Background
BLCA is the second most common urogenital malignancy. In recent years, although the use of neoadjuvant and adjuvant chemotherapy has been thoroughly studied, the prognosis of metastatic BLCA is still poor. In order to improve the survival of BLCA patients and the accuracy of their response to individualized therapy, we need to further explore more novel BLCA biomarkers.Immunogenic cell death (ICD), a unique form of regulatory cell death, not only plays an important role in the immune process, but also activates the adaptation of immunocompetent hosts through the release of damage-related molecular patterns (DAMPs) and cytokine immunity, thereby establishing long-term immune memory. To some extent, this can affect the process of eradicating pathogens and balancing anti-tumor immunity against tumor immunity cycle.Currently, studies on the role of Immunogenic cell death (ICD) related genes in survival prognosis and immune processes in many tumors have been carried out. Unfortunately, this is not yet explored in BLCA.
Methods
We performed the analysis using BLCA samples involved in the Cancer Genome Atlas (TCGA) and the Gene Expression Omnibus (GEO) databases. Two subtypes associated with ICD were identified by consensus clustering, and the correlation between the two subtypes and survival and immunity in BLCA patients was investigated. In addition, we established and validated an ICD-related prognostic model and investigated the correlation between this model and prognosis, immunoinfiltration, immune cells, and immunotherapy response in BLCA patients.
Results
The results suggest that high ICD subtypes are associated with poor clinical outcomes, abundant immune cell infiltration, and high immune response signal activity. Our ICD-related prognostic model can predict the survival of BLCA patients and is associated with immunoinfiltration and tumor immune cells.
Conclusion
In conclusion, we established a new BLCA stratification system based on ICD-related genes. This stratification has important guiding significance for evaluating the prognosis of BLCA patients and the effect of immunotherapy.