Comprehensive Analysis of CCL21 in Human Tumors:A Potential Therapeutic
Target Associated with Immune Infiltration
Abstract
Purpose C motif chemokine ligand 21 (CCL21) is important for tissue
homeostasis, immune surveillance. However, the relationship between
CCL21 expression, tumor immunity, and prognosis in human tumors remains
unclear. Methods CCL21 expression data were extracted from online
databases, including The Cancer Genome Atlas (TCGA), Genotype Tissue
Expression (GTEx) and Cancer Cell Line Encyclopedia (CCLE). The Tumor
IMmune Estimation Resource (TIMER) database was used to study the
association between CCL21 expression and tumor immune infiltration and
immune checkpoint genes. Pancancer correlation analysis of CCL21
expression with the tumor-infiltrating immune response subtype was
performed by TISIDB. Kyoto Encyclopedia of Genes and Genomes (KEGG)
analysis and the STRING tool were used to elucidate the potential
mechanism of CCL21 in human tumorigenesis. Results CCL21 expression was
significantly lower in most human tumors than in corresponding normal
tissues and correlated with prognosis. CCL21 expression showed a strong
positive correlation with tumor-infiltrating B cells, CD4+ and CD8+ T
cells, macrophages, neutrophils, and dendritic cells. CCL21 also
correlated positively with common immune checkpoint markers, including
PD-1, TIM-3 and CTLA-4. Moreover, we found that CCL21 was an important
regulatory factor participating in many signaling events, especially
cytokine‒cytokine interactions and chemokine signaling pathways.
Conclusions CCL21 is generally expressed at low levels among various
types of cancers and may have an important influence on tumorigenesis,
which is significantly associated with immune checkpoint biomarkers and
tumor immunity. Together, these findings suggest that CCL21 is a
prognostic biomarker that determines cancer progression and may serve as
a therapeutic target. Keywords CCL21, prognosis, pancancer analysis,
immunity, immunotherapy, therapeutic target