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pmid:36845750
The prognostic value and response to immunotherapy of immunogenic cell death-associated genes in breast cancer.
Rongling Zhao · Wenkang Wang · Limin Pan · Xuefeng Lv · Yi He · Wenping Lian · Yajie Ma · Xinyu Zhang · Ruijing Yu · Shuai Zhao · Xiaona Guo · Tao Huang · Mengle Peng
Frontiers in oncology · 2023 doi:10.3389/fonc.2023.1047973
Paper
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Experiment
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Data
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Analysis
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Execution
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Complete file
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Numerous lines of evidence reported that the effects of immunotherapy of BRCA were manipulated by TME. Immunogenic cell death (ICD) is a form of regulated cell death (RCD) that is capable of fueling adaptive immune responses and aberrant expression of ICD-related genes (ICDRGs) can govern the TME system by emitting danger signals or damage-associated molecular patterns (DAMPs). In the current study, we obtained 34 key ICDRGs in BRCA. Subsequently, using the transcriptome data of BRCA from the TCGA database, we constructed a risk signature based on 6 vital ICDRGs, which had a good performance in predicting the overall survival of BRCA patients. We also examined the efficacy of our risk signature in the validation dataset (GSE20711) in the GEO database and it performed excellently. According to the risk model, patients with BRCA were divided into high-risk and low-risk groups. Also, the unique immune characteristics and TME between the two subgroups and 10 promising small molecule drugs targeting BRCA patients with different ICDRGs risk have been investigated. The low-risk group had good immunity indicated by T cell infiltration and high immune checkpoint expression. Moreover, the BRCA samples could be divided into three immune subtypes according to immune response severity (ISA, ISB, and ISC). ISA and ISB predominated in the low-risk group and patients in the low-risk group exhibited a more vigorous immune response. 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