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A ferroptosis-related signature predicts the clinical diagnosis and prognosis, and associates with the immune microenvironment of lung cancer

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机构: [1]Kunming Med Univ,Affiliated Hosp 1,Dept Oncol Radiotherapy,Kunming 650032,Yunnan,Peoples R China [2]Kunming Univ Sci & Technol, Med Sch, Kunming 650031, Yunnan, Peoples R China [3]Kunming Med Univ,Affiliated Hosp 1,Dept Thorac Surg,295 Xichang Rd,Kunming 650032,Yunnan,Peoples R China [4]Yunnan Canc Hosp, Dept Thorac Surg, Kunming 650118, Yunnan, Peoples R China
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关键词: Lung cancer Ferroptosis Diagnosis Prognosis Tumor immune microenvironment

摘要:
Targeting ferroptosis-related pathway is a potential strategy for treatment of lung cancer (LC). Consequently, exploration of ferroptosis-related markers is important for treating LC. We collected LC clinical data and mRNA expression profiles from TCGA and GEO database. Ferroptosis-related genes (FRGs) were obtained through FerrDB database. Expression analysis was performed to obtain differentially expressed FRGs. Diagnostic and prognostic models were constructed based on FRGs by LASSO regression, univariate, and multivariate Cox regression analysis, respectively. External verification cohorts GSE72094 and GSE157011 were used for validation. The interrelationship between prognostic risk scores based on FRGs and the tumor immune microenvironment was analyzed. Immunocytochemistry, Western blotting, and RT-qPCR detected the FRGs level. Eighteen FRGs were used for diagnostic models, 8 FRGs were used for prognostic models. The diagnostic model distinguished well between LC and normal samples in training and validation cohorts of TCGA. The prognostic models for TCGA, GSE72094, and GSE157011 cohorts significantly confirmed lower overall survival (OS) in high-risk group, which demonstrated excellent predictive properties of the survival model. Multivariate Cox regression analysis further confirmed risk score was an independent risk factor related with OS. Immunoassays revealed that in high-risk group, a significantly higher proportion of Macrophages_M0, Neutrophils, resting Natural killer cells and activated Mast cells and the level of B7H3, CD112, CD155, B7H5, and ICOSL were increased. In conclusion, diagnostic and prognostic models provided superior diagnostic and predictive power for LC and revealed a potential link between ferroptosis and TIME. Ferroptosis-related prognostic risk score, T stage, denovo tumors were prognostic risk factors of LC. B cells, neutrophils, and CD+T cells differ between high and low risk group. Ferroptosis-related prognostic risk score could well predict the 5-year survival rate of patients. ACSL3, FADS2, GLS2, HSF1, PANX1, PHKG2, and VDAC2 levels in high-risk group were increased. CDKN1A level was decreased in high-risk group.

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大类 | 4 区 医学
小类 | 4 区 内分泌学与代谢 4 区 肿瘤学
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Q2 ONCOLOGY Q3 ENDOCRINOLOGY & METABOLISM

影响因子: 最新[2023版] 最新五年平均 出版当年[2024版] 出版当年五年平均 出版前一年[2023版]

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第一作者机构: [1]Kunming Med Univ,Affiliated Hosp 1,Dept Oncol Radiotherapy,Kunming 650032,Yunnan,Peoples R China
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