Abstract
Colorectal cancer (CRC) remains a significant global health issue. In this study, the role of T-cell exhaustion-related genes (TEXs) in CRC was investigated using single-cell and bulk RNA-seq analysis. This research involved extensive data analysis using multiple databases, including the TCGA-COAD cohort, GSE14333, and GSE39582. Through single-cell analysis, distinct cell populations within CRC samples were identified and classified T-cells into four subgroups: regulatory T-cells (Tregs), conventional CD4+ T-cells (CD4+ T conv), CD8+ T, and CD8+ T exhausted cells. Intercellular communication networks and signaling pathways associated with TEXs using computational tools such as CellChat and PROGENy. Additionally, TEX-related alterations in tumor gene pathways were analyzed through Gene Ontology and Kyoto Encyclopedia of Genes and Genomes analyses. Prognostic models were developed, and their correlation with immune infiltration was assessed. The study revealed the presence of distinct cell populations within CRC, with TEXs playing a crucial role in the tumor microenvironment. CD8+ T exhausted cells exhibited expression of specific markers, indicating their involvement in tumor immune evasion. CellChat and PROGENy analyses revealed intricate communication networks and signaling pathways associated with TEXs, including RNA splicing and viral carcinogenesis. Furthermore, the prognostic risk model developed on the basis of TEXs demonstrated its efficacy in stratifying CRC patients. This risk model exhibited strong correlations with immune infiltration by various effector immune cells, highlighting the influence of TEXs on the tumor immune response. The complex interactions and signaling pathways underlying TEX-associated immune dysregulation in CRC were revealed by employing advanced analytical approaches. The development of a prognostic risk model based on TEXs offers a promising tool for prognostic stratification in patients with CRC. Furthermore, the correlations observed between TEXs and immune infiltration provide valuable insights into the potential of TEXs as therapeutic targets and highlight the need for further investigation into TEX-mediated immune evasion mechanisms. This study thus provides valuable insights into the role of TEXs in CRC.
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JW and HL designed the study. WT, YT, CT, HZ, SX, JW, LH, and LC performed data analysis. WT drafted the manuscript. JW and HL revised the manuscript. All authors read and approved the final manuscript.
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ESM 1
Figure S1. Prognostic stratification assessment of patients with CRC in the training and validation groups based on TEX risk scores. A-C. Kaplan-Meier curves, scatter plots, and dotted line plots for prognostic stratification of CRC in terms of TEX risk score in TCGA-COAD, GSE14333, and GSE39582 databases. CRC, colorectal cancer; TEX, T-cell exhaustion. (PNG 367 kb)
ESM 2
Figure S2. The Xcell method was applied to assess the immune infiltration of TEX risk scores in CRC. A. Correlation heat map evaluating the correlation of expression among multiple tumor immune cells identified by the Xcell method, B. Correlation heat map presenting the correlation of expression between multiple tumor immune cells identified by the Xcell method and the five core TEX-related prognostic genes constituting the TEX risk model, C. Box plot displaying the expression level of multiple tumor immune cells and immune pathways in the low-risk and high-risk groups, D. Scatter plot and linear correlation analysis revealing the association of risk scores with the expression of M1 macrophage, CD8 naive T-cells, Th2 T-cells, and mast cells. TEX, T-cell exhaustion, CRC, colorectal cancer. (PNG 730 kb)
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Tu, W., Tu, Y., Tan, C. et al. Elucidating the role of T-cell exhaustion-related genes in colorectal cancer: a single-cell bioinformatics perspective. Funct Integr Genomics 23, 259 (2023). https://doi.org/10.1007/s10142-023-01188-9
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DOI: https://doi.org/10.1007/s10142-023-01188-9