

FOLLOWUS
1. 1Department of Diagnosis, Heze Medical College, Heze, Shandong 274000, China
2. 2Department of Urology, Affiliated Hospital of Heze Medical College, Heze, Shandong 274000, China
3. 3School of Life Sciences, Tsinghua University, Beijing 100084, China
4. 4School of Veterinary Medicine, Huazhong Agricultural University, Wuhan 430072, China
* E-mail: yanlizhang12@mail.tsinghua.edu.cn
Received:16 October 2019,
Published Online:30 September 2020,
Published:30 September 2020
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Li Wenxing, Zhang Yanli. Novel Long Non-coding RNA Markers for Prognostic Prediction of Patients with Bladder Cancer[J]. Chinese medical sciences journal, 2020, 35(3): 239-247.
Li Wenxing, Zhang Yanli. Novel Long Non-coding RNA Markers for Prognostic Prediction of Patients with Bladder Cancer[J]. Chinese medical sciences journal, 2020, 35(3): 239-247. DOI: 10.24920/003662.
目的
探讨与膀胱癌预后相关的长链非编码RNA (lncRNA)分子标志物
建立膀胱癌患者的预后预测模型。
方法
从TCGA数据库中下载膀胱癌患者lncRNA的表达数据。使用单变量Cox回归和基于似然的生存分析发现预后相关的lncRNA分子标记。通过共表达分析和代谢通路富集分析对预后相关的lncRNA进行功能研究。采用多变量Cox回归分析建立风险评分模型
ROC分析确定模型的最佳分界点。通过Kaplan-Meier估计法和log-rank检验对风险评分模型进行验证。
结果
我们发现7个预后相关的lncRNA标记(OCIAD1-AS1
RP11-111J6.2
AC079354.3
RP11-553A21.3
RP11-598F7.3
CYP4F35P
RP11-113K21.4)可以预测膀胱癌患者的生存期。通过对这些lncRNA的特点、其靶基因的共表达和代谢通路分析进一步揭示了lncRNA在膀胱癌的发生和发展中发挥重要作用。此外
我们建立并验证了基于7个lncRNA分子标记的的膀胱癌患者预后预测风险评分模型。值得注意的是
我们首次发现了两种与肿瘤相关的反义lncRNA (OCIAD1-AS1和RP11-553A21.3)在膀胱癌预后中的潜在意义。
结论
这些lncRNA分子标记可作为治疗膀胱癌的潜在靶点
值得进一步进行功能验证研究。
Objective
To explore novel long non-coding RNA (lncRNA) molecular markers related to bladder cancer prognosis and to construct a prognostic prediction model for bladder cancer patients.
Methods
LncRNA expression data of patients with bladder cancer were downloaded from TCGA database. Univariate Cox regression and likelihood-based survival analysis were used to discover prognosis related lncRNAs. Functional studies of prognosis related lncRNAs were conducted by co-expression analysis and pathway enrichment analysis. Multivariate Cox regression analysis was used to establish risk score model
and Receiver Operating Characteristic analysis was used to determine the optimal cut-off point of the model. The risk score model was validated through Kaplan Meier estimation method and log-rank test.
Results
Seven prognosis related lncRNAs (OCIAD1-AS1
RP11-111J6.2
AC079354.3
RP11-553A21.3
RP11-598F7.3
CYP4F35P and RP11-113K21.4) which can predict survival of bladder cancer patient were discovered. Co-expression analysis and pathway analysis of these novel lncRNA signature and their target genes further revealed that these lncRNAs play important roles in the occurrence and development of bladder cancer. Additionally
a seven-lncRNA signature based risk score model for prognostic prediction of bladder cancer patients was established and validated. Notably
we identified the potential significance of two tumor-related antisense lncRNAs (OCIAD1-AS1 and RP11-553A21.3) in the prognosis of bladder cancer.
Conclusion
Our results suggest that these lncRNA markers may serve as potential prognosis predictors for bladder cancer and deserve further functional verification studies.
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