Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 324 Jing 5 Rd, Jinan, Shandong, 250021, China.
Department of Emergency Medicine, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
J Gastrointest Cancer. 2024 Mar;55(1):444-456. doi: 10.1007/s12029-023-00977-6. Epub 2023 Nov 25.
BACKGROUND: Ferroptosis and lncRNAs both play crucial roles in cancers. But the roles of ferroptosis-related lncRNAs (FRLncs) in HBV-related HCC (HBV-HCC) remain ambiguous. METHODS: The gene expression profile and clinical data were originated from the Cancer Genome Atlas (TCGA) database. The risk signature was constructed by FRLncs based on the Cox regression analysis. The survival curve, Cox regression analysis, and time-dependent receiver operating characteristic (ROC) curve were adopted to verify the independence and reliability of the signature. A nomogram was established. Immune-infiltrating cells, immune functions, and checkpoints were analyzed. RESULTS: A risk signature composed of 7 FRLncs (LINC00942, AC131009.1, POLH-AS1, AC090772.3, MKLN1-AS, AC009403.1, AL031985.3) was constructed and divided HBV-HCC patients into high- and low-risk groups. Patients in the high-risk group showed a poor prognosis. The area under curves (AUC) of the signature for 1-, 3-, and 5-year was satisfactory. A nomogram composed of gender, stage, age, grade, and risk signature was established. The risk signature and nomogram displayed appreciable independence and reliability in HBV-HCC patients. The T-cell CD8 + , monocyte, and macrophage M1 were expressed differently significantly in HCC patients, while macrophage M2 showed an obvious difference in the HBV-HCC patients between the different risk groups. PDCD1 and CTL4 were expressed higher in the high-risk group of HCC patients. CONCLUSION: A 7-lncRNA signature was identified as a potential prognostic predictor for HBV-HCC patients. Immune therapy may be a promising strategy for HCC patients, especially HBV-HCC patients.
背景:铁死亡和长链非编码 RNA(lncRNA)在癌症中都起着至关重要的作用。但铁死亡相关 lncRNA(FRLnc)在乙型肝炎病毒相关肝细胞癌(HBV-HCC)中的作用仍不清楚。
方法:基因表达谱和临床数据来自癌症基因组图谱(TCGA)数据库。基于 Cox 回归分析,使用 FRLnc 构建风险特征。采用生存曲线、Cox 回归分析和时间依赖性接受者操作特征(ROC)曲线验证特征的独立性和可靠性。建立了一个列线图。分析了免疫浸润细胞、免疫功能和检查点。
结果:构建了由 7 个 FRLnc(LINC00942、AC131009.1、POLH-AS1、AC090772.3、MKLN1-AS、AC009403.1、AL031985.3)组成的风险特征,并将 HBV-HCC 患者分为高风险和低风险组。高风险组患者预后较差。特征 1、3 和 5 年的曲线下面积(AUC)令人满意。建立了一个由性别、分期、年龄、分级和风险特征组成的列线图。该特征和列线图在 HBV-HCC 患者中具有良好的独立性和可靠性。在 HCC 患者中,T 细胞 CD8+、单核细胞和巨噬细胞 M1 的表达存在显著差异,而巨噬细胞 M2 在不同风险组的 HBV-HCC 患者之间存在明显差异。PDCD1 和 CTL4 在 HCC 患者的高风险组中表达较高。
结论:鉴定出一个 7-lncRNA 特征,可作为 HBV-HCC 患者的潜在预后预测因子。免疫治疗可能是 HCC 患者,尤其是 HBV-HCC 患者的一种有前途的治疗策略。
J Gastrointest Cancer. 2024-3
World J Gastroenterol. 2019-1-14
Medicine (Baltimore). 2022-7-15
BMC Biol. 2025-6-6
Front Immunol. 2024
Cancer Cell. 2022-4-11