Telomerase related molecular subtype and risk model reveal immune activity and evaluate prognosis and immunotherapy response in prostate cancer.

IF 5.3 2区 医学 Q1 ONCOLOGY
Dongze Liu, Zheng Qin, Bocun Yi, Hongbo Xie, Yunan Liang, Liang Zhu, Kuo Yang, Yong Xu, Hongtuan Zhang
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引用次数: 0

Abstract

Background: Prostate cancer ranks among the six most lethal malignancies worldwide. Telomerase, a reverse transcriptase enzyme, plays a pivotal role in extending cellular telomeres and is intimately associated with cell proliferation and division. However, the interconnection between prostate cancer and telomerase-related genes (TEASEs) remains unclear.

Methods: Somatic mutations and copy number alterations of TEASEs were comprehensively analyzed. Subsequently, the transcripts of prostate cancer patients in TCGA and GEO databases were integrated to delineate new molecular subtypes. Followed by constructing a risk model containing nine characteristic genes through Lasso regression and Cox prognostic analysis among different subtypes. Various aspects including prognosis, tumor microenvironment (TME), landscape of immunity, tumor mutational burden (TMB), stem cell correlation, and median inhibitory concentration amongst different risk groups were compared. Finally, the expression, prognosis, and malignant biological behavior of ZW10 interactor (ZWINT) in vitro was explored.

Results: TEASEs exhibited a notably high mutation frequency. Three distinct molecular subtypes and two gene subclusters based on TEASEs were delineated, displaying significant associations with prognosis, immune function regulation, and clinical characteristics. Low-risk patients demonstrated superior prognosis and better response to immunotherapy. Conversely, high-risk patients exhibited higher TMB and stronger stem cell correlations. It was also found that the patients' sensitivity to chemotherapy agents was impacted by the risk score. Finally, ZWINT's potential as a novel diagnostic and prognostic biomarker for prostate cancer was validated.

Conclusions: TEASEs play a pivotal role in modulating immune regulation and immunotherapeutic responses, thereby significantly impacting the diagnosis, prognosis, and treatment strategies for affected patients.

端粒酶相关分子亚型和风险模型揭示免疫活性,评估前列腺癌的预后和免疫疗法反应。
背景:前列腺癌是全球致死率最高的六大恶性肿瘤之一。端粒酶是一种逆转录酶,在延长细胞端粒方面起着关键作用,与细胞增殖和分裂密切相关。然而,前列腺癌与端粒酶相关基因(TEASEs)之间的相互联系仍不清楚:方法:全面分析了端粒酶相关基因的体细胞突变和拷贝数改变。随后,整合 TCGA 和 GEO 数据库中前列腺癌患者的转录本,划分出新的分子亚型。随后,通过 Lasso 回归和 Cox 预后分析,在不同亚型中构建了包含 9 个特征基因的风险模型。比较了不同风险组的预后、肿瘤微环境(TME)、免疫景观、肿瘤突变负荷(TMB)、干细胞相关性和中位抑制浓度等各个方面。最后,探讨了ZW10互作因子(ZWINT)在体外的表达、预后和恶性生物学行为:结果:TEASEs的突变频率明显较高。根据 TEASEs 划分出三个不同的分子亚型和两个基因亚群,这些亚型和亚群与预后、免疫功能调节和临床特征有显著关联。低风险患者的预后较好,对免疫疗法的反应也较好。相反,高危患者则表现出更高的TMB和更强的干细胞相关性。研究还发现,患者对化疗药物的敏感性受风险评分的影响。最后,ZWINT作为前列腺癌新型诊断和预后生物标志物的潜力得到了验证:TEASEs在调节免疫调节和免疫治疗反应方面发挥着关键作用,从而对患者的诊断、预后和治疗策略产生重大影响。
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来源期刊
CiteScore
10.90
自引率
1.70%
发文量
360
审稿时长
1 months
期刊介绍: Cancer Cell International publishes articles on all aspects of cancer cell biology, originating largely from, but not limited to, work using cell culture techniques. The journal focuses on novel cancer studies reporting data from biological experiments performed on cells grown in vitro, in two- or three-dimensional systems, and/or in vivo (animal experiments). These types of experiments have provided crucial data in many fields, from cell proliferation and transformation, to epithelial-mesenchymal interaction, to apoptosis, and host immune response to tumors. Cancer Cell International also considers articles that focus on novel technologies or novel pathways in molecular analysis and on epidemiological studies that may affect patient care, as well as articles reporting translational cancer research studies where in vitro discoveries are bridged to the clinic. As such, the journal is interested in laboratory and animal studies reporting on novel biomarkers of tumor progression and response to therapy and on their applicability to human cancers.
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