The comprehensive research on PARK expression and activity in 33 tumor types reveals that PARK7 has different roles in different tumors. Not identical to the original assumption, PARK7 is not only an oncogenic factor, but also, has a protective effect in some tumors.
Consistent with previous studies, PARK7 was significantly overexpressed in BLCA29, BRCA30, COAD31, ESCA32, GBM33, HNSC34, LIHC35, LUAD36, LUSC36, PRAD37, STAD38, UCEC39 compared to normal tissues. Protein sequencing of thyroid tumor tissues by Srisomsap C40 failed to find a characteristic difference in PAEK 7 between neoplastic and non-neoplastic conditions, in contrast to the findings in this paper. Our analysis of database data revealed that in thyroid tumors, PAEK7 expression was higher in normal tissues than in tumor tissues. The difference in results is probably related to the different methods of data collection. Protein expression level is more reflective of PARK7 tissue activity than transcript level, which is not available from public databases. Comparison of transcription level with PARK7 activity score revealed that transcription level matched activity of PARK7 in the tumor group of BLCA, BRCA, GBM, LIHC, LUAD, LUSC, PRAD and UCEC, suggesting that transcription levels are representative of PARK7 activity in these cancers. The inconsistency in PARK7 expression and activity may be due to alteration in post-transcriptional protein level or protein metabolism affecting PARK7 expression.
As for the prognostic value of PARK7, Kaplan-Meier analyses revealed that the low expression of PARK7 is associated with favourable overall survival outcomes in tumor group of UVM, GBM, KIRC, and LAML. COX regression model analyses suggest that PARK7 is an independent prognostic factor for KICH, LAML and UVM. A previous study has yielded similar findings41. The study on renal clear cell carcinoma did not directly yield a negative correlation with PARK7 and prognosis, but concluded that overexpression of PARK7 inhibits apoptosis in clear renal cell carcinoma cells42. Kaplan-Meie analysis and multivariate COX regression model analysis suggest that PARK7 plays a protective role in EMSO and KIRP, respectively. As far as we know, there are no studies on PARK7 and KIRP prognosis. Vavougios GD43 studied BBS1, a interactor of PARK7, and found that elevated BBS1 is a favorable predictor of overall survival in malignant pleural mesothelioma, but it is not clear the relationship between BBSI and PARK7 expression and its involvement in malignant pleural mesothelioma. Altogether, these findings clearly indicate that PARK7 can be considered as a prognostic biomarker in pan-cancer.
Evaluation of PARK7 and immune infiltrating cells showed a negative correlation of PARK7 expression with resting memory CD4 + T cells and a positive correlation with CD8 + T cells in KIRC. Most CD8 + T cells are cytotoxic T lymphocytes and generally considered as the main force of host immune system to against tumor44. Moreover, Davis D concluded that clear cell renal cell carcinoma patients with high CD8 + T cells had a significantly lower death rate45. Combined with survival analysis, the findings of our research seem to be contradictory. However, our results are comparable to the other TCGA data analysis46, which suggested that higher CD8 + T cell infiltration in clear cell renal cell carcinoma was associated with worse outcomes. These findings indicate the important role of CD8 + T cells in the immune microenvironment of renal clear cell carcinoma and the fact that increased CD8 + T cells do not simply mean a better prognosis. It was found that a lesser proportion of activated CD8 + cells and a greater proportion of exhausted CD8 + cells were associated with poor prognosis47. We speculate that PARK7 may contribute to an increase in the amount of exhausted CD8 + cells. In fact, the immune microenvironment is dynamically regulating and interacting. It might be unreliable to assess the prognosis based on a single type of lymphocyte, which indicates the need for a comprehensive immune scoring system. Since PD-1 is mainly expressed on CD8 + cells, CD8 + cells are often used as a biomarker to assess the efficacy of immunotherapy, as are TMB48 and MSI49. PARK7 expression was positively correlated with TMB and MSI in group of UCEC and KIRP, implying that PARK7 expression may affect immunotherapy efficacy in UCEC and KIRP. We analyzed three independent cohorts, one of which found patients with low PARK7 expression were more sensitive to immunotherapy.
In UVM, patients with high PARK7 expression had higher immune scores, which was consistent with the pathway enrichment results. Gene enrichment analyses of UVM showed that chemokine signaling pathway, immune response activation, adaptive immune response and B cell activation were enriched in PARK7 high expression group. Furthermore, we found that the T cell activation pathway of cholangiocarcinoma and sarcoma was enriched in the PARK7 high expression group. The B cell differentiation pathway of breast cancer was enriched in the PARK7 low expression group. It was previously found that iTregs in mice lacking PARK7 failed to develop completely, and PARK7 played an important role in the differential regulation of iTregs and nTregs19. Combined with the results of the present study, PARK may be able to regulate the activation and differentiation of T and B lymphocytes, not only for Tregs. PARK7 is likely to be involved in the regulation of the immune response through these pathways. In other tumor types, PARK7-related immune pathways include toll-like receptor signaling pathway, TGFβ signaling pathway, RIG-I like receptor signaling pathway, and so on. Unfortunately, these pathways have not yet been proven.