■口腔鳞状细胞癌(OSCC)是口腔癌的主要形式,以预后不良为标志。Ferroptosis,一种程序性细胞死亡,在各种癌症的发生和发展中起着至关重要的作用。长链非编码RNA(lncRNAs)在调节癌症发展方面是突出的。然而,在OSCC中铁凋亡相关lncRNAs(FRLs)的预后意义仍未得到充分研究。本研究旨在开发一种基于FRL的预测特征来预测OSCC患者的预后。
■我们从癌症基因组图谱(TCGA)和FerrDb数据库收集了FRL的表达谱以及临床数据。使用LASSO算法进行Cox回归分析,构建了基于10个FRL的预后模型,并对其预测能力进行了评估。然后,该模型用于研究功能富集,免疫景观,m6A基因,体细胞变异,以及不同风险队列患者的药物反应。最后,STARD4-AS1(含4-反义RNA1的类固醇生成急性调节蛋白相关脂质转移结构域)的表达和功能,根据我们的生物信息学分析,OSCC筛查的潜在预后标志物,进行了体外研究。
■我们开发了包含10个FRL的签名,以根据其计算的风险评分将患者分为两个风险队列。与低风险队列中的患者相比,被分类为高风险的患者表现出明显较差的预后。此外,生存分析,患者风险热图,和风险曲线验证了签名的准确性。使用免疫微环境很好地研究了这种特征在OSCC中的作用,突变,和基因集富集分析(GSEA)。此外,七种药物,包括顺铂和多西他赛,被确定为高危癌症患者的潜在治疗方法。此外,在OSCC细胞系中STARD4-AS1的敲低显著抑制细胞增殖和迁移并诱导铁凋亡。
■使用此签名可能会改善OSCC的总体生存预测,为免疫疗法和靶向疗法带来新的启示。此外,STARD4-AS1可能调控OSCC的铁凋亡过程,可作为一种新型的生物标志物。
UNASSIGNED: Oral squamous cell carcinoma (OSCC) stands as the predominant form of oral cancer, marked by a poor prognosis. Ferroptosis, a type of programmed cell death, plays a critical role in the initiation and progression of various cancers. Long non-coding RNAs (lncRNAs) are prominent in modulating cancer development. Nevertheless, the prognostic significance of ferroptosis-related lncRNAs (FRLs) in OSCC remains inadequately explored. This study aims to develop a predictive signature based on FRLs to forecast the prognosis of OSCC patients.
UNASSIGNED: We gathered expression profiles of FRLs along with clinical data from The Cancer Genome Atlas (TCGA) and FerrDb databases. A prognostic model based on 10 FRLs were constructed using Cox regression analyses with LASSO algorithms, and their predictive power was evaluated. Then, the model was used to investigate functional enrichment, immune landscape, m6A genes, somatic variations, and drug response in different risk cohorts of patients. Finally, the expression and function of STARD4-AS1 (steroidogenic acute regulator protein-related lipid transfer domain containing 4-antisense RNA 1), a potential prognostic marker for OSCC screening based on our bioinformatics analysis, were investigated in vitro.
UNASSIGNED: We developed a signature comprising 10 FRLs to stratify patients into two risk cohorts according to their calculated risk scores. Patients classified as high-risk exhibited significantly poorer prognoses compared to those in the low-risk cohort. Furthermore, survival analysis, patient risk heat plot, and risk curve verified the accuracy of the signature. The role of this signature in OSCC was well investigated using immune microenvironment, mutational, and gene set enrichment analysis (GSEA). Moreover, seven drugs, including cisplatin and docetaxel, were identified as potential treatments for patients with high-risk cancers. In addition, the knockdown of STARD4-AS1 in OSCC cell lines markedly inhibited cell proliferation and migration and induced ferroptosis.
UNASSIGNED: Using this signature may improve overall survival predictions in OSCC, throwing new light on immunotherapies and targeted therapies. Moreover, STARD4-AS1 might regulate the process of ferroptosis and could be used as a novel biomarker of OSCC.