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二硫化物诱导细胞焦亡相关长链非编码RNA预测急性髓系白血病的预后。

Disulfidptosis-related LncRNAs forecast the prognosis of acute myeloid leukemia.

作者信息

Xu Pei, Sun Xiaolin, Pan Lingxiao, Zhu Jianfeng, Qian Sixuan

机构信息

Department of Hematology, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, 225300, China.

Department of Cardiology, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, 225300, China.

出版信息

Sci Rep. 2025 Apr 20;15(1):13635. doi: 10.1038/s41598-025-95607-5.

Abstract

Acute myeloid leukemia (AML) is a highly aggressive hematologic malignancy with a poor prognosis for patients. Disulfidptosis response-related long non-coding RNAs (DRLs) have been demonstrated to be closely associated with cancer development. Therefore, this study aims to construct a prognostic DRL signature and investigate the immune microenvironment for AML. RNA-seq and clinical data for AML patients were obtained from The Cancer Genome Atlas (TCGA) database. A total of 344 disulfidptosis-associated lncRNAs were identified, and a prognostic model consisting of seven lncRNAs was constructed and validated. Two risk groups, high-risk and low-risk, were identified. The model demonstrated a robust capacity to predict prognosis, with a worse overall survival for patients in the high-risk group. Additionally, differential expression of the seven lncRNAs were relatively higher in AML samples than in control samples via quantitative polymerase chain reaction(qPCR). The Kyoto Encyclopedia of Genes and Genomes (KEGG) and immune infiltration analysis revealed a substantial infiltration of immune cells and enrichment of immune pathways in the high-risk group. The sensitivity of AML patients to drugs varied according to their risk grade. This study identified a DRL signature, which can effectively predict the prognosis of AML and better understand the mechanism of disulfidptosis in AML. This provides a basis for personalized immunotherapy in AML patients.

摘要

急性髓系白血病(AML)是一种侵袭性很强的血液系统恶性肿瘤,患者预后较差。二硫化物诱导细胞焦亡反应相关的长链非编码RNA(DRLs)已被证明与癌症发展密切相关。因此,本研究旨在构建一个预后DRL特征,并研究AML的免疫微环境。AML患者的RNA测序和临床数据来自癌症基因组图谱(TCGA)数据库。共鉴定出344个与二硫化物诱导细胞焦亡相关的lncRNA,并构建和验证了一个由7个lncRNA组成的预后模型。确定了两个风险组,即高风险组和低风险组。该模型显示出强大的预后预测能力,高风险组患者的总生存期较差。此外,通过定量聚合酶链反应(qPCR),AML样本中7个lncRNA的差异表达相对高于对照样本。京都基因与基因组百科全书(KEGG)和免疫浸润分析显示,高风险组中免疫细胞大量浸润,免疫途径富集。AML患者对药物的敏感性因风险等级而异。本研究确定了一个DRL特征,可有效预测AML的预后,并更好地了解AML中二硫化物诱导细胞焦亡的机制。这为AML患者的个性化免疫治疗提供了依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5468/12009979/b53d5772d33d/41598_2025_95607_Fig1_HTML.jpg

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