International Journal of General Medicine (Sep 2021)
Overexpression of IRF3 Predicts Poor Prognosis in Clear Cell Renal Cell Carcinoma
Abstract
Jun Wu,1 Xuefeng Leng,1 Zhengbo Pan,2 Linfei Xu,2 Haitao Zhang2 1Department of Urology, Naval 971 Hospital of Chinese People’s Liberation Army, Qingdao City, Shandong Province, People’s Republic of China; 2Department of Urology, Municipal Hospital Affiliated to Taizhou University, Taizhou City, Zhejiang Province, People’s Republic of ChinaCorrespondence: Haitao ZhangDepartment of Urology, Municipal Hospital Affiliated to Taizhou University, Taizhou City, Zhejiang Province, People’s Republic of ChinaEmail [email protected]: Growing findings have demonstrated that interferon regulatory transcription factor (IRF) family members are linked to the progression of various cancers. However, the roles of IRFs in clear cell renal cell carcinoma (ccRCC) remain undefined. Herein, we conducted a comprehensive analysis using the bioinformatics method to evaluate the expression patterns, clinical significance, and regulation of IRFs-related mechanisms in patients with ccRCC.Methods: Data from the Cancer Genome Atlas (TCGA), International Cancer Genome Consortium (ICGA), and Gene Expression Omnibus (GEO) databases were used for investigation comprehensively. Specifically, we carried out a series of analyses to identify the candidate IRF and to explore its potential action mechanisms using the gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses. What is more, we emphatically investigate the association of candidate IRF with tumor immunity in ccRCC through the CIBERSORT algorithm, TIMER and GEPIA databases.Results: Herein, IRF3 was identified as candidate IRF, which was highly expressed in ccRCC, and its overexpression was significantly associated with worse clinical outcomes and adverse overall survival. Uni- and multi-variate Cox regression analysis demonstrated that IRF3 overexpression was an independent predictor of worse prognosis. Functional enrichment analysis showed that IRF3 might participate in several cancer-related biological processes and signaling pathways, thereby promoting the progression of ccRCC. Additionally, we found that IRF3 was remarkably associated with tumor-infiltrating immune cells (TIICs) and various immune-related genes.Conclusion: Herein, we identified IRF3 from the IRF gene family members, which could serve as promising prognostic marker and therapeutic target in ccRCC.Keywords: kidney renal clear cell carcinoma, bioinformatics, interferon regulatory transcription factor, prognosis
