PMID- 37575253 OWN - NLM STAT- MEDLINE DCOM- 20230816 LR - 20230817 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 14 DP - 2023 TI - A novel stratification framework based on anoikis-related genes for predicting the prognosis in patients with osteosarcoma. PG - 1199869 LID - 10.3389/fimmu.2023.1199869 [doi] LID - 1199869 AB - BACKGROUND: Anoikis resistance is a prerequisite for the successful development of osteosarcoma (OS) metastases, whether the expression of anoikis-related genes (ARGs) correlates with OS prognosis remains unclear. This study aimed to investigate the feasibility of using ARGs as prognostic tools for the risk stratification of OS. METHODS: The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases provided transcriptome information relevant to OS. The GeneCards database was used to identify ARGs. Differentially expressed ARGs (DEARGs) were identified by overlapping ARGs with common differentially expressed genes (DEGs) between OS and normal samples from the GSE16088, GSE19276, and GSE99671 datasets. Anoikis-related clusters of patients were obtained by consistent clustering, and gene set variation analysis (GSVA) of the different clusters was completed. Next, a risk model was created using Cox regression analyses. Risk scores and clinical features were assessed for independent prognostic values, and a nomogram model was constructed. Subsequently, a functional enrichment analysis of the high- and low-risk groups was performed. In addition, the immunological characteristics of OS samples were compared between the high- and low-risk groups, and their sensitivity to therapeutic agents was explored. RESULTS: Seven DEARGs between OS and normal samples were obtained by intersecting 501 ARGs with 68 common DEGs. BNIP3 and CXCL12 were significantly differentially expressed between both clusters (P<0.05) and were identified as prognosis-related genes. The risk model showed that the risk score and tumor metastasis were independent prognostic factors of patients with OS. A nomogram combining risk score and tumor metastasis effectively predicted the prognosis. In addition, patients in the high-risk group had low immune scores and high tumor purity. The levels of immune cell infiltration, expression of human leukocyte antigen (HLA) genes, immune response gene sets, and immune checkpoints were lower in the high-risk group than those in the low-risk group. The low-risk group was sensitive to the immune checkpoint PD-1 inhibitor, and the high-risk group exhibited lower inhibitory concentration values by 50% for 24 drugs, including AG.014699, AMG.706, and AZD6482. CONCLUSION: The prognostic stratification framework of patients with OS based on ARGs, such as BNIP3 and CXCL12, may lead to more efficient clinical management. CI - Copyright (c) 2023 Zhang, Wen, Wang, Ren and Zhao. FAU - Zhang, Xiaoyan AU - Zhang X AD - Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. AD - Department of Nutrition, College of Public Health of Sun Yat-Sen University, Guangzhou, China. FAU - Wen, Zhenxing AU - Wen Z AD - Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. AD - Guangdong Provincial Key Laboratory of Orthopaedics and Traumatology, Guangzhou, China. FAU - Wang, Qi AU - Wang Q AD - Department of Oncology, Nanyang Central Hospital, Nanyang, China. FAU - Ren, Lijuan AU - Ren L AD - Molecular Diagnosis and Gene Testing Center, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. FAU - Zhao, Shengli AU - Zhao S AD - Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. AD - Guangdong Provincial Key Laboratory of Orthopaedics and Traumatology, Guangzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230727 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 SB - IM MH - Humans MH - Anoikis/genetics MH - *Osteosarcoma/genetics MH - Prognosis MH - Nomograms MH - *Bone Neoplasms/genetics PMC - PMC10413143 OTO - NOTNLM OT - anoikis OT - immune microenvironment OT - immunotherapy OT - osteosarcoma OT - prognosis COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/08/14 06:41 MHDA- 2023/08/16 06:43 PMCR- 2023/01/01 CRDT- 2023/08/14 04:26 PHST- 2023/04/04 00:00 [received] PHST- 2023/07/13 00:00 [accepted] PHST- 2023/08/16 06:43 [medline] PHST- 2023/08/14 06:41 [pubmed] PHST- 2023/08/14 04:26 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2023.1199869 [doi] PST - epublish SO - Front Immunol. 2023 Jul 27;14:1199869. doi: 10.3389/fimmu.2023.1199869. eCollection 2023.