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Unveiling immunogenic cell death–related genes in colorectal cancer: an integrated study incorporating transcriptome and Mendelian randomization analyses

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Abstract

Immunogenic cell death (ICD), a type of cell death that activates the tumor-specific immune response and thus exerts anti-tumor effects, is an emerging target in tumor therapy, but research on ICD-related genes (ICDGs) in colorectal cancer (CRC) remains limited. This study aimed to identify the CRC-specific ICDGs and explore their potential roles. Through RNA sequencing for tissue samples from CRC patients and integration with The Cancer Genome Atlas (TCGA) data, we identified 33 differentially expressed ICDGs in CRC. We defined the ICD score based on these genes in single-cell data, where a high score indicated an immune-active microenvironment. Additionally, molecular subtypes identified in bulk RNA data showed distinct immune landscapes. The ICD-related signature constructed with machine learning effectively distinguished patients’ prognosis. The summary data–based Mendelian randomization (SMR) and colocalization analysis prioritized CFLAR for its positive association with CRC risk. Molecular docking revealed its stable binding with chemotherapeutic drugs like irinotecan. Furthermore, experimental validation confirmed CFLAR overexpression in CRC samples, and its knockdown inhibited tumor cell proliferation. Overall, this study expands the understanding of the potential roles and mechanisms of ICDGs in CRC and highlights CFLAR as a promising target for CRC.

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Data availability

Raw RNA-sequencing data of the tissues from CRC patients in this study have been deposited in the Genome Sequence Archive in National Genomics Data Center, China National Center for Bioinformation/Beijing Institute of Genomics, Chinese Academy of Sciences (GSA: HRA005244) that are accessible at https://ngdc.cncb.ac.cn/gsa. The SMR software is available at https://yanglab.westlake.edu.cn/software/smr. The summary-level data of the GWAS are available at https://www.finngen.fi/en, and the eQTL dataset is available at https://www.eqtlgen.org/ and https://gtexportal.org/. The public CRC transcriptome datasets were obtained from the UCSC Xena platform (http://xena.ucsc.edu) and the GEO database (https://www.ncbi.nlm.nih.gov/geo/). Other data used and/or analyzed in this study are available from the corresponding author on reasonable request.

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Acknowledgements

We are incredibly grateful to the TCGA, GEO, FinnGen, eQTLGen, GTEx and all public databases for their data support.

Funding

This study was supported by National Natural Science Foundation of China (No. 82172956).

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Authors and Affiliations

Authors

Contributions

Yu Shao and Zhenling Wang contributed equally to this study. Conception and design were carried out by Zan Fu, Yu Shao, Zhenling Wang, and Jingyu Wu. Yu Shao, Yang Chen, and Yunfei Lu performed the analysis. Hongqiang Zhang, Changzhi Huang, Hengyang Shen, and Lei Xu collected and processed the data and samples. Yu Shao and Zhenling Wang wrote the main manuscript text and Jingyu Wu prepared figures. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Zan Fu.

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Ethics approval and consent to participate

The studies involving human participants were reviewed and approved by Ethics Committee of the First Affiliated Hospital of Nanjing Medical University (No.2023-SR-206). All methods were performed in accordance with the relevant guidelines and the Declaration of Helsinki. The age of all participants is greater than 16 years old, and written informed consent to participate in this study was provided by the participants.

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The authors declare no competing interests.

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Shao, Y., Wang, Z., Wu, J. et al. Unveiling immunogenic cell death–related genes in colorectal cancer: an integrated study incorporating transcriptome and Mendelian randomization analyses. Funct Integr Genomics 23, 316 (2023). https://doi.org/10.1007/s10142-023-01238-2

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  • DOI: https://doi.org/10.1007/s10142-023-01238-2

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