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Identification of a Risk Model for Prognostic and Therapeutic Prediction in Renal Cell Carcinoma Based on Infiltrating M0 Cells

Overview
Journal Sci Rep
Specialty Science
Date 2024 Jun 11
PMID 38862642
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Abstract

The tumor microenvironment (TME) comprises immune-infiltrating cells that are closely linked to tumor development. By screening and analyzing genes associated with tumor-infiltrating M0 cells, we developed a risk model to provide therapeutic and prognostic guidance in clear cell renal cell carcinoma (ccRCC). First, the infiltration abundance of each immune cell type and its correlation with patient prognosis were analyzed. After assessing the potential link between the depth of immune cell infiltration and prognosis, we screened the infiltrating M0 cells to establish a risk model centered on three key genes (TMEN174, LRRC19, and SAA1). The correlation analysis indicated a positive correlation between the risk score and various stages of the tumor immune cycle, including B-cell recruitment. Furthermore, the risk score was positively correlated with CD8 expression and several popular immune checkpoints (ICs) (TIGIT, CTLA4, CD274, LAG3, and PDCD1). Additionally, the high-risk group (HRG) had higher scores for tumor immune dysfunction and exclusion (TIDE) and exclusion than the low-risk group (LRG). Importantly, the risk score was negatively correlated with the immunotherapy-related pathway enrichment scores, and the LRG showed a greater therapeutic benefit than the HRG. Differences in sensitivity to targeted drugs between the HRG and LRG were analyzed. For commonly used targeted drugs in RCC, including axitinib, pazopanib, temsirolimus, and sunitinib, LRG had lower IC50 values, indicating increased sensitivity. Finally, immunohistochemistry results of 66 paraffin-embedded specimens indicated that SAA1 was strongly expressed in the tumor samples and was associated with tumor metastasis, stage, and grade. SAA1 was found to have a significant pro-tumorigenic effect by experimental validation. In summary, these data confirmed that tumor-infiltrating M0 cells play a key role in the prognosis and treatment of patients with ccRCC. This discovery offers new insights and directions for the prognostic prediction and treatment of ccRCC.

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References
1.
Rosellini M, Marchetti A, Mollica V, Rizzo A, Santoni M, Massari F . Prognostic and predictive biomarkers for immunotherapy in advanced renal cell carcinoma. Nat Rev Urol. 2022; 20(3):133-157. DOI: 10.1038/s41585-022-00676-0. View

2.
Pan R, Pan F, Zeng Z, Lei S, Yang Y, Yang Y . A novel immune cell signature for predicting osteosarcoma prognosis and guiding therapy. Front Immunol. 2022; 13:1017120. PMC: 9515362. DOI: 10.3389/fimmu.2022.1017120. View

3.
Sun Y, Rha S, Lee S, Guo J, Ueda T, Qin S . Phase II study of the safety and efficacy of temsirolimus in East Asian patients with advanced renal cell carcinoma. Jpn J Clin Oncol. 2012; 42(9):836-44. DOI: 10.1093/jjco/hys110. View

4.
Sun Z, Tao W, Guo X, Jing C, Zhang M, Wang Z . Construction of a Lactate-Related Prognostic Signature for Predicting Prognosis, Tumor Microenvironment, and Immune Response in Kidney Renal Clear Cell Carcinoma. Front Immunol. 2022; 13:818984. PMC: 8892380. DOI: 10.3389/fimmu.2022.818984. View

5.
Wang P, Sun B, Hao D, Zhang X, Shi T, Ma D . Human TMEM174 that is highly expressed in kidney tissue activates AP-1 and promotes cell proliferation. Biochem Biophys Res Commun. 2010; 394(4):993-9. DOI: 10.1016/j.bbrc.2010.03.109. View