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DOI10.3389/fonc.2020.544610
Identification of Four Immune Subtypes in Bladder Cancer Based on Immune Gene Sets
Tang, Chaozhi; Ma, Jiakang; Liu, Xiuli; Liu, Zhengchun
通讯作者Liu, ZC
来源期刊FRONTIERS IN ONCOLOGY
ISSN2234-943X
出版年2020
卷号10
英文摘要Molecular classification of bladder cancer is becoming increasingly important for its clinical management. And, the current classifications are primarily based on gene expression profiles. We identified four immunotypes of bladder cancer (referred to as C1-C4) based on gene expression profiles performed by immune-related gene sets in three independent data sets, and proved that this classification is effective and reproducible. We found that C2 is an immune-infiltrating type and C4 is an immune desert type. These types are characterized by the up- and downregulation of genes encoding numerous immune checkpoint proteins and HLA and regulating human immune cell subgroups. The survival rate was better for the C2 subtype than for other subtypes. We believe that this can be explained by the antitumor effects of CD4 memory T cells and CD8 T cells as well as their ability to circumvent M0 macrophage antitumor immunity. In addition, C2 was most sensitive to not only anti-PD-1 immunosuppressive therapy, but also conventional chemotherapeutics such as gemcitabine and bleomycin. The C4 subtype was most sensitive to the chemotherapy drugs cisplatin and doxorubicin. This theoretical framework may guide the personalized treatment of bladder cancer in the future. It is worth noting that the C2 immune infiltration type positively correlates with a variety of stromal components, such as enrichment of endothelial cells and fibroblasts, epithelial-mesenchymal transition, and angiogenesis, together with enrichment of seven kinds of stem cells. We further identified tumor-related JAK-STAT and other signaling pathways in the C2 subtype, along with important mutations in the proteins involved in these pathways, revealing the complex mechanism underlying tumor immune escape. Our results, and particularly the identification of hub genes specific to the C2 and C4 subtypes, provide a reference for the development of immunotherapeutic agents against bladder cancer.
英文关键词immunotype bladder cancer immune cell gene set enrichment analysis prognosis
类型Article
语种英语
开放获取类型gold, Green Published
收录类别SCI-E
WOS记录号WOS:000579476400001
WOS关键词IMMUNOTHERAPY ; ADHESION ; TUMORS
WOS类目Oncology
WOS研究方向Oncology
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/326863
作者单位[Tang, Chaozhi] China Med Univ, Dept Urol, Affiliated Hosp 1, Shenyang, Peoples R China; [Ma, Jiakang] Zhengzhou Univ, Dept Oncol, Affiliated Hosp 2, Zhengzhou, Peoples R China; [Liu, Xiuli] Guilin Med Univ, Affiliated Hosp, Dept Oncol, Guilin, Peoples R China; [Liu, Zhengchun] Guilin Med Univ, Dept Radiat Oncol, Affiliated Hosp, Guilin, Peoples R China
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Tang, Chaozhi,Ma, Jiakang,Liu, Xiuli,et al. Identification of Four Immune Subtypes in Bladder Cancer Based on Immune Gene Sets[J],2020,10.
APA Tang, Chaozhi,Ma, Jiakang,Liu, Xiuli,&Liu, Zhengchun.(2020).Identification of Four Immune Subtypes in Bladder Cancer Based on Immune Gene Sets.FRONTIERS IN ONCOLOGY,10.
MLA Tang, Chaozhi,et al."Identification of Four Immune Subtypes in Bladder Cancer Based on Immune Gene Sets".FRONTIERS IN ONCOLOGY 10(2020).
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