However, despite its limitations, the present study did first analyze the co-expression of ACC-specific tumor-infiltrating immune cells and ceRNA networks, construct the nomograms to predict the prognosis of ACC patients, and speculate that T cells CD4 memory resting, macrophages M0, KPNB1, SGPL1, H2AFX, hsa-miR-30d-5p, hsa-miR-200c-3p and hsa-miR-130b-3p might play an important role in ACC metastasis. The gene discussed is SGPL1; the disease is adrenal cortex carcinoma.