TME风险评分:一种基于瘤微环境的模型,用于预测头部和部状细胞癌患者的预后和免疫治疗
Yu Li1,2,3,4,5, Xiaozhou Pan1,2,3, Wenwei Luo6
1Department of Clinical Laboratory, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200062, China.
Heliyon
|June 7, 2024
概括
一个新的TME风险评分有效地预测了头部和部状细胞癌 (HNSCC) 的结果. 这一基于瘤微环境 (TME) 基因的得分显示了预测患者生存率和免疫治疗反应的潜力.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 生物信息学是一种生物信息学.
背景情况:
- 瘤微环境 (TME) 显著影响头部和部状细胞癌 (HNSCC) 的进展和预后.
- 鉴定生物标志物对于预测HNSCC治疗结果至关重要.
研究的目的:
- 开发和验证TME相关风险评分 (TMErisk) 以预测HNSCC的整体存活率和免疫治疗反应.
- 分析与HNSCC预后相关的免疫和结构特征.
主要方法:
- 使用ESTIMATE算法分析HNSCC中的免疫和 stromal状态.
- 采用差异基因表达和权重基因共同表达网络分析 (WGCNA) 来识别与TME相关的基因.
- 应用了Cox单变量和LASSO回归分析,以使用11个选定的基因构建TME风险得分模型.
主要成果:
- 开发了一种11基因的TME风险评分模型,具有显著的整体生存预测潜力.
- 高的TME风险得分与免疫/肌瘤得分降低,瘤纯度增加,免疫检查点表达减少和免疫细胞透率降低相关.
- 在HNSCC患者中,较高的TME风险得分与较差的整体存活率和免疫治疗结果有关.
结论:
- TME风险评分作为一个有前途的生物标志物,用于预测HNSCC的预后和免疫治疗疗效.
- 这种模型为TME在HNSCC进展和治疗反应中的作用提供了有价值的见解.
- 需要对TME风险评分进行进一步的临床验证,以便在HNSCC患者管理中进行常规应用.
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