Comprehensive characterization of lysosome-dependent cell death reveals prognostic significance and immune landscape in colon adenocarcinoma

  • 0Department of Abdominal Surgery, Ganzhou Cancer Hospital, Ganzhou, China.

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Summary

This summary is machine-generated.

Lysosome-dependent cell death (LDCD) genes impact colon adenocarcinoma (COAD) subtypes and patient survival. A five-gene signature predicts prognosis and immunotherapy response, offering new therapeutic targets for colorectal cancer.

Area Of Science

  • Oncology
  • Molecular Biology
  • Immunology

Background

  • Lysosome-dependent cell death (LDCD) is a crucial regulated cell death pathway with implications in cancer development and treatment.
  • The specific role of LDCD-related genes in colon adenocarcinoma (COAD) is not well-established, necessitating further investigation.

Purpose Of The Study

  • To investigate the expression profiles and prognostic significance of LDCD-related genes in COAD.
  • To explore the association between LDCD genes, tumor immune microenvironment, and immunotherapy response in COAD.
  • To validate the functional role of key LDCD regulators in COAD cell behavior.

Main Methods

  • Comprehensive analysis of LDCD-related gene expression using TCGA and GEO transcriptomic data.
  • Unsupervised clustering for molecular subtyping, and LASSO/Cox regression for prognostic signature development.
  • Assessment of immune infiltration, immunotherapy response, scRNA-seq, and in vitro functional assays (colony formation, Transwell, Western blotting).

Main Results

  • LDCD genes were differentially expressed in COAD, defining two molecular subtypes with distinct survival, immune infiltration, and pathway characteristics.
  • A five-gene signature accurately predicted overall survival and correlated with tumor immune microenvironment features.
  • High-risk patients exhibited specific immune checkpoint profiles and predicted sensitivity to immune checkpoint blockade therapy.
  • SLC11A1 was identified as a key regulator affecting COAD cell proliferation, invasion, apoptosis, and ROS levels.

Conclusions

  • LDCD-related genes possess significant prognostic value and immunological relevance in COAD.
  • The identified molecular subtypes and prognostic signature offer insights for COAD classification and personalized treatment strategies.
  • Targeting LDCD pathways, including SLC11A1, presents a potential avenue for novel colorectal cancer therapies.