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Neuropilin1 Expression Acts as a Prognostic Marker in Stomach Adenocarcinoma by Predicting the Infiltration of Treg Cells and M2 Macrophages

Authors
Kang, Ji YoungGil, MinchanKim, Kyung Eun
Issue Date
May-2020
Publisher
MDPI
Keywords
neuropilin1 (NRP1); stomach adenocarcinoma (STAD); prognostic marker; patient survival; immune infiltration; regulatory T cell; M2 macrophage
Citation
JOURNAL OF CLINICAL MEDICINE, v.9, no.5, pp 1 - 18
Pages
18
Journal Title
JOURNAL OF CLINICAL MEDICINE
Volume
9
Number
5
Start Page
1
End Page
18
URI
https://scholarworks.sookmyung.ac.kr/handle/2020.sw.sookmyung/2449
DOI
10.3390/jcm9051430
ISSN
2077-0383
2077-0383
Abstract
Neuropilin1 (NRP1) plays a critical role in tumor progression and immune responses. Although the roles of NRP1 in various tumors have been investigated, the clinical relevance of NRP1 expression in stomach adenocarcinoma (STAD) has not been studied. To investigate the use of NRP1 as a prognostic biomarker of STAD, we analyzed NRP1 mRNA expression and its correlation with patient survival and immune cell infiltration using various databases. NRP1 mRNA expression was significantly higher in STAD than normal tissues, and Kaplan-Meier survival analysis showed that NRP1 expression was significantly associated with poor prognosis in patients with STAD. To elucidate the related mechanism, we analyzed the correlation between NRP1 expression and immune cell infiltration level. In particular, the infiltration of immune-suppressive cells, such as regulatory T (Treg) cells and M2 macrophage, was significantly increased by NRP1 expression. In addition, the expression of interleukin (IL)-35, IL-10, and TGF-beta 1 was also positively correlated with NRP1 expression, resulting in the immune suppression. Collectively in this study, our integrated analysis using various clinical databases shows that the significant correlation between NRP1 expression and the infiltration of Treg cells and M2 macrophage explains poor prognosis mechanism in STAD, suggesting the clinical relevance of NRP1 expression as a prognostic biomarker for STAD patients.
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대학원 (헬스산업학(협동과정))
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