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Development and validation of a ubiquitin–proteasome system gene signature for prognostic prediction and immune microenvironment evaluation in hepatocellular carcinoma

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Abstract

Background

The ubiquitin proteasome has a major role in the development of many tumors. However, the prognostic importance of ubiquitin proteasome-system genes (UPSGs) in hepatocellular carcinoma (HCC) is not fully defined.

Methods

The TCGA and ICGC datasets were utilized to obtain transcriptional profiling data as well as clinicopathological information about HCC. The 3-UPSGs signature for the TCGA cohort was developed via univariate and LASSO Cox regression analyses. Differential expression of genes was demonstrated by qRT-PCR and immunohistochemistry (IHC). Biological pathways were studied using GSVA and GSEA. Six algorithms were used to compare immune infiltration between the two risk groups. Furthermore, drug sensitivity was measured using the “pRRophetic” R package. The predictive capacity of the 3-UPSGs signature for sensitivity to immunotherapy was also explored. Moreover, we performed a pan-cancer analysis of the 3-UPSGs signature.

Results

A risk model containing 3 UPSGs (DCAF13, CDC20 and PSMB5) was developed. IHC and qRT-PCR results showed that signature genes were significantly overexpressed in HCC tissues. The high-risk group had a worse prognosis, with a higher clinicopathological grade, higher levels of tumor mutation burden (TMB), elevated levels of immune checkpoint (IC) expression, as well as increased sensitivity to immunotherapy. The two risk groups also differ in their sensitivity to chemotherapeutic drugs. Furthermore, the three UPSGs may play crucial roles in the progression of multiple types of cancers.

Conclusion

We created a 3-UPSGs signature to estimate the prognosis of HCC and to assist in individualized treatment.

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Date availability

This study utilized publicly available datasets for analysis, and the corresponding links to access these datasets have been incorporated within the text.

Abbreviations

HCC:

Hepatocellular carcinoma

UPSGs:

Ubiquitin proteasome-system genes

IHC:

Immunohistochemistry

TMB:

Tumor mutation burden

UPS:

Ubiquitin–proteasome system

TME:

Tumor microenvironment

CNV:

Copy number variation

ICIs:

Immune checkpoint inhibitors

TPM:

Transcripts Per Kilobase of exon model per Million mapped reads

DEGs:

Differentially expressed genes

K–M:

Kaplan–Meier

CRL4:

Cullin-ring ligase 4

OS:

Overall survival

IC:

Immune checkpoint

ROC:

Receiver operating characteristic

PCA:

Principal component analysis

References

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Acknowledgements

This work was funded by the National Natural Science Foundation of China (Nos. 8216100399), Jiangxi Province Academic and Technical Leaders Training Program for Major Disciplines (Leading Talents Program: 20213BCJ22014), Jiangxi Provincial Health Commission Science and Technology Program Project (202310030) and Jiangxi Province Key Research and Development Program (20203BBG73056), Jiangxi Provincial Health Commission Technology Plan Project (202310030).

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Authors

Contributions

Z-yL: proposed the research idea. Data was gathered, and the manuscript was written by Y-hL. Z-yL, Y-hL, Q-kZ and B-wL: completed the statistical analysis. LX: reviewed the research framework. All the authors approved the final version.

Corresponding author

Correspondence to Lin **n.

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Conflict of interest

There are no competing interests, according to the authors.

Ethics approval

The Second Affiliated Hospital of Nanchang University, where the study was conducted, gave its approval. For their involvement in the study, the participants gave written informed consent.

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Liu, Zy., Li, Yh., Zhang, Qk. et al. Development and validation of a ubiquitin–proteasome system gene signature for prognostic prediction and immune microenvironment evaluation in hepatocellular carcinoma. J Cancer Res Clin Oncol 149, 13363–13382 (2023). https://doi.org/10.1007/s00432-023-05189-w

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  • DOI: https://doi.org/10.1007/s00432-023-05189-w

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