基于稳健的免疫相关长链非编码 RNA 对特征预测肺腺癌的预后和免疫治疗反应。

Prediction of prognosis and immunotherapy response with a robust immune-related lncRNA pair signature in lung adenocarcinoma.

机构信息

Department of Clinical Laboratory, Biobank, Harbin Medical University Cancer Hospital, 150 Haping Road, Harbin, 150040, Heilongjiang, China.

Department of Clinical Oncology, Harbin Medical University Cancer Hospital, 150 Haping Road, Harbin, 150040, Heilongjiang, China.

出版信息

Cancer Immunol Immunother. 2022 Jun;71(6):1295-1311. doi: 10.1007/s00262-021-03069-1. Epub 2021 Oct 15.

Abstract

The tumor immune microenvironment plays essential roles in regulating inflammation, angiogenesis, immune modulation, and sensitivity to therapies. Here, we developed a powerful prognostic signature with immune-related lncRNAs (irlncRNAs) in lung adenocarcinoma (LUAD). We obtained differentially expressed irlncRNAs by intersecting the transcriptome dataset for The Cancer Genome Atlas (TCGA)-LUAD cohort and the ImmLnc database. A rank-based algorithm was applied to select top-ranking altered irlncRNA pairs for the model construction. We built a prognostic signature of 33 irlncRNA pairs comprising 40 unique irlncRNAs in the TCGA-LUAD cohort (training set). The immune signature significantly dichotomized LUAD patients into high- and low-risk groups regarding overall survival, which is likewise independently predictive of prognosis (hazard ratio = 3.580, 95% confidence interval = 2.451-5.229, P < 0.001). A nomogram with a C-index of 0.79 demonstrates the superior prognostic accuracy of the signature. The prognostic accuracy of the signature of 33 irlncRNA pairs was validated using the GSE31210 dataset (validation set) from the Gene Expression Omnibus database. Immune cell infiltration was calculated using ESTIMATE, CIBERSORT, and MCP-count methodologies. The low-risk group exhibited high immune cell infiltration, high mutation burden, high expression of CTLA4 and human leukocyte antigen genes, and low expression of mismatch repair genes, which predicted response to immunotherapy. Interestingly, pRRophetic analysis demonstrated that the high-risk group possessed reverse characteristics was sensitive to chemotherapy. The established immune signature shows marked clinical and translational potential for predicting prognosis, tumor immunogenicity, and therapeutic response in LUAD.

摘要

肿瘤免疫微环境在调节炎症、血管生成、免疫调节和对治疗的敏感性方面起着至关重要的作用。在这里,我们开发了一种基于肺腺癌(LUAD)免疫相关长非编码 RNA(irlncRNA)的强大预后特征。我们通过 intersecting 基因表达数据集 TCGA-LUAD 队列和 ImmLnc 数据库,获得了差异表达的 irlncRNA。应用基于秩的算法选择前位改变的 irlncRNA 对用于模型构建。我们在 TCGA-LUAD 队列(训练集)中构建了一个由 33 对 irlncRNA 组成的预后特征,包含 40 个独特的 irlncRNA。免疫特征显著地将 LUAD 患者分为高风险和低风险组,在总生存期方面具有显著差异,同样可以独立预测预后(危险比=3.580,95%置信区间=2.451-5.229,P<0.001)。C-index 为 0.79 的列线图表明该特征具有较高的预后准确性。我们使用基因表达综合数据库中的 GSE31210 数据集(验证集)验证了 33 对 irlncRNA 特征的预后准确性。使用 ESTIMATE、CIBERSORT 和 MCP-count 方法计算免疫细胞浸润。低风险组表现出高免疫细胞浸润、高突变负担、CTLA4 和人类白细胞抗原基因高表达以及错配修复基因低表达,这预示着对免疫治疗的反应。有趣的是,pRRophetic 分析表明,高风险组具有相反的特征,对化疗敏感。所建立的免疫特征在预测 LUAD 的预后、肿瘤免疫原性和治疗反应方面具有显著的临床和转化潜力。

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