4.5 Article

Prognostic value and immunological role of Kruppel-like transcription factor 9 gene in pan-carcinoma

Journal

MEDICINE
Volume 101, Issue 50, Pages -

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000032027

Keywords

immune cell infiltration; Kruppel-like transcription factor 9; pan-carcinoma; prognostic value

Funding

  1. Taizhou Social Development Science and Technology Project [21ywa10]
  2. National Natural Science Foundation of China [8210101726, 82103772]

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The expression of KLF9 is associated with tumor prognosis and immune invasion. Low expression of KLF9 may lead to poor tumor prognosis, while its expression is positively correlated with immune cell infiltration. Therefore, KLF9 may serve as a potential biomarker for tumor prognosis.
Objective:To investigate the correlation between the expression of Kruppel-like transcription factor 9 (KLF9) and the prognostic value of tumors as well as its relationship with tumor immune invasion. Methods:A series of bioinformatics methods were used to analyze the relationship between KLF9 and tumor prognosis, tumor mutation burden, microsatellite instability (MSI), and immune cell infiltration in multiple carcinomas. Results:In multiple tumor tissues, the expression of KLF9 was lower compared with paracancerous tissues. Therefore, KLF9 can serve as a protective factor to improve the prognosis of carcinoma patients with certain tumor types. KLF9 was closely related to the clinical staging of various carcinomas. The expression of KLF9 was not only associated with tumor mutation burden and MSI in some tumor types, but also positively correlated with immune and stromal cells in multiple tumors. Further studies have found that, the level of immune cell infiltration was significantly related to the expression of KLF9. Conclusion:KLF9 can affect the prognosis of pan-carcinoma, which is related to immune invasion. Therefore, KLF9 can be used as a potential biomarker for the prognosis of pan-carcinoma.

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