A neutrophil extracellular trap-related risk score predicts prognosis and characterizes the tumor microenvironment in

Zhijia Zhao1, Yuan Huo2, Yufeng Du1,3

  • 1Liaoning Key Laboratory of Hematopoietic Stem Cell Transplantation and Translational Medicine, Department of Hematology, Liaoning Medical Center for Hematopoietic Stem Cell Transplantation, The Second Hospital of Dalian Medical University, Dalian, 116023, China.

Scientific Reports
|January 26, 2024
PubMed

Insights

This study reveals neutrophil extracellular traps (NETs) play a role in multiple myeloma (MM) progression. A new 13-gene signature predicts MM survival and chemotherapy response, offering therapeutic insights.

Area of Science:

  • Hematology
  • Immunology
  • Oncology

Background:

  • Multiple myeloma (MM) is a hematologic malignancy where neutrophil extracellular traps (NETs) may promote tumor growth.
  • Systematic investigation into the specific role of NETs in MM pathogenesis is limited.

Purpose of the Study:

  • To investigate the role of NETs in MM progression using single-cell data.
  • To identify NET-related molecular signatures for MM prognosis and therapeutic targeting.

Main Methods:

  • Analysis of single-cell RNA sequencing data (GSE223060) to identify NET-active cell populations and construct transcriptional trajectories.
  • Cellular communication analysis focusing on neutrophils in MM samples.
  • Differential gene expression analysis and development of a prognostic risk model using transcriptomics data (GSE136337).

Main Results:

  • Identified neutrophils, monocytes, and macrophages as active NET cells in MM.
  • Observed altered neutrophil-NK cell communication and increased but weaker interactions involving neutrophils in MM.
  • Developed a 13-gene prognostic signature; high-risk group showed altered immune infiltration and increased chemotherapy sensitivity.
  • A nomogram demonstrated good predictive accuracy for 1, 3, and 5-year survival.

Conclusions:

  • A novel NET-related prognostic signature for multiple myeloma has been identified.
  • This signature may aid in predicting patient survival and response to chemotherapy.
  • Findings suggest NETs as a potential therapeutic target in MM.