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pmid:33828973

M2 Macrophage Co-Expression Factors Correlate With Immune Phenotype and Predict Prognosis of Bladder Cancer.

Yutao Wang · Kexin Yan · Jianfeng Wang · Jiaxing Lin · Jianbin Bi

Frontiers in oncology · 2021 doi:10.3389/fonc.2021.609334

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Experiment

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Data

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Analysis

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pmid:33828973
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2026-11-01T15:41:31Z
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title
M2 Macrophage Co-Expression Factors Correlate With Immune Phenotype and Predict Prognosis of Bladder Cancer.
doi
10.3389/fonc.2021.609334
pmid
33828973
authors array · 5 items
[0]
Yutao Wang
[1]
Kexin Yan
[2]
Jianfeng Wang
[3]
Jiaxing Lin
[4]
Jianbin Bi
journal
Frontiers in oncology
year
2021
abstract
PURPOSE: Therapeutic targets of tumor-associated macrophages have been discovered and used clinically as immunotherapy. M2 macrophages are tumor-associated macrophages that promote cancer progression. This article explores the related factors and the effects of type M2 macrophages. METHOD: We obtained bladder cancer (BC) sequencing data from TCGA and GSE31189. We used the CIBERSORT algorithm calculate M2 macrophage proportions among 22 type immune cells. The Estimate package was used to measure BC purity. M2 macrophage-related genes were selected using WGCNA. Receiver operating characteristic curves and Kaplan-Meier analyses were performed to determine the risk score, conducted for M2 macrophage-related factors. The Pearson test was used to determine the correlation among M2 macrophage-related genes, clinical phenotype, immune phenotype and tumor mutation burden (TMB). The TIMER database was used to calculate correlations among M2 macrophages and other cancers. RESULTS: Expression of four M2 macrophages co-expressed genes (CD163, CD209, CSF1, MMD) positively correlated with infiltration of M2 macrophages, which were enriched in the negative regulation of immune system process and the positive regulation of tumor necrosis factor production. M2 macrophage-related factors are robust biomarkers for predicting the BC and immune phenotypes. The Cox regression model built on these four co-expression factors showed a close correlation with outcome (AUC = 0.64). The four co-expression factors negatively correlated outcome and TMB. CONCLUSION: Four co-expressed genes promote high levels of infiltration of type M2 macrophages in the negative regulation of immune system processes and the positive regulation of tumor necrosis factor production processes. These co-expressed genes and the biological process they involve might suggest new strategies for regulation of chemotaxis in M2 macrophages.
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Then, we generated a multi-Cox regression risk score model based on these genes: Risk score = 1 * CD163 + 1.007 * CD209 + 1.028 * CSF1 + 1.012 * MMD.
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sections[13] "Survival and Prognostic Analysis" paragraph 2
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Then, we generated a multi-Cox regression risk score model based on these genes: Risk score = 1 * CD163 + 1.007 * CD209 + 1.028 * CSF1 + 1.012 * MMD.
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Publicly available datasets were analyzed in this study. These data can be found here: The TCGA-BLCA dataset used in this study could be obtained from TCGA database (https://cancergenome.nih.gov/). GEO datasets (GSE31189) used in this study could be obtained from GEO database (https://www.ncbi.nlm.nih.gov/geo/). genomic, transcriptomic, and clinical information from patients with metastatic urothelial cancer treated with an anti-PD-L1 agent (atezolizumab) is obtained under the Creative Commons 3.0 license and can be downloaded from http://research-pub.gene.com/IMvigor210CoreBiologies.
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sections[19] "Data Availability Statement" paragraph 2
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Publicly available datasets were analyzed in this study. These data can be found here: The TCGA-BLCA dataset used in this study could be obtained from TCGA database (https://cancergenome.nih.gov/). GEO datasets (GSE31189) used in this study could be obtained from GEO database (https://www.ncbi.nlm.nih.gov/geo/). genomic, transcriptomic, and clinical information from patients with metastatic urothelial cancer treated with an anti-PD-L1 agent (atezolizumab) is obtained under the Creative Commons 3.0 license and can be downloaded from http://research-pub.gene.com/IMvigor210CoreBiologies.
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Publicly available datasets were analyzed in this study. These data can be found here: The TCGA-BLCA dataset used in this study could be obtained from TCGA database (https://cancergenome.nih.gov/). GEO datasets (GSE31189) used in this study could be obtained from GEO database (https://www.ncbi.nlm.nih.gov/geo/). genomic, transcriptomic, and clinical information from patients with metastatic urothelial cancer treated with an anti-PD-L1 agent (atezolizumab) is obtained under the Creative Commons 3.0 license and can be downloaded from http://research-pub.gene.com/IMvigor210CoreBiologies.
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Publicly available datasets were analyzed in this study. These data can be found here: The TCGA-BLCA dataset used in this study could be obtained from TCGA database (https://cancergenome.nih.gov/). GEO datasets (GSE31189) used in this study could be obtained from GEO database (https://www.ncbi.nlm.nih.gov/geo/). genomic, transcriptomic, and clinical information from patients with metastatic urothelial cancer treated with an anti-PD-L1 agent (atezolizumab) is obtained under the Creative Commons 3.0 license and can be downloaded from http://research-pub.gene.com/IMvigor210CoreBiologies.
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Molecular Biomarker Signature for Bladder Cancer Detection
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Intersection Function Analysis
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The correlation of intersecting genes with M2 macrophages in GSE31189.
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The correlation of intersecting genes with M2 macrophages in TCGA-BLCA.
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M2 Macrophage Evaluation
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Univariable Cox regression of immune cell proportions in bladder cancer.
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The correlation of intersecting genes with M2 macrophages in GSE31189.
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Intersection Function Analysis
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The correlation of intersecting genes with M2 macrophages in GSE31189.
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The correlation of intersecting genes with M2 macrophages in TCGA-BLCA.
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Intersection Function Analysis
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The correlation of intersecting genes with M2 macrophages in TCGA-BLCA.
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Then, we generated a multi-Cox regression risk score model based on these genes: Risk score = 1 * CD163 + 1.007 * CD209 + 1.028 * CSF1 + 1.012 * MMD.
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Publicly available datasets were analyzed in this study. These data can be found here: The TCGA-BLCA dataset used in this study could be obtained from TCGA database (https://cancergenome.nih.gov/). GEO datasets (GSE31189) used in this study could be obtained from GEO database (https://www.ncbi.nlm.nih.gov/geo/). genomic, transcriptomic, and clinical information from patients with metastatic urothelial cancer treated with an anti-PD-L1 agent (atezolizumab) is obtained under the Creative Commons 3.0 license and can be downloaded from http://research-pub.gene.com/IMvigor210CoreBiologies.
basis
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Then, we generated a multi-Cox regression risk score model based on these genes: Risk score = 1 * CD163 + 1.007 * CD209 + 1.028 * CSF1 + 1.012 * MMD.
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:33828973", "kind": "science-record", "revision": 6, "content_hash": "sha256:0987b0a5b8490db29e45334434765109ad5fb5b3d9e3d0c926a7fbecae71d081", "created_at": "2026-11-01T15:41:31Z", "updated_at": "2026-11-01T21:25:06Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "M2 Macrophage Co-Expression Factors Correlate With Immune Phenotype and Predict Prognosis of Bladder Cancer.", "doi": "10.3389/fonc.2021.609334", "pmid": "33828973", "authors": ["Yutao Wang", "Kexin Yan", "Jianfeng Wang", "Jiaxing Lin", "Jianbin Bi"], "journal": "Frontiers in oncology", "year": 2021, "abstract": "PURPOSE: Therapeutic targets of tumor-associated macrophages have been discovered and used clinically as immunotherapy. M2 macrophages are tumor-associated macrophages that promote cancer progression. This article explores the related factors and the effects of type M2 macrophages.\nMETHOD: We obtained bladder cancer (BC) sequencing data from TCGA and GSE31189. We used the CIBERSORT algorithm calculate M2 macrophage proportions among 22 type immune cells. The Estimate package was used to measure BC purity. M2 macrophage-related genes were selected using WGCNA. Receiver operating characteristic curves and Kaplan-Meier analyses were performed to determine the risk score, conducted for M2 macrophage-related factors. The Pearson test was used to determine the correlation among M2 macrophage-related genes, clinical phenotype, immune phenotype and tumor mutation burden (TMB). The TIMER database was used to calculate correlations among M2 macrophages and other cancers.\nRESULTS: Expression of four M2 macrophages co-expressed genes (CD163, CD209, CSF1, MMD) positively correlated with infiltration of M2 macrophages, which were enriched in the negative regulation of immune system process and the positive regulation of tumor necrosis factor production. M2 macrophage-related factors are robust biomarkers for predicting the BC and immune phenotypes. The Cox regression model built on these four co-expression factors showed a close correlation with outcome (AUC = 0.64). The four co-expression factors negatively correlated outcome and TMB.\nCONCLUSION: Four co-expressed genes promote high levels of infiltration of type M2 macrophages in the negative regulation of immune system processes and the positive regulation of tumor necrosis factor production processes. 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GEO datasets (GSE31189) used in this study could be obtained from GEO database (https://www.ncbi.nlm.nih.gov/geo/). genomic, transcriptomic, and clinical information from patients with metastatic urothelial cancer treated with an anti-PD-L1 agent (atezolizumab) is obtained under the Creative Commons 3.0 license and can be downloaded from http://research-pub.gene.com/IMvigor210CoreBiologies.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:33828973", "locator": "sections[19] \"Data Availability Statement\" paragraph 2", "quote": "Publicly available datasets were analyzed in this study. These data can be found here: The TCGA-BLCA dataset used in this study could be obtained from TCGA database (https://cancergenome.nih.gov/). GEO datasets (GSE31189) used in this study could be obtained from GEO database (https://www.ncbi.nlm.nih.gov/geo/). genomic, transcriptomic, and clinical information from patients with metastatic urothelial cancer treated with an anti-PD-L1 agent (atezolizumab) is obtained under the Creative Commons 3.0 license and can be downloaded from http://research-pub.gene.com/IMvigor210CoreBiologies."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "complete", "objective": null, "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:33828973"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "complete", "blocked_on": null, "description": "The GEO series accession resolves and its sample accessions are listed. 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