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胃腺癌预后非编码长链RNA及抗肿瘤药敏分析OACSTPCD

Prognostic lncRNAs for stomach adenocarcinoma and drug sensitivity analysis

中文摘要英文摘要

目的 本研究旨在探索长链非编码RNA(lncRNAs)对胃腺癌(STAD)患者的预后价值.方法 从肿瘤基因组图谱(TCGA)数据库中检索STAD患者的RNA测序数据和对应的临床资料.用生物信息学方法鉴定差异表达lncRNAs.用生存分析、独立预后分析和受试者工作特征(ROC)曲线分析筛选并鉴定出有独立预后价值的lncRNAs.进一步对与预后lncRNAs共表达的基因进行基因本体(GO)功能富集分析,最后通过抗肿瘤药敏预测"oncoPredict"R包预测抗肿瘤临床治疗的反应.结果 从343例STAD肿瘤组织和30例癌旁组织中共鉴定出差异表达的lncRNAs 1 583个.通过筛选得到有生存和独立预后价值并且可以预测患者临床结局的风险因子lncRNAs AP000695.1,预测患者5年生存率的AUC达到0.836.lncRNAs AP000695.1的基因共表达分析发现,AP000695.1与16个参与肿瘤细胞侵袭、转移和扩散的基因有共表达关系.基于该因子的抗肿瘤药敏预测,发现低4P000695.1的患者对多种靶向抗肿瘤药物的敏感性更强.结论 本研究发现一个有独立预后价值的风险因子lncRNAs AP000695.1,可用于预测STAD患者的临床结局和为个体化抗肿瘤治疗提供参考.

Objective To explore the prognostic value of long non-coding RNAs(lncRNAs)as novel biomarkers for stomach adenocarcinoma(STAD).Methods RNA-seq transcriptome data and clinical details for STAD were downloaded from the The Cancer Genome Atlas(TCGA)database.Differentially expressed lncRNAs were identified by bioinformatics analysis.Survival analysis,independent prognostic analysis and receiver operating characteristic(ROC)curve were used to identify lncRNAs with independent prognostic value.Then,Gene ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)were used to evaluate the biological profiles of the co-expressed genes.Finally,oncoPredict R package was used to predict the drug sensitivity.Results A total of 1 583 differentially expressed lncRNAs were identified from STAD tumor tissues.A lncRNAs AP000695.1 with survival and independent prognostic value was screened.The area under 5-year survival ROCs was 0.836.AP000695.1 was co-expressed with 16 genes involved in tumor cell invasion,metastasis and diffusion.Finally,anti-tumor drug sensitivity prediction revealed that patients in the low expression group were more sensitive to anti-tumor drugs.Conclusion This study discovered a risk factor lncRNAs AP000695.1 with independent prognostic value,may provide insight for individualized antitumor therapy and prognosis prediction for STAD patients.

黄玉妹;黄静;吴阿贞

厦门大学附属第一医院药剂科,福建厦门 361001福建医科大学肿瘤临床医学院、福建省肿瘤医院药剂科,福建福州 350013

药学

胃腺癌;非编码长链RNA;药物敏感性预测;预后分析

stomach adenocarcinoma;long non-coding RNAs;drug sensitivity analysis;prognosis

《中国临床药理学杂志》 2024 (001)

22-26 / 5

10.13699/j.cnki.1001-6821.2024.01.005

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