In recent years, immunotherapy has made great progress, and the regulatory role of epigenetics has been verified. However, the role of 5-methylcytosine (m 5C) in the tumor microenvironment (TME) and immunotherapy response remains unclear.
Based on 11 m 5C regulators, we evaluated the m 5C modification patterns of 572 lung adenocarcinoma (LUAD) patients. The m 5C score was constructed by principal component analysis (PCA) algorithms in order to quantify the m 5C modification pattern of individual LUAD patients.
Two m 5C methylation modification patterns were identified according to 11 m 5C regulators. The two patterns had a remarkably distinct TME immune cell infiltration characterization. Next, 226 differentially expressed genes (DEGs) related to the m 5C phenotype were screened. Patients were divided into three different gene cluster subtypes based on these genes, which had different TME immune cell infiltration and prognosis characteristics. The m 5C score was constructed to quantify the m 5C modification pattern of individual LUAD patients. We found that the high m 5C score group had a better prognosis. The role of the m 5C score in predicting prognosis was also verified in the dataset GSE31210.