Identification and validation of pyroptosis patterns in AML via comprehensive bioinformatics analysis

Abstract Pyroptosis, a lytic inflammatory cell death mechanism, plays dual roles in tumorigenesis, but its clinical relevance in acute myeloid leukemia (AML) remains poorly understood. Through an integrative analysis of 40 pyroptosis-related genes in newly diagnosed AML patients (TCGA, n = 151) and...

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Main Authors: Zeyu Deng, Hongkai Zhu, Zhao Cheng, Ruijuan Li, Hongling Peng
Format: Article
Language:English
Published: Springer 2025-04-01
Series:Discover Oncology
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Online Access:https://doi.org/10.1007/s12672-025-02298-5
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author Zeyu Deng
Hongkai Zhu
Zhao Cheng
Ruijuan Li
Hongling Peng
author_facet Zeyu Deng
Hongkai Zhu
Zhao Cheng
Ruijuan Li
Hongling Peng
author_sort Zeyu Deng
collection DOAJ
description Abstract Pyroptosis, a lytic inflammatory cell death mechanism, plays dual roles in tumorigenesis, but its clinical relevance in acute myeloid leukemia (AML) remains poorly understood. Through an integrative analysis of 40 pyroptosis-related genes in newly diagnosed AML patients (TCGA, n = 151) and healthy controls (GTEx, n = 386), we identified 32 genes with aberrant expression. Among these, 9 genes were found to be significant prognostic markers, including ELANE (protective), and CASP1, CHMP4B, BAK1, and CHMP2A (risk), which retained their prognostic significance after adjusting for age and gender. Using unsupervised nonnegative matrix factorization (NMF) on TCGA data, we classified AML into two pyroptosis patterns: the ELANEhigh subtype, associated with favorable survival, and the ELANElow subtype, which was enriched in poor karyotypes and adverse outcomes. This classification was validated in an independent cohort (GSE10358, n = 91). Single-cell RNA sequencing data (GSE116256, n = 15) revealed that the ELANElow subtype is characterized by an immunologically active microenvironment, marked by an expansion of cytotoxic T cells and naive CD4 + /CD8 + T cells. Factor analysis revealed associations between pyroptosis patterns and other forms of cell death, including ferroptosis, autophagy, and apoptosis, as well as with karyotype, leukemia stemness, and TP53/FLT3-ITD mutations. Prognostic immune gene sets enriched in the ELANElow subtype were associated with interferon signaling and ubiquitin-mediated degradation pathways. Furthermore, protein–protein interaction (PPI) network analysis identified three sub-networks and nine key hub genes. This study integrates gene expression data from newly diagnosed AML patients, revealing the heterogeneity of pyroptosis patterns within the population. It highlights the potential links between distinct pyroptosis patterns, the immune microenvironment, various cell death pathways, leukemia stemness, and genomic alterations, offering novel biomarkers and therapeutic targets for risk stratification and immunomodulatory interventions in AML.
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spelling doaj-art-5c00ce3eaefd4634adfea6e7669389652025-08-20T02:17:10ZengSpringerDiscover Oncology2730-60112025-04-0116111510.1007/s12672-025-02298-5Identification and validation of pyroptosis patterns in AML via comprehensive bioinformatics analysisZeyu Deng0Hongkai Zhu1Zhao Cheng2Ruijuan Li3Hongling Peng4Department of Hematology, The Second Xiangya Hospital of Central South UniversityDepartment of Hematology, The Second Xiangya Hospital of Central South UniversityDepartment of Hematology, The Second Xiangya Hospital of Central South UniversityDepartment of Hematology, The Second Xiangya Hospital of Central South UniversityDepartment of Hematology, The Second Xiangya Hospital of Central South UniversityAbstract Pyroptosis, a lytic inflammatory cell death mechanism, plays dual roles in tumorigenesis, but its clinical relevance in acute myeloid leukemia (AML) remains poorly understood. Through an integrative analysis of 40 pyroptosis-related genes in newly diagnosed AML patients (TCGA, n = 151) and healthy controls (GTEx, n = 386), we identified 32 genes with aberrant expression. Among these, 9 genes were found to be significant prognostic markers, including ELANE (protective), and CASP1, CHMP4B, BAK1, and CHMP2A (risk), which retained their prognostic significance after adjusting for age and gender. Using unsupervised nonnegative matrix factorization (NMF) on TCGA data, we classified AML into two pyroptosis patterns: the ELANEhigh subtype, associated with favorable survival, and the ELANElow subtype, which was enriched in poor karyotypes and adverse outcomes. This classification was validated in an independent cohort (GSE10358, n = 91). Single-cell RNA sequencing data (GSE116256, n = 15) revealed that the ELANElow subtype is characterized by an immunologically active microenvironment, marked by an expansion of cytotoxic T cells and naive CD4 + /CD8 + T cells. Factor analysis revealed associations between pyroptosis patterns and other forms of cell death, including ferroptosis, autophagy, and apoptosis, as well as with karyotype, leukemia stemness, and TP53/FLT3-ITD mutations. Prognostic immune gene sets enriched in the ELANElow subtype were associated with interferon signaling and ubiquitin-mediated degradation pathways. Furthermore, protein–protein interaction (PPI) network analysis identified three sub-networks and nine key hub genes. This study integrates gene expression data from newly diagnosed AML patients, revealing the heterogeneity of pyroptosis patterns within the population. It highlights the potential links between distinct pyroptosis patterns, the immune microenvironment, various cell death pathways, leukemia stemness, and genomic alterations, offering novel biomarkers and therapeutic targets for risk stratification and immunomodulatory interventions in AML.https://doi.org/10.1007/s12672-025-02298-5Acute myeloid leukemiaClassificationPyroptosisImmunePrognosis
spellingShingle Zeyu Deng
Hongkai Zhu
Zhao Cheng
Ruijuan Li
Hongling Peng
Identification and validation of pyroptosis patterns in AML via comprehensive bioinformatics analysis
Discover Oncology
Acute myeloid leukemia
Classification
Pyroptosis
Immune
Prognosis
title Identification and validation of pyroptosis patterns in AML via comprehensive bioinformatics analysis
title_full Identification and validation of pyroptosis patterns in AML via comprehensive bioinformatics analysis
title_fullStr Identification and validation of pyroptosis patterns in AML via comprehensive bioinformatics analysis
title_full_unstemmed Identification and validation of pyroptosis patterns in AML via comprehensive bioinformatics analysis
title_short Identification and validation of pyroptosis patterns in AML via comprehensive bioinformatics analysis
title_sort identification and validation of pyroptosis patterns in aml via comprehensive bioinformatics analysis
topic Acute myeloid leukemia
Classification
Pyroptosis
Immune
Prognosis
url https://doi.org/10.1007/s12672-025-02298-5
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AT ruijuanli identificationandvalidationofpyroptosispatternsinamlviacomprehensivebioinformaticsanalysis
AT honglingpeng identificationandvalidationofpyroptosispatternsinamlviacomprehensivebioinformaticsanalysis