Identification of a stable immunosuppressive molecular subtype in esophageal squamous cell carcinoma based on inflammation‐related genes

Abstract Inflammation affects the progression and therapeutic response of esophageal squamous cell carcinoma (ESCC). The molecular subtypes based on inflammatory response are still under exploitation for clinical application. Expression of inflammation‐related hallmark genes was extracted from three...

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Main Authors: Yuan Yin, Zhiyan Zou, Jianjun Wang, Xueting Zheng, Mingsong Shi, Jie Ren, Zhaodong Li, Jiwen Luo, Xiaoan Li
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Precision Medical Sciences
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Online Access:https://doi.org/10.1002/prm2.12151
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author Yuan Yin
Zhiyan Zou
Jianjun Wang
Xueting Zheng
Mingsong Shi
Jie Ren
Zhaodong Li
Jiwen Luo
Xiaoan Li
author_facet Yuan Yin
Zhiyan Zou
Jianjun Wang
Xueting Zheng
Mingsong Shi
Jie Ren
Zhaodong Li
Jiwen Luo
Xiaoan Li
author_sort Yuan Yin
collection DOAJ
description Abstract Inflammation affects the progression and therapeutic response of esophageal squamous cell carcinoma (ESCC). The molecular subtypes based on inflammatory response are still under exploitation for clinical application. Expression of inflammation‐related hallmark genes was extracted from three ESCC datasets for subtype clustering using the non‐negative matrix factorization method. The most stable subtype across datasets was identified using a SubMap analysis. The immune status and molecular characteristics of the stable subtype were explored by comparing with other subtypes, and a classifier was constructed and evaluated using machine learning methods. We identified a subtype of ESCC with a higher inflammatory response score, supported by three datasets, indicating its prevalence. This subtype exhibited a high level of immune infiltration, enriched with CD8+ T cells and various immunosuppressive cells, along with elevated expression of immune checkpoints. It also showed a significant similarity to melanomas responsive to immune checkpoint inhibitor nivolumab, suggesting potential therapeutic benefits. Further analysis revealed that some hub genes in immune pathways likely contribute to the immunosuppressive microenvironment of the subtype and hold prognostic value. We developed an 11‐gene classifier for this subtype with an impressive area under the curve (AUC) of 0.9871. Applying it to external data, we identified a group with a similar immunosuppressive environment and potential response to immune checkpoint inhibitors. Generally speaking, the stable subtype we identified will be helpful to guide clinical diagnosis and treatment for ESCC.
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spelling doaj-art-b1c4964ccf614b13adbbaf44dddefce82025-08-20T01:59:04ZengWileyPrecision Medical Sciences2642-25142024-12-0113419220310.1002/prm2.12151Identification of a stable immunosuppressive molecular subtype in esophageal squamous cell carcinoma based on inflammation‐related genesYuan Yin0Zhiyan Zou1Jianjun Wang2Xueting Zheng3Mingsong Shi4Jie Ren5Zhaodong Li6Jiwen Luo7Xiaoan Li8NHC Key Laboratory of Nuclear Technology Medical Transformation, Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang ChinaNHC Key Laboratory of Nuclear Technology Medical Transformation, Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang ChinaDepartment of Hepatobiliary Surgery, Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang ChinaNHC Key Laboratory of Nuclear Technology Medical Transformation, Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang ChinaNHC Key Laboratory of Nuclear Technology Medical Transformation, Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang ChinaDepartment of Cardiothoracic Surgery, Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang ChinaDepartment of Gastroenterology, Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang ChinaDepartment of Cardiothoracic Surgery, Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang ChinaNHC Key Laboratory of Nuclear Technology Medical Transformation, Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang ChinaAbstract Inflammation affects the progression and therapeutic response of esophageal squamous cell carcinoma (ESCC). The molecular subtypes based on inflammatory response are still under exploitation for clinical application. Expression of inflammation‐related hallmark genes was extracted from three ESCC datasets for subtype clustering using the non‐negative matrix factorization method. The most stable subtype across datasets was identified using a SubMap analysis. The immune status and molecular characteristics of the stable subtype were explored by comparing with other subtypes, and a classifier was constructed and evaluated using machine learning methods. We identified a subtype of ESCC with a higher inflammatory response score, supported by three datasets, indicating its prevalence. This subtype exhibited a high level of immune infiltration, enriched with CD8+ T cells and various immunosuppressive cells, along with elevated expression of immune checkpoints. It also showed a significant similarity to melanomas responsive to immune checkpoint inhibitor nivolumab, suggesting potential therapeutic benefits. Further analysis revealed that some hub genes in immune pathways likely contribute to the immunosuppressive microenvironment of the subtype and hold prognostic value. We developed an 11‐gene classifier for this subtype with an impressive area under the curve (AUC) of 0.9871. Applying it to external data, we identified a group with a similar immunosuppressive environment and potential response to immune checkpoint inhibitors. Generally speaking, the stable subtype we identified will be helpful to guide clinical diagnosis and treatment for ESCC.https://doi.org/10.1002/prm2.12151esophageal squamous cell carcinomagene classifierinflammation‐related genesmolecular subtypestumor microenvironment
spellingShingle Yuan Yin
Zhiyan Zou
Jianjun Wang
Xueting Zheng
Mingsong Shi
Jie Ren
Zhaodong Li
Jiwen Luo
Xiaoan Li
Identification of a stable immunosuppressive molecular subtype in esophageal squamous cell carcinoma based on inflammation‐related genes
Precision Medical Sciences
esophageal squamous cell carcinoma
gene classifier
inflammation‐related genes
molecular subtypes
tumor microenvironment
title Identification of a stable immunosuppressive molecular subtype in esophageal squamous cell carcinoma based on inflammation‐related genes
title_full Identification of a stable immunosuppressive molecular subtype in esophageal squamous cell carcinoma based on inflammation‐related genes
title_fullStr Identification of a stable immunosuppressive molecular subtype in esophageal squamous cell carcinoma based on inflammation‐related genes
title_full_unstemmed Identification of a stable immunosuppressive molecular subtype in esophageal squamous cell carcinoma based on inflammation‐related genes
title_short Identification of a stable immunosuppressive molecular subtype in esophageal squamous cell carcinoma based on inflammation‐related genes
title_sort identification of a stable immunosuppressive molecular subtype in esophageal squamous cell carcinoma based on inflammation related genes
topic esophageal squamous cell carcinoma
gene classifier
inflammation‐related genes
molecular subtypes
tumor microenvironment
url https://doi.org/10.1002/prm2.12151
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