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pmid:36105819

Identification of m6A modification patterns and development of m6A-hypoxia prognostic signature to characterize tumor microenvironment in triple-negative breast cancer.

Xi Shen · Jianxin Zhong · Jinlan He · Jiaqi Han · Nianyong Chen

Frontiers in immunology · 2022 doi:10.3389/fimmu.2022.978092

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title
Identification of m6A modification patterns and development of m6A-hypoxia prognostic signature to characterize tumor microenvironment in triple-negative breast cancer.
doi
10.3389/fimmu.2022.978092
pmid
36105819
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[0]
Xi Shen
[1]
Jianxin Zhong
[2]
Jinlan He
[3]
Jiaqi Han
[4]
Nianyong Chen
journal
Frontiers in immunology
year
2022
abstract
Background: N6-methylation (m6A) modification of RNA has been found to have essential effects on aspects of the tumor microenvironment (TME) including hypoxia status and mobilization of immune cells. However, there are no studies to explore the combined effect of m6A modification and hypoxia on molecular heterogeneity and TME of triple-negative breast cancer (TNBC). Methods: We collected The Cancer Genome Atlas (TCGA-TNBC, N=139), the Molecular Taxonomy of Breast Cancer International Consortium (METABRIC-TNBC, N=297), the GSE103091, GSE21653, and GSE135565 series from the Gene Expression Omnibus (GEO-TNBC, N=247), and FUSCCTNBC (N=245) for our study. The non-negative matrix factorization algorithm was used to cluster TNBC samples. Immune cell infiltration was analyzed by the CIBERSORT algorithm. The enrichment scores were calculated by single-sample gene set enrichment analysis(ssGSEA) to characterize TME in TNBC samples. Immunohistochemistry (IHC) and qRT-PCR were performed to detect the gene expression. Results: Based on the expression of m6A-related genes, we identified three distinct m6A clusters (denoted A, B, and C) in TNBC samples. Comparing the TME characteristics among the three clusters, we observed that cluster C was strongly related to hypoxia status and immune suppression, whereas clusters A and B displayed more immune cell infiltration. Therefore, we combine m6A and hypoxia related genes to classify two m6A-hypoxia clusters of TNBC and screened six prognostic genes by LASSO-Cox regression to construct a m6A-hypoxia signature(MHPS), which divided TNBC samples into high- and low-risk groups. We identified different TME features, immune cell infiltration between the two groups, and a better immunotherapy response was observed in the low-risk group. A nomogram was constructed with tumor size, lymph node, and risk score to improve clinical application of MHPS. Conclusion: We identified distinct TME characteristics of TNBC based on three different m6A modification patterns. Then, we constructed a specific m6A-hypoxia signature for TNBC to evaluate risk and predict immunotherapy response of patients, to enable more accurate treatment in the future.
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The original contributions presented in the study are included in the article/ Supplementary Material . Further inquiries can be directed to the corresponding author.
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The m6A-hypoxia prognostic signature divided TNBC samples into high- and low-risk groups, with the high-risk group exhibiting worse prognosis and features of hypoxia, immune suppression, and a less favorable predicted immunotherapy response.
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Analysis of overall survival showed that the high-risk group had worse prognosis than the low-risk group in the TCGA-TNBC cohorts, the ROC curve showed the prognostic predictive ability for 1-, 3-, 5- years overall survival, the AUC was 0.86, 0.87 and 0.87, respectively( Figures 6E, F ).
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sections[17] "Development and prognosis value of m6A-hypoxia prognostic signature (MHPS)" paragraph 2
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Analysis of overall survival showed that the high-risk group had worse prognosis than the low-risk group in the TCGA-TNBC cohorts, the ROC curve showed the prognostic predictive ability for 1-, 3-, 5- years overall survival, the AUC was 0.86, 0.87 and 0.87, respectively( Figures 6E, F ).
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We identified different TME features, immune cell infiltration between the two groups, and a better immunotherapy response was observed in the low-risk group.
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The m6A-hypoxia prognostic signature divided TNBC samples into high- and low-risk groups, with the high-risk group exhibiting worse prognosis and features of hypoxia, immune suppression, and a less favorable predicted immunotherapy response.
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A gene expression signature identifies two prognostic subgroups of basal breast cancer
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:36105819", "kind": "science-record", "revision": 4, "content_hash": "sha256:95d80cf37281e1f22503f9676911cfbacf11520c4f85f3107685c45424743c6e", "created_at": "2026-11-01T18:15:21Z", "updated_at": "2026-11-01T22:07:33Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Identification of m6A modification patterns and development of m6A-hypoxia prognostic signature to characterize tumor microenvironment in triple-negative breast cancer.", "doi": "10.3389/fimmu.2022.978092", "pmid": "36105819", "authors": ["Xi Shen", "Jianxin Zhong", "Jinlan He", "Jiaqi Han", "Nianyong Chen"], "journal": "Frontiers in immunology", "year": 2022, "abstract": "Background: N6-methylation (m6A) modification of RNA has been found to have essential effects on aspects of the tumor microenvironment (TME) including hypoxia status and mobilization of immune cells. However, there are no studies to explore the combined effect of m6A modification and hypoxia on molecular heterogeneity and TME of triple-negative breast cancer (TNBC).\nMethods: We collected The Cancer Genome Atlas (TCGA-TNBC, N=139), the Molecular Taxonomy of Breast Cancer International Consortium (METABRIC-TNBC, N=297), the GSE103091, GSE21653, and GSE135565 series from the Gene Expression Omnibus (GEO-TNBC, N=247), and FUSCCTNBC (N=245) for our study. The non-negative matrix factorization algorithm was used to cluster TNBC samples. Immune cell infiltration was analyzed by the CIBERSORT algorithm. The enrichment scores were calculated by single-sample gene set enrichment analysis(ssGSEA) to characterize TME in TNBC samples. Immunohistochemistry (IHC) and qRT-PCR were performed to detect the gene expression.\nResults: Based on the expression of m6A-related genes, we identified three distinct m6A clusters (denoted A, B, and C) in TNBC samples. Comparing the TME characteristics among the three clusters, we observed that cluster C was strongly related to hypoxia status and immune suppression, whereas clusters A and B displayed more immune cell infiltration. Therefore, we combine m6A and hypoxia related genes to classify two m6A-hypoxia clusters of TNBC and screened six prognostic genes by LASSO-Cox regression to construct a m6A-hypoxia signature(MHPS), which divided TNBC samples into high- and low-risk groups. We identified different TME features, immune cell infiltration between the two groups, and a better immunotherapy response was observed in the low-risk group. A nomogram was constructed with tumor size, lymph node, and risk score to improve clinical application of MHPS.\nConclusion: We identified distinct TME characteristics of TNBC based on three different m6A modification patterns. Then, we constructed a specific m6A-hypoxia signature for TNBC to evaluate risk and predict immunotherapy response of patients, to enable more accurate treatment in the future.", "claims": [{"id": "claim-data-access", "statement": "The original contributions presented in the study are included in the article/ Supplementary Material . Further inquiries can be directed to the corresponding author.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:36105819", "locator": "sections[22] \"Data availability statement\" paragraph 2", "quote": "The original contributions presented in the study are included in the article/ Supplementary Material . Further inquiries can be directed to the corresponding author."}], "state": "complete"}, {"id": "claim-target-result", "statement": "The m6A-hypoxia prognostic signature divided TNBC samples into high- and low-risk groups, with the high-risk group exhibiting worse prognosis and features of hypoxia, immune suppression, and a less favorable predicted immunotherapy response.", "kind": "quantitative", "target": {"value": 0.86, "unit": "auc", "tolerance": null, "source": "Analysis of overall survival showed that the high-risk group had worse prognosis than the low-risk group in the TCGA-TNBC cohorts, the ROC curve showed the prognostic predictive ability for 1-, 3-, 5- years overall survival, the AUC was 0.86, 0.87 and 0.87, respectively( Figures 6E, F )."}, "evidence": [{"asset": "source:pmid:36105819", "locator": "sections[17] \"Development and prognosis value of m6A-hypoxia prognostic signature (MHPS)\" paragraph 2", "quote": "Analysis of overall survival showed that the high-risk group had worse prognosis than the low-risk group in the TCGA-TNBC cohorts, the ROC curve showed the prognostic predictive ability for 1-, 3-, 5- years overall survival, the AUC was 0.86, 0.87 and 0.87, respectively( Figures 6E, F )."}, {"asset": "source:pmid:36105819", "locator": "sections[0] \"Abstract\" paragraph 3", "quote": "We identified different TME features, immune cell infiltration between the two groups, and a better immunotherapy response was observed in the low-risk group."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "partial", "objective": "The m6A-hypoxia prognostic signature divided TNBC samples into high- and low-risk groups, with the high-risk group exhibiting worse prognosis and features of hypoxia, immune suppression, and a less favorable predicted immunotherapy response.", "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:36105819"], "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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