Wu Zhen, Liang Yuan, Li Chun Sun, Guo Hua, Yang Zhen, Zhao Wei, Chen Liang An
Department of Respiratory, First Medical Center of Chinese PLA General Hospital, Beijing, China.
iScience. 2025 Jul 16;28(9):113128. doi: 10.1016/j.isci.2025.113128. eCollection 2025 Sep 19.
The differentiation between benign and malignant pulmonary ground-glass nodules (GGNs) has always been a current clinical hotspot issue. Patients with pulmonary GGNs from 8 centers were enrolled to identify biomarkers for malignancy and benignity discrimination, and an integrated biomarker panel comprising two miRNA, one long non-coding RNA (lncRNA), and one circular RNA (cirRNA) identified by multivariate logistic regression analysis were established. The classifier had area under the receiver-operating characteristic (ROC) curve (AUC) of 0.88, 87.8% sensitivity and 70% specificity, being significantly higher compared with the Mayo model (AUC of 0.72), Brock model (AUC of 0.70), and Herder model (AUC of 0.82) (all < 0.05). Moreover, relative expression of and gradually increased from adenocarcinoma (AIS) to minimally invasive adenocarcinoma (MIA) to invasive adenocarcinoma (IAC). The classifier was validated in two independent sets of patients. It has been proved that the integration of three kinds of non-coding RNAs (ncRNAs) could more accurately identify early staged lung cancer among indeterminate GGNs.
肺磨玻璃结节(GGN)的良恶性鉴别一直是当前临床热点问题。来自8个中心的肺GGN患者被纳入研究,以确定用于鉴别恶性和良性的生物标志物,并建立了一个由多因素逻辑回归分析确定的包含两种微小RNA(miRNA)、一种长链非编码RNA(lncRNA)和一种环状RNA(cirRNA)的综合生物标志物组。该分类器的受试者操作特征曲线(ROC)下面积(AUC)为0.88,灵敏度为87.8%,特异性为70%,与梅奥模型(AUC为0.72)、布罗克模型(AUC为0.70)和赫德模型(AUC为0.82)相比显著更高(均P<0.05)。此外,[具体指标]的相对表达从原位腺癌(AIS)到微浸润腺癌(MIA)再到浸润性腺癌(IAC)逐渐升高。该分类器在两组独立患者中得到验证。已证明三种非编码RNA(ncRNA)的整合能够更准确地在不确定的GGN中识别早期肺癌。