首页|膀胱癌铜死亡相关免疫检查点基因预后特征和免疫与药物治疗分析

膀胱癌铜死亡相关免疫检查点基因预后特征和免疫与药物治疗分析

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目的:铜死亡诱导肿瘤细胞死亡和免疫检查点阻断治疗都具有高选择性,联合其优点并认识在膀胱癌中的特征对开发新靶向治疗方案非常重要。通过筛选铜死亡相关免疫检查点特征基因鉴定膀胱癌,为辅助治疗的选择方案和新靶点的应用提供理论依据。方法:从TCGA和GEO数据库中获取正常膀胱组织和膀胱癌的表达样本,从既往研究中提取13个铜死亡基因和79个免疫检查点基因。由相关性分析筛选铜死亡相关免疫检查点基因构建预后模型,采用qPCR实验验证预后基因的mRNA表达情况。评估高低危组免疫治疗和化疗疗效的差异。结果:构建由BTNL9,CD160,TNFRSF14和TNFRSF18组成的预后模型。在两个数据库中均证明了其可靠的预测能力,qPCR证明4个基因的表达量在正常组和癌细胞组间存在显著差异。低危组患者免疫治疗效果优于高危组;高危组患者化疗疗效更好。结论:铜死亡相关免疫检查点基因模型能较为准确地预测患者的预后,药物和免疫分析为临床治疗提供了依据,潜在靶点的发现为临床决策提供了新方案。
Prognostic characterization of copper death-related immune checkpoint genes and analysis of immunologic and pharmacologic therapy in bladder cancer
Objective:Copper death-induced tumor cell death and immune checkpoint blockade therapy are highly selec-tive.Combining their advantages and understanding their characteristics in bladder cancer is very important for the development of new targeted therapy.The identification of bladder cancer by screening the characteristic genes of copper death-related immune checkpoints provides a theoretical basis for the selection of adjuvant treatment options and the application of new targets.Methods:The expression samples of normal bladder tissue and bladder cancer were obtained from TCGA and GEO databases,and 13 cop-per death genes and 79 immune checkpoint genes were extracted from previous studies.The mRNA expression of prognostic genes was verified by qPCR.The copper death-related immune checkpoint genes were screened by correlation analysis to construct a prognostic model,and the differences in the efficacy of immunotherapy and chemotherapy between the high-risk group and the low-risk group were evaluated.Results:A prognostic model consisting of BTNL9,CD160,TNFRSF14 and TNFRSF18 was constructed.Its reliable predictive ability was proved in both databases,and qPCR showed that the expression levels of the four genes were significantly different between the normal group and the cancer cell group.The effect of immunotherapy in the low-risk group was better than that in the high-risk group.Patients in the high-risk group had better chemotherapy efficacy.Conclusion:The copper death-related immune checkpoint gene model can accurately predict the prognosis of patients.Drug and immune analy-sis provide a basis for clinical treatment,and the discovery of potential targets provides a new solution for clinical decision-making.

Bladder cancerCopper deathImmune checkpointsImmunotherapyDrug therapy

杨丛语、阿茹娜、刘嘉铭

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蚌埠医科大学临床医学院,安徽 蚌埠 233000

四川大学华西第二医院生殖内分泌科,四川 成都 610000

苍溪县人民医院泌尿外科,四川 苍溪 628400

四川大学华西医院泌尿外科,四川 成都 610041

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膀胱癌 铜死亡 免疫检查点 免疫治疗 药物治疗

四川省科技厅重点研究项目

23ZDYF1246

2024

海南医学院学报
海南医学院

海南医学院学报

CSTPCD北大核心
影响因子:1.068
ISSN:1007-1237
年,卷(期):2024.30(4)
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