BACKGROUND Treatment options for patients with gastric cancer(GC)continue to improve,but the overall prognosis is poor.The use of PD-1 inhibitors has also brought benefits to patients with advanced GC and has graduall...BACKGROUND Treatment options for patients with gastric cancer(GC)continue to improve,but the overall prognosis is poor.The use of PD-1 inhibitors has also brought benefits to patients with advanced GC and has gradually become the new standard treatment option at present,and there is an urgent need to identify valuable biomarkers to classify patients with different characteristics into subgroups.AIM To determined the effects of differentially expressed immune-related genes(DEIRGs)on the development,prognosis,tumor microenvironment(TME),and treatment response among GC patients with the expectation of providing new biomarkers for personalized treatment of GC populations.METHODS Gene expression data and clinical pathologic information were downloaded from The Cancer Genome Atlas(TCGA),and immune-related genes(IRGs)were searched from ImmPort.DEIRGs were extracted from the intersection of the differentially-expressed genes(DEGs)and IRGs lists.The enrichment pathways of key genes were obtained by analyzing the Kyoto Encyclopedia of Genes and Genomes(KEGGs)and Gene Ontology(GO)databases.To identify genes associated with prognosis,a tumor risk score model based on DEIRGs was constructed using Least Absolute Shrinkage and Selection Operator and multivariate Cox regression.The tumor risk score was divided into high-and lowrisk groups.The entire cohort was randomly divided into a 2:1 training cohort and a test cohort for internal validation to assess the feasibility of the risk model.The infiltration of immune cells was obtained using‘CIBERSORT,’and the infiltration of immune subgroups in high-and low-risk groups was analyzed.The GC immune score data were obtained and the difference in immune scores between the two groups was analyzed.RESULTS We collected 412 GC and 36 adjacent tissue samples,and identified 3627 DEGs and 1311 IRGs.A total of 482 DEIRGs were obtained.GO analysis showed that DEIRGs were mainly distributed in immunoglobulin complexes,receptor ligand activity,and signaling receptor activators.KEGG pathway analysis showed that the top three DEIRGs enrichment types were cytokine-cytokine receptors,neuroactive ligand receptor interactions,and viral protein interactions.We ultimately obtained an immune-related signature based on 10 genes,including 9 risk genes(LCN1,LEAP2,TMSB15A mRNA,DEFB126,PI15,IGHD3-16,IGLV3-22,CGB5,and GLP2R)and 1 protective gene(LGR6).Kaplan-Meier survival analysis,receiver operating characteristic curve analysis,and risk curves confirmed that the risk model had good predictive ability.Multivariate COX analysis showed that age,stage,and risk score were independent prognostic factors for patients with GC.Meanwhile,patients in the low-risk group had higher tumor mutation burden and immunophenotype,which can be used to predict the immune checkpoint inhibitor response.Both cytotoxic T lymphocyte antigen4+and programmed death 1+patients with lower risk scores were more sensitive to immunotherapy.CONCLUSION In this study a new prognostic model consisting of 10 DEIRGs was constructed based on the TME.By providing risk factor analysis and prognostic information,our risk model can provide new directions for immunotherapy in GC patients.展开更多
Gastric cancer ranks as the sixth most prevalent cancer worldwide.In recent research within the realm of gastric cancer treatment,the identification and application of immune-related genetic features have emerged as g...Gastric cancer ranks as the sixth most prevalent cancer worldwide.In recent research within the realm of gastric cancer treatment,the identification and application of immune-related genetic features have emerged as groundbreaking advancements.The study by Ma et al,which developed a prognostic model based on 10 genes,categorizes patients into high and low-risk groups to predict their responsiveness to immune checkpoint inhibitor therapy.This research underscores the potential of immune-related genes as biomarkers for personalized treatment,offering insights into tumor mutation burden and immune phenotype scores.We advocate for further validation,understanding of biological mechanisms,and integration of diverse datasets to enhance the model's predictive accuracy and clinical application,marking a significant step towards personalized and precise treatment for gastric cancer.展开更多
Background:Hepatocellular carcinoma(HCC)appears to be strongly associated with immune-related genes.However,immune-related genes are not well understood as a prognostic marker in HCC caused by the hepatitis B virus(HB...Background:Hepatocellular carcinoma(HCC)appears to be strongly associated with immune-related genes.However,immune-related genes are not well understood as a prognostic marker in HCC caused by the hepatitis B virus(HBV).The purpose of this study was to investigate the prognostic significance of immune-related genes in HBV-infected HCC.Methods:Gene expression data from 114 HBV-infected HCC and 50 normal tissues were integrated into The Cancer Genome Atlas.Differentially expressed immune-associated genes were analyzed to identify immune-associated differential genes associated with overall survival.Least Absolute Shrinkage and Selection Operator and multivariate Cox regressions were used to constructing immunoprognostic models.An independent prognostic factor analysis using multiple Cox regressions was also performed for HBV-infected HCCs.Immunocorrelation analysis markers and immune cell infiltration were also investigated.Results:We found 113 differentially expressed immune-associated genes.Immune-related differential genes were significantly correlated with the overall survival of HCC patients.We constructed an immune-based prognostic model using multivariate Cox regression analysis including seven immune-related genes.According to further analysis,immune-related prognostic factors may serve as independent prognostic indicators in the clinical setting.There is also evidence that the 7-gene prognostic model reflects the tumor immune microenvironment as a result of the risk score model and immune cell infiltration.Conclusions:As a result of our study,we screened immune-related genes for prognosis in HBV-infected HCC and developed a novel immune-based prognostic model.The research not only provides new prognostic biomarkers but also offers insight into the tumor immune microenvironment and lays the theoretical groundwork for immunotherapy.展开更多
Background:Postpartum depression(PPD)is a mild to severe non-psychotic depressive episode,one of the main factors leading to pregnancy-related morbidity and mortality,and a mental disorder that has not been fully diag...Background:Postpartum depression(PPD)is a mild to severe non-psychotic depressive episode,one of the main factors leading to pregnancy-related morbidity and mortality,and a mental disorder that has not been fully diagnosed and treated.Compared with women without polycystic ovary syndrome,women with polycystic ovary syndrome are more likely to have a variety of pregnancy complications,including PPD.However,there is currently limited research on whether polycystic ovary syndrome is related to anxiety and depression during pregnancy,and whether this increases the risk of postpartum depression in women.Study design:The GSE10558 data set gene expression profile matrix was used for PPD expression profiles from Gene Expression Synthesis(GEO).The differentially expressed genes were selected and analyzed.Perform gene ontology(GO)enrichment and gene set variation analysis(GSVA)for annotation,visualization,and integrated discovery.At the same time,CIBERSORT and ESTIMATE were used to analyze the immune infiltration situation of the GSE10558 expression profile matrix,including the immune infiltration pattern of ovarian samples,and construct the immune cell infiltration(ICI)score.Then we screened the differentially expressed genes(DEGs)clustered with three groups of immune subtypes,and constructed a protein-protein interaction(PPI)and mRNA-miRNA-TF molecular interaction network.And further predicted the drug target of the hub gene and the target of small molecule compounds,and constructed a network.Based on the intersection of the phenotypic gene set,the pivot gene was identified.Finally,evaluate the expression differences of Hub genes between the data set groups,and generate receiver operating characteristic(ROC)curves to verify the diagnostic value of differentially expressed genes(DEG).Finally,genes with high area under the curve(AUC)values are validated.Results:We analyzed 222 DEGs with statistically significant differences in the GSE10558 data set by bioinformatics methods,of which 18 DEGs have significant differences.GO analysis showed that most of the 18 significantly differentially expressed genes were rich in receptor ligand activity and cytokine receptor binding.It is worth noting that these genes are also enriched in functional areas related to immune inflammatory response and immune cell regulation.The GSVA package was used for GSVA analysis,and the results showed that it was significantly enriched in growth factor binding and other aspects.And according to the ssGSEA analysis to obtain immune clustering groupings,the DEGs found in the high,medium,and low immune score groups are mainly enriched in immune inflammatory response and immune cell regulation through GO analysis.CIBERSORT analysis found that there are significant differences in memory B cells of 22 types of immune cells in ovarian samples.By mining the phenotypic gene set,the DEGs that are significantly related to PPD are intersected respectively,and four overlapping genes APOA1,PLN,PRKCZ,and TRPV2 are obtained as the most important pivot genes.We also use box plots to show the expression differences between tissue samples.The results show that there are significant differences in expression of these genes between groups,which may serve as new potential targets for the diagnosis and treatment of PPD.Subsequently,the ROC curve analysis of the four APOA1,PLN,PRKCZ,and TRPV2 that are significantly related to PPD showed significant prediction accuracy,and all AUCs were above 0.9,indicating that these new biomarkers can be further developed in PPD Research.Conclusion:The molecular markers APOA1,PLN,PRKCZ and TRPV2,which are closely related to immune cell function,can efficiently identify PPD.A diagnostic prediction model composed of these four immune function-related genes can distinguish PPD patients with different immune status.This discovery contributes to a more comprehensive understanding of the molecular mechanisms driving the occurrence and development of PPD,which is critical for improving the diagnosis,prognosis and treatment of this disease.展开更多
BACKGROUND Gastric cancer(GC)is the most commonly diagnosed malignancy worldwide.Increasing evidence suggests that it is necessary to further explore genetic and immunological characteristics of GC.AIM To construct an...BACKGROUND Gastric cancer(GC)is the most commonly diagnosed malignancy worldwide.Increasing evidence suggests that it is necessary to further explore genetic and immunological characteristics of GC.AIM To construct an immune-related gene(IRG)signature for accurately predicting the prognosis of patients with GC.METHODS Differentially expressed genes(DEGs)between 375 gastric cancer tissues and 32 normal adjacent tissues were obtained from The Cancer Genome Atlas(TCGA)GDC data portal.Then,differentially expressed IRGs from the ImmPort database were identified for GC.Cox univariate survival analysis was used to screen survival-related IRGs.Differentially expressed survival-related IRGs were considered as hub IRGs.Genetic mutations of hub IRGs were analyzed.Then,hub IRGs were selected to conduct a prognostic signature.Receiver operating characteristic(ROC)curve analysis was used to evaluate the prognostic performance of the signature.The correlation of the signature with clinical features and tumor-infiltrating immune cells was analyzed.RESULTS Among all DEGs,70 hub IRGs were obtained for GC.The deletions and amplifications were the two most common types of genetic mutations of hub IRGs.A prognostic signature was identified,consisting of ten hub IRGs(including S100A12,DEFB126,KAL1,APOH,CGB5,GRP,GLP2R,LGR6,PTGER3,and CTLA4).This prognostic signature could accurately distinguish patients into highand low-risk groups,and overall survival analysis showed that high risk patients had shortened survival time than low risk patients(P<0.0001).The area under curve of the ROC of the signature was 0.761,suggesting that the prognostic signature had a high sensitivity and accuracy.Multivariate regression analysis demonstrated that the prognostic signature could become an independent prognostic predictor for GC after adjustment for other clinical features.Furthermore,we found that the prognostic signature was significantly correlated with macrophage infiltration.CONCLUSION Our study proposed an immune-related prognostic signature for GC,which could help develop treatment strategies for patients with GC in the future.展开更多
Background:Lung cancer,particularly lung adenocarcinoma(LUAD),is highly lethal.Understanding the critical interaction between epithelial-mesenchymal transition(EMT)and the immune status of patients is imperative for c...Background:Lung cancer,particularly lung adenocarcinoma(LUAD),is highly lethal.Understanding the critical interaction between epithelial-mesenchymal transition(EMT)and the immune status of patients is imperative for clinical assessment.Methods:We conducted bioinformatics analysis to identify potential immune-related EMT(iEMT)prognostic genes and explored the immune status in LUAD.Using data from The CancerGenome Atlas andGSE68465,differentially expressed genes,were identified,and a risk modelwas constructed.Cluster analysis was conducted using the Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathways.Results:Our findings revealed 69 differentially expressed iEMT genes,with risk values demonstrating independent prognostic significance for both The Cancer Genome Atlas and GSE68465 samples.The risk value was positively correlated with tumor stage.Immune cell infiltration analysis showed a significant decrease in resting dendritic cells and an increase in CD4 memory T cells in high-risk groups with poor survival prognoses.The immunotherapy analysis revealed weak immunotherapeutic effects in the high-risk group.Conclusions:This study provides insights into potential aberrant differential iEMT genes and risk models and explores immune landscapes that inform personalized immunotherapy in patients with LUAD.展开更多
Breast cancer is one of the most common cancers in the world and seriously threatens the health of women worldwide.Prognostic models based on immune-related genes help to improve the prognosis prediction and clinical ...Breast cancer is one of the most common cancers in the world and seriously threatens the health of women worldwide.Prognostic models based on immune-related genes help to improve the prognosis prediction and clinical treatment of breast cancer patients.In the study,we used weighted gene co-expression network analysis to construct a co-expression network to screen out highly prognostic immune-related genes.Subsequently,the prognostic immunerelated gene signature was successfully constructed from highly immune-related genes through COX regression and LASSO COX analysis.Survival analysis and time receiver operating characteristic curves indicate that the prognostic signature has strong predictive performance.And we developed a nomogram by combing the risk score with multiple clinical characteristics.CIBERSORT and TIMER algorithms confirmed that there are significant differences in tumorinfiltrating immune cells in different risk groups.In addition,gene set enrichment analysis shows 6 pathways that differ between high-and low-risk group.The immune-related gene signature effectively predicts the survival and immune infiltration of breast cancer patients and is expected to provide more effective immunotherapy targets for the prognosis prediction of breast cancer.展开更多
Objective: To construct an Immune-Related Gene Prognostic Index (IRGPI) for bladder cancer using a bioanalytical approach to analyze its molecular and immunological characteristics, as well as to assess the benefit of...Objective: To construct an Immune-Related Gene Prognostic Index (IRGPI) for bladder cancer using a bioanalytical approach to analyze its molecular and immunological characteristics, as well as to assess the benefit of Immune Checkpoint Inhibitor (ICI) therapy in the IRGPI-defined bladder cancer subgroup. Methods: Twenty-nine immune-related pivotal genes were identified by Weighted Gene Co-expression Network Analysis (WGCNA) based on The Cancer Genome Atlas (TCGA) bladder cancer immune dataset (n = 433). Six genes were identified using a multifactorial Cox regression approach to construct the IRGPI and validated against the Gene Expression Omnibus (GEO) dataset (n = 256). Then, molecular and immunological features in the subgroups defined by IRGPI were synthesized by GSEA, Kaplan-Meier survival curves, and other methods, and the benefit of ICI treatment was assessed. Results: IRGPI was constructed based on six genes including AHNAK, ILK, OGN, PDGFD, PPARGC1B, and JAM3. Patients with low IRGPI had better Overall Survival (OS) than those with high IRGPI, which was confirmed in the validation cohort of GEO. Pooled analysis showed that the low IRGPI subgroup was associated with higher infiltration of CD8 T cells, activated memory CD4 T cells, and could benefit from ICI treatment. Meanwhile, high IRGPI subgroups were associated with higher resting memory CD4T cells, M0 macrophages, and M2 macrophage content, immunosuppression, and benefited less from ICI treatment. Conclusion: IRGPI is a novel biomarker with better efficacy in differentiating the prognosis of bladder cancer, molecular and immune features, and evaluation of ICI therapy for individualized treatment of bladder cancer.展开更多
A novel immune-related gene was expressed in Japanese flounder (Paralichthys olivaceus) injected with Vibrio anguillarum. The complete cDNA contained a 169 bp 5'UTR, a 336 bp open reading frame (ORF) encoding 111...A novel immune-related gene was expressed in Japanese flounder (Paralichthys olivaceus) injected with Vibrio anguillarum. The complete cDNA contained a 169 bp 5'UTR, a 336 bp open reading frame (ORF) encoding 111 amino acids and a 556bp 3'UTR. Six exons and five introns were identified in the PoIR2 gene. Blastp similarity comparison showed its encoding protein had 50% similarity to Danio rerio neuromedin S (NMS), but further alignment indicated they did not have NMS C-terminal conservational signature domain. So it was not defined as an NMS homologue. Protein structure analysis indicated it had a 26aa sig- nal peptide and was a secretory pathway protein. RT-PCR demonstrated that the expression of PoIR2 was quickly induced and drastically increased in liver, kidney, spleen, gills, intestine, heart, and skeletal muscle after infected with V. anguillarurn. These results indicated that the PolR2 might play some important role in Japanese flounder immune response system. This gene was named PolR2 (P.olivaceus immune-related gene 2, GenBank accession number: EU224372). The mature PoIR2 peptide was expressed in BL21 (DE3) pLysS using pET-32a(+) vector and a great part of the recombinant mature peptide existed as soluble type.展开更多
Background and Aims:The immune system plays vital roles in hepatocellular carcinoma(HCC)initiation and progression.The present study aimed to construct an immune-gene related prognostic signature(IRPS)for predicting t...Background and Aims:The immune system plays vital roles in hepatocellular carcinoma(HCC)initiation and progression.The present study aimed to construct an immune-gene related prognostic signature(IRPS)for predicting the prognosis of HCC patients.Methods:Gene expression data were retrieved from The Cancer Genome Atlas database.The IRPS was established via least absolute shrinkage and selection operator(LASSO)and multivariate Cox regression analysis.The prognostic values of the IRPS were further validated using the International Cancer Genome Consortium(ICGC)dataset.Results:A total of 62 genes were identified as candidate immune-related prognostic genes.According to the results of Lasso and multivariate Cox regression analysis,we established an IRPS and confirmed its stability and reliability in the ICGC dataset.The IRPS was significantly associated with advanced clinicopathological characteristics.Both Cox regression analyses revealed that the IRPS could be independent risk factors influencing prognosis of HCC patients.The relationships between the IRPS and infiltration of immune cells demonstrated that the IRPS was associated with immune cell infiltration.Furthermore,a nomogram was constructed to estimate the survival probability of HCC patients.Conclusions:The IRPS was effective for predicting prognosis of HCC patients,which might serve as novel prognostic and therapeutic biomarkers for HCC.展开更多
BACKGROUND Alternative splicing(AS)increases the diversity of mRNA during transcription;it might play a role in alteration of the immune microenvironment,which could influence the development of immunotherapeutic stra...BACKGROUND Alternative splicing(AS)increases the diversity of mRNA during transcription;it might play a role in alteration of the immune microenvironment,which could influence the development of immunotherapeutic strategies against cancer.AIM To obtain the transcriptomic and clinical features and AS events in stomach adenocarcinoma(STAD)from the database.The overall survival data associated with AS events were used to construct a signature prognostic model for STAD.METHODS Differentially expressed immune-related genes were identified between subtypes on the basis of the prognostic model.In STAD,2042 overall-survival-related AS events were significantly enriched in various pathways and influenced several cellular functions.Furthermore,the network of splicing factors and overallsurvival-associated AS events indicated potential regulatory mechanisms underlying the AS events in STAD.RESULTS An eleven-AS-signature prognostic model(CD44|14986|ES,PPHLN1|21214|AT,RASSF4|11351|ES,KIAA1147|82046|AP,PPP2R5D|76200|ES,LOH12CR1|20507|ES,CDKN3|27569|AP,UBA52|48486|AD,CADPS|65499|AT,SRSF7|53276|RI,and WEE1|14328|AP)was constructed and significantly related to STAD overall survival,immune cells,and cancer-related pathways.The differentially expressed immune-related genes between the high-and low-risk score groups were significantly enriched in cancer-related pathways.CONCLUSION This study provided an AS-related prognostic model,potential mechanisms for AS,and alterations in the immune microenvironment(immune cells,genes,and pathways)for future research in STAD.展开更多
Several reports have revealed the vital role that probiotics play in fish growth and health.However,few works are available for host gut-derived probiotics on the growth,immunity,and gut microbiota of fish,especially ...Several reports have revealed the vital role that probiotics play in fish growth and health.However,few works are available for host gut-derived probiotics on the growth,immunity,and gut microbiota of fish,especially in hybrid grouper (♀Epinephelus fuscoguttatus×♂Epinephelus lanceolatus) due to their isolation difficulty and functional verification.This study aimed at assessing 3 host gut-derived Bacillus species?effects on the growth,immune and antioxidant-biochemical responses,haematological parameters,intestinal morphology,immune-related gene expression,gut microbiota,and disease resistance against Vibrio harveyi in hybrid grouper.A total of 480 hybrid grouper (initial weight=9.03±0.02 g) were randomly allotted into 4 groups,namely,the group fed a basal diet without probiotic inclusion (control,B0),the group fed the basal diet with Bacillus velezensis GPSAK4 (BV),the group fed the basal diet with Bacillus subtilis GPSAK9 (BS),and the group fed the basal diet with Bacillus tequilensis GPSAK2 (BT) strains at 1.0×10^(9)CFU/g.After a 6-week feeding trial,the results revealed significant improvements (P<0.05) in the growth performance,whole fish-body proximate composition,blood haematological parameters,serum,liver,and intestinal biochemical indexes,intestinal morphology,and protection against V.harveyi pathogen in the probiotic-treated groups compared with the untreated.Additionally,the expressions of intestinal tight junction genes (occludin and ZO1),pro-and anti-inflammatory genes,including IL1β,IL6,IL8,TNFa,MyD88,IL10,and TGFβ,were upregulated (P<0.05) after Bacillus species administration.Host gut-derived Bacillus supplementation shaped the gut microbiota by significantly increasing (P<0.05) the relative abundance of Proteobacteria,Bacteroidetes,Actinobacteria (except the BS group),Acidobacteria(except the BT group),Cyanobacteria (except the BV and BT groups),and Verrucomicrobia phyla,as well as known beneficial genera (Romboutsia,Turicibacter,Epulopiscium,Clostridium_sensu_stricto 1 and 13,Lactobacillus,and Bacillus),but significantly decreased (P<0.05) the abundance of Firmicutes,Chloroflexi,and Fusobacteria phyla,and purported pathogenic genera (Staphylococcus and Photobacterium) compared with the control group.Collectively,the results suggest that B.velezensis GPSAK4,B.subtilis GPSAK9(especially this strain),B.tequilensis GPSAK2 dietary supplementation at 1.0×10^(9)CFU/g has positive effects on the intestinal health of hybrid grouper via microbial composition modulation,thus enhancing the assimilation and absorption of nutrients to boost fish growth,immunity,and disease resistance.展开更多
Fibroblast growth factor 13(FGF13)is aberrantly expressed in multiple cancer types,suggesting its essential role in tumorigenesis.Hence,we aimed to explore its definite role in the development of acute myeloid leukemi...Fibroblast growth factor 13(FGF13)is aberrantly expressed in multiple cancer types,suggesting its essential role in tumorigenesis.Hence,we aimed to explore its definite role in the development of acute myeloid leukemia(AML)and emphasize its associations with bone marrow niches.Results showed that FGF13 was lowly expressed in patients with AML and that its elevated expression was related to prolonged overall survival(OS).Univariate and multivariate Cox regression analyses identified FGF13 as an independent prognostic factor.A prognostic nomogram integrating FGF13 and clinicopathologic variables was constructed to predict 1-,3-,and 5-year OS.Gene mutation and functional analyses indicated that FGF13 was not associated with AML driver mutations but was related to bone marrow niches.As for immunity,FGF13 was remarkably associated with T cell count,immune checkpoint genes,and cytokines.In addition,FGF13 overexpression substantially inhibited the growth and significantly induced the early apoptosis of AML cells.The xenograft study indicated that FGF13 overexpression prolonged the survival of recipient mice.Overall,FGF13 could serve as an independent prognostic factor for AML,and it was closely related to the bone marrow microenvironment.展开更多
Background:The immune response in the tumor microenvironment(TME)plays a crucial role in cancer progression and recurrence.We aimed to develop an immune-related gene(IRG)signature to improve prognostic predictive powe...Background:The immune response in the tumor microenvironment(TME)plays a crucial role in cancer progression and recurrence.We aimed to develop an immune-related gene(IRG)signature to improve prognostic predictive power and reveal the immune infiltration characteristics of pancreatic ductal adenocarcinoma(PDAC).Methods:The Cancer Genome Atlas(TCGA)PDAC was used to construct a prognostic model as a training cohort.The International Cancer Genome Consortium(ICGC)and the Gene Expression Omnibus(GEO)databases were set as validation datasets.Prognostic genes were screened by using univariate Cox regression.Then,a novel optimal prognostic model was developed by using least absolute shrinkage and selection operator(LASSO)Cox regression.Cell type identification by estimating the relative subsets of RNA transcripts(CIBERSORT)and estimation of stromal and immune cells in malignant tumors using expression data(ESTIMATE)algorithms were used to characterize tumor immune infiltrating patterns.The tumor immune dysfunction and exclusion(TIDE)algorithm was used to predict immunotherapy responsiveness.Results:A prognostic signature based on five IRGs(MET,ERAP2,IL20RB,EREG,and SHC2)was constructed in TCGA-PDAC and comprehensively validated in ICGC and GEO cohorts.Multivariate Cox regression analysis demonstrated that this signature had an independent prognostic value.The area under the curve(AUC)values of the receiver operating characteristic(ROC)curve at 1,3,and 5 years of survival were 0.724,0.702,and 0.776,respectively.We further demonstrated that our signature has better prognostic performance than recently published ones and is superior to traditional clinical factors such as grade and tumor node metastasis classification(TNM)stage in predicting survival.Moreover,we found higher abundance of CD8+T cells and lower M2-like macrophages in the low-risk group of TCGA-PDAC,and predicted a higher proportion of immunotherapeutic responders in the low-risk group.Conclusions:We constructed an optimal prognostic model which had independent prognostic value and was comprehensively validated in external PDAC databases.Additionally,this five-genes signature could predict immune infiltration characteristics.Moreover,the signature helped stratify PDAC patients who might be more responsive to immunotherapy.展开更多
基金Beijing CSCO Clinical Oncology Research Foundation,No.Y-HH202102-0308.
文摘BACKGROUND Treatment options for patients with gastric cancer(GC)continue to improve,but the overall prognosis is poor.The use of PD-1 inhibitors has also brought benefits to patients with advanced GC and has gradually become the new standard treatment option at present,and there is an urgent need to identify valuable biomarkers to classify patients with different characteristics into subgroups.AIM To determined the effects of differentially expressed immune-related genes(DEIRGs)on the development,prognosis,tumor microenvironment(TME),and treatment response among GC patients with the expectation of providing new biomarkers for personalized treatment of GC populations.METHODS Gene expression data and clinical pathologic information were downloaded from The Cancer Genome Atlas(TCGA),and immune-related genes(IRGs)were searched from ImmPort.DEIRGs were extracted from the intersection of the differentially-expressed genes(DEGs)and IRGs lists.The enrichment pathways of key genes were obtained by analyzing the Kyoto Encyclopedia of Genes and Genomes(KEGGs)and Gene Ontology(GO)databases.To identify genes associated with prognosis,a tumor risk score model based on DEIRGs was constructed using Least Absolute Shrinkage and Selection Operator and multivariate Cox regression.The tumor risk score was divided into high-and lowrisk groups.The entire cohort was randomly divided into a 2:1 training cohort and a test cohort for internal validation to assess the feasibility of the risk model.The infiltration of immune cells was obtained using‘CIBERSORT,’and the infiltration of immune subgroups in high-and low-risk groups was analyzed.The GC immune score data were obtained and the difference in immune scores between the two groups was analyzed.RESULTS We collected 412 GC and 36 adjacent tissue samples,and identified 3627 DEGs and 1311 IRGs.A total of 482 DEIRGs were obtained.GO analysis showed that DEIRGs were mainly distributed in immunoglobulin complexes,receptor ligand activity,and signaling receptor activators.KEGG pathway analysis showed that the top three DEIRGs enrichment types were cytokine-cytokine receptors,neuroactive ligand receptor interactions,and viral protein interactions.We ultimately obtained an immune-related signature based on 10 genes,including 9 risk genes(LCN1,LEAP2,TMSB15A mRNA,DEFB126,PI15,IGHD3-16,IGLV3-22,CGB5,and GLP2R)and 1 protective gene(LGR6).Kaplan-Meier survival analysis,receiver operating characteristic curve analysis,and risk curves confirmed that the risk model had good predictive ability.Multivariate COX analysis showed that age,stage,and risk score were independent prognostic factors for patients with GC.Meanwhile,patients in the low-risk group had higher tumor mutation burden and immunophenotype,which can be used to predict the immune checkpoint inhibitor response.Both cytotoxic T lymphocyte antigen4+and programmed death 1+patients with lower risk scores were more sensitive to immunotherapy.CONCLUSION In this study a new prognostic model consisting of 10 DEIRGs was constructed based on the TME.By providing risk factor analysis and prognostic information,our risk model can provide new directions for immunotherapy in GC patients.
文摘Gastric cancer ranks as the sixth most prevalent cancer worldwide.In recent research within the realm of gastric cancer treatment,the identification and application of immune-related genetic features have emerged as groundbreaking advancements.The study by Ma et al,which developed a prognostic model based on 10 genes,categorizes patients into high and low-risk groups to predict their responsiveness to immune checkpoint inhibitor therapy.This research underscores the potential of immune-related genes as biomarkers for personalized treatment,offering insights into tumor mutation burden and immune phenotype scores.We advocate for further validation,understanding of biological mechanisms,and integration of diverse datasets to enhance the model's predictive accuracy and clinical application,marking a significant step towards personalized and precise treatment for gastric cancer.
基金supported by the Shenyang City-School Joint Funding Project (No.2400022093).
文摘Background:Hepatocellular carcinoma(HCC)appears to be strongly associated with immune-related genes.However,immune-related genes are not well understood as a prognostic marker in HCC caused by the hepatitis B virus(HBV).The purpose of this study was to investigate the prognostic significance of immune-related genes in HBV-infected HCC.Methods:Gene expression data from 114 HBV-infected HCC and 50 normal tissues were integrated into The Cancer Genome Atlas.Differentially expressed immune-associated genes were analyzed to identify immune-associated differential genes associated with overall survival.Least Absolute Shrinkage and Selection Operator and multivariate Cox regressions were used to constructing immunoprognostic models.An independent prognostic factor analysis using multiple Cox regressions was also performed for HBV-infected HCCs.Immunocorrelation analysis markers and immune cell infiltration were also investigated.Results:We found 113 differentially expressed immune-associated genes.Immune-related differential genes were significantly correlated with the overall survival of HCC patients.We constructed an immune-based prognostic model using multivariate Cox regression analysis including seven immune-related genes.According to further analysis,immune-related prognostic factors may serve as independent prognostic indicators in the clinical setting.There is also evidence that the 7-gene prognostic model reflects the tumor immune microenvironment as a result of the risk score model and immune cell infiltration.Conclusions:As a result of our study,we screened immune-related genes for prognosis in HBV-infected HCC and developed a novel immune-based prognostic model.The research not only provides new prognostic biomarkers but also offers insight into the tumor immune microenvironment and lays the theoretical groundwork for immunotherapy.
文摘Background:Postpartum depression(PPD)is a mild to severe non-psychotic depressive episode,one of the main factors leading to pregnancy-related morbidity and mortality,and a mental disorder that has not been fully diagnosed and treated.Compared with women without polycystic ovary syndrome,women with polycystic ovary syndrome are more likely to have a variety of pregnancy complications,including PPD.However,there is currently limited research on whether polycystic ovary syndrome is related to anxiety and depression during pregnancy,and whether this increases the risk of postpartum depression in women.Study design:The GSE10558 data set gene expression profile matrix was used for PPD expression profiles from Gene Expression Synthesis(GEO).The differentially expressed genes were selected and analyzed.Perform gene ontology(GO)enrichment and gene set variation analysis(GSVA)for annotation,visualization,and integrated discovery.At the same time,CIBERSORT and ESTIMATE were used to analyze the immune infiltration situation of the GSE10558 expression profile matrix,including the immune infiltration pattern of ovarian samples,and construct the immune cell infiltration(ICI)score.Then we screened the differentially expressed genes(DEGs)clustered with three groups of immune subtypes,and constructed a protein-protein interaction(PPI)and mRNA-miRNA-TF molecular interaction network.And further predicted the drug target of the hub gene and the target of small molecule compounds,and constructed a network.Based on the intersection of the phenotypic gene set,the pivot gene was identified.Finally,evaluate the expression differences of Hub genes between the data set groups,and generate receiver operating characteristic(ROC)curves to verify the diagnostic value of differentially expressed genes(DEG).Finally,genes with high area under the curve(AUC)values are validated.Results:We analyzed 222 DEGs with statistically significant differences in the GSE10558 data set by bioinformatics methods,of which 18 DEGs have significant differences.GO analysis showed that most of the 18 significantly differentially expressed genes were rich in receptor ligand activity and cytokine receptor binding.It is worth noting that these genes are also enriched in functional areas related to immune inflammatory response and immune cell regulation.The GSVA package was used for GSVA analysis,and the results showed that it was significantly enriched in growth factor binding and other aspects.And according to the ssGSEA analysis to obtain immune clustering groupings,the DEGs found in the high,medium,and low immune score groups are mainly enriched in immune inflammatory response and immune cell regulation through GO analysis.CIBERSORT analysis found that there are significant differences in memory B cells of 22 types of immune cells in ovarian samples.By mining the phenotypic gene set,the DEGs that are significantly related to PPD are intersected respectively,and four overlapping genes APOA1,PLN,PRKCZ,and TRPV2 are obtained as the most important pivot genes.We also use box plots to show the expression differences between tissue samples.The results show that there are significant differences in expression of these genes between groups,which may serve as new potential targets for the diagnosis and treatment of PPD.Subsequently,the ROC curve analysis of the four APOA1,PLN,PRKCZ,and TRPV2 that are significantly related to PPD showed significant prediction accuracy,and all AUCs were above 0.9,indicating that these new biomarkers can be further developed in PPD Research.Conclusion:The molecular markers APOA1,PLN,PRKCZ and TRPV2,which are closely related to immune cell function,can efficiently identify PPD.A diagnostic prediction model composed of these four immune function-related genes can distinguish PPD patients with different immune status.This discovery contributes to a more comprehensive understanding of the molecular mechanisms driving the occurrence and development of PPD,which is critical for improving the diagnosis,prognosis and treatment of this disease.
文摘BACKGROUND Gastric cancer(GC)is the most commonly diagnosed malignancy worldwide.Increasing evidence suggests that it is necessary to further explore genetic and immunological characteristics of GC.AIM To construct an immune-related gene(IRG)signature for accurately predicting the prognosis of patients with GC.METHODS Differentially expressed genes(DEGs)between 375 gastric cancer tissues and 32 normal adjacent tissues were obtained from The Cancer Genome Atlas(TCGA)GDC data portal.Then,differentially expressed IRGs from the ImmPort database were identified for GC.Cox univariate survival analysis was used to screen survival-related IRGs.Differentially expressed survival-related IRGs were considered as hub IRGs.Genetic mutations of hub IRGs were analyzed.Then,hub IRGs were selected to conduct a prognostic signature.Receiver operating characteristic(ROC)curve analysis was used to evaluate the prognostic performance of the signature.The correlation of the signature with clinical features and tumor-infiltrating immune cells was analyzed.RESULTS Among all DEGs,70 hub IRGs were obtained for GC.The deletions and amplifications were the two most common types of genetic mutations of hub IRGs.A prognostic signature was identified,consisting of ten hub IRGs(including S100A12,DEFB126,KAL1,APOH,CGB5,GRP,GLP2R,LGR6,PTGER3,and CTLA4).This prognostic signature could accurately distinguish patients into highand low-risk groups,and overall survival analysis showed that high risk patients had shortened survival time than low risk patients(P<0.0001).The area under curve of the ROC of the signature was 0.761,suggesting that the prognostic signature had a high sensitivity and accuracy.Multivariate regression analysis demonstrated that the prognostic signature could become an independent prognostic predictor for GC after adjustment for other clinical features.Furthermore,we found that the prognostic signature was significantly correlated with macrophage infiltration.CONCLUSION Our study proposed an immune-related prognostic signature for GC,which could help develop treatment strategies for patients with GC in the future.
基金Supported by grants from the National Natural Science Foundation of China(no.82001785)Chinese Society of Clinical Oncology(CSCO)-HengruiOncology Research Fund(No.Y-HR2020QN-0946).
文摘Background:Lung cancer,particularly lung adenocarcinoma(LUAD),is highly lethal.Understanding the critical interaction between epithelial-mesenchymal transition(EMT)and the immune status of patients is imperative for clinical assessment.Methods:We conducted bioinformatics analysis to identify potential immune-related EMT(iEMT)prognostic genes and explored the immune status in LUAD.Using data from The CancerGenome Atlas andGSE68465,differentially expressed genes,were identified,and a risk modelwas constructed.Cluster analysis was conducted using the Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathways.Results:Our findings revealed 69 differentially expressed iEMT genes,with risk values demonstrating independent prognostic significance for both The Cancer Genome Atlas and GSE68465 samples.The risk value was positively correlated with tumor stage.Immune cell infiltration analysis showed a significant decrease in resting dendritic cells and an increase in CD4 memory T cells in high-risk groups with poor survival prognoses.The immunotherapy analysis revealed weak immunotherapeutic effects in the high-risk group.Conclusions:This study provides insights into potential aberrant differential iEMT genes and risk models and explores immune landscapes that inform personalized immunotherapy in patients with LUAD.
基金Science and Technology Innovation Project of Social People’s Livelihood,Yongchuan District,Chongqing(Ycstc,2017cb5502).
文摘Breast cancer is one of the most common cancers in the world and seriously threatens the health of women worldwide.Prognostic models based on immune-related genes help to improve the prognosis prediction and clinical treatment of breast cancer patients.In the study,we used weighted gene co-expression network analysis to construct a co-expression network to screen out highly prognostic immune-related genes.Subsequently,the prognostic immunerelated gene signature was successfully constructed from highly immune-related genes through COX regression and LASSO COX analysis.Survival analysis and time receiver operating characteristic curves indicate that the prognostic signature has strong predictive performance.And we developed a nomogram by combing the risk score with multiple clinical characteristics.CIBERSORT and TIMER algorithms confirmed that there are significant differences in tumorinfiltrating immune cells in different risk groups.In addition,gene set enrichment analysis shows 6 pathways that differ between high-and low-risk group.The immune-related gene signature effectively predicts the survival and immune infiltration of breast cancer patients and is expected to provide more effective immunotherapy targets for the prognosis prediction of breast cancer.
文摘Objective: To construct an Immune-Related Gene Prognostic Index (IRGPI) for bladder cancer using a bioanalytical approach to analyze its molecular and immunological characteristics, as well as to assess the benefit of Immune Checkpoint Inhibitor (ICI) therapy in the IRGPI-defined bladder cancer subgroup. Methods: Twenty-nine immune-related pivotal genes were identified by Weighted Gene Co-expression Network Analysis (WGCNA) based on The Cancer Genome Atlas (TCGA) bladder cancer immune dataset (n = 433). Six genes were identified using a multifactorial Cox regression approach to construct the IRGPI and validated against the Gene Expression Omnibus (GEO) dataset (n = 256). Then, molecular and immunological features in the subgroups defined by IRGPI were synthesized by GSEA, Kaplan-Meier survival curves, and other methods, and the benefit of ICI treatment was assessed. Results: IRGPI was constructed based on six genes including AHNAK, ILK, OGN, PDGFD, PPARGC1B, and JAM3. Patients with low IRGPI had better Overall Survival (OS) than those with high IRGPI, which was confirmed in the validation cohort of GEO. Pooled analysis showed that the low IRGPI subgroup was associated with higher infiltration of CD8 T cells, activated memory CD4 T cells, and could benefit from ICI treatment. Meanwhile, high IRGPI subgroups were associated with higher resting memory CD4T cells, M0 macrophages, and M2 macrophage content, immunosuppression, and benefited less from ICI treatment. Conclusion: IRGPI is a novel biomarker with better efficacy in differentiating the prognosis of bladder cancer, molecular and immune features, and evaluation of ICI therapy for individualized treatment of bladder cancer.
基金supported by grants from the National High Technology Research and Development Program of China (Nos.2006AA10A404 and 2006AA10A414)
文摘A novel immune-related gene was expressed in Japanese flounder (Paralichthys olivaceus) injected with Vibrio anguillarum. The complete cDNA contained a 169 bp 5'UTR, a 336 bp open reading frame (ORF) encoding 111 amino acids and a 556bp 3'UTR. Six exons and five introns were identified in the PoIR2 gene. Blastp similarity comparison showed its encoding protein had 50% similarity to Danio rerio neuromedin S (NMS), but further alignment indicated they did not have NMS C-terminal conservational signature domain. So it was not defined as an NMS homologue. Protein structure analysis indicated it had a 26aa sig- nal peptide and was a secretory pathway protein. RT-PCR demonstrated that the expression of PoIR2 was quickly induced and drastically increased in liver, kidney, spleen, gills, intestine, heart, and skeletal muscle after infected with V. anguillarurn. These results indicated that the PolR2 might play some important role in Japanese flounder immune response system. This gene was named PolR2 (P.olivaceus immune-related gene 2, GenBank accession number: EU224372). The mature PoIR2 peptide was expressed in BL21 (DE3) pLysS using pET-32a(+) vector and a great part of the recombinant mature peptide existed as soluble type.
基金the National Natural Science Foundation of China(No.81703916 to YL)the Natural Science Foundation of Hunan Province(No.2018JJ6042,to YL).
文摘Background and Aims:The immune system plays vital roles in hepatocellular carcinoma(HCC)initiation and progression.The present study aimed to construct an immune-gene related prognostic signature(IRPS)for predicting the prognosis of HCC patients.Methods:Gene expression data were retrieved from The Cancer Genome Atlas database.The IRPS was established via least absolute shrinkage and selection operator(LASSO)and multivariate Cox regression analysis.The prognostic values of the IRPS were further validated using the International Cancer Genome Consortium(ICGC)dataset.Results:A total of 62 genes were identified as candidate immune-related prognostic genes.According to the results of Lasso and multivariate Cox regression analysis,we established an IRPS and confirmed its stability and reliability in the ICGC dataset.The IRPS was significantly associated with advanced clinicopathological characteristics.Both Cox regression analyses revealed that the IRPS could be independent risk factors influencing prognosis of HCC patients.The relationships between the IRPS and infiltration of immune cells demonstrated that the IRPS was associated with immune cell infiltration.Furthermore,a nomogram was constructed to estimate the survival probability of HCC patients.Conclusions:The IRPS was effective for predicting prognosis of HCC patients,which might serve as novel prognostic and therapeutic biomarkers for HCC.
基金the National Clinical Key Specialty Construction Program of China and Grants from the National Science Foundation Project of the Fujian Science and Technology Department,No.2017J01264 and No.2018Y0015the Foundation for Fujian Provincial Health Technology Project,No.2019-ZQN-16,No.2019-CXB-9,and No.2019006the Startup Fund for Scientific Research,Fujian Medical University,No.2017Q1219 and No.2017Q1220.
文摘BACKGROUND Alternative splicing(AS)increases the diversity of mRNA during transcription;it might play a role in alteration of the immune microenvironment,which could influence the development of immunotherapeutic strategies against cancer.AIM To obtain the transcriptomic and clinical features and AS events in stomach adenocarcinoma(STAD)from the database.The overall survival data associated with AS events were used to construct a signature prognostic model for STAD.METHODS Differentially expressed immune-related genes were identified between subtypes on the basis of the prognostic model.In STAD,2042 overall-survival-related AS events were significantly enriched in various pathways and influenced several cellular functions.Furthermore,the network of splicing factors and overallsurvival-associated AS events indicated potential regulatory mechanisms underlying the AS events in STAD.RESULTS An eleven-AS-signature prognostic model(CD44|14986|ES,PPHLN1|21214|AT,RASSF4|11351|ES,KIAA1147|82046|AP,PPP2R5D|76200|ES,LOH12CR1|20507|ES,CDKN3|27569|AP,UBA52|48486|AD,CADPS|65499|AT,SRSF7|53276|RI,and WEE1|14328|AP)was constructed and significantly related to STAD overall survival,immune cells,and cancer-related pathways.The differentially expressed immune-related genes between the high-and low-risk score groups were significantly enriched in cancer-related pathways.CONCLUSION This study provided an AS-related prognostic model,potential mechanisms for AS,and alterations in the immune microenvironment(immune cells,genes,and pathways)for future research in STAD.
基金supported financially by the General Program of Natural Science Foundation of Guangdong Province(2021A1515011165)the Department of Education of Guangdong Province (2021ZDZX4005)+2 种基金the National Natural Science Foundation of China (31972808)the Research and Demonstration of Precision Functional Compound Feed Technology of Major Cultured Fishes and Shrimps in South China (2021B0202050002)the China Agriculture Research System of MOF and MARA (CARS-47)。
文摘Several reports have revealed the vital role that probiotics play in fish growth and health.However,few works are available for host gut-derived probiotics on the growth,immunity,and gut microbiota of fish,especially in hybrid grouper (♀Epinephelus fuscoguttatus×♂Epinephelus lanceolatus) due to their isolation difficulty and functional verification.This study aimed at assessing 3 host gut-derived Bacillus species?effects on the growth,immune and antioxidant-biochemical responses,haematological parameters,intestinal morphology,immune-related gene expression,gut microbiota,and disease resistance against Vibrio harveyi in hybrid grouper.A total of 480 hybrid grouper (initial weight=9.03±0.02 g) were randomly allotted into 4 groups,namely,the group fed a basal diet without probiotic inclusion (control,B0),the group fed the basal diet with Bacillus velezensis GPSAK4 (BV),the group fed the basal diet with Bacillus subtilis GPSAK9 (BS),and the group fed the basal diet with Bacillus tequilensis GPSAK2 (BT) strains at 1.0×10^(9)CFU/g.After a 6-week feeding trial,the results revealed significant improvements (P<0.05) in the growth performance,whole fish-body proximate composition,blood haematological parameters,serum,liver,and intestinal biochemical indexes,intestinal morphology,and protection against V.harveyi pathogen in the probiotic-treated groups compared with the untreated.Additionally,the expressions of intestinal tight junction genes (occludin and ZO1),pro-and anti-inflammatory genes,including IL1β,IL6,IL8,TNFa,MyD88,IL10,and TGFβ,were upregulated (P<0.05) after Bacillus species administration.Host gut-derived Bacillus supplementation shaped the gut microbiota by significantly increasing (P<0.05) the relative abundance of Proteobacteria,Bacteroidetes,Actinobacteria (except the BS group),Acidobacteria(except the BT group),Cyanobacteria (except the BV and BT groups),and Verrucomicrobia phyla,as well as known beneficial genera (Romboutsia,Turicibacter,Epulopiscium,Clostridium_sensu_stricto 1 and 13,Lactobacillus,and Bacillus),but significantly decreased (P<0.05) the abundance of Firmicutes,Chloroflexi,and Fusobacteria phyla,and purported pathogenic genera (Staphylococcus and Photobacterium) compared with the control group.Collectively,the results suggest that B.velezensis GPSAK4,B.subtilis GPSAK9(especially this strain),B.tequilensis GPSAK2 dietary supplementation at 1.0×10^(9)CFU/g has positive effects on the intestinal health of hybrid grouper via microbial composition modulation,thus enhancing the assimilation and absorption of nutrients to boost fish growth,immunity,and disease resistance.
基金supported by the National Key Research and Development Program of China(No.2019YFA0905900).
文摘Fibroblast growth factor 13(FGF13)is aberrantly expressed in multiple cancer types,suggesting its essential role in tumorigenesis.Hence,we aimed to explore its definite role in the development of acute myeloid leukemia(AML)and emphasize its associations with bone marrow niches.Results showed that FGF13 was lowly expressed in patients with AML and that its elevated expression was related to prolonged overall survival(OS).Univariate and multivariate Cox regression analyses identified FGF13 as an independent prognostic factor.A prognostic nomogram integrating FGF13 and clinicopathologic variables was constructed to predict 1-,3-,and 5-year OS.Gene mutation and functional analyses indicated that FGF13 was not associated with AML driver mutations but was related to bone marrow niches.As for immunity,FGF13 was remarkably associated with T cell count,immune checkpoint genes,and cytokines.In addition,FGF13 overexpression substantially inhibited the growth and significantly induced the early apoptosis of AML cells.The xenograft study indicated that FGF13 overexpression prolonged the survival of recipient mice.Overall,FGF13 could serve as an independent prognostic factor for AML,and it was closely related to the bone marrow microenvironment.
基金funded by the National Natural Science Foundation of China(Grants No.30972610 and 81273240)National Key Research and Development Program(Grants No.2017YFC0910000 and 2017YFD0501300)Jilin Province Science and Technology Agency(Grants No.JJKH20211210KJ,JJKH20211164KJ,20200403084SF,JLSWSRCZX2020-009,20200901025SF,20190101022JH,and 2019J026).
文摘Background:The immune response in the tumor microenvironment(TME)plays a crucial role in cancer progression and recurrence.We aimed to develop an immune-related gene(IRG)signature to improve prognostic predictive power and reveal the immune infiltration characteristics of pancreatic ductal adenocarcinoma(PDAC).Methods:The Cancer Genome Atlas(TCGA)PDAC was used to construct a prognostic model as a training cohort.The International Cancer Genome Consortium(ICGC)and the Gene Expression Omnibus(GEO)databases were set as validation datasets.Prognostic genes were screened by using univariate Cox regression.Then,a novel optimal prognostic model was developed by using least absolute shrinkage and selection operator(LASSO)Cox regression.Cell type identification by estimating the relative subsets of RNA transcripts(CIBERSORT)and estimation of stromal and immune cells in malignant tumors using expression data(ESTIMATE)algorithms were used to characterize tumor immune infiltrating patterns.The tumor immune dysfunction and exclusion(TIDE)algorithm was used to predict immunotherapy responsiveness.Results:A prognostic signature based on five IRGs(MET,ERAP2,IL20RB,EREG,and SHC2)was constructed in TCGA-PDAC and comprehensively validated in ICGC and GEO cohorts.Multivariate Cox regression analysis demonstrated that this signature had an independent prognostic value.The area under the curve(AUC)values of the receiver operating characteristic(ROC)curve at 1,3,and 5 years of survival were 0.724,0.702,and 0.776,respectively.We further demonstrated that our signature has better prognostic performance than recently published ones and is superior to traditional clinical factors such as grade and tumor node metastasis classification(TNM)stage in predicting survival.Moreover,we found higher abundance of CD8+T cells and lower M2-like macrophages in the low-risk group of TCGA-PDAC,and predicted a higher proportion of immunotherapeutic responders in the low-risk group.Conclusions:We constructed an optimal prognostic model which had independent prognostic value and was comprehensively validated in external PDAC databases.Additionally,this five-genes signature could predict immune infiltration characteristics.Moreover,the signature helped stratify PDAC patients who might be more responsive to immunotherapy.