IntroductionTriple-negative breast cancer (TNBC) features significant heterogeneity and a complex tumor immune microenvironment (TIME). Pyroptosis strongly influences this environment, yet the roles of pyroptosis-related genes (PRGs) remain unclear.
Since single transcriptomic methods obscure the full clinical value of PRGs, multi-omics identification of PRGs in TNBC was used to predict the prognosis and immune landscape of TNBC.MethodsWe integrated TNBC transcriptomic data from the TCGA and GEO databases. We constructed a PRG prognostic signature using the LASSO algorithm.
This signature was validated in an independent GEO cohort. We used single-cell RNA sequencing (scRNA-seq) to analyze the expression heterogeneity of signature genes across different cell subpopulations.
We also evaluated their association with the TIME. Spatial transcriptomics (ST) was used to map the spatial distribution of these genes.
Finally, we performed immunohistochemistry (IHC) on 48 clinical TNBC samples. This step validated the protein expression of six core genes (PINK1, GZMB, PFKFB3, RSPO3, TREM1, and VEGFA) .ResultsThe PRG signature demonstrated robust prognostic predictive performance.
It effectively distinguished TNBC patients with different prognoses and immune phenotypes.