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Bioinformatics Identification of Regulatory Genes and Mechanism Related to Hypoxia-Induced PD-L1 Inhibitor Resistance in Hepatocellular Carcinoma
oleh: Mohan Huang, Sijun Yang, William Chi Shing Tai, Lingfeng Zhang, Yinuo Zhou, William Chi Shing Cho, Lawrence Wing Chi Chan, Sze Chuen Cesar Wong
| Format: | Article |
|---|---|
| Diterbitkan: | MDPI AG 2023-05-01 |
Deskripsi
The combination of a PD-L1 inhibitor and an anti-angiogenic agent has become the new reference standard in the first-line treatment of non-excisable hepatocellular carcinoma (HCC) due to the survival advantage, but its objective response rate remains low at 36%. Evidence shows that PD-L1 inhibitor resistance is attributed to hypoxic tumor microenvironment. In this study, we performed bioinformatics analysis to identify genes and the underlying mechanisms that improve the efficacy of PD-L1 inhibition. Two public datasets of gene expression profiles, (1) HCC tumor versus adjacent normal tissue (<i>N</i> = 214) and (2) normoxia versus anoxia of HepG2 cells (<i>N</i> = 6), were collected from Gene Expression Omnibus (GEO) database. We identified HCC-signature and hypoxia-related genes, using differential expression analysis, and their 52 overlapping genes. Of these 52 genes, 14 PD-L1 regulator genes were further identified through the multiple regression analysis of TCGA-LIHC dataset (<i>N</i> = 371), and 10 hub genes were indicated in the protein–protein interaction (PPI) network. It was found that <i>POLE2</i>, <i>GABARAPL1</i>, <i>PIK3R1</i>, <i>NDC80</i>, and <i>TPX2</i> play critical roles in the response and overall survival in cancer patients under PD-L1 inhibitor treatment. Our study provides new insights and potential biomarkers to enhance the immunotherapeutic role of PD-L1 inhibitors in HCC, which can help in exploring new therapeutic strategies.