu identificationandvalidationofamirnarelatedexpressionsignaturefortumormutationalburdenincolorectalcancer
AT qingzheng identificationandvalidationofamirnarelatedexpressionsignaturefortumormutationalburdenincolorectalcancer