Ma Xu, He Zhijuan, Li Ling, Yang Daping, Liu Guofeng
Department of Plastic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China.
Department of Obstetrics and Gynecology, The First Affiliated Hospital of Harbin Medical University, Harbin 150010, China.
Oncotarget. 2017 Sep 8;8(44):77761-77770. doi: 10.18632/oncotarget.20780. eCollection 2017 Sep 29.
Recent advancements in cancer biology have identified a large number of lncRNAs that are dysregulated expression in the development and tumorigenesis of cancers, highlighting the importance of lncRNAs as a key player for human cancers. However, the prognostic value of lncRNAs still remains unclear and needs to be further investigated. In the present study, we aim to assess the prognostic value of lncRNAs in cutaneous melanoma by integrated lncRNA expression profiles from TCGA database and matched clinical information from a large cohort of patients with cutaneous melanoma. We finally identified a set of six lncRNAs that are significantly associated with survival of patients with cutaneous melanoma. A linear combination of six lncRNAs ( and ) was constructed as a six-lncRNA signature which classified patients of training cohort into the high-risk group and low-risk group with significantly different survival time. The prognostic value of the six-lncRNA signature was validated in both the validation cohort and entire TCGA cohort. Moreover, the six-lncRNA signature is independent of known clinic-pathological factors by multivariate Cox regression analysis and demonstrated good performance for predicting three- and five-year overall survival by time-dependent receiver operating characteristic (ROC) analysis. Our study provides novel insights into the molecular heterogeneity of cutaneous melanoma and also shows potentially important implications of lncRNAs for prognosis and therapy for cutaneous melanoma.
癌症生物学的最新进展已鉴定出大量在癌症发生发展过程中表达失调的长链非编码RNA(lncRNA),这凸显了lncRNA作为人类癌症关键因素的重要性。然而,lncRNA的预后价值仍不明确,需要进一步研究。在本研究中,我们旨在通过整合来自TCGA数据库的lncRNA表达谱以及一大群皮肤黑色素瘤患者的匹配临床信息,评估lncRNA在皮肤黑色素瘤中的预后价值。我们最终鉴定出一组与皮肤黑色素瘤患者生存显著相关的六个lncRNA。构建了这六个lncRNA(和)的线性组合作为一个六lncRNA特征,将训练队列中的患者分为高风险组和低风险组,两组患者的生存时间有显著差异。六lncRNA特征的预后价值在验证队列和整个TCGA队列中均得到验证。此外,通过多变量Cox回归分析,六lncRNA特征独立于已知的临床病理因素,并且通过时间依赖性受试者工作特征(ROC)分析显示出在预测三年和五年总生存率方面具有良好的性能。我们的研究为皮肤黑色素瘤的分子异质性提供了新的见解,也显示了lncRNA在皮肤黑色素瘤预后和治疗方面潜在的重要意义。