Purpose
Thrombospondin 1 (
THBS1
) is an endogenous inhibitor of angiogenesis, but it also promotes tumor invasion, metastasis, and immune response in the tumor environment. Previous research has found that
THBS1
is highly expressed in many tumors and has a negative correlation with tumor prognosis. However, research on the relationship between
THBS1
and immune infiltration in GC is less well documented, and the objective of our study was to investigate the role of
THBS1
expression in GC.
Patients and Methods
The expression of
THBS1
in GC was analyzed by Oncomine, TIMER, TGCA, GEO and IHC staining. Analysis of the signaling pathways associated with
THBS1
expression in GC uses GSEA. The relationship between
THBS1
expression and immune infiltration was analyzed by the ESTIMATE algorithm, single-cell transcriptome analysis, TIMER2 database and CIBERSORT algorithm. Finally, the relationship between
THBS1
expression and drug sensitivity was analyzed by the CellMiner database.
Results
THBS1
was overexpressed in GC and was associated with poor prognosis, and high
THBS1
expression was an independent risk factor. GSEA results showed that high
THBS1
expression in GC was associated with tumorigenesis, adhesion, and significant immune enrichment.
THBS1
expression was most strongly correlated with tumor-associated macrophages (TAMs), M2 macrophages and cancer-associated fibroblast (CAFs) in GC.
THBS1
expression positively correlates with most immune checkpoint members, suggesting that
THBS1
may play an important role in the tumor microenvironment.
THBS1
overexpression was negatively correlated with some drug sensitivities, such as Oxaliplatin.
Conclusion
Upregulation of
THBS1
was positively correlated with poor prognosis and immunosuppression in GC and negatively correlated with anticancer drug sensitivity, suggesting that
THBS1
may serve as a potential target for the treatment of GC.