A risk signature constructed by Tregs-related genes predict the clinical outcomes and immune therapeutic response in kidney cancer

Abstract Regulatory T cells (Tregs) have been found to be related to immune therapeutic resistance in kidney cancer. However, the potential Tregs-related genes still need to be explored. Our study found that patients with high Tregs activity show poor prognosis. Through co-expression and differentia...

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Main Authors: Gang Li, Jingmin Cui, Tao Li, Wenhan Li, Peilin Chen
Format: Article
Language:English
Published: Springer 2025-01-01
Series:Discover Oncology
Subjects:
Online Access:https://doi.org/10.1007/s12672-025-01787-x
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author Gang Li
Jingmin Cui
Tao Li
Wenhan Li
Peilin Chen
author_facet Gang Li
Jingmin Cui
Tao Li
Wenhan Li
Peilin Chen
author_sort Gang Li
collection DOAJ
description Abstract Regulatory T cells (Tregs) have been found to be related to immune therapeutic resistance in kidney cancer. However, the potential Tregs-related genes still need to be explored. Our study found that patients with high Tregs activity show poor prognosis. Through co-expression and differential expression analysis, we screened several Tregs-related genes (KTRGs) in kidney renal clear cell carcinoma. We further conducted the univariate Cox regression analysis and determined the prognosis-related KTRGs. Through the machine learning algorithm—Boruta, the potentially important KTRGs were screened further and submitted to construct a risk model. The risk model could predict the prognosis of RCC patients well, high risk patients show a poorer outcomes than low risk patients. Multivariate Cox regression analysis reveals that risk score is an independent prognostic factor. Then, the nomogram model based on KTRG risk score and other clinical variables was further established, which shows a high predicted accuracy and clinical benefit based on model validation methods. In addition, we found EMT, JAK/STAT3, and immune-related pathways highly enriched in high risk groups, while metabolism-related pathways show a low enrichment. Through analyzing two other external immune therapeutic datasets, we found that the risk score could predict the patient's immune therapeutic response. High-risk groups represent a worse therapeutic response than low-risk groups. In summary, we identified several Tregs-related genes and constructed a risk model to predict prognosis and immune therapeutic response. We hope these organized data can provide a theoretical basis for exploring potential Tregs' targets to synergize the immune therapy for RCC patients.
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issn 2730-6011
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spelling doaj-art-14eecc501e8240d9bff51da9020b6ced2025-01-26T12:39:46ZengSpringerDiscover Oncology2730-60112025-01-0116111610.1007/s12672-025-01787-xA risk signature constructed by Tregs-related genes predict the clinical outcomes and immune therapeutic response in kidney cancerGang Li0Jingmin Cui1Tao Li2Wenhan Li3Peilin Chen4Department of Urology, Tangshan Gongren HospitalDepartment of Urology, Tangshan Gongren HospitalDepartment of Urology, Tangshan Gongren HospitalDepartment of Urology, Tangshan Gongren HospitalDepartment of Urology, Tangshan Gongren HospitalAbstract Regulatory T cells (Tregs) have been found to be related to immune therapeutic resistance in kidney cancer. However, the potential Tregs-related genes still need to be explored. Our study found that patients with high Tregs activity show poor prognosis. Through co-expression and differential expression analysis, we screened several Tregs-related genes (KTRGs) in kidney renal clear cell carcinoma. We further conducted the univariate Cox regression analysis and determined the prognosis-related KTRGs. Through the machine learning algorithm—Boruta, the potentially important KTRGs were screened further and submitted to construct a risk model. The risk model could predict the prognosis of RCC patients well, high risk patients show a poorer outcomes than low risk patients. Multivariate Cox regression analysis reveals that risk score is an independent prognostic factor. Then, the nomogram model based on KTRG risk score and other clinical variables was further established, which shows a high predicted accuracy and clinical benefit based on model validation methods. In addition, we found EMT, JAK/STAT3, and immune-related pathways highly enriched in high risk groups, while metabolism-related pathways show a low enrichment. Through analyzing two other external immune therapeutic datasets, we found that the risk score could predict the patient's immune therapeutic response. High-risk groups represent a worse therapeutic response than low-risk groups. In summary, we identified several Tregs-related genes and constructed a risk model to predict prognosis and immune therapeutic response. We hope these organized data can provide a theoretical basis for exploring potential Tregs' targets to synergize the immune therapy for RCC patients.https://doi.org/10.1007/s12672-025-01787-xTregsRCCMachine learningClinical modelImmune therapy
spellingShingle Gang Li
Jingmin Cui
Tao Li
Wenhan Li
Peilin Chen
A risk signature constructed by Tregs-related genes predict the clinical outcomes and immune therapeutic response in kidney cancer
Discover Oncology
Tregs
RCC
Machine learning
Clinical model
Immune therapy
title A risk signature constructed by Tregs-related genes predict the clinical outcomes and immune therapeutic response in kidney cancer
title_full A risk signature constructed by Tregs-related genes predict the clinical outcomes and immune therapeutic response in kidney cancer
title_fullStr A risk signature constructed by Tregs-related genes predict the clinical outcomes and immune therapeutic response in kidney cancer
title_full_unstemmed A risk signature constructed by Tregs-related genes predict the clinical outcomes and immune therapeutic response in kidney cancer
title_short A risk signature constructed by Tregs-related genes predict the clinical outcomes and immune therapeutic response in kidney cancer
title_sort risk signature constructed by tregs related genes predict the clinical outcomes and immune therapeutic response in kidney cancer
topic Tregs
RCC
Machine learning
Clinical model
Immune therapy
url https://doi.org/10.1007/s12672-025-01787-x
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