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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2024.1519345</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Integrating bioinformatics and machine learning to identify AhR-related gene signatures for prognosis and tumor microenvironment modulation in melanoma</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Li</surname>
<given-names>Qianru</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2927995"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/investigation/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Li</surname>
<given-names>Heli</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1527664"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Dermatology, Wuhan No.1 Hospital</institution>, <addr-line>Wuhan, Hubei</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Hubei Province &amp; Key Laboratory of Skin Infection and Immunity</institution>, <addr-line>Wuhan, Hubei</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Division of Child Healthcare, Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology</institution>, <addr-line>Wuhan</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Qingyu Luo, Dana&#x2013;Farber Cancer Institute, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Xiaowei Wu, Dana&#x2013;Farber Cancer Institute, United States</p>
<p>Hao Song, St. Jude Children&#x2019;s Research Hospital, United States</p>
<p>Shunian Xiang, Admera Health, United States</p>
<p>Haili Ma, Dana&#x2013;Farber Cancer Institute, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Heli Li, <email xlink:href="mailto:liheli@hust.edu.cn">liheli@hust.edu.cn</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>06</day>
<month>01</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1519345</elocation-id>
<history>
<date date-type="received">
<day>29</day>
<month>10</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>12</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Li and Li</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Li and Li</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>The Aryl Hydrocarbon Receptor (AhR) pathway significantly influences immune cell regulation, impacting the effectiveness of immunotherapy and patient outcomes in melanoma. However, the specific downstream targets and mechanisms by which AhR influences melanoma remain insufficiently understood.</p>
</sec>
<sec>
<title>Methods</title>
<p>Melanoma samples from The Cancer Genome Atlas (TCGA) and normal skin tissues from the Genotype-Tissue Expression (GTEx) database were analyzed to identify differentially expressed genes, which were intersected with a curated list of AhR-related pathway genes. Prognostic models were subsequently developed, and feature genes were identified. Advanced methodologies, including Gene Set Enrichment Analysis (GSEA) and immune cell infiltration analysis, were employed to explore the biological significance of these genes. The stability of the machine learning models and the relationship between gene expression and immune infiltrating cells were validated using three independent melanoma datasets. A mouse melanoma model was used to validate the dynamic changes of the feature genes during tumor progression. The relationship between the selected genes and drug sensitivity, as well as non-coding RNA interactions, was thoroughly investigated.</p>
</sec>
<sec>
<title>Results</title>
<p>Our analysis identified a robust prognostic model, with four AhR-related genes (MAP2K1, PRKACB, KLF5, and PIK3R2) emerging as key contributors to melanoma progression. GSEA revealed that these genes are involved in primary immunodeficiency. Immune cell infiltration analysis demonstrated enrichment of CD4<sup>+</sup> na&#xef;ve and memory T cells, macrophages (M0 and M2), and CD8<sup>+</sup> T cells in melanoma, all of which were associated with the expression of the four feature genes. Importantly, the diagnostic power of the prognostic model and the relevance of the feature genes were validated in three additional independent melanoma datasets. In the mouse melanoma model, Map2k1 and Prkacb mRNA levels exhibited a progressive increase with tumor progression, supporting their role in melanoma advancement.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>This study presents a comprehensive analysis of AhR-related genes in melanoma, highlighting MAP2K1, PRKACB, KLF5, and PIK3R2 as key prognostic markers and potential therapeutic targets. The integration of bioinformatics and machine learning provides a robust framework for enhancing prognostic evaluation in melanoma patients and offers new avenues for the development of treatments, particularly for those resistant to current immunotherapies.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Aryl Hydrocarbon Receptor</kwd>
<kwd>melanoma</kwd>
<kwd>prognostic model</kwd>
<kwd>immune cell infiltration</kwd>
<kwd>machine learning models</kwd>
</kwd-group>
<counts>
<fig-count count="8"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="55"/>
<page-count count="13"/>
<word-count count="4031"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Cancer Immunity and Immunotherapy</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Melanoma, a highly aggressive skin cancer type, accounts for around 4% of skin tumor cases but is responsible for approximately 80% of skin cancer-related deaths (<xref ref-type="bibr" rid="B1">1</xref>). Immunotherapy, especially through immune checkpoint inhibitors, has transformed the treatment landscape for melanoma, providing substantial benefits to certain patient groups (<xref ref-type="bibr" rid="B2">2</xref>). However, many patients exhibit variable responses or develop resistance to these therapies, highlighting the need for more precise therapeutic strategies. Recent oncology research has increasingly focused on the aryl hydrocarbon receptor (AhR), historically known for its role in xenobiotic metabolism (<xref ref-type="bibr" rid="B3">3</xref>). Environmental carcinogens, such as polycyclic aromatic hydrocarbons and polychlorinated biphenyls, act as ligands that bind to and activate AhR (<xref ref-type="bibr" rid="B4">4</xref>). In melanoma, AhR is implicated in multiple chemical carcinogenic signaling pathways and exhibits a dual role, functioning as both a promoter and suppressor of tumorigenesis (<xref ref-type="bibr" rid="B5">5</xref>). It has also emerged as a key modulator within the tumor microenvironment (TME) (<xref ref-type="bibr" rid="B6">6</xref>).</p>
<p>Studies suggest that AhR activation triggers the expression of various cytokines and immune-modulating factors, shaping the TME in distinct ways (<xref ref-type="bibr" rid="B7">7</xref>). In melanoma, AhR activation has been linked to the recruitment and activity of regulatory T cells (Tregs), which suppress anti-tumor immunity (<xref ref-type="bibr" rid="B8">8</xref>). Conversely, AhR signaling has also been shown to enhance anti-tumor immune responses by promoting Th17 cell differentiation (<xref ref-type="bibr" rid="B9">9</xref>), highlighting its complex role. Additionally, AhR activation can drive macrophages to acquire an immunosuppressive phenotype, which can mediate chemotherapy resistance in tumor (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B11">11</xref>). AhR is notably present in various crucial immune cells, both innate and adaptive immunity, but comprehensive analyses of the relevant pathway are lacking (<xref ref-type="bibr" rid="B4">4</xref>). This gap in knowledge presents a significant hurdle in harnessing AhR&#x2019;s potential in therapeutic strategies.</p>
<p>While several studies have associated AhR with melanoma prognosis and resistance to immune checkpoint inhibitors (<xref ref-type="bibr" rid="B12">12</xref>), significant gaps persist. For instance, although AHR is implicated in the recruitment of immunosuppressive cells (<xref ref-type="bibr" rid="B3">3</xref>), the key downstream targets of the AhR pathway in melanoma, their roles in shaping the tumor microenvironment, and their potential as reliable prognostic markers have yet to be fully characterized. This study addresses these gaps by leveraging bioinformatics tools to systematically analyze AhR-related genes and their associations with melanoma. Through robust machine learning models, it identifies novel prognostic markers and potential therapeutic targets. By enhancing our understanding of the AhR pathway, this research provides a foundation for identifying new treatment strategies and clarifying the biological mechanisms driving melanoma progression.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Raw data acquisition</title>
<p>
<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref> was created to show the flowchart of our data analysis process. The study utilized public datasets from TCGA (<ext-link ext-link-type="uri" xlink:href="http://www.cancer.gov">www.cancer.gov</ext-link>) for melanoma samples and GTEx (<ext-link ext-link-type="uri" xlink:href="http://www.gtexportal.org">www.gtexportal.org</ext-link>) as controls. The combined data enabled the comparison of melanoma-specific gene expression patterns. Gene expression and single-cell RNA sequencing (scRNA-seq) data for melanoma were obtained from the Gene Expression Omnibus (<ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/geo/">www.ncbi.nlm.nih.gov/geo/</ext-link>). The GSE19234 dataset (GPL570) includes data from 38 melanoma patients (<xref ref-type="bibr" rid="B13">13</xref>). The GSE65904 dataset (GPL10558) consists of data from 214 melanoma patients, with only cutaneous melanoma samples that have available disease-specific survival information and survival duration selected (n=21) (<xref ref-type="bibr" rid="B14">14</xref>). The GSE72056 dataset (GPL18573) contains single-cell RNA-seq data from 4645 cells isolated from 19 melanoma patients (<xref ref-type="bibr" rid="B15">15</xref>). Gene expression across different cell types was processed and analyzed using the Seurat and SingleR R packages (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Integrating bioinformatics and machine learning to identify AhR-related gene signatures for prognosis and tumor microenvironment modulation in melanoma.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1519345-g001.tif"/>
</fig>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Differentially expressed genes</title>
<p>Using the limma package (<xref ref-type="bibr" rid="B18">18</xref>), DEGs were screened according to the threshold parameters (|logFC| &gt; 0.5 and adjusted p &lt; 0.05). Volcano plots and heatmaps were generated to show the gene expression changes by R. The analysis focused on genes within the chemical carcinogenesis receptor activation signaling pathway (hsa05207) involving AhR pathway, identifying 103 intersecting genes. Network of 103 intersecting genes were conducted by igraph package with p &lt; 0.5, r &gt; 0.3. The skin-specific coexpression network were conducted by NetworkAnalyst, which have human tissue-specific gene coexpression from the iNetModels database (<xref ref-type="bibr" rid="B19">19</xref>).</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Construction of prognostic model and immune cell infiltration analysis in melanoma</title>
<p>The melanoma dataset from TCGA was split into training (75%) and testing (25%) sets. Using the R software and the Mime package, we constructed an optimal prognostic model and identified feature genes (<xref ref-type="bibr" rid="B20">20</xref>). Mime, a machine learning framework, integrates ten classic algorithms: Lasso, Enet, Boruta, CoxBoost, Random Forests (RSF), eXtreme Gradient Boosting (Xgboost), StepCox, plsRcox, Generalized Boosted Regression Model (GBM), and Support Vector Machine Recursive Feature Elimination (SVM-REF). A total of 117 combinations were applied with K-fold cross-validation for model training. The model&#x2019;s performance, assessed using the C-index, demonstrated its capability to stratify patients into high- and low-risk survival groups. Immune cell infiltration was analyzed using xCell, Epic, abis, estimate, and Cibersort via the Mime and immunedeconv packages (<xref ref-type="bibr" rid="B21">21</xref>).</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Gene set enrichment and variation analyses</title>
<p>GSEA was used to investigate the functional enrichment of the feature genes. We divided each feature gene into high expression and low expression groups based on its expression level, and conducted differential analysis with a p-valuecutoff value of 0.05. Using R software along with the enrichplot packages, KEGG pathways were identified to explore the roles of feature genes in TCGA melanoma samples (<xref ref-type="bibr" rid="B22">22</xref>).</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Ear injection model in mice</title>
<p>C57BL/6 mice were purchased from HFK Bioscience (Beijing, China) and housed in a specific pathogen-free environment. For the ear injection model, B16-F10 cells (2 &#xd7; 10<sup>5</sup>) were injected intradermally into the ears of mice (8-week-old) in 25 &#x3bc;l of HBSS buffer.</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>RNA extraction and quantitative real-time PCR</title>
<p>Total RNA from tumor or normal tissue was obtained. qRT-PCR mixtures were prepared by a SYBR green real-time PCR kit (Toyobo, Osaka, Japan). mRNA levels were normalized to GAPDH, and fold changes were determined using the 2<sup>&#x2212;&#x394;&#x394;Ct</sup> method. Primer pairs: 5&#x2019;- TCTCCACACCTATGGTGCAA -3&#x2019; and 5&#x2019;- CAAGAAACAGGGGAGCTGAG -3&#x2019; (Gapdh); 5&#x2019;- AACGGTGGAGTGGTCTTCAAG -3&#x2019; and 5&#x2019;- CGGATTGCGGGTTTGATCTC -3&#x2019; (Map2k1); 5&#x2019;- AGGGCAGGACATGGACATTG -3&#x2019; and 5&#x2019;- CGCCTTATTGTAACCCTTGCTG -3&#x2019; (Prkacb); 5&#x2019;- CAGGCCACCTACTTTCCCC -3&#x2019; and 5&#x2019;- GAATCGCCAGTTTGGAAGCAA -3&#x2019; (Klf5); 5&#x2019;- ACCTAAGCCCTCTAAGGCAAA -3&#x2019; and 5&#x2019;- TCCCGGAGTCTCTCATTCACC-3&#x2019; (Pik3r2).</p>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Drug sensitivity</title>
<p>To explore the therapeutic implications, drug-gene interactions were predicted for the identified hub genes using Gene Set Cancer Analysis (GSCA). GSCA integrates over 750 small molecule drugs from Cancer Therapeutics Response Portal (CTRP) and Genomics of Drug Sensitivity in Cancer (GDSC) databases (<xref ref-type="bibr" rid="B23">23</xref>). This analysis is crucial for identifying potential compounds that could reverse resistance to immunotherapy.</p>
</sec>
<sec id="s2_8">
<label>2.8</label>
<title>mRNA-miRNA-lncRNA network</title>
<p>A comprehensive mRNA-miRNA-lncRNA network was constructed to explore the post-transcriptional regulation of the feature genes. Using the miRDB database (<xref ref-type="bibr" rid="B24">24</xref>) for miRNA prediction (target score &#x2265; 95) and ENCORI database (<xref ref-type="bibr" rid="B25">25</xref>) for lncRNA prediction.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>DEGs identification and correlation analysis</title>
<p>We conducted a differential gene expression analysis between melanoma samples from TCGA and normal control tissues from GTEx, identifying 12891 differentially expressed genes (DEGs) (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). From the human chemical carcinogenesis receptor activation signaling pathway (hsa05207), which is closely associated with the AHR pathway, we identified 215 related genes (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S1</bold>
</xref>). Of these, 103 genes overlapped with the DEGs (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>), with 52 genes being upregulated and 51 downregulated in melanoma (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). Correlation analysis further demonstrated strong interrelationships among these 103 genes (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>). Additionally, we constructed the skin-specific coexpression network of these 103 genes using NetworkAnalyst (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S2</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>DEGs identification and correlation analysis. <bold>(A)</bold> Volcano plot of DEGs between melanoma samples from TCGA-SKCM and control tissues from GTEx. <bold>(B)</bold> 103 intersecting genes of DEGs and genes from the hsa05207 pathway. <bold>(C)</bold> Heat map depicting the expression patterns of DEGs across the two groups. <bold>(D)</bold> Network of 103 intersecting genes. Red nodes represent upregulated genes and blue nodes representing downregulated genes. Red lines indicate positive correlations, while blue lines denote negative correlations between the genes.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1519345-g002.tif"/>
</fig>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Construction of prognostic models</title>
<p>The TCGA melanoma dataset (n = 456) was divided into a training subset (75%, n = 342) and a testing subset (25%, n = 114). A set of 103 overlapping genes was utilized with both subsets to build prognostic models, applying 10 machine learning algorithms via Mime. Out of the 117 models developed, the StepCox[forward] + RSF combined model achieved the highest C-index mean across both the training and testing datasets (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). Both the StepCox[forward] + RSF combined model and the RSF model yielded the same mean C-index across training and testing datasets. Since the combined model selected the same feature genes as both methods, which are deemed more significant, we chose the StepCox[forward] + RSF combined model for further analysis. Based on the median risk score calculated by Mime from the combined mode, patients were categorized into high-risk and low-risk groups. The survival probability for each cohort was assessed, showing that individuals in the high-risk group had significantly poorer outcomes in both datasets (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). Notably, the 3- and 5-year AUC of the combined model reached 1 in the test set and &gt;0.96 in the training set, indicating the model&#x2019;s exceptional precision and stability (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Construction of prognostic models. <bold>(A)</bold> C-index values for each model across both the training and testing datasets, highlighting model performance. <bold>(B)</bold> Survival curves for patients stratified by risk scores, calculated using the StepCox[forward] + RSF combined model across different datasets. <bold>(C)</bold> ROC curves for the 1-, 3-, and 5-year survival predictions, demonstrating the performance of the StepCox[forward] + RSF combined model in both the training and testing datasets.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1519345-g003.tif"/>
</fig>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Selection of significant feature genes</title>
<p>We analyzed the top 10 genes from the StepCox and RSF models, respectively (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>). Using a Venn diagram, we identified MAP2K1, PRKACB, KLF5, and PIK3R2 as significant features common to both models (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>). Based on the expression of the feature genes, patients were stratified into high-risk and low-risk groups using Mime, and survival probabilities were calculated for each cohort. Notably, higher expression levels of PRKACB and MAP2K1 were associated with better survival outcomes, while elevated expression of KLF5 and PIK3R2 correlated with poorer prognosis (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>). An examination of the expression profiles of melanoma patients from the TCGA database, compared to normal controls from the GTEx database, revealed that AHR, MAP2K1, and PRKACB were upregulated in melanoma, whereas KLF5 and PIK3R2 were downregulated (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>). Correlation analysis demonstrated a significant positive correlation between AHR and MAP2K1, as well as PRKACB, and a significant negative correlation with PIK3R2. No significant correlation was observed between KLF5 and the other genes (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4E</bold>
</xref>). AHR also co-expressed with these feature genes in a skin tissue coexpression network (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S2</bold>
</xref>). These results suggest that these genes are not only key prognostic markers but may also play essential roles in melanoma progression, positioning them as promising targets for therapy.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Selection of significant feature genes. <bold>(A)</bold> Top 10 features selected by the StepCox (left) and Random Forest (right) algorithms. <bold>(B)</bold> Venn diagram showing the intersection of four feature genes derived from both the StepCox and Random Forest models. <bold>(C)</bold> Survival curves of patients stratified by the median expression levels of each gene across different datasets. <bold>(D)</bold> Comparison of the expression levels of the identified feature genes in melanoma patients from the TCGA database against normal controls from the GTEx database. <bold>(E)</bold> A correlation heatmap illustrating the relationships among the selected genes. ***P &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1519345-g004.tif"/>
</fig>
<p>To assess the robustness and predictive accuracy of the prognostic model, we used external datasets, GSE19234 and GSE65904, as independent test sets. The combined StepCox[forward] + RSF model showed strong consistency across these datasets (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S3A, C</bold>
</xref>). Notably, melanoma patients in GSE65904 with high MAP2K1 expression exhibited better outcomes (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S3B, D</bold>
</xref>). Additionally, we conducted a correlation analysis of MAP2K1, KLF5, PRKACB, and PIK3R2 with immune signatures across both datasets (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S3E, F</bold>
</xref>). However, due to the limited sample size, survival differences between the low-risk and high-risk groups were not statistically significant for other genes, and their correlations with immune signatures varied between the datasets.</p>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>GSEA analysis of selected feature genes</title>
<p>Beyond their prognostic significance, the four feature genes are implicated in key biological pathways. GSEA revealed that MAP2K1 is predominantly associated with the metabolism of xenobiotics by cytochrome P450, primary immunodeficiency and tyrosine metabolism (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>). KLF5 is linked to the metabolism of xenobiotics by cytochrome P450 and tyrosine metabolism (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). PRKACB is primarily involved in primary immunodeficiency (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>). PIK3R2 plays a role in the metabolism of xenobiotics by cytochrome P450, tyrosine metabolism and oxidative phosphorylation (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>GSEA analysis of selected feature genes. In terms of KEGG pathway analysis, the top five upregulated and downregulated pathways were identified for <bold>(A)</bold> MAP2K1, <bold>(B)</bold> KLF5, <bold>(C)</bold> PRKACB, and <bold>(D)</bold> PIK3R2.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1519345-g005.tif"/>
</fig>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Correlation between feature genes and immune signatures</title>
<p>The immunological environment plays a critical role in the progression of melanoma. To explore this, we enriched immune infiltration and tumor microenvironment signatures using Mime. Immune scores obtained through various tools, including xCell and ESTIMATE, while specific immune cell populations such as CD4<sup>+</sup> T cells (via EPIC), CD4<sup>+</sup> na&#xef;ve and memory T cells (via ABIS), CD8<sup>+</sup> T cells, and macrophages (M0 and M2 types) were assessed using CIBERSORT and CIBERSORT_abs, showing high expression in melanoma samples from the TCGA dataset (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Correlation between feature genes and immune signatures. <bold>(A)</bold> Immune signatures in melanoma samples from TCGA were deconvoluted using various methods. <bold>(B)</bold> Correlations were analyzed between the feature genes (MAP2K1, KLF5, PRKACB, PIK3R2) and the immune signatures. *P &lt; 0.05, **P &lt; 0.01, ***P &lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1519345-g006.tif"/>
</fig>
<p>Correlation analysis between the feature genes and immune cell signatures revealed that MAP2K1 and PRKACB are positively correlated with CD4<sup>+</sup> T cells and immune score, both of which are crucial for anti-tumor immunity. KLF5 and PIK3R2 were associated with the CD4<sup>+</sup> na&#xef;ve T cells and immunosuppressive macrophages (M2 type) (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>). These findings highlight the diverse roles of AHR-related genes in melanoma and emphasize their potential as key modulators of the immune landscape.</p>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>Validation of the relationships between feature genes and immune cells</title>
<p>We analyzed the expression of the feature genes in different immune cells using single-cell sequencing data from melanoma (GSE72056). First, we grouped the cells based on their expression profiles (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>) and examined the expression of the feature genes across different cell types (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). Notably, AHR and the four feature genes were expressed in T cells and macrophages (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7C, D</bold>
</xref>). These results further confirm that the feature genes are involved in immune responses within the melanoma microenvironment. The expression of these genes in T cells and macrophages, key immune cell types, supports the hypothesis that they play crucial roles in regulating immune responses and may influence the tumor&#x2019;s ability to evade immune surveillance.</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Validation of the relationships between feature genes and immune cells. <bold>(A)</bold> Single cell expression profiles were clustered into different cell types using the SingleR R package. <bold>(B)</bold> Expression levels of AHR and the four feature genes across various cell types. <bold>(C)</bold> Expression of AHR, MAP2K1, KLF5, PRKACB, and PIK3R2 in T cells. <bold>(D)</bold> Expression of AHR, MAP2K1, KLF5, PRKACB, and PIK3R2 in macrophage.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1519345-g007.tif"/>
</fig>
</sec>
<sec id="s3_7">
<label>3.7</label>
<title>Validation of the feature genes in mouse melanoma model</title>
<p>To further validate the dynamic changes in the feature genes during melanoma progression, we established a melanoma model in the mouse ear (<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8A</bold>
</xref>), which is considered more clinically relevant for studying the progression and metastasis of human melanoma (<xref ref-type="bibr" rid="B26">26</xref>). In this model, the mRNA levels of Map2k1 and Prkacb increased significantly on days 21 and 14, respectively, whereas the expression of Klf5 and Pik3r2 showed no significant changes (<xref ref-type="fig" rid="f8">
<bold>Figures&#xa0;8B</bold>
</xref>).</p>
<fig id="f8" position="float">
<label>Figure&#xa0;8</label>
<caption>
<p>Validation of the feature genes in mice melanoma model. <bold>(A)</bold> Schematic representation for the mice model. B16 F10 cells were injected into right ears of C57BL/6 mice (n = 3). Representative tumor images from three independent experiments were shown. <bold>(B)</bold> qRT-PCR for the feature genes in the tumor or normal tissue. *P &lt; 0.05, **P &lt; 0.01.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-15-1519345-g008.tif"/>
</fig>
</sec>
<sec id="s3_8">
<label>3.8</label>
<title>Construction of mRNA-miRNAs-lncRNAs network and Drug-gene interactions</title>
<p>We predicted the drugs correlated with AHR, MAP2K1, KLF5, PRKACB and PIK3R2 using data from the CTRP and GDSC databases. Additionally, the drug-gene interactions were visualized using the GSCA platform (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figures S4A, B</bold>
</xref>). To further explore regulatory mechanisms, we searched the miRDB database to identify miRNAs with a target score of &#x2265; 95 that are linked to the mRNAs of these feature genes. We then used the ENCORI database to identify lncRNAs associated with these miRNAs. A comprehensive mRNA-miRNA-lncRNA network was constructed by intersecting the identified miRNAs and lncRNAs (<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Figure S5</bold>
</xref>). These analyses aim to uncover potential therapeutic strategies for melanoma by targeting key molecules in the AHR, MAP2K1, KLF5, PRKACB, and PIK3R2 signaling pathways. These analyses aim to identify therapeutic strategies for melanoma by targeting key genes (AHR, MAP2K1, KLF5, PRKACB, PIK3R2) and their regulatory RNA networks, offering potential for personalized treatments and novel biomarkers to improve clinical outcomes.</p>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<sec id="s4_1">
<label>4.1</label>
<title>Overview of findings</title>
<p>This study provides significant insights into the role of the AhR pathway in melanoma, particularly in relation to tumor progression and immune modulation. Previous research has highlighted the dualistic nature of AhR signaling in cancer, where it can either suppress or promote tumorigenesis depending on the context (<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B27">27</xref>). Recent evidences in melanoma, where AhR appears to promote macrophage polarization towards immunosuppressive phenotype (<xref ref-type="bibr" rid="B11">11</xref>) and widely suppress immune cell function (<xref ref-type="bibr" rid="B28">28</xref>), complicating its utility as a straightforward therapeutic target. By integrating bioinformatics and machine learning, we identified four key AhR-associated genes&#x2014;MAP2K1, PRKACB, KLF5, and PIK3R2&#x2014;that serve as both prognostic markers and potential therapeutic targets. These genes were systematically analyzed for their biological roles and correlations with immune infiltration and patient outcomes.</p>
</sec>
<sec id="s4_2">
<label>4.2</label>
<title>Biological and clinical implications of key genes</title>
<p>MAP2K1, also referred to as MEK1, is a crucial element of the mitogen-activated protein kinase (MAPK) signaling pathway, which plays a pivotal role in controlling cell proliferation, differentiation, and survival (<xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B30">30</xref>). MEK1/2 can activated AhR, resulting in a transient inhibition of cytochrome P450 family 1 subfamily A member 1 (CYP1A1) (<xref ref-type="bibr" rid="B31">31</xref>). AHR introduces the transcriptional activation of CYP1A1, which facilitates the biotransformation of environmental toxins and carcinogenic substances into highly reactive and carcinogenic diol epoxide intermediates (<xref ref-type="bibr" rid="B32">32</xref>). Additionally, AhR can influence MAPK signaling, thereby affecting cellular processes such as dysfunction and apoptosis (<xref ref-type="bibr" rid="B33">33</xref>). In melanoma, dysregulation of MAPK signaling, often through mutations in upstream effectors like BRAF, leads to unchecked tumor growth and resistance to therapy (<xref ref-type="bibr" rid="B34">34</xref>). Our results demonstrate a positive association between MAP2K1 expression and T cell infiltration in the TME and better outcomes. This finding is significant because it underscores the complex role of MAP2K1, which could potentially be exploited to enhance the efficacy of immunotherapies.</p>
<p>PRKACB, a gene encoding the catalytic subunit of protein kinase A (PKA), is involved in the regulation of metabolism, transcription, and immune response (<xref ref-type="bibr" rid="B35">35</xref>). Studies show that AhR can activate PKA signaling, thereby regulating the activation of cancer stemness (<xref ref-type="bibr" rid="B36">36</xref>). In melanoma, PKA can enhance the migration and metastasis of melanoma cells (<xref ref-type="bibr" rid="B37">37</xref>) and impair T cell infiltration into the tumor microenvironment (<xref ref-type="bibr" rid="B38">38</xref>). Recent evidence indicated that PKA mediates the growth inhibition of melanoma cells (<xref ref-type="bibr" rid="B39">39</xref>). In our study, the positive correlation between PRKACB expression and immune score, suggests that PRKACB may facilitate anti-tumor immunity in melanoma. PKA has been shown to modulate can phosphorylate the NF-&#x3ba;B subunit p65, promoting T cell activation and survival (<xref ref-type="bibr" rid="B40">40</xref>, <xref ref-type="bibr" rid="B41">41</xref>), which may explain the association between high PRKACB expression and better survival outcomes observed in this study. Interestingly, PRKACB is also associated with inhibiting the proliferation and invasion of tumor cells (<xref ref-type="bibr" rid="B42">42</xref>), making it a promising therapeutic target in combination with existing immunotherapies.</p>
<p>KLF5 (Kruppel-like factor 5) is a transcription factor known for its role in cell proliferation, differentiation, and apoptosis (<xref ref-type="bibr" rid="B43">43</xref>). Studies indicate that KLF5 can enhance the expression of CYP1A1, which are involved in inducing the expression of proinflammatory cytokines (such as TNF) that can influence melanoma progression (<xref ref-type="bibr" rid="B44">44</xref>, <xref ref-type="bibr" rid="B45">45</xref>). KLF5 can promote the epithelial-mesenchymal transition (EMT) (<xref ref-type="bibr" rid="B46">46</xref>), a process crucial for melanoma invasion and metastasis (<xref ref-type="bibr" rid="B47">47</xref>), making it a potential target for therapeutic interventions aimed at disrupting these pathways. Moreover, KLF5 can promote the podosome formation in macrophages and enhance the tissue infiltration ability of macrophages (<xref ref-type="bibr" rid="B48">48</xref>). KLF5 promotes malignant phenotype of melanoma cells and inhibits autophagy, leading to poor prognosis (<xref ref-type="bibr" rid="B49">49</xref>). Targeting KLF5 could, therefore, be a potential strategy to reverse EMT and reduce immunosuppression in the TME.</p>
<p>PIK3R2, encoding the regulatory subunit of phosphoinositide-3-kinase (PI3K), is frequently activated in various cancers, including melanoma (<xref ref-type="bibr" rid="B50">50</xref>). Activation of AHR has been shown to lead to the phosphorylation of AKT, a downstream effector of the PI3K pathway, thereby promoting tumor cell proliferation and chemotherapy drug resistance (<xref ref-type="bibr" rid="B32">32</xref>). PIK3R2 is identified to promote malignant progression of melanoma by activating the PI3K/AKT/NF - &#x3ba; B pathway (<xref ref-type="bibr" rid="B51">51</xref>). Here, we indicate a negative correlation between PIK3R2 expression and T cell infiltration, alongside a positive association with M2 macrophages. This dual association highlights the immunosuppressive role of PIK3R2 in the TME. Additionally, several bioinformatics analyses based on melanoma transcriptome have indicated that PIK3R2 leads to poor prognosis and low immune cell infiltration in melanoma (<xref ref-type="bibr" rid="B52">52</xref>, <xref ref-type="bibr" rid="B53">53</xref>). Targeting PIK3R2 in combination with therapies that reprogram macrophages could potentially enhance anti-tumor immunity and improve patient outcomes.</p>
<p>The upregulation of AHR, MAP2K1, and PRKACB, alongside the downregulation of KLF5 and PIK3R2 (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4D</bold>
</xref>), suggests that these genes play critical roles in melanoma progression through various signaling pathways. AHR promotes immune evasion and tumor progression, influencing MAP2K1 and PRKACB, which regulate key pathways like MAPK and NF-&#x3ba;B signaling, respectively. Conversely, the downregulation of KLF5 and PIK3R2 may facilitate a more aggressive, proliferative melanoma phenotype by affecting cell differentiation and metabolism (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5</bold>
</xref>). In the mouse model, the differential expression of these genes over time reflects their roles in tumor progression, with the immune microenvironment possibly influencing gene expression. These findings highlight the importance of these genes as potential therapeutic targets and the need for further investigation into their roles in immune modulation and melanoma progression.</p>
</sec>
<sec id="s4_3">
<label>4.3</label>
<title>Integration of bioinformatics and machine learning</title>
<p>The extensive application of high-throughput sequencing technologies and machine learning has significantly advanced our comprehension of biological processes and cancer heterogeneity (<xref ref-type="bibr" rid="B54">54</xref>). Increasingly, researchers have been able to identify distinct molecular characteristics associated with disease progression, patient outcomes, and responses to treatment using sequencing data (<xref ref-type="bibr" rid="B55">55</xref>). By leveraging diverse feature selection algorithms, the study achieved high C-index values, validating the reliability of these genes in predicting patient survival outcomes. This integration underscores the growing potential of computational tools in uncovering complex molecular interactions and identifying actionable therapeutic targets. Additionally, Drug sensitivity analyses further support the feasibility of these approaches, providing a foundation for preclinical and clinical investigations.</p>
</sec>
<sec id="s4_4">
<label>4.4</label>
<title>Limitations and future directions</title>
<p>However, our study has certain limitations. A more profound understanding of the molecular mechanisms linking AHR with melanoma is evidently required. Both <italic>in vivo</italic> and <italic>in vitro</italic> experiments hold great potential to clarify these complexities, indicating numerous opportunities for future research. This inquiry is anticipated to expand our knowledge and introduce new therapeutic possibilities for managing melanoma, paving the way for enhanced understanding and future innovations in treatment.</p>
</sec>
<sec id="s4_5" sec-type="conclusions">
<label>4.5</label>
<title>Conclusion</title>
<p>This study provides an integrated approach to understanding the AhR pathway&#x2019;s role in melanoma, identifying MAP2K1, PRKACB, KLF5, and PIK3R2 as critical prognostic markers and therapeutic targets. By employing bioinformatic tools and machine learning techniques, a more detailed understanding of the AHR pathway&#x2019;s involvement in immune regulation and tumor development has been achieved. The use of bioinformatics and machine learning not only enhances our understanding of melanoma biology but also paves the way for more effective therapeutic strategies.</p>
</sec>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by the Ethics Committee of Tongji Medical College of Huazhong University of Science and Technology. This study was conducted in accordance with the recommendations of the Guide for the Care and Use of Laboratory Animals of Hubei Provincial Animal Care and Use Committee.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>QL: Conceptualization, Data curation, Investigation, Methodology, Writing &#x2013; review &amp; editing. HL: Conceptualization, Data curation, Project administration, Software, Writing &#x2013; original draft, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by the Scientific Research Fund Cultivation Project of Tongji Hospital (&lt;grant number 2023B14&gt;).</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s12" sec-type="supplementary-material">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fimmu.2024.1519345/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fimmu.2024.1519345/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document"/>
</sec>
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