发现一种新型的六长非编码 RNA 标志物,可预测结直肠癌患者的生存情况。
Discovery of a novel six-long non-coding RNA signature predicting survival of colorectal cancer patients.
机构信息
Department of Gastroenterology and Hepatology, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, P.R. China.
Translational Medicine Research and Cooperation Center of Northern China, Heilongjiang Academy of Medical Sciences, Harbin, Heilongjiang, P.R. China.
出版信息
J Cell Biochem. 2018 Apr;119(4):3574-3585. doi: 10.1002/jcb.26548. Epub 2018 Jan 15.
Colorectal cancer (CRC) is one of the most leading causes of cancer deaths worldwide. In the study, we aimed to identify key long non-coding RNAs (lncRNAs) significantly associated with prognosis of CRC and develop an expression-based lncRNA signature to provide survival risk prediction for CRC patients. LncRNA expression profiles and clinical information of CRC patients were collected from The Cancer Genome Atlas (TCGA) database. Six hundred and eighteen differentially expressed lncRNAs were identified between CRC and normal tissues. After univariate and multivariate Cox regression analysis for these differentially expressed lncRNAs and overall survival of CRC patients, six predictive lncRNAs (RP1-170O19.17, RP11-785D18.3, RP11-798K3.2, XXbac-B476C20.9, RP11-481J13.1, and RP11-167H9.4) were finally screened out to construct a six-lncRNA signature, based on which patients in the training dataset were divided into the high-risk and low-risk group with significantly different overall survival. ROC curve analysis demonstrated competitive performance of the six-lncRNA signature. The prognostic power of the six-lncRNA signature was successfully validated in the testing and entire dataset. Multivariate Cox regression analysis and stratification analysis further suggested that the six-lncRNA signature was independent of other conventional clinical variables for survival prediction in CRC patients. Functional enrichment analysis revealed the possible roles of these predictive lncRNAs in some cancer-related biological processes and pathways. Our study demonstrated the promising potential of the novel six-lncRNA signature as an independent biomarker for survival prediction of CRC patients.
结直肠癌(CRC)是全球癌症死亡的主要原因之一。在这项研究中,我们旨在确定与 CRC 预后显著相关的关键长非编码 RNA(lncRNA),并开发基于表达的 lncRNA 特征,为 CRC 患者提供生存风险预测。我们从癌症基因组图谱(TCGA)数据库中收集了 CRC 患者的 lncRNA 表达谱和临床信息。在 CRC 组织和正常组织之间鉴定出 618 个差异表达的 lncRNA。对这些差异表达的 lncRNA 和 CRC 患者的总生存进行单因素和多因素 Cox 回归分析后,最终筛选出 6 个预测性 lncRNA(RP1-170O19.17、RP11-785D18.3、RP11-798K3.2、XXbac-B476C20.9、RP11-481J13.1 和 RP11-167H9.4)来构建一个六 lncRNA 特征,基于该特征,训练数据集的患者被分为总生存率有显著差异的高风险和低风险组。ROC 曲线分析表明,该六 lncRNA 特征具有竞争力。该六 lncRNA 特征的预后能力在测试和整个数据集得到了成功验证。多因素 Cox 回归分析和分层分析进一步表明,该六 lncRNA 特征独立于其他常规临床变量,可用于预测 CRC 患者的生存。功能富集分析揭示了这些预测性 lncRNA 可能在一些癌症相关的生物学过程和途径中发挥作用。我们的研究表明,该新型六 lncRNA 特征具有作为 CRC 患者生存预测的独立生物标志物的巨大潜力。