机构:[1]Department of Geriatric Thoracic Surgery, The First Hospital of Kunming Medical University, Kunming City, Yunnan Province, P.R. China外科科室胸外科昆明医科大学附属第一医院[2]Department of Cancer Center, Daping Hospital, Army Medical University, Chongqing, China[3]Origimed Co. Ltd., Shanghai, P.R. China
Background. Lung adenocarcinoma (LUAD) is the most commonhistological lung cancer subtype, with an overall five-year survivalrate of only 17%. In this study, we aimed to identify autophagy-related genes (ARGs) and develop an LUAD prognostic signature. Methods. In this study, we obtained ARGs from three databases and downloaded gene expression profiles from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) database. We used TCGA-LUAD (n=490) for a training and testing dataset, and GSE50081 (n=127) as the external validation dataset. The least absolute shrinkage and selection operator (LASSO) Cox and multivariate Cox regression models were used to generate an autophagy-related signature. We performed gene set enrichment analysis (GSEA) and immune cell analysis between the high- and low-risk groups. A nomogram was built to guide the individual treatment for LUAD patients. Results. We identified a total of 83 differentially expressed ARGs (DEARGs) from the TCGA-LUAD dataset, including 33 upregulated DEARGs and 50 downregulated DEARGs, both with thresholds of adjusted P < 0.05 and vertical bar Fold change vertical bar > 1.5. Using LASSO and multivariate Cox regression analyses, we identified 10 ARGs that we used to build a prognostic signature with areas under the curve (AUCs) of 0.705, 0.715, and 0.778 at 1, 3, and 5 years, respectively. Using the risk score formula, the LUAD patients were divided into low- or high-risk groups. Our GSEA results suggested that the low-risk group were enriched in metabolism and immune-related pathways, while the high-risk group was involved in tumorigenesis and tumor progression pathways. Immune cell analysis revealed that, when compared to the high-risk group, the low-risk group had a lower cell fraction of M0- and M1-macrophages, and higher CD4 and PD-L1 expression levels. Conclusion. Our identified robust signature may provide novel insight into underlying autophagy mechanisms as well as therapeutic strategies for LUAD treatment.
基金:
Scientific Research Projects of Institutions of Medical and Health Institutions in Yunnan Province-The Role of NOD-like Receptors and Inflammatory Bodies in the Development of Xuanwei Lung Cancer [2016NS017]; Study of genetic risk of inflammatory body associated genes [D-2017013]; Kunming Medical Association Special Project for Applied Basic Research in Yunnan Province [2017FE467]; Yunnan Province Health and Family Planning Commission Medical Reserve Talents Plan [H201703]; 2018 CSCO-Qilu Cancer Research Fund Project [Y-Q201802-011]; research about PDGFRB functions on lung squamous cell carcinoma progression and its potential usage as a clinical lung squamous cell carcinoma marker [2017BS029]
第一作者机构:[1]Department of Geriatric Thoracic Surgery, The First Hospital of Kunming Medical University, Kunming City, Yunnan Province, P.R. China
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推荐引用方式(GB/T 7714):
Duan Jin,Lei Youming,Lv Guoli,et al.Identification of a novel autophagy signature for predicting survival in patients with lung adenocarcinoma[J].PEERJ.2021,9:doi:10.7717/peerj.11074.
APA:
Duan, Jin,Lei, Youming,Lv, Guoli,Liu, Yinqiang,Zhao, Wei...&Shi, Yunfei.(2021).Identification of a novel autophagy signature for predicting survival in patients with lung adenocarcinoma.PEERJ,9,
MLA:
Duan, Jin,et al."Identification of a novel autophagy signature for predicting survival in patients with lung adenocarcinoma".PEERJ 9.(2021)