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Updated: Jun 15, 2025

An Orthotopic Bladder Cancer Model for Gene Delivery Studies
Published on: December 1, 2013
Anoikis-Related Genes Impact Prognosis and Tumor Microenvironment in Bladder Cancer
Tao Zhang1,2, Shaojun Chen3,2, Shanna Qu3,2
1Department of Urology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250021, China.
Abstract:
Anoikis tolerance is an important biological process of tumor colonization and metastasis outside the primary tumor. Recent research has progressively elucidated the function and underlying mechanisms of anoikis in the metastasis of various solid tumors. Nevertheless, the specific mechanisms of anoikis in bladder cancer and its consequent effects on the tumor immune microenvironment remain ambiguous. In this study, we developed an anoikis score based on five genes (ETV7, NGF, SCD, LAMC1, and CASP6) and categorized subjects into high and low-risk groups using the median score from the TCGA database. Our findings indicate that SCD enhances the proliferation of bladder cancer cells in vitro. Furthermore, integrating the anoikis score with clinicopathological features to construct a prognostic nomogram demonstrated precision in assessing patient outcomes. Immune cell analysis revealed elevated infiltration levels of Treg cells and M2 macrophages in the high anoikis score group, whereas CD8+ T cell levels were reduced. This study highlights the importance of anoikis score in predicting patient prognosis, immune cell infiltration, and drug response, which may provide a treatment modality worth exploring in depth for the study of bladder cancer.
Insights
This study introduces an anoikis score to predict bladder cancer patient outcomes and immune microenvironment changes. A high anoikis score correlates with increased tumor cell proliferation and altered immune cell infiltration.
Area of Science:
- Oncology
- Cancer Metastasis
- Immunology
Background:
- Anoikis, or anchorage-dependent cell death, is crucial for preventing tumor colonization and metastasis.
- While anoikis mechanisms are studied in solid tumors, their role in bladder cancer and impact on the tumor immune microenvironment are unclear.
Purpose of the Study:
- To investigate the role of anoikis in bladder cancer.
- To develop a prognostic model for bladder cancer based on anoikis-related genes.
- To analyze the effect of anoikis on the bladder tumor immune microenvironment.
Main Methods:
- Developed an anoikis score using five genes (ETV7, NGF, SCD, LAMC1, CASP6) from TCGA data.
- Categorized patients into high- and low-risk groups based on the anoikis score.
- Assessed bladder cancer cell proliferation in vitro.
- Constructed a prognostic nomogram integrating the anoikis score with clinicopathological features.
- Analyzed immune cell infiltration in relation to the anoikis score.
Main Results:
- The anoikis score effectively categorized patients into distinct risk groups.
- SCD was identified as a gene that enhances bladder cancer cell proliferation in vitro.
- The prognostic nomogram demonstrated precision in predicting patient outcomes.
- High anoikis score groups showed increased infiltration of Treg cells and M2 macrophages.
- Reduced levels of CD8+ T cells were observed in the high anoikis score group.
Conclusions:
- The developed anoikis score is a valuable predictor of bladder cancer prognosis and immune cell infiltration.
- Anoikis plays a significant role in bladder cancer progression and immune modulation.
- The findings suggest potential therapeutic strategies targeting anoikis in bladder cancer treatment.
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