Gastric cancer (GC) is the fifth most common cause of cancer-associated deaths; however, its treatment options are limited. Despite clinical improvements, chemotherapy resistance and metastasis are major challenges in improving the prognosis and quality of life of patients with GC. Therefore, effective prognostic biomarkers and targets associated with immunological interventions need to be identified. Solute carrier family 2 member 2 (
SLC2A2
) may serve a role in tumor development and invasion. The present study aimed to evaluate
SLC2A2
as a prospective prognostic marker and chemotherapeutic target for GC.
SLC2A2
expression in several types of cancer and GC was analyzed using online databases, and the effects of
SLC2A2
expression on survival prognosis in GC were investigated. Clinicopathological parameters were examined to explore the association between
SLC2A2
expression and overall survival (OS). Associations between
SLC2A2
expression and immune infiltration, immune checkpoints and IC
50
were estimated using quantification of the tumor immune contexture from human RNA-seq data, the Tumor Immune Estimation Resource 2.0 database and the Genomics of Drug Sensitivity in Cancer database. Differential
SLC2A2
expression and the predictive value were validated using the Human Protein Atlas, Gene Expression Omnibus, immunohistochemistry and reverse transcription-quantitative PCR.
SLC2A2
expression was downregulated in most types of tumor but upregulated in GC. Functional enrichment analysis revealed an association between
SLC2A2
expression and lipid metabolism and the tumor immune microenvironment. According to Gene Ontology term functional enrichment analysis,
SLC2A2
-related differentially expressed genes were enriched predominantly in ‘chylomicron assembly’, ‘plasma lipoprotein particle assembly’, ‘high-density lipoprotein particle’, ‘chylomicron’, ‘triglyceride-rich plasma lipoprotein particle’, ‘very-low-density lipoprotein particle’. ‘intermembrane lipid transfer activity’, ‘lipoprotein particle receptor binding’, ‘cholesterol transporter activity’ and ‘intermembrane cholesterol transfer activity’. In addition, ‘cholesterol metabolism’, and ‘fat digestion and absorption’ were significantly enriched in the Kyoto Encyclopedia of Genes and Genomes pathway analysis. Patients with GC with high
SLC2A2
expression had higher levels of neutrophil and M2 macrophage infiltration and a significant inverse correlation was observed between
SLC2A2
expression and MYC targets, tumor mutation burden, microsatellite instability and immune checkpoints. Furthermore, patients with high
SLC2A2
expression had worse prognosis, including OS, disease-specific survival and progression-free interval. Multivariate regres...