Why the study?
Lipid metabolism is crucial for reshaping immune status and plays a key role in regulating lung adenocarcinoma advancement, warranting further investigation into immune subtypes and related genes.
IGFBP1 promotes lung adenocarcinoma cell proliferation and migration via the PPARα pathway, suggesting it as a potential prognostic marker and therapeutic target.
Hypothesis-generating for IGFBP1 targeting in lung adenocarcinoma; requires clinical validation before any practice implications.
• This study categorized LUAD patients into three disease subtypes based on the distribution of lipid metabolism-related genes. • IGFBP1 was identified as a prognostic risk factor for lung adenocarcinoma patients. • Functionally, reduced IGFBP1 expression significantly inhibits lung adenocarcinoma proliferation, migration and tumor burden. • Mechanistically, the knockdown of IGFBP1 leads to the inhibition of PPARα activation, regulating the growth of lung adenocarcinoma cells. The immune status is closely linked to cancer progression, metastasis, and prognosis. Lipid metabolism, crucial for reshaping immune status, plays a key role in regulating the advancement of lung adenocarcinoma (LUAD) and deserves further investigation. This study classifies LUAD patients into different immune subtypes based on lipid metabolism-related genes and compares the clinical characteristics among these subtypes. Single-multi COX analysis screens out key genes related to prognosis, and a risk feature and prognostic model are constructed. Cell cloning, scratch, transwell, western blotting and flow cytometry cell cycle analysis to detect the function of key genes. A subcutaneous tumor animal model is used to investigate the in vivo function and molecular mechanisms of key genes. LUAD patients are classified into three immune subtypes, among which C3 subtype has lower immune status and higher frequency of gene mutations, and show lower immunoreactivity in immunotherapy. COX analysis identified a prognostic model for four lipid metabolism factors (IGFBP1, NR0B2, PPARA, and POMC). IGFBP1, a core gene in this model, is highly expressed in the C3 subtype. Functionally, knocking down IGFBP1 significantly inhibits tumor cell cloning, scratch, and migration abilities, and downregulates the expression of cell cycle and EMT-related proteins. Knocking down IGFBP1 significantly inhibits tumor burden ( P < 0.05). Mechanistically, knocking down IGFBP1 inhibits the activation of PPARα to regulate tumor cell growth. This study found that lipid metabolism genes are closely related to LUAD, and IGFBP1 may be a key gene in regulating tumor growth and development.
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Li et al. (2024) studied this question.
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