Construction of a TTN Mutation-Based Prognostic Model for Evaluating Immune Microenvironment, Cancer Stemness, and Outcomes of Colorectal Cancer Patients

Copyright © 2023 Lei Zhao et al..

Background: Colorectal cancer (CRC) is one of the commonest cancers worldwide. As conventional biomarkers cannot clearly define the heterogeneity of CRC, it is essential to establish novel prognostic models.

Methods: For the training set, data pertaining to mutations, gene expression profiles, and clinical parameters were obtained from the Cancer Genome Atlas. Consensus clustering analysis was used to identify the CRC immune subtypes. CIBERSORT was used to analyze the immune heterogeneity across different CRC subgroups. Least absolute shrinkage and selection operator regression was used to identify the genes for constructing the immune feature-based prognostic model and to determine their coefficients.

Result: A gene prognostic model was then constructed to predict patient outcomes; the model was then externally validated using data from the Gene Expression Omnibus. As a high-frequency somatic mutation, the titin (TTN) mutation has been identified as a risk factor for CRC. Our results demonstrated that TTN mutations have the potential to modulate the tumor microenvironment, converting it into the immunosuppressive type. In this study, we identified the immune subtypes of CRC. Based on the identified subtypes, 25 genes were selected for prognostic model construction; a prediction model was also constructed, and its prediction accuracy was tested using the validation dataset. The potential of the model in predicting immunotherapy responsiveness was then explored.

Conclusion: TTN-mutant and TTN-wild-type CRC demonstrated different microenvironment features and prognosis. Our model provides a robust immune-related gene prognostic tool and a series of gene signatures for evaluating the immune features, cancer stemness, and prognosis of CRC.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:2023

Enthalten in:

Stem cells international - 2023(2023) vom: 01., Seite 6079957

Sprache:

Englisch

Beteiligte Personen:

Zhao, Lei [VerfasserIn]
Fan, Weiwei [VerfasserIn]
Luo, Kunpeng [VerfasserIn]
Xie, Siqi [VerfasserIn]
Wang, Rui [VerfasserIn]
Guan, Jingming [VerfasserIn]
Chen, Zhendong [VerfasserIn]
Jin, Shizhu [VerfasserIn]

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Journal Article

Anmerkungen:

Date Revised 11.03.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1155/2023/6079957

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM35401479X