Evidence map›Paper›PMID 39256647›Full record

ArticleBMC nephrology2024

Comprehensive analysis of LD-related genes signature for predicting prognosis and immunotherapy response in clear cell renal cell carcinoma.

Yangtao Jia, Xinke Dong, Fangzheng Yang, Libin Zhou, Huimin Long

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Article in BMC nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yangtao JiaThe Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, People's Republic of China.
Xinke DongThe Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, People's Republic of China.
Fangzheng YangThe Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, People's Republic of China.
Libin ZhouThe Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, People's Republic of China. zlburo2013@sina.com.
Huimin LongThe Affiliated Lihuili Hospital of Ningbo University, Ningbo, Zhejiang, People's Republic of China. longhuiming@vip.sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLipid droplets (LD) in renal clear cell carcinoma (ccRCC)play a crucial role in lipid metabolism and immune response modulation. The purpose of this study was to create a LD-related signature to predict prognosis and guide the immunotherapy and targeted therapy in ccRCC patients.

methodsWe conducted a comprehensive analysis using transcriptional profiles and clinical data obtained from The Cancer Genome Atlas (TCGA). LD-related genes were identified from existing literature and the GeneCards database, and differentially expressed genes were determined. Sequentially, we conducted Cox regression analysis and Lasso regression analysis, to establish a prognostic risk model. The performance of the risk model was evaluated using Kaplan-Meier (KM) analysis and time-dependent receiver operating characteristic (ROC) analysis. Additionally, gene set enrichment analysis (GSEA), ESTIMATE, CIBERSORT, and immunophenoscore (IPS) algorithm were used to assess the tumor microenvironment (TME) and treatment response.

resultsWe constructed a risk signature with four LD-related genes in the TCGA dataset, which could be an independent prognostic factor in ccRCC patients. Then, patients were classified into two risk groups and exhibited notable differences in overall survival (OS), progression-free survival (PFS), and TME characteristics. Furthermore, we developed a comprehensive nomogram based on clinical features, which demonstrated good prognostic predictive value. According to the results of GSEA analysis, immune-related pathways were found to be significantly enriched in the high-risk group. Additionally, the high-risk group displayed high levels of immune cell infiltration, TMB and IPS scores, indicating better efficacy of immune checkpoint inhibitors (ICIs). Finally, high-risk demonstrated reduced IC50 values compared to the low-risk counterpart for specific targeted and chemotherapeutic drugs, suggesting that the patients receiving these targeted drugs in high-risk group had better treatment outcomes.

conclusionsOur findings suggested that the LD-related gene signature could potentially predict the prognosis of ccRCC patients. Additionally, it showed promise for predicting responses to immunotherapy and targeted therapy in ccRCC patients. These insights might potentially have guided the clinical management of these patients, but further validation and broader data analysis are needed to confirm these preliminary observations.

Indexed as

Carcinoma, Renal CellImmunotherapyKidney NeoplasmsFemaleHumansMaleMiddle AgedNomogramsPrognosisTranscriptomeTumor MicroenvironmentClear cell renal cell carcinomaImmunotherapyLD-related genesPrognostic signature

Identifiers

PMID39256647
PMCPMC11384682

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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.