CN112908406A - Application of PINK1 as diagnostic marker in construction of lung squamous cell carcinoma prognosis prediction model - Google Patents
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Abstract
The invention relates to the technical field of biomedicine, in particular to application of PINK1 as a diagnostic marker in constructing a lung squamous cell carcinoma prognosis prediction model, which is combined by a biomarker PINK1 and other clinical indexes, the invention can assist in making lung squamous carcinoma prognosis detection, and can efficiently and accurately predict the prognosis condition of a patient with lung squamous carcinoma by screening and constructing the lung squamous carcinoma sample based on large-sample anti-tumor immunotherapy after full transcriptome sequencing and machine learning, meanwhile, according to the relevance of the risk of the tumor cell, different immune cell infiltration levels, immune-related pathways, the expression level of a key immune checkpoint inhibitor and the like, the comprehensive evaluation of a tumor immune microenvironment is realized, effective guidance opinions are provided for clinicians on treatment decisions of patients with squamous cell lung carcinoma, and the occurrence of ineffective treatment is reduced, so that the treatment cost and discomfort experience of the patients are reduced.
Description
Technical Field
The invention relates to the technical field of biomedicine, in particular to application of PINK1 as a diagnostic marker in construction of a squamous cell lung carcinoma prognosis prediction model.
Background
Lung cancer is the most common cause of cancer-related death in the world today, and 80% of them are non-small cell lung cancers (NSCLC). TNM staging is a currently widely accepted clinical staging system used to predict prognosis and to guide treatment of non-small cell lung cancer patients. However, the current TNM staging system is far from adequate to accurately predict prognosis in non-small cell lung cancer patients. For example, for lung cancer patients, the recurrence rate of lung cancer is as high as 35-50% even in the clinical stage I. In addition, a significant proportion of patients can be cured by surgery alone, and these patients should avoid the extremely strong side effects of adjuvant chemotherapy based on the current TNM system.
Squamous cell carcinoma of lung (also called squamous cell carcinoma of lung), accounts for 40% -51% of primary lung cancer, is commonly seen in middle-aged and elderly men, and has close relation with smoking. Is mainly formed by metaplasia of columnar epithelial cells of bronchial mucosa, including chronic stimulation and damage of bronchial epithelial cells, loss of cilia, squamous metaplasia or typical hyperplasia of basal cells and the like. Squamous cell lung cancer is common in central lung cancer, and tends to grow in the chest cavity, and early squamous cell lung cancer often causes bronchoconstriction or obstructive pulmonary inflammation. Squamous cell lung carcinoma has a large variation in malignancy, and generally, squamous cell carcinoma grows more slowly than other lung cancers, and the tumor grows larger when the squamous cell carcinoma is found.
At present, the main methods and technologies for prognosis prediction of tumor therapy immunotherapy are as follows: detecting markers (such as PD-L1, TMB, dMMR and the like); ② immune function assessment, such as Tumor Infiltrating Lymphocytes (TILs).
The existing lung squamous carcinoma related gene prediction model lacks comprehensive evaluation on different levels of tumor immune microenvironment, such as immune cell infiltration level/immune related pathway/immune molecule and the like. At present, the main technology has low specificity and sensitivity, and the detection method is unstable or has higher price, and has no clear guidance value for clinical tumor treatment. At present, clinical tumor immunity brings long-term benefit hope to partial patients, and the side effect and economic burden of immunotherapy limit clinical application. High specificity and sensitivity techniques are urgently needed in clinic.
Aiming at the defects, the invention provides a novel squamous cell lung carcinoma prognosis prediction model, which can predict the prognosis of patients with squamous cell lung carcinoma and realize the comprehensive evaluation of tumor immune microenvironment according to the correlation between the squamous cell lung carcinoma prognosis model and different immune cell infiltration levels, immune-related pathways, expression levels of key immune checkpoint inhibitors and the like, thereby providing guidance for immunotherapy selection of patients with squamous cell lung carcinoma. The application of PINK1 as a diagnostic marker in constructing a lung squamous cell carcinoma prognosis prediction model is not reported at present.
Disclosure of Invention
The invention aims to provide a lung squamous carcinoma prognosis prediction model and a kit aiming at the defects of the prior art.
In order to achieve the purpose, the invention adopts the technical scheme that:
in a first aspect, the invention provides an application of PINK1 as a diagnostic marker in constructing a lung squamous cell carcinoma prognosis prediction model.
Preferably, the prediction model further comprises a reagent for detecting the expression level of PINK 1.
Preferably, the high risk is when the PINK1 expression level is higher than 9.822569, and the low risk is when the PINK1 expression level is lower than 9.822569.
Preferably, the predictive model further comprises the following reagents: normal human serum and positive control serum.
In a second aspect, the invention provides an application of a reagent for detecting the expression level of PINK1 in preparing a kit for evaluating the anti-tumor immunotherapy reactivity and prognosis survival of squamous cell lung cancer, wherein the detection reagent is used as the only key component for evaluating the anti-tumor immunotherapy reactivity and prognosis survival function of squamous cell lung cancer, the kit further comprises an instruction book, and the instruction book records the following contents: when the expression level of PINK1 is higher than 9.822569, the prediction of the immunotherapy responsiveness and prognosis survival is represented as a high-risk group, and when the expression level of PINK1 is lower than 9.822569, the prediction of the immunotherapy responsiveness and prognosis survival is represented as a low-risk group.
Preferably, the sample detected using the kit is a fresh tissue tumor sample.
In a third aspect, the invention provides an application of an inhibitor in preparing a medicament for improving lung squamous carcinoma anti-tumor immunotherapy and prognosis survival, wherein the inhibitor is a substance for down-regulating the expression level of PINK 1.
Preferably, the inhibitor is selected from a small molecule compound or a biological macromolecule.
Preferably, the medicament also comprises other medicaments compatible with the inhibitor and pharmaceutically acceptable carriers and/or auxiliary materials.
The invention has the advantages that:
the invention is based on the whole transcriptome sequencing data of the lung squamous carcinoma specimen of the large-sample anti-tumor immunotherapy, screens and constructs by machine learning, can efficiently and accurately predict the response of the lung squamous carcinoma patient to receive the anti-tumor immunotherapy, and the experimental result shows that the model and the diagnostic kit have the advantages of high sensitivity, high specificity and high accuracy when being used clinically. Can provide effective guidance opinions for treatment decisions of the patients with the lung squamous carcinoma for clinicians, and reduce the occurrence of ineffective treatment, thereby reducing the treatment cost and discomfort experience of the patients.
Drawings
FIG. 1 shows the results of OS survival analysis of prognostic-related ARGs in 326 squamous cell lung carcinoma samples. (the results showed that the RNA level of PINK1 gene was significantly negatively correlated with prognosis).
FIG. 2 is the results of correlation analysis of the predicted gene ARGs with the expression levels of three key immune checkpoints (FIG. 2A-FIG. 2C).
Detailed Description
The invention will be further illustrated with reference to specific embodiments. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention. Furthermore, it should be understood that various changes and modifications can be made by those skilled in the art after reading the disclosure of the present invention, and equivalents fall within the scope of the appended claims.
Example 1 model construction and Effect verification
1. Method of producing a composite material
1.1 training set 326 lung squamous carcinoma RNA sequencing data and clinical data from TCGA database, obtaining Autophagy-Related gene (ARGs) expression profiles, verifying and collecting 78 lung squamous carcinoma RNA sequencing data from GTO database, obtaining all RNA expression profiles and Autophagy-Related gene (ARGs) expression profiles.
1.2 screening ARGs related to prognosis through survival analysis, then obtaining the most key ARGs related to survival (PINK1) by adopting a random forest method, and constructing a risk prediction model based on the gene through a deep machine learning method of random forests. Patients were classified into low risk groups and high risk groups according to this model. The model is verified to be effective in predicting the prognosis of the squamous cell lung carcinoma patient by ROC analysis of a working characteristic curve of a subject and log-rank test verification of a KM survival curve.
1.3 based on RNA sequencing data, the relationship between high and low risks and immune-related pathways is researched through Gene Set Enrichment Analysis (GSEA), and the high-risk group is found to be related to the up-regulation of immune suppression-related pathways.
1.4 obtaining infiltration levels of 28 tumor infiltrating immune cells by single gene set enrichment analysis (ssGSEA) based on RNA sequencing data, and finding significant correlation with risk by correlation analysis.
1.5 correlation of risk with expression levels of key immune checkpoint molecules PD-1, PD-L1, CTLA4 was found by correlation analysis.
1.6 based on RNA sequencing data, tumor immune scores and stroma scores were obtained by the ESTIMATE algorithm, and correlations between risk and immune scores and mechanism scores were found.
The method for calculating the level of tumor infiltrating immune cells comprises the following steps: (ssGSEA method): immune cells and corresponding gene lists are obtained in the literature, and GSVAenrichment scales are evaluated according to RNA sequencing data and an R language GSVA package.
Correlation analysis method: pearson correlation analysis (correlation analysis methods in this study are all Pearson correlation analysis.
2 results
FIG. 1 is the results of the OS survival analysis of the ARGs with the highest prognosis in the 326 squamous cell lung carcinoma samples. (the results show that the level of gene RNA is significantly negatively correlated with prognosis).
FIGS. 2A-2C are the results of correlation analysis of the expression levels of the predicted genes ARGs with three key immune checkpoints.
Example 2 control test
1. Kit composition
Kit I
Comprises a detection kit instruction, and the detection reagent is a reagent for detecting the expression level of PINK 1.
The description content of the specification is as follows: when the expression level of PINK1 is higher than 9.822569, the prediction of the immunotherapy responsiveness and prognosis survival is represented as a high-risk group, and when the expression level of PINK1 is lower than 9.822569, the prediction of the immunotherapy responsiveness and prognosis survival is represented as a low-risk group.
Reagent kit II
The kit comprises a detection kit instruction, and the detection reagent is a reagent for detecting the expression quantity of the SOX 2.
The description content of the specification is as follows: when the expression level of SOX2 is higher than the normal value, it represents the prediction of the immunotherapy responsiveness and prognosis survival as the high-risk group, and when the expression level of SOX2 is lower than the normal value, it represents the prediction of the immunotherapy responsiveness and prognosis survival as the low-risk group.
2. Method of producing a composite material
2.1 patients with squamous cell lung carcinoma who received anti-tumor immunotherapy at Jinshan Hospital affiliated at the university of Compound Dane, the inclusion and exclusion criteria for the patients were as follows:
(1) patients with squamous cell lung carcinoma receiving immunotherapy with tumors;
(2) complete curative effect information and clinical follow-up information are provided;
(3) having whole transcriptome RNA sequencing data;
(4) patients with unknown tumor immunotherapy results or incomplete survival data were excluded.
2.2 78 patients meeting the above criteria were included in the study and were randomly divided into two groups, which were recorded by someone using kit one and kit two according to the instruction manual.
3. Results
The result shows that the accuracy rate of prediction by using the first kit is 68.7%, and the accuracy rate of prediction by using the second kit is 56.8%.
4. Conclusion
The results show that the marker of the invention has high prognosis prediction accuracy, and the inventor selects the best index based on abundant clinical and research experiences and a large number of cases in hospital for years, and confirms that the marker has excellent evaluation effect, can provide effective guidance for the treatment decision of a clinician on a patient with squamous cell lung carcinoma, reduces the occurrence of ineffective treatment, thereby reducing the treatment cost and discomfort experience of the patient, and has strong practicability.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and additions can be made without departing from the principle of the present invention, and these should also be considered as the protection scope of the present invention.
Claims (9)
- The application of PINK1 as a diagnostic marker in constructing a lung squamous cell carcinoma prognosis prediction model.
- 2. The use of claim 1, wherein said predictive model further comprises reagents for detecting the expression level of PINK 1.
- 3. The use according to claim 2, characterized in that high risk is indicated when PINK1 expression level is higher than 9.822569 and low risk is indicated when PINK1 expression level is lower than 9.822569.
- 4. The use of claim 2, wherein the predictive model further comprises the following agents: normal human serum and positive control serum.
- 5. The application of the reagent for detecting the PINK1 expression quantity in preparing the kit for evaluating the lung squamous carcinoma anti-tumor immunotherapy reactivity and the prognosis survival is characterized in that the detection reagent is used as the only key component for realizing the evaluation of the lung squamous carcinoma anti-tumor immunotherapy reactivity and the prognosis survival function by using the kit, the kit further comprises an instruction book, and the instruction book records the following contents: when the expression level of PINK1 is higher than 9.822569, the prediction of the immunotherapy responsiveness and prognosis survival is represented as a high-risk group, and when the expression level of PINK1 is lower than 9.822569, the prediction of the immunotherapy responsiveness and prognosis survival is represented as a low-risk group.
- 6. The use of claim 5, wherein the sample to be tested using the kit is a fresh tissue tumor sample.
- 7. The application of an inhibitor in preparing a medicament for improving lung squamous carcinoma anti-tumor immunotherapy and prognostic survival is characterized in that the inhibitor is a substance for down-regulating the expression level of PINK 1.
- 8. The use according to claim 7, wherein the inhibitor is selected from a small molecule compound or a biological macromolecule.
- 9. The use of claim 7, wherein the medicament further comprises other drugs compatible with the inhibitor and pharmaceutically acceptable carriers and/or excipients.
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Cited By (2)
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CN114480339A (en) * | 2022-01-13 | 2022-05-13 | 中山大学孙逸仙纪念医院 | Application of PINK1 as marker for predicting sensitivity of lung adenocarcinoma to MAPK inhibitor and lung adenocarcinoma recurrence |
CN115713964A (en) * | 2022-10-16 | 2023-02-24 | 洛兮基因科技(杭州)有限公司 | Immune-related gene prognosis model for predicting overall survival rate of squamous cell lung carcinoma patients |
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LUMENG LUO ET AL.: "A Four-gene Autophagy-related Prognostic Signature and Its Association With Immune Landscape in Lung Squamous Cell Carcinoma", 《SQUAMOUS CELL CARCINOMA》 * |
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CN114480339A (en) * | 2022-01-13 | 2022-05-13 | 中山大学孙逸仙纪念医院 | Application of PINK1 as marker for predicting sensitivity of lung adenocarcinoma to MAPK inhibitor and lung adenocarcinoma recurrence |
CN114480339B (en) * | 2022-01-13 | 2024-05-14 | 中山大学孙逸仙纪念医院 | Application of PINK1 as marker for predicting sensitivity of lung adenocarcinoma to MAPK inhibitor and recurrence of lung adenocarcinoma |
CN115713964A (en) * | 2022-10-16 | 2023-02-24 | 洛兮基因科技(杭州)有限公司 | Immune-related gene prognosis model for predicting overall survival rate of squamous cell lung carcinoma patients |
CN115713964B (en) * | 2022-10-16 | 2023-08-15 | 洛兮基因科技(杭州)有限公司 | Method for predicting overall survival rate of lung squamous carcinoma patient based on immune related genes |
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