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A robust six-gene prognostic signature based on two prognostic subtypes constructed by chromatin regulators is correlated with immunological features and therapeutic response in lung adenocarcinoma

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机构: [1]Yunnan Agr Univ, Fac Anim Sci & Technol, Kunming, Peoples R China [2]Kunming Med Univ, Dept Lab Anim Sci, Kunming, Peoples R China [3]First Peoples Hosp Yunnan Prov, Dept Med Oncol, Kunming, Peoples R China [4]Kunming Univ Sci & Technol, Affiliated Hosp, Dept Med Oncol, Kunming, Peoples R China
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关键词: lung adenocarcinoma chromatin regulator risk model survival immune cell infiltration

摘要:
Accumulating evidence has demonstrated that chromatin regulators (CRs) regulate immune cell infiltration and are correlated with prognoses of patients in some cancers. However, the immunological and prognostic roles of CRs in lung adenocarcinoma (LUAD) are still unclear. Here, we systematically revealed the correlations of CRs with immunological features and the survival in LUAD patients based on a cohort of gene expression datasets from the public TCGA and GEO databases and real RNA-seq data by an integrative analysis using a comprehensive bioinformatics method. Totals of 160 differentially expressed CRs (DECRs) were identified between LUAD and normal lung tissues, and two molecular prognostic subtypes (MPSs) were constructed and evaluated based on 27 prognostic DECRs using five independent datasets (p =0.016, <0.0001, =0.008, =0.00038 and =0.00055, respectively). Six differentially expressed genes (DEGs) (CENPK, ANGPTL4, CCL20, CPS1, GJB3, TPSB2) between two MPSs had the most important prognostic feature and a six-gene prognostic model was established. LUAD patients in the low-risk subgroup showed a higher overall survival (OS) rate than those in the high-risk subgroup in nine independent datasets (p <0.0001, =0.021, =0.016, =0.0099, <0.0001, =0.0045, <0.0001, =0.0038 and =0.00013, respectively). Six-gene prognostic signature had the highest concordance index of 0.673 compared with 19 reported prognostic signatures. The risk score was significantly correlated with immunological features and activities of oncogenic signaling pathways. LUAD patients in the low-risk subgroup benefited more from immunotherapy and were less sensitive to conventional chemotherapy agents. This study provides novel insights into the prognostic and immunological roles of CRs in LUAD.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 3 区 细胞生物学 3 区 老年医学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 细胞生物学 3 区 老年医学
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出版当年[2022]版:
Q2 CELL BIOLOGY Q2 GERIATRICS & GERONTOLOGY
最新[2023]版:
Q2 CELL BIOLOGY Q2 GERIATRICS & GERONTOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Yunnan Agr Univ, Fac Anim Sci & Technol, Kunming, Peoples R China
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通讯机构: [3]First Peoples Hosp Yunnan Prov, Dept Med Oncol, Kunming, Peoples R China [4]Kunming Univ Sci & Technol, Affiliated Hosp, Dept Med Oncol, Kunming, Peoples R China
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