GPRASP1 is a candidate anti-oncogene and correlates with immune microenvironment and immunotherapeutic efficiency in

Tao Zhang1, Genglong Liu2,3, Juan Zhang1

  • 1Department of Otolaryngology Head and Neck Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, People's Republic of China.

Abstract

Insights

G-protein-coupled receptor-associated sorting protein 1 (GPRASP1) is down-regulated in head and neck cancer (HNC), correlating with better prognosis. High GPRASP1 expression predicts a positive response to immunotherapy by influencing the tumor immune microenvironment.

Area of Science:

  • Oncology
  • Immunology
  • Genomics

Background:

  • G-protein-coupled receptor-associated sorting protein 1 (GPRASP1) is implicated in tumorigenesis.
  • The specific role of GPRASP1 in head and neck cancer (HNC) remains unclear.

Purpose of the Study:

  • To investigate the role of GPRASP1 in the occurrence, development, and prognosis of HNC.
  • To explore the association between GPRASP1 expression and the tumor immune microenvironment in HNC.
  • To evaluate GPRASP1 as a potential biomarker for predicting immunotherapy response in HNC.

Main Methods:

  • Analysis of HNC RNA sequencing, DNA methylation, somatic mutation, and copy number variation data from TCGA and GEO databases.
  • Correlation analysis of GPRASP1 expression with clinicopathologic features, DNA methylation, and immune properties.
  • Validation using HNC tissue microarrays (TMA) and assessment of immunophenoscore and tumor immune dysfunction and exclusion.

Main Results:

  • GPRASP1 is significantly down-regulated in HNC tissues and negatively correlates with advanced clinical features (perineural invasion, histologic grade, T stage, TNM stage).
  • GPRASP1 is an independent predictor of favorable prognosis in HNC (HR: 0.42, 95% CI 0.20-0.91, p=0.028), with its expression linked to DNA methylation.
  • High GPRASP1 expression is associated with increased immune cell infiltration (CD8+ T cells, TILs), immune-related pathways, immune checkpoint inhibitors (ICIs), immunomodulators, and immunogenicity (immune score, neoantigen, TMB), accurately predicting immunotherapy response.

Conclusions:

  • GPRASP1 serves as a promising biomarker in HNC, influencing tumor occurrence, development, and prognosis.
  • GPRASP1 expression levels are crucial for characterizing tumor immune microenvironment infiltration.
  • Evaluating GPRASP1 can guide the development of more effective immunotherapy strategies for HNC patients.

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