Integrated analysis reveals the microenvironment of non-small cell lung cancer and a macrophage-related prognostic

Shenglong Xie1,2, Guixiang Huang3, Weiwei Qian4

  • 1Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China.

Abstract

Insights

This study reveals the tumor microenvironment in non-small cell lung cancer (NSCLC) and develops a prognostic model based on macrophage-related genes. These findings may offer new therapeutic targets for NSCLC patients, improving immunotherapy efficacy.

Area of Science:

  • Oncology
  • Immunology
  • Genomics

Background:

  • Immunotherapy has advanced non-small cell lung cancer (NSCLC) treatment, but some patients do not respond.
  • Identifying biomarkers is crucial for improving immunotherapy efficacy and achieving precision therapy in NSCLC.

Purpose of the Study:

  • To analyze the tumor microenvironment (TME) in NSCLC using single-cell transcriptomic profiling.
  • To construct a prognostic model based on macrophage-related genes for NSCLC.
  • To explore potential therapeutic targets for NSCLC.

Main Methods:

  • Single-cell transcriptomic profiling and CIBERSORT algorithm to analyze immune cell infiltration in NSCLC.
  • Cox and LASSO regression for prognostic model and nomogram construction.
  • Analysis of tumor mutation burden (TMB), immune checkpoint inhibitors (ICIs), and intercellular communication.

Main Results:

  • T cells and monocytes were the predominant tumor-infiltrating immune cells.
  • Significant differences in immune cells and ICIs were observed across molecular subtypes, particularly M0 and M1 macrophages.
  • A risk prediction model accurately predicted prognosis, immune cell infiltration, and chemotherapy efficacy.
  • Migration inhibitory factor (MIF) exerts its carcinogenic effect via CD74, CXCR4, and CD44 receptors.

Conclusions:

  • Single-cell data analysis elucidated the NSCLC tumor microenvironment.
  • A novel prognosis model for NSCLC was developed using macrophage-related genes.
  • These findings suggest potential new therapeutic targets for NSCLC.