Comprehensive Analyses of PANoptosome with Potential Implications in Cancer Prognosis and Immunotherapy

Yonghua Cai1, Heng Xiao2, Qixiong Zhou1

  • 1Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, People's Republic of China.

Biochemical Genetics
|March 4, 2024
PubMed

Insights

PANoptosis, an inflammatory cell death pathway, is understudied in cancer. This research introduces a PANoptosome-related index (PANo-RPI) linking it to prognosis, immune response, and better immunotherapy outcomes in various cancers.

Area of Science:

  • Oncology
  • Immunology
  • Cell Death Research

Background:

  • Cell death resistance is a major challenge in cancer therapy.
  • PANoptosis is a distinct inflammatory programmed cell death (PCD) pathway involving the PANoptosome, with features of apoptosis, pyroptosis, and necroptosis.
  • The role of PANoptosis in cancer malignancy remains largely unexplored, with most research focused on infectious and inflammatory diseases.

Purpose of the Study:

  • To conduct a comprehensive pan-cancer analysis of PANoptosome component genes.
  • To characterize the genetic, epigenetic, and transcriptomic landscapes of PANoptosome components across 33 cancer types.
  • To develop and validate a PANoptosome-related potential index (PANo-RPI) for assessing intrinsic PANoptosome assembly potential and its prognostic and immunotherapeutic implications in cancer.

Main Methods:

  • Pan-cancer analysis of PANoptosome component genes across 33 cancer types.
  • Characterization of genetic, epigenetic, and transcriptomic landscapes.
  • Development of a PANoptosome-related potential index (PANo-RPI).
  • Correlation analysis with tumor immune responses, immune cell infiltration, and immunotherapy efficacy.

Main Results:

  • The PANo-RPI was identified as a prognostic factor in several cancers (e.g., KIRC, LGG, PAAD).
  • PANo-RPI significantly correlates with tumor immune responses and the infiltration of lymphoid and myeloid cells across most cancer types.
  • Higher PANo-RPI is consistently associated with improved responses to immunotherapy.

Conclusions:

  • PANoptosis and its regulator, the PANoptosome, play a significant role in cancer malignancy.
  • The PANo-RPI serves as a valuable biomarker for predicting prognosis and immunotherapy response.
  • Targeting PANoptosome components and modulating PANoptosis presents a promising therapeutic strategy for cancer treatment.