Journal of Jilin University(Medicine Edition) ›› 2026, Vol. 52 ›› Issue (3): 781-790.doi: 10.13481/j.1671-587X.20260320

• Research in clinical medicine • Previous Articles    

Bioinformatic analysis on PAQR3 expression in hepatocellular carcinoma and its correlations with T lymphocyte infiltration, immune checkpoint genes, and patient survival

Xiaohui LIANG1,2(),Wenna LIU3,Jianbo ZHAO4   

  1. 1.Department of Pathology,School of Basic Medical Sciences,Tianjin Medical University,Tianjin 300070,China
    2.Department of Pathology,General Hospital,Tianjin Medical University,Tianjin 300052,China
    3.Departmeat of Anesthesiology,Tianjin Medical University Chu Hsien-I Memorial Hospital,Tianjin Institute of Endocrinology,NHC Key Lab of Hormones and Development,Tianjin Key Lab of Metabolic Diseases,Tianjin 300134,China
    4.Department of Critical Care Medicine,Tianjin Hospital,Tianjin City,Tianjin 300211,China
  • Received:2025-09-08 Accepted:2025-11-03 Online:2026-05-28 Published:2026-06-08
  • Contact: Xiaohui LIANG E-mail:liang-02@163.com

Abstract:

Objective To discuss the expression of progestin and adipoQ receptor 3 (PAQR3) in hepatocellular carcinoma (HCC) and its association with immune infiltration, immunotherapy response, and patient survival, and to clarify its role in the HCC immune microenvironment and its clinical significance. Methods The HCC tissue and adjacent tissue samples were collected from 3 cases of HCC patients who underwent hepatectomy in General Hospital of Tianjin Medical University from January to December 2023. Western blotting method and immunohistochemical staining were used to detect the expression level of PAQR3 protein in HCC tissue and adjacent tissue of each HCC patient. The gene expression and clinical data of HCC patients who underwent hepatectomy were collected from The Cancer Genome Atlas (TCGA) database. Various algorithms such as CIBERSORT and TIMER2.0 were used to analyze the correlation between PAQR3 expression and immune cell infiltration; Spearman correlation analysis was used to evaluate the correlation between PAQR3 expression level and the expression levels of immune checkpoint genes [programmed cell death protein 1 (PDCD1), cluster of differentiation 274 (CD274), and cytotoxic T-lymphocyte?associated protein 4 (CTLA4)]; Cox proportional hazards regression model and Kaplan-Meier method were used to analyze the relationship between PAQR3 protein expression and patient survival. Results The Western blotting and immunohistochemical staining results showed that compared with adjacent tissue, the expression level of PAQR3 protein in HCC tissue was significantly increased (P<0.05). The TCGA database analysis results showed that compared with adjacent tissue, the expression of PAQR3 gene in HCC tissue was up?regulated (P<0.05). The correlation analysis results showed that PAQR3 expression level was positively correlated with regulatory T cells (Tregs) (rho=0.349, P<0.001), CD8+ T lymphocytes (rho=0.268, P<0.001), M2 macrophages (rho=0.435, P<0.001), and neutrophils (rho=0.399, P<0.001) in HCC tissue. High expression of PAQR3 protein was associated with shortened overall survival of HCC patients (P=0.019), while immune infiltration was not associated with the survival of HCC patients (P>0.05). The expression of PAQR3 was positively correlated with the expressions of immune checkpoint-related genes PDCD1CD274, and CTLA4P<0.05). Conclusion The expression of PAQR3 is up-regulated in HCC tissue. Its expression level is associated with the infiltration degree of various immune cells such as T lymphocytes and macrophages, the expression of immune checkpoint genes, and poor prognosis of patients, suggesting that PAQR3 may serve as a potential prognostic biomarker for HCC.

Key words: Progestin and adipoQ receptor 3, Hepatocellular carcinoma, Immune cell infiltration, Immune checkpoint genes, Bioinformatics analysis

CLC Number: 

  • R730.2