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Comprehensive Analysis of PD-1 Gene Expression, Immune Characteristics and Prognostic Significance in 1396 Glioma Patients

Authors Liu C, Zhang Z, Ping Y, Qin G, Zhang K, Maimela NR, Huang L, Yang S, Zhang Y

Received 11 November 2019

Accepted for publication 30 May 2020

Published 10 June 2020 Volume 2020:12 Pages 4399—4410

DOI https://doi.org/10.2147/CMAR.S238174

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Eileen O'Reilly


Chaojun Liu,1,* Zhen Zhang,1,* Yu Ping,1 Guohui Qin,1– 3 Kai Zhang,1 Nomathamsanqa Resegofetse Maimela,1 Lan Huang,1 Shengli Yang,1 Yi Zhang1– 3

1Biotherapy Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, People’s Republic of China; 2Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, People’s Republic of China; 3Henan Key Laboratory for Tumor Immunology and Biotherapy, Zhengzhou, Henan 450052, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Yi Zhang; Shengli Yang
Biotherapy Center, The First Affiliated Hospital of Zhengzhou University, 1th Jianshe Road, Zhengzhou, Henan 450052, People’s Republic of China
+86-371-6691-5320
; +86-371-6691-2993
Email yizhang@zzu.edu.cn; slyang@sibs.ac.cn

Background: Programmed cell death protein-1 (PD-1) blockade therapy is one of the most remarkable immunotherapy strategies in many solid tumors, excluding glioma. The PD-1 expression, immune characteristics, and prognosis relevance in glioma remain poorly understood.
Patients and Methods: RNA sequencing (RNA-seq) and mRNA microarray data were obtained for 325 and 301 glioma patients, respectively, from the Chinese Glioma Genome Atlas (CGGA) database. We analyzed the expression profile of PDCD1 (encoding PD-1) according to the different grade, isocitrate dehydrogenase (IDH) mutation status, and molecular subtype of glioblastoma. Gene ontology (GO) analyses were performed to explore biological processes of PD-1-related genes. Survival analysis was conducted using the Kaplan–Meier method. The findings were validated using The Cancer Genome Atlas (TCGA) RNA-seq data from 697 glioma samples. We also confirmed the PDCD1 gene expression feature and survival relevance in our own cohort of 73 glioma patients. R language was used for statistical analysis and generating figures.
Results: PDCD1 was enriched in glioblastoma (WHO, grade IV), IDH wild-type glioma and mesenchymal glioblastoma in CGGA and TCGA datasets; similar results were validated in our own patient cohort. GO analysis revealed that PDCD1-related genes were involved in inflammation immune responses and T cell-mediated immune responses in glioma. Circos plots indicated that PDCD1 was positively associated with CD28, ICOS, and the inhibitory checkpoint molecules CTLA4, HAVCR2, TIGIT, and LAG3. Patients with PDCD1 upregulation had much shorter overall survival.
Conclusion: PDCD1 upregulation was found in more malignant phenotypes of glioma and indicated a worse prognosis. Immunotherapy of targeting PD-1 or combined with other checkpoint molecules (eg, TIM-3, LAG-3, or TIGIT) blockade may represent a promising treatment strategy for glioma.

Keywords: programmed cell death 1, glioma, The Cancer Genome Atlas, survival analysis, immunotherapy, costimulatory, inhibitory T-cell receptors

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