PMID- 35535438 OWN - NLM STAT- MEDLINE DCOM- 20221123 LR - 20221217 IS - 2045-7634 (Electronic) IS - 2045-7634 (Linking) VI - 11 IP - 22 DP - 2022 Nov TI - Establishment of an age- and tumor microenvironment-related gene signature for survival prediction in prostate cancer. PG - 4374-4388 LID - 10.1002/cam4.4776 [doi] AB - BACKGROUND: The incidence of prostate cancer (PCa) increases with age, and age and tumor microenvironment (TME) have important roles in the development of PCa, while the underlying mechanisms have not been fully elucidated. MATERIALS AND METHOD: The Cancer Genome Atlas-Prostate Adenocarcinoma (TCGA-PRAD) RNA-Seq, the Surveillance, Epidemiology, and End Results (SEER-PRAD), and ESTIMATE data were downloaded, and the clinical information of PRAD patients in our cohort was collected. The associations among age, TME, and PCa were analyzed. The age- and TME-related risk score (ATRS) of each TCGA-PRAD sample was calculated based on the identified age- and TME-related differentially expressed genes (DEGs), and the correlation of ATRS with immune-related characteristics of PCa patients was analyzed, and the ATRS-based overall survival (OS)-predicting nomogram was also established. RESULTS: Age was correlated with OS, PSA level, tumor stage, T stage, N stage, Gleason score, nerve invasion of PCa, and age was positively correlated with stromal, immune, and ESTIMATE scores. The compositions of immune cells of TCGA-PRAD patients altered with age. Nine age- and TME-related prognostic DEGs were identified, and the ATRS of each TCGA-PRAD patient was calculated based on the identified nine DEGs. The ATRS was associated with the expression of immune checkpoints and intratumoral cytolytic activity, and the ATRS-based nomogram performed well in predicting the outcomes of PCa patients. CONCLUSIONS: Age and TME had crucial roles in PCa, and the ATRS gene signature was associated with the immune-related characteristics of PCa patients, which showed good performance in predicting OS of PCa patients. CI - (c) 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. FAU - Chen, Lei AU - Chen L AUID- ORCID: 0000-0001-6893-2603 AD - Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China. AD - Institute of Urology, Anhui Medical University, Hefei, China. AD - Anhui Province Key Laboratory of Genitourinary Diseases, Anhui Medical University, Hefei, China. FAU - Zhang, Meng AU - Zhang M AUID- ORCID: 0000-0003-4935-4005 AD - Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China. AD - Institute of Urology, Anhui Medical University, Hefei, China. AD - Anhui Province Key Laboratory of Genitourinary Diseases, Anhui Medical University, Hefei, China. FAU - Zhou, Jun AU - Zhou J AD - Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China. AD - Institute of Urology, Anhui Medical University, Hefei, China. AD - Anhui Province Key Laboratory of Genitourinary Diseases, Anhui Medical University, Hefei, China. FAU - Zhang, Li AU - Zhang L AD - Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China. AD - Institute of Urology, Anhui Medical University, Hefei, China. AD - Anhui Province Key Laboratory of Genitourinary Diseases, Anhui Medical University, Hefei, China. FAU - Liang, Chaozhao AU - Liang C AUID- ORCID: 0000-0003-2317-1323 AD - Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China. AD - Institute of Urology, Anhui Medical University, Hefei, China. AD - Anhui Province Key Laboratory of Genitourinary Diseases, Anhui Medical University, Hefei, China. AD - Anhui Institute of Translational Medicine, Hefei, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220509 PL - United States TA - Cancer Med JT - Cancer medicine JID - 101595310 RN - 0 (Biomarkers, Tumor) SB - IM MH - Male MH - Humans MH - *Tumor Microenvironment/genetics MH - Biomarkers, Tumor/genetics MH - Gene Expression Regulation, Neoplastic MH - *Prostatic Neoplasms/pathology MH - Prognosis PMC - PMC9678094 OTO - NOTNLM OT - age OT - gene signature OT - nomogram OT - prostate cancer OT - tumor microenvironment COIS- The authors declare that there is no conflict of interest regarding the publication of this paper. EDAT- 2022/05/11 06:00 MHDA- 2022/11/24 06:00 PMCR- 2022/05/09 CRDT- 2022/05/10 03:03 PHST- 2022/04/20 00:00 [revised] PHST- 2022/02/12 00:00 [received] PHST- 2022/04/10 00:00 [accepted] PHST- 2022/05/11 06:00 [pubmed] PHST- 2022/11/24 06:00 [medline] PHST- 2022/05/10 03:03 [entrez] PHST- 2022/05/09 00:00 [pmc-release] AID - CAM44776 [pii] AID - 10.1002/cam4.4776 [doi] PST - ppublish SO - Cancer Med. 2022 Nov;11(22):4374-4388. doi: 10.1002/cam4.4776. Epub 2022 May 9.