p62/SQSTM1 impairs immunotherapy in lung adenocarcinoma by suppressing immune infiltration and peripheral immune

Haoran Li1, Huamin Qin2, Qinghan Xin3

  • 1Department of Breast Oncology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.

Abstract

Insights

p62 is overexpressed in lung adenocarcinoma (LUAD), correlating with poorer survival and reduced immune cell infiltration. Targeting p62 may improve immunotherapy outcomes for LUAD patients.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Lung adenocarcinoma (LUAD) remains a significant health concern with limited treatment options.
  • Identifying novel therapeutic targets is crucial for improving patient outcomes in LUAD.
  • Understanding the tumor microenvironment and immune cell infiltration is key to developing effective immunotherapies.

Purpose of the Study:

  • To investigate the role of p62 in LUAD.
  • To determine if p62 can serve as an immunotherapeutic target or prognostic marker for LUAD patients.
  • To explore the association between p62 expression and immune cell infiltration in LUAD.

Main Methods:

  • Analysis of gene expression data from GEO database for 193 normal and 543 LUAD samples.
  • Utilized ESTIMATE, limma, and ssGSEA algorithms to assess immune infiltration levels.
  • Performed in vitro experiments on LUAD cell lines and retrospective cohort analyses.

Main Results:

  • p62 was found to be overexpressed in LUAD, associated with lower survival rates.
  • High p62 expression correlated with reduced tumor-infiltrating lymphocytes and poorer prognosis.
  • p62 promoted cancer cell proliferation, migration, invasion, and epithelial-mesenchymal transition.
  • p62 alterations and levels were significantly correlated with immune cell infiltration and methylation.
  • In a cohort receiving immune checkpoint inhibitors (ICIs), high p62 levels were linked to reduced lymphocyte levels and shorter progression-free survival.

Conclusions:

  • p62 plays a significant role in LUAD progression and immune evasion.
  • p62 is a potential predictive and prognostic biomarker for LUAD immunotherapy.
  • Targeting p62 may represent a novel strategy for enhancing LUAD immunotherapy efficacy.

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