Key result
A high oxidative stress-related lncRNA risk score was significantly associated with worse overall survival in patients with colorectal cancer (p < 0.001), though it was not an independent prognostic factor.
Why the study?
Oxidative stress reactions are associated with oncogenesis and tumor progression in colorectal cancer, but risk models and biomarkers to improve CRC prognosis and treatment were needed.
Does a 9-lncRNA oxidative stress-related risk model predict overall survival in patients with colorectal cancer?
Observational (n=612)
Does a 9-lncRNA oxidative stress-related risk model predict overall survival in patients with colorectal cancer?
An oxidative stress-related 9-lncRNA risk model can predict overall survival and immune microenvironment characteristics in patients with colorectal cancer.
Answers are grounded in this paper and cite their sources.
May support lncRNA-based prognostication in colorectal cancer; leaves open independent value and clinical utility.
BACKGROUND: Colorectal cancer (CRC) is one of the most common cancers in the world. Oxidative stress reactions have been reportedly associated with oncogenesis and tumor progression. By analyzing mRNA expression data and clinical information from The Cancer Genome Atlas (TCGA), we aimed to construct an oxidative stress-related long noncoding RNA (lncRNA) risk model and identify oxidative stress-related biomarkers to improve the prognosis and treatment of CRC. RESULTS: Differentially expressed oxidative stress-related genes (DEOSGs) and oxidative stress-related lncRNAs were identified by using bioinformatics tools. An oxidative stress-related lncRNA risk model was constructed based on 9 lncRNAs (AC034213.1, AC008124.1, LINC01836, USP30-AS1, AP003555.1, AC083906.3, AC008494.3, AC009549.1, and AP006621.3) by least absolute shrinkage and selection operator (LASSO) analysis. The patients were then divided into high- and low-risk groups based on the median risk score. The high-risk group had a significantly worse overall survival (OS) (p < 0.001). Receiver operating characteristic (ROC) and calibration curves displayed the favorable predictive performance of the risk model. The nomogram successfully quantified the contribution of each metric to survival, and the concordance index and calibration plots demonstrated its excellent predictive capacity. Notably, different risk subgroups showed significant differences in terms of their metabolic activity, mutation landscape, immune microenvironment and drug sensitivity. Specifically, differences in the immune microenvironment implied that CRC patients in certain subgroups might be more responsive to immune checkpoint inhibitors. CONCLUSIONS: Oxidative stress-related lncRNAs can predict the prognosis of CRC patients, which provides new insight for future immunotherapies based on potential oxidative stress targets.
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Chen et al. (2023) conducted an observational in Colorectal cancer (n=612). High oxidative stress-related lncRNA risk score vs. Low oxidative stress-related lncRNA risk score was evaluated on Overall survival (OS) (p=<0.001). A high oxidative stress-related lncRNA risk score was significantly associated with worse overall survival in patients with colorectal cancer (p < 0.001), though it was not an independent prognostic factor.
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