Organ Transplant Center, The Affiliated Hospital of Zunyi Medical University, Zunyi 563006, China.
Department of Nephrology, The Affiliated Hospital of Zunyi Medical University, Zunyi 563006, China.
Biomolecules. 2022 Dec 16;12(12):1890. doi: 10.3390/biom12121890.
(1) Objective: We aimed to mine cuproptosis-related LncRNAs with prognostic value and construct a corresponding prognostic model using machine learning. External validation of the model was performed in the ICGC database and in multiple renal cancer cell lines via qPCR. Methods: TCGA and ICGC cohorts related to renal clear cell carcinoma were included. GO and KEGG analyses were conducted to determine the biological significance of differentially expressed cuproptosis-related LncRNAs (CRLRs). Machine learning (LASSO), Kaplan-Meier, and Cox analyses were conducted to determine the prognostic genes. The tumor microenvironment and tumor mutation load were further studied. TIDE and IC50 were used to evaluate the response to immunotherapy, a risk model of LncRNAs related to the cuproptosis genes was established, and the ability of this model was verified in an external independent ICGC cohort. LncRNAs were identified in normal HK-2 cells and verified in four renal cell lines via qPCR. (3) Results: We obtained 280 CRLRs and identified 66 LncRNAs included in the TCGA-KIRC cohort. Then, three hub LncRNAs (AC026401.3, FOXD2-AS1, and LASTR), which were over-expressed in the four ccRCC cell lines compared with the human renal cortex proximal tubule epithelial cell line HK-2, were identified. In the ICGC database, the expression of FOXD2-AS1 and LASTR was consistent with the qPCR and TCGA-KIRC. The results also indicated that patients with low-risk ccRCC-stratified by tumor-node metastasis stage, sex, and tumor grade-had significantly better overall survival than those with high-risk ccRCC. The predictive algorithm showed that, according to the three CRLR models, the low-risk group was more sensitive to nine target drugs (A.443654, A.770041, ABT.888, AG.014699, AMG.706, ATRA, AP.24534, axitinib, and AZ628), based on the estimated half-maximal inhibitory concentrations. In contrast, the high-risk group was more sensitive to ABT.263 and AKT inhibitors VIII and AS601245. Using the CRLR models, the correlation between the tumor immune microenvironment and cancer immunotherapy response revealed that high-risk patients are more likely to respond to immunotherapy than low-risk patients. In terms of immune marker levels, there were significant differences between the high- and low-risk groups. A high TMB score in the high-risk CRLR group was associated with worse survival, which could be a prognostic factor for KIRC. (4) Conclusions: This study elucidates the core cuproptosis-related LncRNAs, FOXD2-AS1, AC026401.3, and LASTR, in terms of potential predictive value, immunotherapeutic strategy, and outcome of ccRCC.
(1) 目的:我们旨在利用机器学习挖掘具有预后价值的铜死亡相关长链非编码 RNA (LncRNA),并构建相应的预后模型。在 ICGC 数据库和多个肾癌细胞系中通过 qPCR 对模型进行外部验证。方法:纳入与肾透明细胞癌相关的 TCGA 和 ICGC 队列。通过 GO 和 KEGG 分析确定差异表达的铜死亡相关 LncRNA (CRLR) 的生物学意义。利用机器学习(LASSO)、Kaplan-Meier 和 Cox 分析确定预后基因。进一步研究肿瘤微环境和肿瘤突变负荷。使用 TIDE 和 IC50 评估免疫治疗反应,建立与铜死亡基因相关的 LncRNA 风险模型,并在外部独立的 ICGC 队列中验证该模型的能力。通过 qPCR 在正常 HK-2 细胞中鉴定 LncRNA,并在四个肾癌细胞系中验证。(3) 结果:我们获得了 280 个 CRLR,并鉴定了包含在 TCGA-KIRC 队列中的 66 个 LncRNA。然后,我们鉴定了三个在四个 ccRCC 细胞系中与人类肾皮质近端小管上皮细胞系 HK-2 相比表达上调的关键 LncRNA(AC026401.3、FOXD2-AS1 和 LASTR)。在 ICGC 数据库中,FOXD2-AS1 和 LASTR 的表达与 qPCR 和 TCGA-KIRC 一致。结果还表明,根据肿瘤-淋巴结-转移分期、性别和肿瘤分级对 ccRCC 进行分层,低风险组的总生存率明显高于高风险组。预测算法表明,根据三个 CRLR 模型,低风险组对 9 种靶向药物(A.443654、A.770041、ABT.888、AG.014699、AMG.706、ATRA、AP.24534、axitinib 和 AZ628)更敏感,基于估计的半最大抑制浓度。相比之下,高风险组对 ABT.263 和 AKT 抑制剂 VIII 和 AS601245 更敏感。使用 CRLR 模型,肿瘤免疫微环境与癌症免疫治疗反应的相关性表明,高风险患者比低风险患者更有可能对免疫治疗产生反应。在免疫标志物水平方面,高风险组和低风险组之间存在显著差异。高风险 CRLR 组的高 TMB 评分与较差的生存相关,这可能是 KIRC 的预后因素。(4) 结论:本研究阐明了铜死亡相关 LncRNA,FOXD2-AS1、AC026401.3 和 LASTR 在 ccRCC 的潜在预测价值、免疫治疗策略和预后方面的核心作用。
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