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pmid:38192996

Establishment and validation of a prognostic immune-related lncRNA risk model for acute myeloid leukemia.

Kun-Ying Xie · Shu-Zhao Chen · Yun Wang · Meng-Lan Zeng · Xiao-Ying Liu · Yang Liang · Jing Wei

Translational cancer research · 2023 doi:10.21037/tcr-23-429

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Experiment

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Data

partial

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Establishment and validation of a prognostic immune-related lncRNA risk model for acute myeloid leukemia.
doi
10.21037/tcr-23-429
pmid
38192996
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Kun-Ying Xie
[1]
Shu-Zhao Chen
[2]
Yun Wang
[3]
Meng-Lan Zeng
[4]
Xiao-Ying Liu
[5]
Yang Liang
[6]
Jing Wei
journal
Translational cancer research
year
2023
abstract
Background: Acute myeloid leukemia (AML) is a cancer arising in the bone marrow and is the most common type of adult leukemia. AML has a poor prognosis, and currently, its prognosis evaluation does not include immune status assessment. This study established an immune-related long non-coding RNA (lncRNA) prognostic risk model for AML based on immune lncRNAs screening. Methods: To construct training and validation cohorts, The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) public databases were accessed to obtain gene expression profiles and clinical data. The correlation between lncRNAs and immunity genes was analyzed using the "limma" package, and the immune-related lncRNAs were obtained. Through least absolute shrinkage and selection operator regression, a prognostic model was established with immune-related lncRNAs. Using the median risk score, patients were divided into high- and low-risk groups. The Kaplan-Meier method was used for survival analysis, whereas the accuracy of the risk model was evaluated using time-dependent receiver operating characteristic curves, risk score distribution, survival status, and risk heat maps. We utilized univariate and multivariate Cox regression to examine the association between risk score and clinical variables and AML survival and prognosis. Results: In the immune-related lncRNA prognostic risk model, the prognosis was better for low-risk than for high-risk patients, indicating risk score of this model as an independent indicator of prognosis. The area under the curve value for 1-, 3-, and 5-year survival of TCGA patients was 0.817, 0.859, and 0.909, respectively, whereas that of GEO patients (of dataset GPL96-GSE37642) was 0.603, 0.652, and 0.624, respectively. Gene set enrichment analysis revealed the enrichment of multiple pathways, such as antigen processing, B-cell receptor signaling pathway, natural killer cell-mediated cytotoxicity, and chemokines, in high-risk patients. Conclusions: In this study, immune-related lncRNA prognostic risk models effectively predicted AML survival and provided potential treatment targets.
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Further screening was performed using Cox regression analysis and the least absolute shrinkage and selection operator (LASSO) was used to reduce overfitting of the data, and the prognostic regression model was obtained to generate a risk score for each patient.
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The area under the curve value for 1-, 3-, and 5-year survival of TCGA patients was 0.817, 0.859, and 0.909, respectively, whereas that of GEO patients (of dataset GPL96-GSE37642) was 0.603, 0.652, and 0.624, respectively.
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Complete file
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AML has a poor prognosis, and currently, its prognosis evaluation does not include immune status assessment. This study established an immune-related long non-coding RNA (lncRNA) prognostic risk model for AML based on immune lncRNAs screening.\nMethods: To construct training and validation cohorts, The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) public databases were accessed to obtain gene expression profiles and clinical data. The correlation between lncRNAs and immunity genes was analyzed using the \"limma\" package, and the immune-related lncRNAs were obtained. Through least absolute shrinkage and selection operator regression, a prognostic model was established with immune-related lncRNAs. Using the median risk score, patients were divided into high- and low-risk groups. The Kaplan-Meier method was used for survival analysis, whereas the accuracy of the risk model was evaluated using time-dependent receiver operating characteristic curves, risk score distribution, survival status, and risk heat maps. We utilized univariate and multivariate Cox regression to examine the association between risk score and clinical variables and AML survival and prognosis.\nResults: In the immune-related lncRNA prognostic risk model, the prognosis was better for low-risk than for high-risk patients, indicating risk score of this model as an independent indicator of prognosis. The area under the curve value for 1-, 3-, and 5-year survival of TCGA patients was 0.817, 0.859, and 0.909, respectively, whereas that of GEO patients (of dataset GPL96-GSE37642) was 0.603, 0.652, and 0.624, respectively. Gene set enrichment analysis revealed the enrichment of multiple pathways, such as antigen processing, B-cell receptor signaling pathway, natural killer cell-mediated cytotoxicity, and chemokines, in high-risk patients.\nConclusions: In this study, immune-related lncRNA prognostic risk models effectively predicted AML survival and provided potential treatment targets.", "claims": [{"id": "claim-method", "statement": "Further screening was performed using Cox regression analysis and the least absolute shrinkage and selection operator (LASSO) was used to reduce overfitting of the data, and the prognostic regression model was obtained to generate a risk score for each patient.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:38192996", "locator": "sections[5] \"Immune-related lncRNA risk model construction\" paragraph 2", "quote": "Further screening was performed using Cox regression analysis and the least absolute shrinkage and selection operator (LASSO) was used to reduce overfitting of the data, and the prognostic regression model was obtained to generate a risk score for each patient."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The RNA-seq and clinical data of AML patients from the TCGA database were obtained using the UCSC Xena database (https://xena.ucsc.edu/).", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:38192996", "locator": "sections[4] \"Data collection and organization\" paragraph 2", "quote": "The RNA-seq and clinical data of AML patients from the TCGA database were obtained using the UCSC Xena database (https://xena.ucsc.edu/)."}], "state": "complete"}, {"id": "claim-target-result", "statement": "The area under the curve value for 1-, 3-, and 5-year survival of TCGA patients was 0.817, 0.859, and 0.909, respectively, whereas that of GEO patients (of dataset GPL96-GSE37642) was 0.603, 0.652, and 0.624, respectively.", "kind": "qualitative", "target": null, "evidence": [{"asset": "source:pmid:38192996", "locator": "sections[0] \"Abstract\" paragraph 3", "quote": "The area under the curve value for 1-, 3-, and 5-year survival of TCGA patients was 0.817, 0.859, and 0.909, respectively, whereas that of GEO patients (of dataset GPL96-GSE37642) was 0.603, 0.652, and 0.624, respectively."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "partial", "objective": "The area under the curve value for 1-, 3-, and 5-year survival of TCGA patients was 0.817, 0.859, and 0.909, respectively, whereas that of GEO patients (of dataset GPL96-GSE37642) was 0.603, 0.652, and 0.624, respectively.", "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:38192996"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "blocked", "blocked_on": "data:accession_absent", "description": "The GEO series accession resolves and its sample accessions are listed. 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