Pyroptosis impacts the prognosis and treatment response in gastric cancer via immune system modulation.
Wanli Yanga, Liaoran Niua, Xinhui Zhaob, Lili Duana, Xiaoqian Wanga, Yiding Lia, Junfeng Chena, Wei Jie Zhoua, Yujie Zhangc, Daiming Fana, Hong Liua
- aState Key Laboratory of Cancer Biology and National Clinical Research Center for Digestive Diseases, Xijing Hospital of Digestive Diseases, Fourth Military Medical University Xi'an, Shaanxi, China
- bDepartment of Thyroid and Breast Surgery, Xi'an No. 3 Hospital, The Affiliated Hospital of Northwest University, Northwest University Xi'an, Shaanxi, China
- cDepartment of Histology and Embryology, School of Basic Medicine, Xi'an Medical University Xi'an, Shaanxi, China
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Abstract
Pyroptosis plays a vital role in the development of cancers; however, its role in regulating immune cell infiltration in tumor microenvironment (TME) and pyroptosis-related molecular subtypes remain unclear. Herein, we comprehensively analyzed the molecular subtypes mediated by the pyroptosis-related genes (PRGs) in gastric cancer (GC). Three pyroptosis patterns were determined with distinct TME cell-infiltrating characteristics and prognosis. Principal component analysis was performed to establish the pyroptosis score. The high pyroptosis score group was featured by increased activated CD4+ T cell infiltration, better prognosis, elevated tumor mutation burden, higher immune and stromal scores, and enhanced response to immunotherapy. However, the low pyroptosis score group was characterized by poorer survival, decreased immune infiltration, and glycerolipid and histidine metabolism pathways. Additionally, high pyroptosis score was confirmed as an independent favorable prognostic factor for overall survival. Three cohorts designed to analyze the response to immunotherapy verified that patients with higher pyroptosis score showed treatment benefit. In summary, our study demonstrated that pyroptosis regulates the complex TME. Assessing the pyroptosis patterns will advance our understanding on TME features and tumor immunology and provide the rationale for designing personalized immunotherapy strategies.
TL;DRThis study comprehensively analyzed the molecular subtypes mediated by the pyroptosis-related genes (PRGs) in gastric cancer and demonstrated that pyroPTosis regulates the complex TME. (Semantic Scholar)