Carcinogenesis, Teratogenesis & Mutagenesis ›› 2023, Vol. 35 ›› Issue (6): 467-472.doi: 10.3969/j.issn.1004-616x.2023.06.011

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Expression of DNAJB4 and association with immune infiltration and prognosis in non-small cell lung cancer

YANG Shangying1,4, HUANG Mingxiang1,4, XU Dexin2,4, LIU Jiafu3,4, CHEN Xinfu2,4   

  1. 1. Department of Clinical Laboratory, Fujian Pulmonary Hospital, Fuzhou 350008;
    2. Department of Chest Surgery, Fujian Pulmonary Hospital, Fuzhou 350008;
    3. Department of Pathology, Fujian Pulmonary Hospital, Fuzhou 350008;
    4. Department of Clinical Laboratory, Clinical Teaching Hospital of Fujian Medical University, Fuzhou 350008, Fujian, China
  • Received:2023-06-21 Revised:2023-09-25 Online:2023-11-30 Published:2023-12-09

Abstract: OBJECTIVE:To investigate expression of DNAJB4 in non-small cell lung cancer (NSCLC) and its association with immune cell infiltration levels and prognosis. METHODS:Differences in expression of DNAJB4 mRNA in cancer tissues of NSCLC patients and normal tissues adjacent to the cancers were evaluated based on GEPIA database analysis. Real-time quantitative PCR and immunohistochemical methods were used to detect expressions of DNAJB4 mRNA and protein in NSCLC tissues. The TIMER database was used to analyze correlations between the expression of DNAJB4 and the level of immune cells (B cells,CD4+T cells,CD8+T cells,neutrophils,macrophages,dendritic cells) infiltration in NSCLC,and to explore the prognosis of NSCLC patients with immune cell infiltration. Relationships between expression levels of DNAJB4 and prognosis of NSCLC were evaluated using the Kaplan Meier plot database. RESULTS:Expression of DNAJB4 in NSCLC tissues was lower than that of normal tissues. The low expression was associated with the infiltration levels of immune cells. In lung adenocarcinoma,copy number variations of DNAJB4 had a significant impact on the infiltration levels of immune cells (P<0.05). In addition,B cells served as independent prognostic factors for LUAD. In lung squamous cell carcinoma (LUSC),DNAJB4 copy number variations had a significant impact on immune cell infiltration levels except for CD8+ T cells (P<0.05). Survival analysis showed a significant correlation between low expression of DNAJB4 and poor prognosis in NSCLC patients (P<0.05). CONCLUSION:DNAJB4 expression in NSCLC tissues was downregulated,involved in immune cell infiltration into cancer tissues,impacted on the balance of immune microenvironment,and adversely affected prognosis of the patients. DNAJB4 may be useful as a biological marker for immune cell infiltration and prognosis in NSCLC.

Key words: DNAJB4, non-small cell lung cancer, immune infiltration, prognosis

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