BACKGROUND: Liver hepatocellular carcinoma (LIHC) exhibits a notable prevalence and fatality rate, posing a significant risk to human well-being. 1. The orphan cytokine receptor-like factor 3 (CRLF3), which exhibits evolutionary conservation, has been associated with hematopoiesis in vertebrates, human diseases, and neuroprotection in insects 2,3. However, there is a dearth of research investigating the role of CRLF3 in LIHC and the underlying mechanisms involved.
METHODS: The researchers utilized the TCGA database to examine the putative regulatory association between the expression of CRLF3 mRNA and LIHC.The Human Protein Atlas (HPA) has made available visual representations of the expression patterns of the CRLF3 protein. To determine the protein expression levels of CRLF3 in LIHC and adjacent normal tissues, immunohistochemistry techniques were employed.The study employed the Kaplan-Meier method, Cox regression, and logistic regression to evaluate the association between CRLF3 mRNA expression levels and survival outcomes and prognosis. In this study, the researchers employed GO and Kyoto KEGG pathway enrichment analyses, as well as GSEA, to investigate the potential regulatory role of CRLF3. The biological function of CRLF3 was identified using the ssGSEA technique.
RESULTS: The primary objective of this study is to assess the levels of expression exhibited by various members of the CRLF family in LIHC and analyze their potential influence on prognosis. The mRNA expression levels of CRLF3 exhibited a significant increase in LIHC tissues, both at the transcript and protein levels. Furthermore, research has demonstrated that patients exhibiting elevated levels of CRLF3 in LIHC experience diminished OS, DSS, and PFI. Several clinicopathologic parameters, including clinical T stage, pathologic stage, histologic grade, and AFP concentration, have been seen to exhibit associations with CRLF3 expression in LIHC. The study used multivariate survival analysis to establish that CRLF3 served as an independent predictive factor. Additional enrichment analysis was conducted, which demonstrated that the PI3K Akt, Wnt, FcεRI-mediated NF-κB activation, activation of the intestinal immune network for the IgA production, interactions between immune cells and microRNAs in the tumor microenvironment, and JAK/STAT signaling pathways exhibited significant enrichment in the group with high CRLF3 expression. The ssGSEA analysis revealed a significant positive connection between the expression of CRLF3 and the presence of T helper 2 (Th2) and T helper cells.
CONCLUSIONS: Increased CRLF3 in LIHC is strongly linked to decreased survival and immune infiltration invasion. Based on the findings of our study, it is suggested that CRLF3 has the potential as a prognostic marker for unfavorable outcomes and might serve as a viable target for immunotherapeutic interventions in the management of LIHC.