A Prognostic Model for Predicting Liver Cancer Patients Based On Immune Checkpoint Gene-Related Basement Membrane Genes, And Analyzing Immunity and Potential Drug Candidates

Yiyang Chen, Yiju Gong, Xi Ou
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Abstract

Abstract: Objective: Hepatocellular carcinoma is one of the most common malignant tumors in the world. The expression of immune checkpoint genes in tumor cells prevents the immune system from eliminating tumors. Basement membrane-related genes are genes that are closely related to human diseases obtained in the latest research. Methods: First, basement membrane-related genes were extracted from immune checkpoint genes, and a prognosis model of immune checkpoint-related basement membrane genes was constructed. C-index curves and ROC were drawn by survival analysis, progression-free survival analysis, and independent prognostic analysis. Curves, principal component analysis, and validation of the clinical grouping model were performed to verify its accuracy, enrichment analysis, immune analysis, and tumor mutation burden survival analysis were performed to further explore the potential functions of the model, and finally, potential drugs targeting the model were discussed. Results: A prognostic model for predicting the survival time of liver cancer patients was constructed, and the predictive ability of the model was verified. GO and KEGG enrichment analysis revealed differences in the functions and pathways of differential genes. Four differentially expressed immune functions were found. The top 4 genes mutated in the high and low risk groups were compared. Twenty-five drugs with significant differences in drug sensitivity between high- and low-risk groups were explored. Conclusion: The risk-prognostic model based on the association of basement membrane genes and immune checkpoint genes in this study may be promising for clinical prediction of prognosis and immunotherapy response in patients with liver cancer.
基于免疫检查点基因相关基底膜基因预测肝癌患者的预后模型,并分析免疫和潜在的候选药物
摘要:目的:肝细胞癌是世界上最常见的恶性肿瘤之一。肿瘤细胞中免疫检查点基因的表达阻止免疫系统消灭肿瘤。基底膜相关基因是最新研究获得的与人类疾病密切相关的基因。方法:首先从免疫检查点基因中提取基底膜相关基因,构建免疫检查点相关基底膜基因预后模型;通过生存分析、无进展生存分析和独立预后分析绘制c指数曲线和ROC。对临床分组模型进行曲线分析、主成分分析和验证,验证模型的准确性,进行富集分析、免疫分析、肿瘤突变负担生存分析,进一步探索模型的潜在功能,最后探讨模型的潜在靶向药物。结果:构建了预测肝癌患者生存时间的预后模型,并验证了模型的预测能力。GO和KEGG富集分析揭示了差异基因在功能和途径上的差异。发现了四种差异表达的免疫功能。比较高危组和低危组的前4个突变基因。探讨了25种高危组和低危组之间药物敏感性有显著差异的药物。结论:本研究建立的基于基底膜基因与免疫检查点基因关联的风险预后模型有望用于临床预测肝癌患者的预后和免疫治疗反应。
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