Expression heterogeneity, tumor immune characteristics and the prognosis effects of OPRL1 in patients with tumors: a pan-cancer study combined with bioinformation analyses and in vitro validation

Xiaoqiang Wang, Yiying Tao, Chaojin Zhang, Jie Tian, Weifeng Yu
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Abstract

Purpose

Opioids are currently the most frequently prescribed analgesics in clinical practice. However, their effect on cancer progression remains a topic of debate. Opioid receptors (ORs) are present in various types of tumor cells and their expression levels vary depending on the type of tumor. This study aims to explore and preliminarily characterize the association between four different ORs (μ, δ, κ, and nociception/orphanin FQ peptide receptor) and the prognosis of different types of tumors for comparison, with a focus on nociception/ orphanin FQ peptide receptor.

Methods

The expression levels of four ORs in normal tissues and immune cells were obtained from Human Protein Atlas (HPA) RNA-seq dataset, Monaco dataset, and Consensus dataset. Pan-cancer analysis was performed using the The Cancer Genome Atlas (TCGA) dataset, which included the expression of four ORs in different cancer types, significant copy-number alterations (sCNA), gene mutations of the four ORs, survival analysis, co-expression genes analysis, functional enrichment analyses, and correlations between ORs and immune cell infiltration levels. Based on the results of bioinformatic analysis, we selected 10 cancer cell lines for validation in vitro using specific agonists for the four ORs.

Results

OPRL1 (opioid related nociceptin receptor 1 gene) exhibited the highest abundance across different types of cancers, while OPRM1 (opioid receptor mu 1 gene) and OPRD1 (opioid receptor delta 1 gene) were barely detectable in multiple cancer types. Pan-cancer survival analysis revealed the overall worse/better prognosis of the four ORs in certain cancer types. Elevated levels of OPRM1 appear to be associated with poorer outcomes in breast invasive carcinoma and kidney renal clear cell carcinoma. Elevated OPRD1 levels are connected to worsen outcomes in kidney renal clear cell carcinoma and liver hepatocellular carcinoma, but better prognosis in bladder urothelial carcinoma. Increased OPRK1 (opioid receptor kappa 1 gene) expression is linked to a poorer prognosis in kidney renal papillary cell carcinoma. Furthermore, high OPRL1 expression relates to worse outcomes in bladder urothelial carcinoma and liver hepatocellular carcinoma, but better outcomes in breast invasive carcinoma and pancreatic adenocarcinoma. Functional enrichment analyses found that immune-related pathways were enriched in OPRK1 and OPRL1, with OPRL1 exhibiting the highest correlation with immune cell infiltration. Different effects on cell growth, migration, and invasion were observed in different cancer types upon the administration of agonists for the four ORs.

Conclusion

OPRL1 may play a vital role in monocytes and regulating the immune response and tumor-infiltrating macrophages. Due to its high abundance in different types of tumors, it may hold greater clinical significance for oncology patients. OPRK1 also participates in immune-related pathways. OPRL1 could potentially serve as therapeutic targets for different types of cancers.

Graphical Abstract

OPRL1在肿瘤患者中的表达异质性、肿瘤免疫特征和预后效应:一项结合生物信息分析和体外验证的泛癌症研究
目的 类阿片是目前临床上最常用的镇痛药。然而,它们对癌症进展的影响仍是一个争论不休的话题。阿片受体(ORs)存在于各种类型的肿瘤细胞中,其表达水平因肿瘤类型而异。本研究旨在探索并初步描述四种不同的阿片受体(μ、δ、κ和神经支配/孤儿素FQ肽受体)与不同类型肿瘤预后之间的关联,并进行比较,重点是神经支配/孤儿素FQ肽受体。方法从人类蛋白质图谱(HPA)RNA-seq数据集、摩纳哥数据集和共识数据集中获得四种阿片受体在正常组织和免疫细胞中的表达水平。利用癌症基因组图谱(The Cancer Genome Atlas,TCGA)数据集进行了泛癌症分析,包括四种ORs在不同癌症类型中的表达、显著拷贝数改变(sCNA)、四种ORs的基因突变、生存分析、共表达基因分析、功能富集分析以及ORs与免疫细胞浸润水平的相关性。结果OPRL1(阿片相关神经肽受体1基因)在不同类型的癌症中表现出最高的丰度,而OPRM1(阿片受体μ1基因)和OPRD1(阿片受体δ1基因)在多种癌症中几乎检测不到。泛癌症生存分析表明,在某些癌症类型中,四种ORs的总体预后较差/较好。在乳腺浸润性癌和肾脏透明细胞癌中,OPRM1 水平的升高似乎与较差的预后有关。OPRD1 水平升高与肾脏透明细胞癌和肝脏肝细胞癌的预后恶化有关,但与膀胱尿路上皮癌的预后改善有关。OPRK1(阿片受体 kappa 1 基因)表达增加与肾脏乳头状细胞癌的预后较差有关。此外,OPRL1的高表达与膀胱尿路上皮癌和肝肝细胞癌的较差预后有关,但与乳腺浸润癌和胰腺癌的较好预后有关。功能富集分析发现,OPRK1和OPRL1富集了免疫相关通路,其中OPRL1与免疫细胞浸润的相关性最高。结论OPRL1可能在单核细胞、调节免疫反应和肿瘤浸润巨噬细胞中发挥重要作用。由于其在不同类型肿瘤中的高丰度,它可能对肿瘤患者具有更大的临床意义。OPRK1 还参与免疫相关途径。OPRL1 有可能成为不同类型癌症的治疗靶点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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