Prognostic signatures

预后特征
  • 文章类型: Systematic Review
    背景与目的:头颈部鳞状细胞癌(HNSCC)是一种异质性恶性肿瘤,受多种遗传和环境因素的影响。肥大细胞(MC),通常与过敏反应有关,最近已成为HNSCC肿瘤微环境(TME)的关键调节剂。本系统综述探讨了MCs在HNSCC发病机制中的作用及其作为预后标志物和治疗靶点的潜力。材料和方法:在PubMed中进行了系统的搜索,截至2023年12月31日的Scopus和ClinicalTrials.gov数据库,使用“肥大细胞”和“头颈部鳞状细胞癌”作为搜索词。包括有关MC和HNSCC的英文研究。筛选,数据提取和分析遵循PRISMA指南。没有进行新的实验。结果:在201篇文章中,52项研究符合纳入标准,其中43篇发表于2020年至2023年之间。总共检查了28821个HNSCC和9570个非癌组织样品。MC密度和活化在正常组织和HNSCC之间变化。确定了与MC相关的遗传改变,与预后相关的特定基因表达。建立与MC密度相关的预后基因特征。结论:MC已经作为多方面的TME调节剂出现,影响HNSCC发展和进步的各个方面。应进一步阐明MC密度和激活中可能的位点特异性或HPV相关差异。尽管关于其预后作用的发现相互矛盾,MC代表了新的治疗策略的有希望的目标,需要进一步研究和临床验证个性化HNSCC治疗。
    Background and Objectives: Head and neck squamous cell carcinoma (HNSCC) is a heterogeneous malignancy influenced by various genetic and environmental factors. Mast cells (MCs), typically associated with allergic responses, have recently emerged as key regulators of the HNSCC tumor microenvironment (TME). This systematic review explores the role of MCs in HNSCC pathogenesis and their potential as prognostic markers and therapeutic targets. Materials and Methods: A systematic search was conducted in the PubMed, Scopus and ClinicalTrials.gov databases until 31 December 2023, using \"Mast cells\" AND \"Head and neck squamous cell carcinoma\" as search terms. Studies in English which reported on MCs and HNSCC were included. Screening, data extraction and analysis followed PRISMA guidelines. No new experiments were conducted. Results: Out of 201 articles, 52 studies met the inclusion criteria, 43 of which were published between 2020 and 2023. A total of 28821 HNSCC and 9570 non-cancerous tissue samples had been examined. MC density and activation varied among normal tissues and HNSCC. Genetic alterations associated with MCs were identified, with specific gene expressions correlating with prognosis. Prognostic gene signatures associated with MC density were established. Conclusions: MCs have arisen as multifaceted TME modulators, impacting various aspects of HNSCC development and progression. Possible site-specific or HPV-related differences in MC density and activation should be further elucidated. Despite conflicting findings on their prognostic role, MCs represent promising targets for novel therapeutic strategies, necessitating further research and clinical validation for personalized HNSCC treatment.
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  • 文章类型: Journal Article
    癌症相关的血栓形成是癌症患者的重要并发症,导致发病率和死亡率增加。凝血/纤溶基因的表达,被称为“凝结体”,在这个过程中起着至关重要的作用。使用单样本基因集富集分析(ssGSEA),我们确定了七种具有显著激活的凝血途径的癌症类型,重点关注低级别神经胶质瘤(LGG)和胃腺癌,因为它们对总生存率具有预测价值。通过1000次迭代的最小绝对收缩和选择算子(LASSO),我们选择了预后基因并构建了有效的Cox回归模型,特别是LGG。结合临床特征,我们构造了LGG的列线图,在测试数据集中的1年、3年和5年时,曲线下面积(AUC)为0.79、0.82和0.81,表明有很强的临床应用潜力。高风险和低风险LGG组之间的功能富集分析显示,参与炎症反应的基因显著富集,干扰素-γ反应,和上皮-间质转化途径。结合CIBERSORT和LGG的单细胞RNA测序分析,我们的结果表明,凝血和肿瘤微环境之间的相互作用,特别是涉及神经胶质瘤和骨髓细胞,显著影响肿瘤进展和患者预后。
    Cancer-associated thrombosis is a significant complication in cancer patients, leading to increased morbidity and mortality. The expression of coagulation/fibrinolysis genes, termed the \"coagulome\", plays a critical role in this process. Using the single-sample gene set enrichment analysis (ssGSEA), we identified seven cancer types with significantly activated coagulation pathways, focusing on lower-grade glioma (LGG) and stomach adenocarcinoma due to their predictive value for overall survival. Through 1000 iterations of the Least Absolute Shrinkage and Selection Operator (LASSO), we selected prognostic genes and constructed effective Cox regression models, particularly for LGG. Incorporating clinical characteristics, we constructed a nomogram for LGG, achieving an impressive area under the curve (AUCs) of 0.79, 0.82, and 0.81 at 1, 3, and 5 years in the test dataset, indicating strong potential for clinical application. Functional enrichment analysis between high-risk and low-risk LGG groups revealed significant enrichment of genes involved in the inflammatory response, interferon-gamma response, and epithelial-mesenchymal transition pathways. Combined with CIBERSORT and single-cell RNA sequencing analysis of LGG, our results demonstrated that the interplay between coagulation and the tumor microenvironment, particularly involving gliomas and myeloid cells, significantly influences tumor progression and patient outcomes.
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  • 文章类型: Journal Article
    二硫化物下垂,一种与代谢功能障碍有关的创新类型的受控细胞死亡,引起了注意。然而,关于二硫键相关lnRNAs(DRlncRNAs)参与喉鳞状细胞癌(LSCC)的知识有限.我们团队在这项研究中的目标是建立一个DRlncRNAs签名,调查它们在LSCC中的预后价值,并探索它们与免疫细胞亚群的关系,生物信号通路,并探索对药物敏感性的影响。我们从癌症基因组图谱(TCGA)门户获取了LSCC患者的RNA-seq数据和相关临床数据,用于随后的进一步分析。进行了文献检索,重点是与二硫键相关的基因。计算皮尔逊相关系数以鉴定DRlncRNA。进行lncRNA的差异表达分析。利用单变量Cox回归分析,我们鉴定了与二硫键下垂相关的预后lncRNAs.采用LASSO-Cox回归分析来完善这组lncRNA并构建与二硫键下垂相关的lncRNA签名。采用了各种统计技术来评估模型预测性能。随后,根据来自DRlncRNAs签名的风险评分对风险组进行分层.在LSCC患者中,风险评分在预测中优于传统的临床病理特征。风险群体之间出现了明显的区别,特别是在免疫细胞亚群如激活的肥大细胞中,嗜酸性粒细胞,和激活的NK细胞。最后,低危组显示顺铂和吉西他滨等特定化疗药物的IC50值降低.体外实验表明我们的DRlncRNA的不同行为。DRlncRNAs特征可以作为稳健的生物标志物,具有预测LSCC患者的预后和治疗反应的能力。
    Disulfidptosis, an innovative type of controlled cellular death linked to metabolic dysfunction, has garnered attention. However, there is limited knowledge regarding the involvement of disulfidptosisrelated lnRNAs (DRlncRNAs) in laryngeal squamous cell carcinoma (LSCC). The objective of our team in this study seeks to establish a DRlncRNAs signature, investigate their prognostic value in LSCC, and explore their associations with immune cell subpopulations, biological signaling pathways, and exploring implications for drug sensitivity. We accessed LSCC patients\' RNA-seq data and pertinent clinical data for subsequent further analysis from The Cancer Genome Atlas (TCGA) portal. A literature search was conducted focusing on disulfidptosis-related genes. Pearson correlation coefficients were calculated to identify DRlncRNAs. Differential expression analysis of lncRNAs was performed. Utilizing univariate Cox regression analysis, we identified disulfidptosis-associated prognostic lncRNAs. The LASSO-Cox regression analysis was employed to refine this set of lncRNAs and construct a disulfidptosis-related lncRNAs signature. Various statistical techniques were employed to appraise model predictive performance. Subsequently, risk groups were stratified based on the risk score derived from the DRlncRNAs signature. The superiority of the risk score in prognostication over traditional clinicopathological features in LSCC patients was demonstrated. Evident distinctions emerged between risk groups, particularly in immune cell subpopulations like activated mast cells, eosinophils, and activated NK cells. Finally, the low-risk group demonstrated reduced IC50 values for specific chemotherapeutics like cisplatin and gemcitabine. The in vitro experiments indicated differential behavior of our DRlncRNAs. The DRlncRNAs signature can serve as a robust biomarker with the ability to predict both prognosis and therapeutic responses among patients with LSCC.
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  • 文章类型: Journal Article
    背景:胃癌是一种危及生命的疾病,对人类健康构成严重威胁。尽管在临床实践中胃癌的分子靶点众多,它们通常表现出低特异性和敏感性。因此,这可能导致早期诊断率低,延迟治疗,胃癌患者预后不良。因此,确定更精确的诊断标记物仍然至关重要。
    方法:本研究利用ceRNA芯片和生物信息学方法研究苦参碱干预胃癌细胞的关键基因和机制。
    结果:ADAM12和PDGFRB是苦参碱干预胃癌细胞后下调的关键基因。通过进行生物信息学分析,确定了两个ceRNA调节轴,这与胃癌的预后有关。这些轴为lncRNADGCR5/hsa-miR-206/ADAM12和circRNAITGA3/hsa-miR-24-3p/PDGFRB。
    结论:ADAM12的低表达可能会削弱细胞外基质(ECM)分子的消化,这可能导致肿瘤细胞的侵袭和转移。这在没有ECM蛋白酶催化的情况下发生,从而影响胃癌细胞的侵袭和转移。此外,免疫浸润分析提示ADAM12和PDGFRB可能影响肿瘤免疫微环境的改变,从而影响胃癌的发生发展。本研究有助于更深入地了解苦参碱相关的ceRNA网络在胃癌中的作用,为临床诊断和治疗提供参考。它在发现新的药物治疗靶点方面具有重要意义。
    BACKGROUND: Gastric cancer is a life-threatening disease that poses a serious risk to human health. Although there are numerous molecular targets for gastric cancer in clinical practice, they often exhibit low specificity and sensitivity. Consequently, this can result in a low early diagnosis rate, delayed treatment, and poor prognosis for patients with gastric cancer. Hence, it remains crucial to identify more precise diagnostic markers for this disease.
    METHODS: This study utilized ceRNA chips and bioinformatics methods to investigate the key genes and mechanisms involved in matrine intervention in gastric cancer cells.
    RESULTS: ADAM12 and PDGFRB are the key genes that are down-regulated after matrine intervention in gastric cancer cells. By conducting bioinformatics analysis, two ceRNA regulatory axes were identified, which are associated with the prognosis of gastric cancer. These axes are lncRNA DGCR5/hsa-miR-206/ADAM12 and circRNA ITGA3/hsa-miR-24-3p/PDGFRB.
    CONCLUSIONS: The low expression of ADAM12 may weaken the digestion of extracellular matrix (ECM) molecules, which can result in the invasion and metastasis of tumor cells. This occurs without the catalysis of ECM proteases, thereby impacting the invasion and metastasis of gastric cancer cells. Additionally, the analysis of immune infiltration suggests that ADAM12 and PDGFRB may influence changes in the tumor immune microenvironment, thereby affecting the occurrence and development of gastric cancer. This study contributes to a deeper understanding of the role of the matrine-related ceRNA network in gastric cancer, providing a reference for clinical diagnosis and treatment. It holds significant importance in discovering new drug treatment targets.
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  • 文章类型: Journal Article
    背景:肺腺癌(LUAD)是非小细胞肺癌最常见的亚型。此外,二硫化物下垂,一种新发现的细胞死亡类型,已发现与肿瘤的发生和进展密切相关。
    方法:本研究首先通过相关性分析确定了与二硫键凋亡相关的基因。然后使用单变量cox回归和LASSO回归筛选这些基因,通过多因素cox回归建立预后模型。还创建了列线图来预测LUAD的预后。该模型在三个独立的数据集中进行了验证:GSE72094、GSE31210和GSE37745。接下来,根据中位风险评分对患者进行分组,并对两组间差异表达基因进行分析。富集分析,免疫浸润分析,还进行了药物敏感性评估。
    结果:在这项研究中,我们检测了21个与二硫键下垂相关的基因,并建立了一个与LUAD患者预后较差相关的基因标记.我们的模型使用三个独立的数据集进行了验证,并且在1、3和5年时显示AUC值大于0.5。富集分析显示,二硫化物凋亡相关基因特征对LUAD有多方面的影响,特别是与肿瘤发展有关,扩散,和转移。高风险组的患者表现出更高的肿瘤纯度和更低的基质评分,估计得分,和免疫评分。
    结论:本研究构建了一个与肺腺癌中的二硫键凋亡相关的基因标签,并分析了其对疾病的影响及其与肿瘤微环境的关联。这项研究的发现为了解肺腺癌提供了有价值的见解,并可能导致新的治疗策略的发展。
    Lung adenocarcinoma (LUAD) is the most prevalent subtype of non-small cell lung cancer. Additionally, disulfidptosis, a newly discovered type of cell death, has been found to be closely associated with the onset and progression of tumors.
    The study first identified genes related to disulfidptosis through correlation analysis. These genes were then screened using univariate cox regression and LASSO regression, and a prognostic model was constructed through multivariate cox regression. A nomogram was also created to predict the prognosis of LUAD. The model was validated in three independent data sets: GSE72094, GSE31210, and GSE37745. Next, patients were grouped based on their median risk score, and differentially expressed genes between the two groups were analyzed. Enrichment analysis, immune infiltration analysis, and drug sensitivity evaluation were also conducted.
    In this study, we examined 21 genes related to disulfidptosis and developed a gene signature that was found to be associated with a poorer prognosis in LUAD. Our model was validated using three independent datasets and showed AUC values greater than 0.5 at 1, 3, and 5 years. Enrichment analysis revealed that the disulfidptosis-related genes signature had a multifaceted impact on LUAD, particularly in relation to tumor development, proliferation, and metastasis. Patients in the high-risk group exhibited higher tumor purity and lower stromal score, ESTIMATE score, and Immune score.
    This study constructed a gene signature related to disulfidptosis in lung adenocarcinoma and analyzed its impact on the disease and its association with the tumor microenvironment. The findings of this research provide valuable insights into the understanding of lung adenocarcinoma and could potentially lead to the development of new treatment strategies.
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  • 文章类型: Journal Article
    背景:结肠癌(coloncancer,CC)是世界范围内常见的恶性肿瘤。在这项研究中,研究了来自癌症基因组图谱(TCGA)的473例结肠癌和41例CC患者的邻近组织中N6-甲基腺苷相关的长链非编码RNA(m6A相关的lncRNA)。方法:采用Pearson相关性分析检测m6A相关的lncRNAs,并进行单变量Cox回归分析以筛选38个预后m6A相关lncRNAs。对38个预后lncRNAs进行了最小绝对收缩和选择算子(LASSO)回归分析,以在CC中开发14个m6A相关lncRNAs预后标签(m6A-LPS)。使用Kaplan-Meier和接收器工作特征(ROC)曲线评价m6A-LPS的可用性。结果:三种不同N阶段的m6A修饰模式,生存时间,并确定了免疫景观。已经发现m6A-LPS,它基于14个m6A相关的lncRNAs(TNFRSF10A-AS1,AC245041.1,AL513550.1,UTAT33,SNHG26,AC092944.1,ITGB1-DT,AL138921.1,AC099850.3,NCBP2-AS1,AL137782.1,AC073896.3,AP006621.2,AC147651.1),可能代表一个新的,具有巨大潜力的有前途的生物标志物。根据存活率重新评估,临床特征,肿瘤浸润免疫细胞,与免疫检查点抑制剂(ICIs)相关的生物标志物,和化疗药物疗效。已发现m6A-LPS是评估CC患者预后的新型潜在且有希望的预测因子。结论:这项研究表明,风险特征是一个有前途的预测指标,可以在CC治疗中提供更准确的临床应用,并为临床医生提供有效的治疗策略。
    Background: Colon cancer (CC) is a prevalent malignant tumor that affects people all around the world. In this study, N6-methylandenosine-related long non-coding RNAs (m6A-related lncRNAs) in 473 colon cancers and 41 adjacent tissues of CC patients from The Cancer Genome Atlas (TCGA) were investigated. Method: The Pearson correlation analysis was conducted to examine the m6A-related lncRNAs, and the univariate Cox regression analysis was performed to screen 38 prognostic m6A-related lncRNAs. The least absolute shrinkage and selection operator (LASSO) regression analysis were carried out on 38 prognostic lncRNAs to develop a 14 m6A-related lncRNAs prognostic signature (m6A-LPS) in CC. The availability of the m6A-LPS was evaluated using the Kaplan-Meier and Receiver Operating Characteristic (ROC) curves. Results: Three m6A modification patterns with significantly different N stages, survival time, and immune landscapes were identified. It has been discovered that the m6A-LPS, which is based on 14 m6A-related lncRNAs (TNFRSF10A-AS1, AC245041.1, AL513550.1, UTAT33, SNHG26, AC092944.1, ITGB1-DT, AL138921.1, AC099850.3, NCBP2-AS1, AL137782.1, AC073896.3, AP006621.2, AC147651.1), may represent a new, promising biomarker with great potential. It was re-evaluated in terms of survival rate, clinical features, tumor infiltration immune cells, biomarkers related to Immune Checkpoint Inhibitors (ICIs), and chemotherapeutic drug efficacy. The m6A-LPS has been revealed to be a novel potential and promising predictor for evaluating the prognosis of CC patients. Conclusion: This study revealed that the risk signature is a promising predictive indicator that may provide more accurate clinical applications in CC therapeutics and enable effective therapy strategies for clinicians.
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  • 文章类型: Journal Article
    神经母细胞瘤是一种儿童神经系统肿瘤,影响全世界成千上万的儿童,关于其预后的信息对患者来说是至关重要的,他们的家人,和临床医生。相关生物信息学分析的主要目标之一是提供能够包括其表达水平可以有效预测患者预后的基因的稳定遗传特征。在这项研究中,我们收集了生物医学文献中发表的神经母细胞瘤的预后特征,并注意到其中最常见的基因是三个:AHCY,DPYLS3和NME1。因此,我们通过对诊断为神经母细胞瘤的不同组患者的多个基因表达数据集进行生存分析和二元分类来研究这三个基因的预后能力。最后,我们讨论了这三个基因与神经母细胞瘤相关的文献中的主要研究。我们的结果,在这三个验证步骤中,确认AHCY的预后能力,DPYLS3和NME1,并强调它们在神经母细胞瘤预后中的关键作用。我们的结果可以对神经母细胞瘤遗传学研究产生影响:生物学家和医学研究人员可以更加关注这三个基因在神经母细胞瘤患者中的调控和表达,因此,可以开发出更好的治疗和治疗方法,可以挽救病人的生命。
    Neuroblastoma is a childhood neurological tumor which affects hundreds of thousands of children worldwide, and information about its prognosis can be pivotal for patients, their families, and clinicians. One of the main goals in the related bioinformatics analyses is to provide stable genetic signatures able to include genes whose expression levels can be effective to predict the prognosis of the patients. In this study, we collected the prognostic signatures for neuroblastoma published in the biomedical literature, and noticed that the most frequent genes present among them were three: AHCY, DPYLS3, and NME1. We therefore investigated the prognostic power of these three genes by performing a survival analysis and a binary classification on multiple gene expression datasets of different groups of patients diagnosed with neuroblastoma. Finally, we discussed the main studies in the literature associating these three genes with neuroblastoma. Our results, in each of these three steps of validation, confirm the prognostic capability of AHCY, DPYLS3, and NME1, and highlight their key role in neuroblastoma prognosis. Our results can have an impact on neuroblastoma genetics research: biologists and medical researchers can pay more attention to the regulation and expression of these three genes in patients having neuroblastoma, and therefore can develop better cures and treatments which can save patients\' lives.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Multicenter Study
    背景:了解DNA损伤和修复(DDR)途径活性的不同分子谱,疾病进展的生物标志物,存在于具有有利风险特征的前列腺肿瘤中是一个未满足的需求,这项研究旨在发掘。
    方法:这是一项2014年至2016年前瞻性收集的根治性前列腺切除术(RP)肿瘤样本的多中心全基因组表达谱分析研究。DDR活性由372个DDR基因的平均表达计算。使用共识分层聚类来获得基于DDR基因表达模式的鲁棒聚类解决方案。进行了簇之间的全基因组差异表达,并通过表达模式评估结果。
    结果:在前瞻性注册的5239名患者中,376患有有利风险疾病(Grade组[GG]1至2,RP前PSA<10ng/ml,pT2或更低)。DDR活性评分与预测转移风险(r=0.37,P<2e-16)和高级别组(P<0.001)的预后基因组特征相关。在28%的有利风险疾病患者中观察到高DDR活性(前四分位数)。在有利风险疾病中,3个具有不同DDR活性的不同簇出现了共识聚类。簇I(与簇II-III和GG3-GG5疾病相比)在所有DDR亚途径中表达最高,MYC,PAPR1,AR,和AR活性(全部P<.001)。此外,与其他群集相比,群集I的无转移生存率(MFS)和总生存率(OS)较差(MFS;HR:2.43,95CI,[1.22-4.83],P=0.01;OS;HR:2.77,95CI,[1.18-6.5],P=0.01)。
    结论:集群I是一个新的具有高DDR活性的有利风险疾病亚组,AR活动,PARP1和chr8q/MYC表达,和较差的MFS和OS。
    Understanding if divergent molecular profiles of DNA damage and repair (DDR) pathway activity, a biomarker of disease progression, exist in prostate tumors with favorable-risk features is an unmet need, which this study aim to unearth.
    This was a multicenter registry genome-wide expression profiling study of prospectively collected radical prostatectomy (RP) tumor samples from 2014 to 2016. DDR activity was calculated from average expression of 372 DDR genes. Consensus hierarchical clustering was used to arrive at a robust clustering solution based on DDR gene expression patterns. Genome-wide differential expression between clusters was performed, and outcomes were evaluated across expression patterns.
    Of 5239 patients from the prospective registry, 376 had favorable-risk disease (Grade group [GG] 1 to 2, PSA prior to RP <10ng/ml, pT2 or less). DDR activity score was correlated with prognostic genomic signatures that predict for metastatic risk (r = 0.37, P < 2e-16) and high grade groups (P < .001). High DDR activity (top-quartile) was observed in 28% of patients with favorable-risk disease. In favorable-risk disease, 3 distinct clusters with varied DDR activity emerged with consensus clustering. Cluster I (compared with cluster II-III and GG3-GG5 disease) had the highest expression of all DDR sub-pathways, MYC, PAPR1, AR, and AR activity (P < .001 for all). Furthermore, cluster I was associated with poorer metastasis-free survival (MFS) and Overall survival (OS) compared with other clusters (MFS; HR: 2.43, 95%CI, [1.22-4.83], P = .01; OS; HR: 2.77, 95%CI, [1.18-6.5], P = .01).
    Cluster I is a novel subgroup of favorable-risk disease with high DDR activity, AR activity, PARP1 and chr8q/MYC expression, and poorer MFS and OS.
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    坏死是细胞坏死过程的调节形式,在肿瘤中起关键作用。在肾细胞癌(RCC)中,抑制坏死可以促进肿瘤细胞的增殖。然而,肾癌坏死过程相关基因的分子机制和预后预测尚不清楚。在这项研究中,我们首先通过分析癌症基因组图谱(TCGA,n=607)。我们系统分析了表达改变,临床相关性,NPRGss在肾透明细胞癌中的分子机制。我们基于七个NPRGss的表达,利用最小绝对收缩和选择算子(LASSO)Cox回归分析构建了NPRGs风险签名。我们发现,KIRC患者的总生存期(OS)在高或低NPRG风险组中存在显着差异。单因素/多因素Cox回归显示,NPRGs风险特征是RCC的独立预后因素。利用基因集富集分析(GSEA)和基因集变异分析(GSVA)探讨NPRGss的分子机制。免疫/代谢相关途径在高/低NPRG风险组中显示出差异富集。E-MTAB-1980,TCGA-KIRP,GSE78220,亚历山德拉等人的队列。,和IMtiven210队列数据集分别用作NPRGs风险特征的独立验证队列。高或低NPRGs风险组的患者表现出不同的药物敏感性,免疫检查点表达,和免疫治疗反应。最后,我们基于NPRG风险签名建立了一个列线图,舞台,grade,和最终临床翻译的年龄;列线图具有准确和稳定的预测效果。该特征可以预测患者的预后和治疗反应,为肾癌患者进一步的临床治疗策略奠定了基础。
    Necroptosis is a regulated form of cell necroptotic process, playing a pivotal role in tumors. In renal cell cancer (RCC), inhibiting necroptosis could promote the proliferation of tumor cells. However, the molecular mechanisms and prognosis prediction of necroptotic-process-related genes in RCC are still unclear. In this study, we first identified the necroptotic process prognosis-related genes (NPRGss) by analyzing the kidney renal clear cell carcinoma (KIRC) data in The Cancer Genome Atlas (TCGA, n=607). We systematically analyzed the expression alteration, clinical relevance, and molecular mechanisms of NPRGss in renal clear cell carcinoma. We constructed an NPRGs risk signature utilizing the least absolute shrinkage and selection operator (LASSO) Cox regression analysis on the basis of the expression of seven NPRGss. We discovered that the overall survival (OS) of KIRC patients differed significantly in high- or low-NPRGs-risk groups. The univariate/multivariate Cox regression revealed that the NPRGs risk signature was an independent prognosis factor in RCC. The gene set enrichment analysis (GSEA) and gene set variation analysis (GSVA) were used to explore the molecular mechanisms of NPRGss. Immune-/metabolism-related pathways showed differential enrichment in high-/low-NPRGs-risk groups. The E-MTAB-1980, TCGA-KIRP, GSE78220, the cohort of Alexandra et al., and IMvigor210 cohort datasets were respectively used as independent validation cohorts of NPRGs risk signature. The patients in high- or low-NPRGs-risk groups showed different drug sensitivity, immune checkpoint expression, and immune therapy response. Finally, we established a nomogram based on the NPRGs risk signature, stage, grade, and age for eventual clinical translation; the nomogram possesses an accurate and stable prediction effect. The signature could predict patients\' prognosis and therapy response, which provides the foundation for further clinical therapeutic strategies for RCC patients.
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