Exploration of Key Genes Combining with Immune Infiltration Level and Tumor Mutational Burden in Hepatocellular Carcinoma
Abstract Background: Hepatocellular carcinoma (HCC) is still a lethal malignancy because of its heterogenicity and aggressive behavior, with unsatisfactory early diagnosis and poor prognosis. Recently, few somatic mutations have been reported to associated with HCC carcinogenesis and function in predicting HCC progression. Interactions of tumor cells with surrounding immune microenvironment in HCC participate in orchestrating the onset and development. Herein, our aim is to investigate the associations of tumor mutational burden (TMB) with immune microenvironment in HCC. Then we will seek for differential expression genes (DEGs) in terms of immune and TMB scores and discuss whether their latent functions affect HCC prognosis and progression.Methods: The expression, clinical and mutational data were downloaded from TCGA database, then calculated the immune infiltration of these HCC samples by R package “ssGSEA”, “CIBERSORT” and “ESTIMATE”. Then the samples were clarified to 2 groups according to the immune levels. TMB was also calculated and differential expressional genes (DEGs) in the low and high TMB group were intersected and the different immune level groups. Then the cox analyses and prognostic model were performed and tested by R package “glmnet”. Then the selected genes BCL10 and TRAF3 were tested their expression by qrt-PCR and IHC and tested their clinical correlation by chi-square analyses and their biological processes enriched by GSEA, and their immune infiltration by “ssGSEA” individualy. Last, pearson algorithm was employed to judge the relevance of BCL10 and TRAF3.Results: Upregulated degrees of immune infiltration correlated with TMB, they synergistically predicted poor prognosis in HCC. DEGs enriched in immune-related pathways could serve as an indicator of therapeutic effect of HCC immunotherapy. Among these DEGs, BCL10 and TRAF3 were highly expressed in HCC tissues, especially in TP53 mutation group. BCL10 and TRAF3 corporately exhibited immunological function, thereby affecting HCC progression and prognosis.Conclusions: We identified that BCL10 and TRAF3 exhibited good prognostic value in predicting the clinical outcome of HCC patients, which may influence TMB and tumor microenvironment (TME) and help us moving towards immune-based therapies with HCC patients, ultimately improving their long-term survival.