Multi-omics analysis reveals a macrophage-related marker gene signature for prognostic prediction, immune landscape, genomic heterogeneity, and drug choices in prostate cancer

Front Immunol. 2023 Apr 14:14:1122670. doi: 10.3389/fimmu.2023.1122670. eCollection 2023.

Abstract

Introduction: Macrophages are components of the innate immune system and can play an anti-tumor or pro-tumor role in the tumor microenvironment owing to their high heterogeneity and plasticity. Meanwhile, prostate cancer (PCa) is an immune-sensitive tumor, making it essential to investigate the value of macrophage-associated networks in its prognosis and treatment.

Methods: Macrophage-related marker genes (MRMGs) were identified through the comprehensive analysis of single-cell sequencing data from GSE141445 and the impact of macrophages on PCa was evaluated using consensus clustering of MRMGs in the TCGA database. Subsequently, a macrophage-related marker gene prognostic signature (MRMGPS) was constructed by LASSO-Cox regression analysis and grouped based on the median risk score. The predictive ability of MRMGPS was verified by experiments, survival analysis, and nomogram in the TCGA cohort and GEO-Merged cohort. Additionally, immune landscape, genomic heterogeneity, tumor stemness, drug sensitivity, and molecular docking were conducted to explore the relationship between MRMGPS and the tumor immune microenvironment, therapeutic response, and drug selection.

Results: We identified 307 MRMGs and verified that macrophages had a strong influence on the development and progression of PCa. Furthermore, we showed that the MRMGPS constructed with 9 genes and the predictive nomogram had excellent predictive ability in both the TCGA and GEO-Merged cohorts. More importantly, we also found the close relationship between MRMGPS and the tumor immune microenvironment, therapeutic response, and drug selection by multi-omics analysis.

Discussion: Our study reveals the application value of MRMGPS in predicting the prognosis of PCa patients. It also provides a novel perspective and theoretical basis for immune research and drug choices for PCa.

Keywords: drug choices; genomic heterogeneity; macrophage-related marker gene; prognostic signature; prostate cancer; single-cell RNA-sequencing; tumor immunity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Genomics
  • Humans
  • Macrophages
  • Male
  • Molecular Docking Simulation
  • Multiomics*
  • Prognosis
  • Prostatic Neoplasms* / drug therapy
  • Prostatic Neoplasms* / genetics
  • Tumor Microenvironment / genetics

Grants and funding

This work was supported by the National Natural Science Foundation of China (grant numbers: 81874095, 82072820); Basic and Applied Basic Research Foundation of Guangdong Province (grant numbers: 2019B1515120007, 2021A1515111210, 2023A1515010588), and National Natural Science Foundation Cultivation Project of Shenzhen Hospital of Southern Medical University (grant numbers: 22H3AGZR09).