IRF6作为肾透明细胞癌独立预后标志物及免疫治疗应答预测因子
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R737.1

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湖南省自然科学基金项目(2024JJ7660)


IRF6 as an independent prognostic biomarker and predictor of immunotherapy response in clear cell renal cell carcinoma
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    摘要:

    目的:本研究旨在探讨干扰素调节因子6(IRF6)在肾透明细胞癌(ccRCC)中的表达水平及其临床意义,并分析 其与肿瘤免疫微环境的关系。方法:利用癌症基因组图谱(TCGA)和基因表达综合数据库(GEO)分析IRF6在ccRCC组织 中的表达,并结合 临 床 病 理 特 征、生 存 分 析、Cox 回 归 分 析 及 列 线 图 模 型 评 估 其 预 后 价 值。进 一 步 基 于 ESTIMATE 与 CIBERSORT算法评估IRF6与肿瘤免疫微环境的关系,并分析其与免疫检查点、肿瘤突变负荷(TMB)的相关性。最后通过 免疫组化对30例临床样本验证IRF6蛋白表达。结果:IRF6在ccRCC组织中下调(P<0.001),其低表达与高分级、晚期分 期及转移状态相关(P<0.05)。生存分析显示IRF6低表达患者总生存(OS)、无进展生存(PFS)及疾病特异性生存(DSS)均 降低(P<0.001),多变量 Cox分析证实IRF6为独立预后保护因子(P<0.01)。列线图预测效能良好。IRF6低表达与更高 ImmuneScore和 ESTIMATEScore、M0/M1巨噬细胞和活化树突状细胞浸润增加相关(P<0.05),并与 PD-1、CTLA-4等免 疫检查点负相关。TMB与IRF6负相关(P<0.001)。免疫组化结果发现IRF6在肿瘤组织中低表达(P<0.05)。结论: IRF6在ccRCC中低表达,且为独立预后保护因子,与免疫抑制微环境和免疫治疗应答潜能相关。IRF6有望作为ccRCC预后 评估及免疫治疗反应预测的潜在生物标志物。

    Abstract:

    Objective: To investigate the expression level and clinical significance of interferon regulatory factor 6 (IRF6) in clear cell renal cell carcinoma (ccRCC), and to analyze its association with the tumor immune microenvironment. Methods: The expression of IRF6 in ccRCC tissues was analyzed using The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases. Clinical correlation, survival analysis, Cox regression, and nomogram modeling were performed to evaluate its prognostic value. The relationship between IRF6 expression and the tumor immune microenvironment was assessed using the ESTIMATE and CIBERSORT algorithms, followed by correlation analysis with immune checkpoint molecules and tumor mutation burden (TMB). Finally, immunohistochemistry (IHC) was conducted on 30 clinical samples to validate IRF6 protein expression. Results: IRF6 expression was downregulated in ccRCC tissues compared with normal kidney tissues (P<0.001). Low IRF6 expression was associated with higher histologic grade, advanced clinical stage, and metastatic status (P<0.05). Survival analysis demonstrated that patients with low IRF6 expression had shorter overall survival (OS), disease-specific survival (DSS), and progression-free survival (PFS) (P<0.001). Multivariate Cox regression confirmed that IRF6 was an independent protective prognostic factor (P<0.01). The nomogram incorporating IRF6 exhibited good predictive performance. Low IRF6 expression was correlated with higher ImmuneScore and ESTIMATE Score, increased infiltration of macrophages (M0/M1) and activated dendritic cells (P<0.05), and showed a negative correlation with immune checkpoints such as PD-1 and CTLA-4. IRF6 expression was inversely correlated with TMB (P<0.001). IHC results revealed that IRF6 was lowly expressed in tumor tissues (P<0.05). Conclusion: IRF6 is downregulated in ccRCC and serves as an independent protective prognostic biomarker. Its low expression is associated with an immunosuppressive tumor microenvironment and reduced immunotherapy responsiveness. IRF6 may act as a promising biomarker for prognosis evaluation and prediction of immunotherapy response in ccRCC.

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陈佳丽;李波;唐翔宇;何愉洁. IRF6作为肾透明细胞癌独立预后标志物及免疫治疗应答预测因子[J].川北医学院学报,2026,41(7):784-.

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  • 在线发布日期: 2026-07-17
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