Key result
A prognostic signature involving eight lipid metabolism genes was an independent predictor of overall survival in bladder cancer patients, with higher risk scores significantly associated with worse outcomes (HR 1.1918).
Why the study?
Lipid metabolism is crucial in tumor progression, but the role of lipid metabolism genes in bladder cancer was unknown.
Does an 8-lipid metabolism gene prognostic signature predict overall survival and immune profiles in bladder cancer patients?
Observational (n=560)
Does an 8-lipid metabolism gene prognostic signature predict overall survival and immune profiles in bladder cancer patients?
Hazard Ratio: 1.1918 (95% CI 1.1127–1.2766)
p-value: p=5.57E-07
An 8-gene lipid metabolism signature can independently predict overall survival and potentially guide immunotherapy and drug selection in bladder cancer patients.
BACKGROUND: Lipid metabolism is crucial in tumor formation and progression. However, the role of lipid metabolism genes (LMGs) in bladder cancer (BLCA) are unknown. The purpose of this study was to construct a LMGs-related subtypes that predicted the treatment and prognosis of BLCA patients. METHODS: The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases were used for this study. The gene set enrichment analysis (GSEA) was utilized to distinguish functional differences between high-risk (HR) and low-risk (LR) groups. Single-sample GSEA (ssGSEA) was employed to determine potential associations between prognostic outcomes and immune status. RESULTS: First, BLCA patients were divided into two subtypes by non-negative matrix factorization (NMF) clustering, and there were substantial variations in survival status, immune cell infiltration and immune classification between the two subtypes. Next, a prognostic signature involving 8 LMGs was identified (AKR1B1, SCD, CYP27B1, UGCG, SGPL1, FASN, TNFAIP8L3, PLA2G2A). HR patients exhibited worse outcome than LR patients. Multivariate Cox regression analysis confirmed that LMGs-related signature was an independent prognostic indicator of BLCA patients' survival. Compared with clinicopathological variables, LMGs-related signature showed higher prognostic predictive ability, with an area under curve of 0.720 at 5 years of follow-up. Through immunotherapy analysis, drug sensitivity analysis, TIDE score and immune cell infiltration characteristics, LMGs-related signature was confirmed to accurately predict the prognosis and treatment response of BLCA patients. CONCLUSION: Our newly established prognostic signature, which involved eight LMGs, can give prognostic distinction for BLCA and may eventually lead to novel targets for treatment.
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Zhou et al. (2024) conducted an observational in Bladder cancer (n=560). High-risk lipid metabolism genes (LMGs)-related signature vs. Low-risk LMGs-related signature was evaluated on Overall survival (HR 1.1918, 95% CI 1.1127-1.2766, p=5.57E-07). A prognostic signature involving eight lipid metabolism genes was an independent predictor of overall survival in bladder cancer patients, with higher risk scores significantly associated with worse outcomes (HR 1.1918).
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