Construction of a Combined Hypoxia-related Genes Model for Hepatocellular Carcinoma Prognosis.

IF 1.5 4区 医学 Q4 CHEMISTRY, MEDICINAL
Liping Ren, Xianrun Pan, Lin Ning, Di Gong, Jian Huang, Kejun Deng, Lei Xie, Yang Zhang
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引用次数: 1

Abstract

Background: Hepatocellular carcinoma (HCC) is the most common liver malignancy where tumorigenesis and metastasis are believed to be tied to the hallmarks of hypoxia and tumor microenvironment (TME).

Methods: In this study, to investigate the relationships among hypoxia, TME, and HCC prognosis, we collected two independent datasets from a public database (TCGA-LIHC for identification, GSE14520 for validation) and identified the hypoxia-related differentially expressed genes (DEGs) from the TCGA data, and the univariable Cox regression and lasso regression analyses were performed to construct the prognosis model. An HCC prognosis model with 4 hypoxiarelated DEGs ("NDRG1", "ENO1", "SERPINE1", "ANXA2") was constructed, and high- and low-risk groups of HCC were established by the median of the model risk score.

Results: The survival analysis revealed significant differences between the two groups in both datasets, with the results of the AUC of the ROC curve of 1, 3, and 5 years in two datasets indicating the robustness of the prognosis model. Meanwhile, for the TCGA-LIHC data, the immune characteristics between the two groups revealed that the low-risk group presented higher levels of activated NK cells, monocytes, and M2 macrophages, and 7 immune checkpoint genes were found upregulated in the high-risk group. Additionally, the two groups have no difference in molecular characteristics (tumor mutational burden, TMB). The proportion of recurrence was higher in the high-risk group, and the correlation between the recurrence month and risk score was negative, indicating high-risk correlates with a short recurrence month.

Conclusion: In summary, this study shows the association among hypoxic signals, TME, and HCC prognosis and may help reveal potential regulatory mechanisms between hypoxia, tumorigenesis, and metastasis in HCC. The hypoxia-related model demonstrated the potential to be a predictor and drug target of prognosis.

肝细胞癌预后缺氧相关基因联合模型的构建
背景:肝细胞癌(HCC)是最常见的肝脏恶性肿瘤,其肿瘤发生和转移被认为与缺氧和肿瘤微环境(TME)有关。方法:本研究为探讨缺氧、TME与HCC预后之间的关系,我们从公共数据库(TCGA- lihc进行鉴定,GSE14520进行验证)中收集两个独立的数据集,从TCGA数据中鉴定缺氧相关的差异表达基因(DEGs),并进行单变量Cox回归和lasso回归分析,构建预后模型。构建含“NDRG1”、“ENO1”、“SERPINE1”、“ANXA2”4个缺氧相关基因的HCC预后模型,按模型风险评分中位数划分HCC高危组和低危组。结果:生存分析显示两组患者在两个数据集上存在显著差异,ROC曲线1年、3年和5年的AUC结果表明预后模型的稳健性。同时,在TCGA-LIHC数据中,两组之间的免疫特征显示,低危组的活化NK细胞、单核细胞和M2巨噬细胞水平较高,高危组有7个免疫检查点基因上调。此外,两组在分子特征(肿瘤突变负荷,TMB)上没有差异。高危组复发比例较高,复发月份与风险评分呈负相关,提示复发月份短与高危相关。结论:综上所述,本研究显示了缺氧信号、TME与HCC预后之间的关联,并可能有助于揭示HCC中缺氧、肿瘤发生和转移之间的潜在调控机制。低氧相关模型显示了作为预后预测因子和药物靶点的潜力。
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来源期刊
Current computer-aided drug design
Current computer-aided drug design 医学-计算机:跨学科应用
CiteScore
3.70
自引率
5.90%
发文量
46
审稿时长
>12 weeks
期刊介绍: Aims & Scope Current Computer-Aided Drug Design aims to publish all the latest developments in drug design based on computational techniques. The field of computer-aided drug design has had extensive impact in the area of drug design. Current Computer-Aided Drug Design is an essential journal for all medicinal chemists who wish to be kept informed and up-to-date with all the latest and important developments in computer-aided methodologies and their applications in drug discovery. Each issue contains a series of timely, in-depth reviews, original research articles and letter articles written by leaders in the field, covering a range of computational techniques for drug design, screening, ADME studies, theoretical chemistry; computational chemistry; computer and molecular graphics; molecular modeling; protein engineering; drug design; expert systems; general structure-property relationships; molecular dynamics; chemical database development and usage etc., providing excellent rationales for drug development.
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