全面分析核线粒体相关基因在透明细胞肾细胞癌的分子特征、免疫浸润和药物敏感性中的作用

Medicine Advances Pub Date : 2024-09-04 DOI:10.1002/med4.72
Yuchen Zhang, Huake Cao, Feixiang Yang, Xiaofeng Wang, Zhihao Xu, Miao Cheng, Shuqi Yang, Xuefeng Tian, Ning Zhang, Yinyin Xie
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引用次数: 0

摘要

背景 透明细胞肾细胞癌(ccRCC)是最常见的泌尿系统疾病之一,也是最常见的肾细胞癌亚型。核线粒体相关基因(MTRGs)在癌症中发挥着重要作用,但它们对ccRCC的影响尚未明确。本研究旨在探讨核 MTRGs 在 ccRCC 中的作用。 方法 我们从 MITOMAP 数据库中收集了核 MTRGs,并从 TCGA 数据库中获得了 ccRCC 图谱。基因表达验证来自 GEO 数据库。基于核MTRGs的无监督聚类分析确定了ccRCC亚型。免疫评分采用 EPIC 算法计算。药物敏感性评分使用 GDSC 资源计算。一个提名图探讨了核 MTRGs 的诊断价值。 结果 共发现 11 个核 MTRGs 与预后有关,并在 ccRCC 中有差异表达,与 CD274 表达呈显著正相关。我们根据这些基因确定了 ccRCC 的两个亚型,并发现这两个亚型在生存状况、免疫浸润、突变情况和药物敏感性方面存在显著差异。与低MTRG组相比,高MTRG组预后更好,肿瘤分期更低。免疫检查点阻断疗法对高MTRG组更为有效。根据核MTRGs的提名图得出结论,得分越高的患者生存率越低。SUCLA2(琥珀酸-CoA连接酶ADP形成亚基β)被确定为与ccRCC相关的枢纽基因。在ccRCC中,SUCLA2的高表达与较好的生存率相关,与肿瘤突变负荷呈负相关。泛癌分析表明,SUCLA2 在人类肿瘤中发挥着广泛的作用。 结论 核MTRGs在决定ccRCC的分子特征、免疫浸润和药物敏感性方面起着至关重要的作用。高水平的核MTRGs可能预示着ccRCC患者较好的预后。SUCLA2是具有代表性的核MTRG,可作为ccRCC的保护性生物标志物。我们的研究为ccRCC患者提供了治疗指导和潜在的生物标志物,有助于精准医疗的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Comprehensive analyses of nuclear mitochondria-related genes in the molecular features, immune infiltration, and drug sensitivity of clear cell renal cell carcinoma

Comprehensive analyses of nuclear mitochondria-related genes in the molecular features, immune infiltration, and drug sensitivity of clear cell renal cell carcinoma

Background

Clear cell renal cell carcinoma (ccRCC) is one of the most common urological diseases and the most common subtype of renal cell carcinoma. Nuclear mitochondria-related genes (MTRGs) play an essential role in cancer, but their effect on ccRCC has not been clarified. This work aimed to investigate the role of nuclear MTRGs in ccRCC.

Methods

We collected nuclear MTRGs from the MITOMAP database and obtained the ccRCC profile from the TCGA database. Gene expression validation came from the GEO database. The ccRCC subtypes were determined by unsupervised clustering analysis based on the nuclear MTRGs. Immune scores were computed using the EPIC algorithm. The drug sensitivity scores were calculated using GDSC resources. A nomogram explored the diagnostic value of the nuclear MTRGs.

Results

In total, 11 nuclear MTRGs were identified as both related to prognosis and differentially expressed in ccRCC, showing a significant positive correlation with CD274 expression. We determined two subtypes of ccRCC based on these genes and found remarkable differences in survival status, immune infiltration, mutation landscape, and drug sensitivity between the two subtypes. The high-MTRG group had a better prognosis and a lower tumor stage than the low-MTRG group. Immune checkpoint blockade therapy was more effective for the high-MTRG group. A nomogram based on the nuclear MTRGs concluded that patients with a higher score had poorer survival. SUCLA2 (succinate-CoA ligase ADP-forming subunit beta) was identified as the hub gene linked to ccRCC. High SUCLA2 expression showed a correlation with better survival and a negative correlation with the tumor mutation burden in ccRCC. Pan-cancer analysis revealed wide-ranging roles for SUCLA2 across human tumors.

Conclusions

Nuclear MTRGs play vital roles in determining the molecular features, immune infiltration, and drug sensitivity of ccRCC. High levels of nuclear MTRGs may indicate a better prognosis for patients with ccRCC. SUCLA2 is a representative nuclear MTRG and may serve as a protective biomarker in ccRCC. Our study provides therapeutic guidance and potential biomarkers for ccRCC patients, and contributes to the advancement of precision medicine.

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