The degree of immune Cell infiltration is positively correlated with the survival prognosis of BC Patients
In the TCGA and METABRIC data set, we compared the survival of BC patients with different level of immune cell infiltration degree (high or low immune score). Both of the outcomes of the two data sets showed that BC patients with high immune score had a significantly better overall survival (OS) (sequential test P < 0.05, Fig. 1), which indicates that BC patient with high immunity infiltration has better clinical outcomes.
The cancer-related pathway is positively correlated with the degree of immune Cell infiltration and immunogenicity
Using KEGG pathway enrichment analysis, we identified 23 cancer pathways: NOD-like receptor, Toll-like receptor, JAK-STAT, MAPK, PI3K-AKT, apoptosis, Focal adhesion, Ca2+, Wnt, VEGF, HIF-1, TNF, Hedgehog, Notch, ECM-like receptor, NF-κB, TGF-β, glycolysis, ErbB, estrogen receptor, MMR, cell cycle, and p53 signaling pathways. We compared the relationship between cancer pathway activity and the infiltration degree of BC immune cells in TCGA and METABRIC data sets. The results showed that in the two data sets, almost all cancer pathways were positively correlated with the infiltration degree of immune cells, only Hedgehog and Notch were negatively correlated with the infiltration degree of immune cells (Spearman's correlation, FDR < 0.05, Fig. 2a). Then we further compared the correlation between the activity of cancer pathway and the 8 immune characteristics. Being consistent with the degree of immune cell infiltration, almost all of the cancer pathways are positively correlated with the activity of the 8 immune characteristics, while Hedgehog and Notch were negatively associated with immune characteristics (Pearson's correlation, FDR < 0.05, Fig. 2b).
Identify key proteins associated with immune score and immunogenicity
We compared the correlation between protein and immune cell infiltration at protein levels. Eight proteins were identified being positively correlated with the immunity score: LCK, cleaved_capase-7, Syk, Axl, PI3K, Annexin-1, PKC-α, ATM. Five proteins were negatively correlated with immune score: ER-α, E-Cadherin, GATA3, HER3, Claudin-7 (Spearman's correlation, |R| > 0.25, FDR < 0.05, Fig. 3a). In further analysis, the correlation between these proteins and the 8 immune characteristic activities were almost the same (Pearson's correlation, FDR < 0.05, Fig. 3b). These results suggest that the expression of the up or down regulated key proteins we identified is associated with increase or decrease of immunogenicity in BC.
The correlation between microRNA (miRNA) and immune score
microRNA (miRNA) is a conserved noncoding RNA segment of 22-25 nucleotide sequences that regulates gene expression at the transcriptional level by targeting specific mRNAs and leading to their degradation or inhibition the translation. miRNA-mediated gene regulation is critical to cell function, and more than one-third of mRNAs might be miRNA targets [13]. Recent studies have shown that miRNA also plays a key role in the regulation of immune function, including innate and adaptive immune responses, immune cell development and differentiation and autoimmunity prevention [14].
Spearman's correlation was used to compare the correlation between miRNA and the immune cell infiltration degree within TCGA. According to FDR < 0.05, 187 miRNAs positively correlated with immune score and 69 miRNAs negatively correlated with immune score were identified. By further setting R > 0.5, 4 miRNAs positively correlated with immune score were identified: hsa-mir-155, hsa-mir-150, hsa-mir-146 and hsa-mir-223. By setting |R| > 0.25, 4 miRNAs negatively correlated with immune score were identified: hsa-mir-96, hsa-mir-182, hsa-mir-125a, and hsa-mir-190b (Fig. 4).
We further used TargetScan 7.2 to predict target genes of the four miRNAs which had a correlation coefficient of immune score greater than 0.5: hsa-mir-155, hsa-mir-150, hsa-mir-146a and hsa-mir-223. In order to reduce false positive rate and ensure the reliability, miRWalk 2.0, miRPathDB, miRTarBase and miRNAMap were simultaneously used for prediction. The intersection of above databases and software was taken and the results were shown in Table 1.
We further compared the correlation between these target genes and the infiltration degree of immune cells (Spearman's correlation, FDR < 0.05), and analyzed the regulation network of the selected target genes (Fig. 5a).
Finally, we performed KEGG pathway enrichment analysis on these genes. The results showed these genes were involved in multiple cancer-relating signaling pathways in BC, such as NOD-like receptor, Toll-like receptor, JAK-STAT, MAPK, apoptosis, Focal adhesion, Ca2+, Wnt, VEGF, Hedgehog, Notch, TGF-β, glycolytic, ErbB, cell cycle, and p53 signaling pathways. They also involved in several immune-relating pathways, such as B cell receptor signaling pathway, T cell receptor signaling pathway, chemokine signaling pathway, NK cell-mediated cytotoxicity signaling pathway, and cytokine-cytokine receptor interaction pathway (Fig. 5b). This indicates that miRNA plays an important regulatory role in BC as well as the immunotherapy of BC, which may be achieved by regulating the target genes.
Correlation between PD-L1 and cancer pathway activity
The expression of PD-L1 on tumor cells plays a key role in tumor immune escape [15]. We analyzed the correlation between PD-L1 expression and cancer pathway activity. It was found that in the two data sets that the expression level of PD-L1 was significantly positively correlated with the activity of 11 cancer pathways (NOD-like receptor, Toll-like receptor, NF-κB, JAK-STAT, TNF, cell apoptosis, HIF-1, VEGF, ErbB, and p53 pathway), while negatively correlated with the activity of Notch pathway (Spearman's correlation, P < 0.05) (Fig. 6). This reveals that PD-1 or PD-L1 blocking therapy may be more effective for breast cancer subtypes in which these cancer pathways were activated.