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用于预测肺腺癌总生存期的细胞焦亡相关基因特征的鉴定

Identification of a Pyroptosis-Related Gene Signature for Prediction of Overall Survival in Lung Adenocarcinoma.

作者信息

Dong Zheng, Bian Lv, Wang Minglang, Wang Luoqing, Wang Yilian

机构信息

Department of Cardiology, The Second People's Hospital of Lianyungang, Lianyungang, Jiangsu 222023, China.

Hospice Care Center, The Second People's Hospital of Lianyungang, Lianyungang, Jiangsu 222023, China.

出版信息

J Oncol. 2021 Sep 30;2021:6365459. doi: 10.1155/2021/6365459. eCollection 2021.

Abstract

Pyroptosis is a kind of programmed cell death that is characterized by inflammation. However, the expression of pyroptosis-related genes and their connection with prognosis in lung adenocarcinoma (LUAD) remain unknown. The aim of this study is to create and validate a LUAD prediction signature based on genes associated with pyroptosis. The TCGA and GEO were used to collect gene sequencing data and clinical information for LUAD samples. To identify patients with LUAD from the TCGA cohort, consensus clustering by pyroptosis-related genes was employed. Our prognostic model was constructed using LASSO-Cox analysis after Cox regression using differentially expressed genes. To predict patient survival, we created a seven-mRNA signature. Additionally, reliability and validity were established in the GEO cohort. To assess its diagnostic and prognostic usefulness, an integrated bioinformatics method was used. Using a risk score with varying overall survival (OS) in two cohorts (all < 0.001), a seven-gene signature was developed to categorize patients into two risk categories. The signature was shown to be an independent predictor of LUAD using multivariate regression analysis. The signature was linked to a variety of immune cell subtypes according to a study of immune cell infiltration. We constructed a signature consisting of seven genes as a robust biomarker with potential for clinical use in risk stratification and OS prediction in LUAD patients, as well as a potential indicator of immunotherapy in LUAD.

摘要

细胞焦亡是一种以炎症为特征的程序性细胞死亡。然而,细胞焦亡相关基因在肺腺癌(LUAD)中的表达及其与预后的关系尚不清楚。本研究的目的是创建并验证基于细胞焦亡相关基因的LUAD预测特征。利用TCGA和GEO数据库收集LUAD样本的基因测序数据和临床信息。为了从TCGA队列中识别LUAD患者,采用细胞焦亡相关基因进行一致性聚类。在使用差异表达基因进行Cox回归后,通过LASSO-Cox分析构建我们的预后模型。为了预测患者生存,我们创建了一个七信使核糖核酸(mRNA)特征。此外,在GEO队列中验证了其可靠性和有效性。为了评估其诊断和预后价值,采用了综合生物信息学方法。利用两个队列中具有不同总生存期(OS)的风险评分(均<0.001),开发了一个七基因特征,将患者分为两个风险类别。多因素回归分析显示该特征是LUAD的独立预测因子。根据免疫细胞浸润研究,该特征与多种免疫细胞亚型相关。我们构建了一个由七个基因组成的特征,作为一个强大的生物标志物,具有在LUAD患者风险分层和OS预测中临床应用的潜力,以及作为LUAD免疫治疗的潜在指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ad6/8497135/b0a0ad0baf3e/JO2021-6365459.001.jpg

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