Department of Integration of Western and Traditional Medicine, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
Department of Breast Surgery, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
Bioengineered. 2021 Dec;12(1):1813-1825. doi: 10.1080/21655979.2021.1925003.
Ferroptosis, a newly discovered iron-dependent form of cell death, contributes to various pathologies; however, the prognostic value of ferroptosis-related genes (FRGs) in cervical cancer (CC) remains unclear. Herein, we identified 15 differentially expressed FRGs based on data from The Cancer Genome Atlas database. Ten FRGs that correlated with prognosis were screened by univariate Cox regression analysis. The least absolute shrinkage and selection operator regression model was performed to develop a novel prognostic signature. A four-gene model was built to separate samples into high-risk and low-risk groups. Overall survival was lower in the high-risk group than in the low-risk group ( < 0.05). Receiver operating characteristic curve showed a good diagnostic efficiency of the signature. The risk score was identified as an independent prognostic factor via multivariate Cox regression. A functional analysis further revealed a difference in the immune status between the two risk groups. To conclude, we constructed a novel prognostic signature based on FRGs. Targeting ferroptosis may represent a promising approach for the treatment of CC.
铁死亡是一种新发现的铁依赖性细胞死亡形式,与多种病理有关;然而,铁死亡相关基因(FRGs)在宫颈癌(CC)中的预后价值尚不清楚。在此,我们根据癌症基因组图谱数据库的数据鉴定了 15 个差异表达的 FRGs。通过单因素 Cox 回归分析筛选出与预后相关的 10 个 FRGs。使用最小绝对值收缩和选择算子回归模型构建了一个新的预后特征。构建了一个四基因模型将样本分为高风险和低风险组。与低风险组相比,高风险组的总生存率更低(<0.05)。受试者工作特征曲线表明该特征具有良好的诊断效率。多因素 Cox 回归分析确定风险评分是独立的预后因素。功能分析进一步揭示了两个风险组之间免疫状态的差异。总之,我们基于 FRGs 构建了一个新的预后特征。靶向铁死亡可能是治疗 CC 的一种有前途的方法。