A cuproptosis-related lncRNAs risk model to predict prognosis and guide immunotherapy for lung adenocarcinoma.

Cuproptosis, one of the newest forms of cell death induction, is attracting mounting attention. However, the role of cuproptosis in lung cancer is currently unclear. In this study, we constructed a prognostic signature utilizing cuproptosis-related long noncoding RNAs (CRL) in lung adenocarcinoma (LUAD) and researched its clinical and molecular function. RNA-related and clinical data were downloaded from The Cancer Genome Atlas (TCGA) database. Differentially expressed CRLs were screened using the 'limma' package of R software. We used coexpression analysis and univariate Cox analysis to further identify prognostic CRLs. Applying least absolute shrinkage and selection operator (LASSO) regression and Cox regression models, a prognostic risk model based on 16 prognostic CRLs was constructed. To validate prognostic CRL function in LUAD, vitro experiments were conducted to explore the expression of GLIS2-AS1, LINC01230, and LINC00592 in LUAD. Subsequently, according to a formula, patients in the training, test, and overall groups were split into high- and low-risk groups. Kaplan-Meier and receiver operating characteristic (ROC) analyses were applied to assess the predictability of the risk model. Finally, the associations between risk signature and immunity-related analysis, somatic mutation, principal component analysis (PCA), enriched molecular pathways, and drug sensitivity was investigated. A cuproptosis-related long noncoding RNAs (lncRNAs) signature was constructed. Using quantitative polymerase chain reaction (qPCR) trial, we verified that the expressions of GLIS2-AS1, LINC01230, and LINC00592 in LUAD cell lines and tissues were consistent with the above screening results. Based on this signature, a total of 471 LUAD samples from TCGA data set were split into two risk groups based on the computed risk score. The risk model showed a better capacity in predicting prognosis than traditional clinicopathological features. Moreover, significant differences were found in immune cell infiltration, drug sensitivity, and immune checkpoint expression between the two risk groups. The CRLs signature was shown to be a prospective biomarker to forecast prognosis in patients with LUAD and presents new insights for personalized treatment of LUAD.

Li Q ，Wang T ，Zhu J ，Zhang A ，Wu A ，Zhou Y ，Shi J ... -  《-》

Establishment of a prognostic signature for lung adenocarcinoma using cuproptosis-related lncRNAs.

To establish a prognostic signature for lung adenocarcinoma (LUAD) based on cuproptosis-related long non-coding RNAs (lncRNAs), and to study the immune-related functions of LUAD. First, transcriptome data and clinical data related to LUAD were downloaded from the Cancer Genome Atlas (TCGA), and cuproptosis-related genes were analyzed to identify cuproptosis-related lncRNAs. Univariate COX analysis, least absolute shrinkage and selection operator (LASSO) analysis, and multivariate COX analysis were performed to analyze the cuproptosis-related lncRNAs, and a prognostic signature was established. Second, univariate COX analysis and multivariate COX analysis were performed for independent prognostic analyses. Receiver operating characteristic (ROC) curves, C index, survival curve, nomogram, and principal component analysis (PCA) were performed to evaluate the results of the independent prognostic analyses. Finally, gene enrichment analyses and immune-related function analyses were also carried out. (1) A total of 1,297 cuproptosis-related lncRNAs were screened. (2) A LUAD prognostic signature containing 13 cuproptosis-related lncRNAs was constructed (NIFK-AS1, AC026355.2, SEPSECS-AS1, AL360270.1, AC010999.2, ABCA9-AS1, AC032011.1, AL162632.3, LINC02518, LINC0059, AL031600.2, AP000346.1, AC012409.4). (3) The area under the multi-indicator ROC curves at 1, 3, and 5 years were AUC1 = 0.742, AUC2 = 0.708, and AUC3 = 0.762, respectively. The risk score of the prognostic signature could be used as an independent prognostic factor that was independent of other clinical indicators. (4) The results of gene enrichment analyses showed that 13 biomarkers were primarily related to amoebiasis, the wnt signaling pathway, hematopoietic cell lineage. The ssGSEA volcano map showed significant differences between high- and low-risk groups in immune-related functions, such as human leukocyte antigen (HLA), Type_II_IFN_Reponse, MHC_class_I, and Parainflammation (P < 0.001). Thirteen cuproptosis-related lncRNAs may be clinical molecular biomarkers for the prognosis of LUAD.

Yalimaimaiti S ，Liang X ，Zhao H ，Dou H ，Liu W ，Yang Y ，Ning L ... -  《BMC BIOINFORMATICS》

Characterization of cuproptosis-related lncRNA landscape for predicting the prognosis and aiding immunotherapy in lung adenocarcinoma patients.

Cuproptosis is a newly discovered mechanism of regulated cell death, which serves as a novel target for cancer therapy. Long non-coding RNAs (lncRNAs) play an important role in the initiation and progression of cancer cells; however, the relationship between cuproptosis and lncRNAs in tumorigenesis and cancer treatment has not been well established in lung adenocarcinoma (LUAD). Thus, it is important to clarify and characterize the cuproptosis-related lncRNA landscape in LUAD. In this study, cuproptosis-related lncRNAs was screened by Pearson correlation analysis. Then, univariate, Least Absolute Shrinkage and Selection Operator (LASSO), and multivariate Cox regression were conducted to identify 6 cuproptosis-related lncRNAs (AC090541.1, AC009226.1, NIFK-AS1, AC027097.2, AC026355.2, and AC106028.2) which were used to construct a cuproptosis-related lncRNA signature (CRLS). Multi-dimensional assessments including Kaplan-Meier analysis, receiver operating characteristics (ROC) curves, and principal component analysis (PCA) verified that the CRLS could reliably predict the prognosis and survival of LUAD patients. We further compared the immune cell infiltration, somatic mutation landscape, and functional enrichment pathways between the high and low CRLS groups. Patients with low CRLS scores had prolonged survival and were sensitive to immunotherapy, whereas patients with high CRLS scores might benefit better from chemotherapy. We further analyzed the individualized immunotherapeutic strategies and the candidate compounds for the potential clinical treatment. Moreover, the expression level of these 6 lncRNAs was examined experimentally in vitro by using quantitative real-time polymerase chain reaction (RT-qPCR). Additionally, one of the significantly differentially expressed lncRNAs, NIFK-AS1, was confirmed to suppress the proliferation and migration of LUAD by Cell Counting Kit-8 Assays (CCK-8), wound healing assay, and colony formation assays. Taken together, we established a CRLS that might be a promising tool for predicting the prognosis, guiding individualized treatment, and serving as a promising therapeutic target for patients with LUAD.

Sun X ，Song J ，Lu C ，Sun X ，Yue H ，Bao H ，Wang S ，Zhong X ... -  《American Journal of Cancer Research》

A cuproptosis-related long non-coding RNA signature to predict the prognosis and immune microenvironment characterization for lung adenocarcinoma.

Cuproptosis or copper-dependent cell death is a newly identified non-apoptotic cell death pathway which plays a critical role in the development of multiple cancers. Long non-coding RNAs (lncRNAs) are increasingly recognized as crucial regulators of programmed cell death and lung adenocarcinoma (LUAD) development, and a comprehensive understanding of cuproptosis-related lncRNAs may improve prognosis prediction of LUAD. However, few studies have explored the association of cuproptosis-related lncRNAs with the prognosis of LUAD. The RNA sequencing data and corresponding clinical information of patients were extracted from The Cancer Genome Atlas (TCGA) database. Five hundred LUAD patients were randomly divided into a training (n=250) and a testing cohort (n=250). Pearson correlations were performed to identify cuproptosis-related lncRNAs, and univariate Cox regression was performed to screen prognostic lncRNAs. A cuproptosis-related lncRNAs prognostic signature (CLPS) was constructed by the least absolute shrinkage and selection operator Cox regression. Kaplan-Meier analysis, receiver operating characteristic curves, and multivariate Cox regression were performed to verify the prognostic performance of CLPS. Additionally, immune cell infiltration was estimated using the single-sample gene-set enrichment analysis. pRRophetic algorithm and Tumor Immune Dysfunction and Exclusion algorithm were used to assess the immunotherapy and chemotherapy response, respectively. CLPS was established based on 61 cuproptosis-related prognostic lncRNAs and exhibited a satisfactory performance predicting LUAD patients' survival (area under the curve at 1, 3, 5 years was 0.784, 0.749, 0.775, respectively). multivariate Cox analysis confirmed the independent prognostic effect of CLPS (hazard ratio: 1.128; 95% confidence interval: 1.071-1.189; P<0.001), and a nomogram containing it exhibited robust validity in prognostic prediction. We further demonstrated a higher CLPS-risk score was associated with lower levels of signatures including immune cell infiltration, immune activation, and immune checkpoints. The CLPS serves as an effective predictor for the prognosis and therapeutic responses of LUAD patients. Our findings provide promising novel biomarkers and therapeutic targets for LUAD.

Ma S ，Zhu J ，Wang M ，Zhu J ，Wang W ，Xiong Y ，Jiang R ，Seetharamu N ，Abrão FC ，Puthamohan VM ，Liu L ，Jiang T ... -  《-》

A novel defined risk signature of cuproptosis-related long non-coding RNA for predicting prognosis, immune infiltration, and immunotherapy response in lung adenocarcinoma.

Ma C ，Li F ，Gu Z ，Yang Y ，Qi Y ... -  《Frontiers in Pharmacology》