NOS2 as a prognostic biomarker for early-onset colorectal cancer based on public data and clinical validation analysis

Abstract Early-onset colorectal cancer (EOCRC) was characterized by strong aggressiveness and high malignancy. The aim of this study was to screen suitable biomarkers for patients with EOCRC. EOCRC from The Cancer Genome Atlas Program (TCGA) database and Gene Expression Mapping (GEO) database were u...

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Main Authors: Chaoqun Xing, Lipeng Zhao, Weiwei Zou, Xie Peng, Xiao-Liang Xing, Jie Li
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-88966-6
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author Chaoqun Xing
Lipeng Zhao
Weiwei Zou
Xie Peng
Xiao-Liang Xing
Jie Li
author_facet Chaoqun Xing
Lipeng Zhao
Weiwei Zou
Xie Peng
Xiao-Liang Xing
Jie Li
author_sort Chaoqun Xing
collection DOAJ
description Abstract Early-onset colorectal cancer (EOCRC) was characterized by strong aggressiveness and high malignancy. The aim of this study was to screen suitable biomarkers for patients with EOCRC. EOCRC from The Cancer Genome Atlas Program (TCGA) database and Gene Expression Mapping (GEO) database were used to screen biomarkers for prognosis and treatment guidance. Clinical samples were used to verify the expression situation of these candidate biomarkers. The results showed the immune-related gene nitric oxide synthase 2 (NOS2) was independently associated with the poor prognosis of EOCRC patients in both TGCA and GEO database. The Immune Dysfunction and Exclusion (TIDE) analysis showed that multiple immunotherapy signatures, such as TIDE, Exclusion, and CAF, were difference among EOCRC patients with different risk scores, and significantly correlated with the expression of NOS2. Sensitivity analysis of chemotherapy drugs showed that NOS2 was significantly correlated with several chemotherapy drugs, such as MG.132_1862, BMS.754807_2171, and GEN.317_1926. Clinical validation analysis showed that the expression of NOS2 and its related genes CXCL1 and CXCL2 were significantly decreased in EOCRC patients. The results suggested that NOS2 can be used as a potential biomarker for EOCRC, which can be used for prognosis and guidance of immunotherapy and chemotherapy.
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institution Kabale University
issn 2045-2322
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spelling doaj-art-11547f8374634594b78531e260d54d172025-02-09T12:30:05ZengNature PortfolioScientific Reports2045-23222025-02-0115111210.1038/s41598-025-88966-6NOS2 as a prognostic biomarker for early-onset colorectal cancer based on public data and clinical validation analysisChaoqun Xing0Lipeng Zhao1Weiwei Zou2Xie Peng3Xiao-Liang Xing4Jie Li5The First Affiliated Hospital of Hunan Medical University, Hunan University of MedicineThe Second People’s Hospital of HuaihuaThe Second People’s Hospital of HuaihuaThe Second People’s Hospital of HuaihuaThe First Affiliated Hospital of Hunan Medical University, Hunan University of MedicineHunan University of MedicineAbstract Early-onset colorectal cancer (EOCRC) was characterized by strong aggressiveness and high malignancy. The aim of this study was to screen suitable biomarkers for patients with EOCRC. EOCRC from The Cancer Genome Atlas Program (TCGA) database and Gene Expression Mapping (GEO) database were used to screen biomarkers for prognosis and treatment guidance. Clinical samples were used to verify the expression situation of these candidate biomarkers. The results showed the immune-related gene nitric oxide synthase 2 (NOS2) was independently associated with the poor prognosis of EOCRC patients in both TGCA and GEO database. The Immune Dysfunction and Exclusion (TIDE) analysis showed that multiple immunotherapy signatures, such as TIDE, Exclusion, and CAF, were difference among EOCRC patients with different risk scores, and significantly correlated with the expression of NOS2. Sensitivity analysis of chemotherapy drugs showed that NOS2 was significantly correlated with several chemotherapy drugs, such as MG.132_1862, BMS.754807_2171, and GEN.317_1926. Clinical validation analysis showed that the expression of NOS2 and its related genes CXCL1 and CXCL2 were significantly decreased in EOCRC patients. The results suggested that NOS2 can be used as a potential biomarker for EOCRC, which can be used for prognosis and guidance of immunotherapy and chemotherapy.https://doi.org/10.1038/s41598-025-88966-6NOS2PrognosisImmuneTherapeuticEOCRC
spellingShingle Chaoqun Xing
Lipeng Zhao
Weiwei Zou
Xie Peng
Xiao-Liang Xing
Jie Li
NOS2 as a prognostic biomarker for early-onset colorectal cancer based on public data and clinical validation analysis
Scientific Reports
NOS2
Prognosis
Immune
Therapeutic
EOCRC
title NOS2 as a prognostic biomarker for early-onset colorectal cancer based on public data and clinical validation analysis
title_full NOS2 as a prognostic biomarker for early-onset colorectal cancer based on public data and clinical validation analysis
title_fullStr NOS2 as a prognostic biomarker for early-onset colorectal cancer based on public data and clinical validation analysis
title_full_unstemmed NOS2 as a prognostic biomarker for early-onset colorectal cancer based on public data and clinical validation analysis
title_short NOS2 as a prognostic biomarker for early-onset colorectal cancer based on public data and clinical validation analysis
title_sort nos2 as a prognostic biomarker for early onset colorectal cancer based on public data and clinical validation analysis
topic NOS2
Prognosis
Immune
Therapeutic
EOCRC
url https://doi.org/10.1038/s41598-025-88966-6
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AT lipengzhao nos2asaprognosticbiomarkerforearlyonsetcolorectalcancerbasedonpublicdataandclinicalvalidationanalysis
AT weiweizou nos2asaprognosticbiomarkerforearlyonsetcolorectalcancerbasedonpublicdataandclinicalvalidationanalysis
AT xiepeng nos2asaprognosticbiomarkerforearlyonsetcolorectalcancerbasedonpublicdataandclinicalvalidationanalysis
AT xiaoliangxing nos2asaprognosticbiomarkerforearlyonsetcolorectalcancerbasedonpublicdataandclinicalvalidationanalysis
AT jieli nos2asaprognosticbiomarkerforearlyonsetcolorectalcancerbasedonpublicdataandclinicalvalidationanalysis