PMID- 35804390 OWN - NLM STAT- MEDLINE DCOM- 20220712 LR - 20220716 IS - 1477-7819 (Electronic) IS - 1477-7819 (Linking) VI - 20 IP - 1 DP - 2022 Jul 8 TI - A signature of immune-related gene pairs (IRGPs) for risk stratification and prognosis of oral cancer patients. PG - 227 LID - 10.1186/s12957-022-02630-1 [doi] LID - 227 AB - BACKGROUND: With low response to present immunotherapy, it is imperative to identify new immune-related biomarkers for more effective immunotherapies for oral cancer. METHODS: RNA profiles for 390 oral cancer patients and 32 normal samples were downloaded from The Cancer Genome Atlas (TCGA) database and differentially expressed genes (DEGs) were analyzed. Immune genesets from ImmPort repository were overlapped with DEGs. After implementing univariate Cox analysis and the least absolute shrinkage and selection operator (LASSO) Cox regression analysis, key immune-related gene pairs (IRGPs) among the overlapped DEGs for predicting the survival risk were obtained. Then, the cutoff of risk score was calculated by the receiver operating characteristic (ROC) curve to stratify oral cancer patients into high and low-risk groups. Multivariate Cox analysis was used to analyze independent prognostic indicators for oral cancer. Besides, infiltration of immune cells, functional annotation, and mutation analysis of IRGPs were conducted. Biological functions correlated with IRGPs were enriched by Gene Set Enrichment Analysis (GSEA) method. RESULTS: We identified 698 differentially expressed genes (DEGs) in response to oral cancer. 17 IRGPs among the DEGs were identified and integrated into a risk score model. Patients in the high-risk group have a significantly worse prognosis than those in the low-risk group in both training (P<0.001) and test (P=0.019) cohorts. Meanwhile, the IRGP model was identified as an independent prognostic factor for oral cancer. Different infiltration patterns of immune cells were found between the high- and low-risk groups that more types of T and B cells were enriched in the low-risk group. More immune-related signaling pathways were highly enriched in the low-risk group and Tenascin C (TNC) was the most frequently mutated gene. We have developed a novel 17-IRGPs signature for risk stratification and prognostic prediction of oral cancer. CONCLUSION: Our study provides a foundation for improved immunotherapy and prognosis and is beneficial to the individualized management of oral cancer patients. CI - (c) 2022. The Author(s). FAU - Yu, Yanling AU - Yu Y AD - Department of Stomatology, Weihai Central Hospital, Weihai, China. FAU - Tian, Jing AU - Tian J AD - Department of Stomatology, Feicheng Hospital Affiliated to Shandong First Medical University, Taian, China. FAU - Hou, Yanni AU - Hou Y AD - Department of Special Dental Care Clinic, Wendeng Stomatology Hospital, Weihai, Shandong, China. FAU - Zhang, Xinxin AU - Zhang X AD - Department of Stomatology, Feicheng Hospital Affiliated to Shandong First Medical University, Taian, China. FAU - Li, Linhua AU - Li L AD - Repair Department of Stomatology, Shouguang Stomatology Hospital, Weifang, China. FAU - Cong, Peifu AU - Cong P AD - Department of Stomatology, Weihai Central Hospital, Weihai, China. FAU - Ji, Lei AU - Ji L AD - Operating room, Weihai Central Hospital, Weihai, China. FAU - Wang, Xuri AU - Wang X AD - Department of Stomatology, Weihai Central Hospital, Weihai, China. wangxuri7@163.com. LA - eng PT - Journal Article DEP - 20220708 PL - England TA - World J Surg Oncol JT - World journal of surgical oncology JID - 101170544 RN - 0 (Biomarkers, Tumor) SB - IM MH - Biomarkers, Tumor/genetics/metabolism MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - *Mouth Neoplasms/genetics MH - Prognosis MH - Risk Assessment/methods PMC - PMC9264557 OTO - NOTNLM OT - Biomarker OT - Immune infiltration OT - Immunotherapy OT - Oral cancer OT - Prognosis COIS- The authors declare that they have no competing interests. EDAT- 2022/07/09 06:00 MHDA- 2022/07/14 06:00 PMCR- 2022/07/08 CRDT- 2022/07/08 23:47 PHST- 2022/01/07 00:00 [received] PHST- 2022/05/06 00:00 [accepted] PHST- 2022/07/08 23:47 [entrez] PHST- 2022/07/09 06:00 [pubmed] PHST- 2022/07/14 06:00 [medline] PHST- 2022/07/08 00:00 [pmc-release] AID - 10.1186/s12957-022-02630-1 [pii] AID - 2630 [pii] AID - 10.1186/s12957-022-02630-1 [doi] PST - epublish SO - World J Surg Oncol. 2022 Jul 8;20(1):227. doi: 10.1186/s12957-022-02630-1.