Identifification of amino acid metabolic signature to predict prognosis
and guide clinical therapy in patients with Hepatocellular carcinoma
Abstract
Background The high heterogeneity of Hepatocellular carcinoma (HCC) has
led to poor clinical outcomes. The critical role of amino acid metabolic
reprogramming in tumor growth is gradually emerging. However, amino acid
metabolism in HCC is less studied, and the mechanisms still need to be
clarified. Methods We acquired transcriptome information on HCC patients
from public databases. Amino acid metabolism-related genes (ACRGs) were
used as prognostic markers. We built the prognosis-related ACRG_score
model using Univariate/Multivariate COX and Lasso regression analyses
following stratification by consensus clustering. Furthermore, we
assigned HCC patients with high ACRG expression to the high-risk
category and others to the low-risk category. We compared clinical
characteristics, immune cell infiltration, somatic mutations, and immune
checkpoint (IC) genes among the groups. Finally, drug sensitivity and
molecular docking analyses were used to identify therapeutic candidates
targeting the essential ACRG target proteins. Result We constructed a
six-gene ACRG_score model that better predicted the survival prognosis
for liver cancer patients, and we validated it using internal and
external datasets. In HCC patients, ACRG_score are associated with
clinicopathological characteristics and have proven to be an independent
prediction factor. Nomogram and calibration curves illustrated the model
could correctly forecast patient prognosis. In addition, immune
infiltration, Tumor Mutational Burden (TMB), and ACRG_score were
revealed to be significantly correlated. IC genes were also present.
According to immunohistochemical analysis, HCC tissues had higher EZH2,
SLC2A1, and SPP1 expression levels than normal tissues. Additionally, we
identified seven candidate small-molecule medications that may bind four
of the ACRG essential target proteins. Conclusions: In this study, the
ACRG_score model was created to analyze the prognosis, TMB, IC, and
therapy responsiveness for HCC patients. This model can predict patient
prognosis, guide immunotherapy, provide clinical dosing suggestions, and
supply valuable tools for individualized patient treatment.