251. Identification of Ferroptosis-Related Long Noncoding RNA and Construction of a Novel Prognostic Signature for Gastric Cancer
- Author
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Zhigang Jie, Zhengrong Li, Yi Cao, Yi Liu, Pengcheng Fu, Yi Tu, Tao Xiao, Jianbo Xiong, Wenzheng Chen, Jianfeng Huang, and Zongfeng Feng
- Subjects
Oncology ,Medicine (General) ,Programmed cell death ,medicine.medical_specialty ,Clinical Biochemistry ,Kaplan-Meier Estimate ,R5-920 ,Text mining ,Stomach Neoplasms ,Internal medicine ,Databases, Genetic ,Biomarkers, Tumor ,Genetics ,Ferroptosis ,Humans ,Medicine ,Precision Medicine ,Immune Checkpoint Inhibitors ,Molecular Biology ,Gene ,Prognostic signature ,Sequence Analysis, RNA ,business.industry ,Proportional hazards model ,Gene Expression Profiling ,Biochemistry (medical) ,Cancer ,General Medicine ,Prognosis ,medicine.disease ,Long non-coding RNA ,Gene Expression Regulation, Neoplastic ,RNA, Long Noncoding ,business ,Research Article - Abstract
Background. Gastric cancer is the most common malignant tumor of the digestive system. It has a poor prognosis and is clinically challenging to treat. Ferroptosis is a newly defined mode of programmed cell death. The roles and prognostic value of ferroptosis-related long noncoding RNAs (lncRNAs) in gastric cancer remain unknown. Results. In the current study, 20 ferroptosis-related lncRNAs were identified via univariate Cox analysis, least absolute shrinkage, and selection operator Cox regression analysis and used to construct a prognostic signature and classify gastric cancer patients into high-risk and low-risk groups. The signature was validated using TCGA training and testing cohorts. The risk signature was an independent prognostic indicator of survival and accurately predicted the prognoses of patients with gastric cancer. It was also associated with immune cell infiltration. Gene set enrichment analysis was used to investigate underlying mechanisms that the 20 ferroptosis-related lncRNAs were involved in. Chemosensitivity and immune checkpoint inhibitor analyses indicated that high-risk patients were more sensitive to the immune checkpoint inhibitor programmed cell death protein 1. Conclusions. The important role of ferroptosis-related lncRNAs in immune infiltration identified in the current study may assist the determination of personalized prognoses and treatments in patients with gastric cancer. These 20 lncRNAs can be used as the diagnostic and prognostic markers for gastric cancer.
- Published
- 2021
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