Identification of prognostic biomarkers associated with metastasis and immune infiltration in osteosarcoma
Open accessAbstract
Osteosarcoma is the most common primary malignancy of the bones, and is associated with a high rate of metastasis and a poor prognosis. A tight association between the tumor microenvironment (TME) and osteosarcoma metastasis has been established. In the present study, the Estimation of STromal and Immune cells in MAlignant Tumor tissues using Expression data (ESTIMATE) algorithm was applied to calculate the immune and stromal scores of patients with osteosarcoma based on data from The Cancer Genome Atlas database. A metagene approach and deconvolution method were used to reveal distinct TME landscapes in patients with osteosarcoma. Bioinformatics analysis was used to identify differentially expressed genes (DEGs) associated with metastasis and immune infiltration in osteosarcoma, and a risk model was constructed using the DEGs with potential prognostic significance. Subsequently, gene set enrichment and Spearman's correlation analyses were used to delineate the biological processes associated with these prognostic biomarkers. Finally, immunohistochemical (IHC) analysis was performed to evaluate the expression levels of immune infiltrates and prognostic biomarkers in clinical osteosarcoma tissues. The results of the ESTIMATE demonstrated that patients with non‑metastatic osteosarcoma presented with higher immune/stromal scores and a more favorable prognosis compared with those with metastatic osteosarcoma. The TME landscapes in patients with osteosarcoma suggested that high levels of tumor‑infiltrating immune cells (TIICs) may suppress metastasis. Increased numbers of CD56bright natural killer cells, immature B cells, M1 macrophages and neutrophils, and lower levels of M2 macrophages were observed in the non‑metastatic tissues compared with those in the metastatic tissues. A total of 69 DEGs were identified to be associated with metastasis and immune infiltration in osteosarcoma. Of these, GATA3, LPAR5, EVI2B, RIAM and CFH exhibited prognostic potential and were highly expressed in non‑metastatic osteosarcoma tissues based on the IHC analysis results. These biomarkers were involved in various immune‑related biological processes and were positively associated with multiple TIICs and immune signatures. The risk model constructed using these prognostic biomarkers demonstrated high predictive accuracy for the prognosis of osteosarcoma. In conclusion, the present study proposed a five‑biomarker prognostic signature for the prediction of metastasis and immune infiltration in patients with osteosarcoma.
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Patients with non-metastasis showed higher immune scores and better prognosis compared with those with metastatic osteosarcoma.
“The analysis of TME landscapes in osteosarcoma suggested that patients with non-metastasis showed higher immune scores and better prognosis compared with those with metastatic osteosarcoma.”
From Advances on immunotherapy for osteosarcoma (2024) · cites this paper as [38]
High levels of tumor-infiltrating immune cells may suppress metastasis.
“In addition, high levels of tumor-infiltrating immune cells may suppress metastasis [38].”
From Advances on immunotherapy for osteosarcoma (2024) · cites this paper as [38]
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Advances on immunotherapy for osteosarcoma
Yu, S., & Yao, X. (2024) · Molecular Cancer · doi:10.1186/s12943-024-02105-9 · Cited by 270 · see citing works
“In addition, high levels of tumor-infiltrating immune cells may suppress metastasis [38].”
Background
- Authors
- Yang, B., Su, Z., Chen, G., Zeng, Z., Tan, J., Wu, G., Zhu, S., & Lin, L.
- Affiliations
- Zhujiang Hospital (CN)
- Southern Medical University (CN)
- Putian University (CN)
- Guiyang Medical University (CN)
- Corresponding author
- Zhu, Shuang
- Lin, Lijun
- Venue
- Oncology Letters
- Publisher
- Spandidos Publications
- Published
- 2021-01-06
- Volume
- 21
- Issue
- 3
- Pages
- 180-180
- ISSN
- 1792-1074 (ISSN-L)
- 1792-1082
- PMC
- PMC7816295
- OpenAlex
- W3120376042
- Cited by
- 36
- References
- 4
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 6 · 2023: 9 · 2022: 5 · 2021: 8
- FWCI
- 4.55
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Oncology Letters (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Sarcoma Diagnosis and Treatment
- Health Sciences › Medicine › Rheumatology › Bone Tumor Diagnosis and Treatments
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Keywords
- osteosarcoma, metastasis, tumor immune infiltration, tumor microenvironment, prognostic factors, prognostic risk model, differentially expressed genes, tumor-infiltrating immune cells, natural killer cells, macrophage polarization, M2 macrophages, GATA3, LPAR5, RIAM, complement factor H
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