DNA damage repair-related gene signature can influence immune status and
predict prognosis in hepatocellular carcinoma
Abstract
Background: DNA damage repair genes (DDRGs) have an impact on a wide
range of malignancies. However, the relevance of these genes in
hepatocellular carcinoma (HCC) prognosis has received little attention.
In this study, we want to develop a prognostic signature that will open
up novel therapy options for HCC. Methods: We acquired mRNA expression
profiles and clinical data of HCC patients from the TCGA database. A
polygenic prognostic model for HCC was constructed using LASSO Cox
regression and was validated using the ICGC database. Correlations
between risk signature and immune status, clinical characteristics and
drug sensitivity were investigated. Protein expression levels of
prognostic genes were verified using immunohistochemistry. Results: A
DDRGs signature model was developed using LASSO Cox regression analysis.
Patients in the high-risk group had worse overall survival compared to
the low-risk group. Multivariate Cox analysis showed that the risk score
is an independent predictor of OS. Functional analysis revealed a strong
association with cell cycle and antigen binding pathways, and the risk
score was highly correlated with tumor grade, tumor stage, and types of
immune infiltrate. High expression levels of prognostic genes were
significantly correlated with increased sensitivity of cancer cells to
anti-tumor drugs. Immunohistochemistry staining indicated that, except
for NEIL3, the other 9 genes were highly expressed in HCC. Conclusion:
Ten DDRGs were utilized to create a new signature that might influence
the immunological state in HCC and be used for prognostic prediction. In
addition, blocking these genes could be an alternate treatment.