J Cancer 2024; 15(9):2678-2690. doi:10.7150/jca.93275 This issue Cite

Research Paper

Identification of Molecular Subtype and Prognostic Signature for Prostate Adenocarcinoma based on Neutrophil Extracellular Traps

Yanfen Zheng, Hui Sun, Shanshan Yang, Wei Liu, Guanmin Jiang

Department of Clinical Laboratory, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.

Citation:
Zheng Y, Sun H, Yang S, Liu W, Jiang G. Identification of Molecular Subtype and Prognostic Signature for Prostate Adenocarcinoma based on Neutrophil Extracellular Traps. J Cancer 2024; 15(9):2678-2690. doi:10.7150/jca.93275. https://www.jcancer.org/v15p2678.htm
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Abstract

Graphic abstract

Background: Prostate adenocarcinoma (PRAD) is one of the most common cancers in male. Increasing evidences pointed out that Neutrophil Extracellular Traps (NETs) play an important role in tumor angiogenesis, tumor metastasis and drug resistance. However, limited systematic studies regarding the role of NETs in PRAD have been performed. Identification of biomarkers based on NETs might facilitate risk stratification which help optimizing the clinical strategies.

Methods: NETs-related genes with differential expressions were identified between PRAD and adjacent normal tissues in TCGA-PRAD dataset. Consensus cluster analysis was performed to determine the PRAD subtypes based on the different-expressed NETs-related genes. The difference of pathway enrichment, infiltrating immune cell and genomic mutation were also evaluated between subtypes. LASSO cox regression analysis was conducted to construct a NETs-related prognostic signature.

Result: We identified 19 NETs related genes with differential expressions between PRAD and adjacent normal tissue in TCGA-PRAD dataset. Two significant subtypes were identified based on these 19 genes by consensus cluster analysis, namely subtype 1 and subtype 2. Significant differences in prognosis, immune infiltration and tumor mutation burden were observed in subtypes. LASSO Cox regression analysis identified a NETs-associated prognostic signature including 13 genes, and this signature had a good performance in predicting the progression-free survival of PRAD patients. Further integrated analysis indicated that MMP9 mostly expressed in Mono/Macrophage cells might play a role in regulating NETs formation via neutrophil activation in PRAD.

Conclusion: To sum up, the current study identified two NETs-related molecular subtypes and based on which constructed a prognostic signature for PRAD.

Keywords: Prostate adenocarcinoma, Neutrophil Extracellular Traps, Prognostic model, MMP9


Citation styles

APA
Zheng, Y., Sun, H., Yang, S., Liu, W., Jiang, G. (2024). Identification of Molecular Subtype and Prognostic Signature for Prostate Adenocarcinoma based on Neutrophil Extracellular Traps. Journal of Cancer, 15(9), 2678-2690. https://doi.org/10.7150/jca.93275.

ACS
Zheng, Y.; Sun, H.; Yang, S.; Liu, W.; Jiang, G. Identification of Molecular Subtype and Prognostic Signature for Prostate Adenocarcinoma based on Neutrophil Extracellular Traps. J. Cancer 2024, 15 (9), 2678-2690. DOI: 10.7150/jca.93275.

NLM
Zheng Y, Sun H, Yang S, Liu W, Jiang G. Identification of Molecular Subtype and Prognostic Signature for Prostate Adenocarcinoma based on Neutrophil Extracellular Traps. J Cancer 2024; 15(9):2678-2690. doi:10.7150/jca.93275. https://www.jcancer.org/v15p2678.htm

CSE
Zheng Y, Sun H, Yang S, Liu W, Jiang G. 2024. Identification of Molecular Subtype and Prognostic Signature for Prostate Adenocarcinoma based on Neutrophil Extracellular Traps. J Cancer. 15(9):2678-2690.

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