Published online Mar 21, 2024. doi: 10.3748/wjg.v30.i11.1609
Peer-review started: December 13, 2023
First decision: December 27, 2023
Revised: January 9, 2024
Accepted: March 4, 2024
Article in press: March 4, 2024
Published online: March 21, 2024
Processing time: 99 Days and 1.3 Hours
Immunotherapy has provided hope to patients with advanced liver cancer, but only a small fraction of patients benefit from this treatment due to individual differences. Although several methods have been developed to predict the prognosis and immunotherapeutic efficacy in patients with liver cancer, the impact of cell-cell interactions in the tumor microenvironment has not been adequately considered.
Recent research has demonstrated the crucial role of cell-cell interactions in shaping the immune landscape of liver cancer.
This study aims to identify immune-related gene signatures through cell-cell interactions to predict prognosis and immunotherapeutic efficacy in liver cancer.
In this study, CellChat was employed to infer cell-cell communication, thereby selecting highly active cell groups in immune-related pathways on single-cell RNA-sequencing (scRNA-seq) data. Highly active immune cells were identified by intersecting these groups with B and T cells. Subsequently, significantly differentially expressed genes between highly active immune cells and the remaining cells were incorporated into the Lasso regression model. Ultimately, incorporating genes selected more than 5 times in 10 Lasso regression experiments into a multivariable Cox regression model, 3 genes (stathmin 1, cofilin 1, and C-C chemokine ligand 5) significantly associated with survival were identified to construct a gene signature.
The immune-related gene signature composed of stathmin 1, cofilin 1, and C-C chemokine ligand 5 was identified through cell-cell communication. The identified gene signature has been validated to be superior to the other two methods through immunotherapy response prediction, tumor mutation burden analysis, and immune cell infiltration analysis, enabling better prediction of prognosis and immune therapy efficacy in liver cancer.
This study suggest that the identified gene signature may contribute to a deeper understanding of the activity patterns of immune cells in the liver tumor microenvironment, providing insights for personalized treatment strategies.
This article utilized cell-cell communication information and machine learning method, combined with Cox regression, to comprehensively analyze bulk and scRNA-seq data, identifying clinically and therapeutically relevant immune-related gene signature.