Zheng Wanrong, Zhou Chuchu, Xue Zixin, Qiao Ling, Wang Jianjun, Lu Feng
Department of Medical Oncology, Huaihe Hospital of Henan University, Kaifeng, China.
Department of Immunology, School of Basic Medical Sciences, Henan University, Kaifeng, China.
BMC Cancer. 2025 Apr 1;25(1):591. doi: 10.1186/s12885-025-13984-6.
BACKGROUND: Metabolism and stemness-related genes (msRGs) are critical in the development and progression of lung adenocarcinoma (LUAD). Nevertheless, reliable prognostic risk signatures derived from msRGs have yet to be established. METHODS: In this study, we downloaded and analyzed RNA-sequencing and clinical data from The Cancer Genome Atlas (TCGA) and the Gene Expression Omnibus (GEO) databases. We employed univariate and multivariate Cox regression analyses, along with least absolute shrinkage and selection operator (LASSO) regression analysis, to identify msRGs that are linked to the prognosis of LUAD and to develop the prognostic risk signature. The prognostic value was evaluated using Kaplan-Meier analysis and log-rank tests. We generated receiver operating characteristic (ROC) curves to evaluate the predictive capability of the prognostic signature. To estimate the relative proportions of infiltrating immune cells, we utilized the CIBERSORT algorithm and the MCPCOUNTER method. The prediction of the half-maximal inhibitory concentration (IC50) for commonly used chemotherapy drugs was conducted through ridge regression employing the "pRRophetic" R package. The validation of our analytical findings was performed through both in vivo and in vitro studies. RESULTS: A novel five-gene prognostic risk signature consisting of S100P, GPX2, PRC1, ARNTL2, and RGS20 was developed based on the msRGs. A risk score derived from this gene signature was utilized to stratify LUAD patients into high- and low-risk groups, with the former exhibiting significantly poorer overall survival (OS). A nomogram was constructed incorporating the risk score and other clinical characteristics, showcasing strong capabilities in estimating the OS rates for LUAD patients. Furthermore, we observed notable differences in the infiltration of various immune cell subtypes, as well as in responses to immunotherapy and chemotherapy, between the low-risk and high-risk groups. Results from gene set enrichment analysis (GSEA) and in vitro studies indicated that the prognostic signature gene ARNTL2 influenced the prognosis of LUAD patients, primarily through the activation of the PI3K/AKT/mTOR signaling pathway. CONCLUSIONS: Utilizing this gene signature for risk stratification could help with clinical treatment management and improve the prognosis of LUAD patients.
背景:代谢和干性相关基因(msRGs)在肺腺癌(LUAD)的发生和发展中至关重要。然而,源自msRGs的可靠预后风险特征尚未建立。 方法:在本研究中,我们从癌症基因组图谱(TCGA)和基因表达综合数据库(GEO)下载并分析了RNA测序和临床数据。我们采用单变量和多变量Cox回归分析以及最小绝对收缩和选择算子(LASSO)回归分析,以鉴定与LUAD预后相关的msRGs并构建预后风险特征。使用Kaplan-Meier分析和对数秩检验评估预后价值。我们生成受试者工作特征(ROC)曲线以评估预后特征的预测能力。为了估计浸润性免疫细胞的相对比例,我们使用了CIBERSORT算法和MCPCOUNTER方法。通过使用“pRRophetic”R包的岭回归对常用化疗药物的半数最大抑制浓度(IC50)进行预测。我们通过体内和体外研究对分析结果进行验证。 结果:基于msRGs开发了一种由S100P、GPX2、PRC1、ARNTL2和RGS20组成的新型五基因预后风险特征。从该基因特征得出的风险评分用于将LUAD患者分为高风险和低风险组,前者的总生存期(OS)明显较差。构建了一个包含风险评分和其他临床特征的列线图,显示出在估计LUAD患者OS率方面的强大能力。此外,我们观察到低风险和高风险组之间在各种免疫细胞亚型的浸润以及对免疫治疗和化疗的反应方面存在显著差异。基因集富集分析(GSEA)和体外研究结果表明,预后特征基因ARNTL2主要通过激活PI3K/AKT/mTOR信号通路影响LUAD患者的预后。 结论:利用这种基因特征进行风险分层有助于临床治疗管理并改善LUAD患者的预后。
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