Evidence map›Paper›PMID 34527427›Full record

ArticleOncoimmunology2021

Molecular subtypes based on ferroptosis-related genes and tumor microenvironment infiltration characterization in lung adenocarcinoma.

Weiju Zhang, Sumei Yao, Hua Huang, Hao Zhou, Haomiao Zhou, Qishuang Wei, Tingting Bian, Hui Sun, Xiaoli Li, Jianguo Zhang and 1 more

Open access · goldAbstract read
In one paragraph

Article in Oncoimmunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
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  7. Review
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  9. Genetic profile of ferroptosis in non-small cell lung carcinoma and pharmaceutical options for ferroptosis induction.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
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  16. Recent progress of ferroptosis in cancers and drug discovery.Asian journal of pharmaceutical sciences · 2024
    Review
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  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Weiju ZhangDepartment of Pathology, Affiliated Hospital of Nantong University and Medical School of Nantong University, Nantong, China.ORCID 0000-0002-5257-0246
Sumei YaoDepartment Of Respiratory, Nantong First People ' s Hospital, Second Affiliated Hospital of Nantong University, Nantong, China.
Hua HuangDepartment of Pathology, Affiliated Hospital of Nantong University, Nantong, China.
Hao ZhouDepartment of Pathology, Medical School of Nantong University, Nantong, China.
Haomiao ZhouDepartment of Pathology, Medical School of Nantong University, Nantong, China.
Qishuang WeiDepartment of Pathology, Medical School of Nantong University, Nantong, China.
Tingting BianDepartment of Pathology, Affiliated Hospital of Nantong University, Nantong, China.
Hui SunDepartment of Pathology, Affiliated Hospital of Nantong University, Nantong, China.
Xiaoli LiDepartment of Pathology, Affiliated Hospital of Nantong University, Nantong, China.
Jianguo ZhangDepartment of Pathology, Affiliated Hospital of Nantong University and Medical School of Nantong University, Nantong, China.
Yifei LiuDepartment of Pathology, Affiliated Hospital of Nantong University and Medical School of Nantong University, Nantong, China.
Nantong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recently, several molecular subtypes with different prognosis have been found in lung adenocarcinoma (LUAD). However, the characteristics of the ferroptosis molecular subtypes and the associated tumor microenvironment (TME) cell infiltration have not been fully studied in LUAD. Using 1160 lung adenocarcinoma samples, we explored the molecular subtypes mediated by ferroptosis-related genes, along with the associated TME cell infiltration. The ferroptosis score was constructed using the least absolute shrinkage and selection operator regression (LASSO) method to quantify the ferroptosis characteristics of a single tumor. Three different molecular subtypes related to ferroptosis, with different prognoses, were identified in LUAD. Analysis of TME cell infiltration revealed immune heterogeneity among the three subtypes. Cluster A was characterized by immunosuppression and was associated with stromal activation. Cluster C was characterized by a large number of immune cells infiltrating the TME, promoting tumor immune response, and it was significantly enriched in immune activation-related signaling pathways. Relatively less infiltration of immune cells was a feature of cluster B. The ferroptosis score can predict tumor subtype, immunity and prognosis. A low ferroptosis score was characterized by immune activation and good prognosis, as seen in the cluster C subtype. Relative immunosuppression and poor prognosis were the characteristics of a high ferroptosis score, as seen in cluster A and B subtypes. At the same time, the anti-PD-1/L1 immunotherapy cohort demonstrated that a low ferroptosis score was associated with higher efficacy of immunotherapy. The ferroptosis score is a promising biomarker that could be of great significance to determine the prognosis, molecular subtypes, TME cell infiltration characteristics and immunotherapy effects in patients with LUAD.

Indexed as

Adenocarcinoma of LungFerroptosisLung NeoplasmsGene Expression Regulation, NeoplasticHumansTumor MicroenvironmentFerroptosisimmunotherapylung adenocarcinomamolecular subtypestumor microenvironment

Identifiers

PMID34527427
PMCPMC8437492
OpenAlexW3198985860

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.