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Pyroptosis-associated genes and tumor immune response in endometrial cancer.
Xiaodi Gong1, Zhifeng Wang2, Jiahao You2
1Department of Gynecology and Obstetrics, The Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China. gong_xdi@sina.com.
Discover Oncology
|September 12, 2024
View abstract on PubMed
Summary
Pyroptosis-associated genes (PRGs) influence endometrial cancer (EC) progression. Specific PRGs like NOD2 and GPX4 impact survival and treatment response, aiding in developing a novel prognostic model for EC patients.
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Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Pyroptosis, a programmed cell death, is implicated in tumor occurrence and progression.
- The specific roles of pyroptosis-associated genes (PRGs) in endometrial cancer (EC) are not fully understood.
- Identifying key PRGs can offer insights into EC pathogenesis and treatment strategies.
Purpose of the Study:
- To investigate the expression patterns and prognostic significance of 29 PRGs in endometrial cancer (EC).
- To explore the association between PRGs, patient survival, and response to therapies like chemotherapy and immune checkpoint blockade.
- To develop a predictive model for EC prognosis based on PRG expression.
Main Methods:
- Bioinformatic analysis of PRG expression in EC datasets.
Main Results:
- 29 PRGs were found to be differentially expressed in EC.
- Higher GPX4 and NOD2, and lower CASP6, PRKACA, NLRP2 expression correlated with better overall survival.
- Lower NOD2 expression was linked to poorer progression-free survival and advanced tumor stage.
- NOD2, NLRP2, and TNM stage were independent prognostic factors.
- A LASSO model showed decreased OS in high-risk EC patients (ROC-AUC: 0.799).
- NOD2 expression positively correlated with immune cell infiltration and immune checkpoints.
- GPX4 and CASP6 associated with Tumor Mutational Burden (TMB) and Microsatellite Instability (MSI).
- Upregulated NOD2 in EC tissues correlated with advanced TNM stage and M1 macrophage infiltration.
Conclusions:
- PRGs play a significant role in EC progression and patient outcomes.
- A PRG-based prognostic model, particularly incorporating NOD2, can predict EC patient survival.
- NOD2-mediated pyroptosis may modulate tumor immunity and M1 macrophage polarization, impacting EC progression.


