ArticleInternational journal of medical sciences2026
A prognostic 19-gene signature and LBP-mediated immune dysregulation define the tumor microenvironment in poor-prognosis KIRC.
Article in International journal of medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Kidney renal clear cell carcinoma (KIRC) exhibits pronounced immune heterogeneity, and immune dysregulation within the tumor microenvironment (TME) contributes to poor outcomes. Leveraging TCGA-KIRC RNA-seq, we stratified patients by immune-cell infiltration and immune-regulatory gene expression to define a poor-survival subgroup for discovery. Differential expression analysis prioritized lipopolysaccharide-binding protein (LBP) and generated an immune-relevant candidate set that was refined from 406 to 87 genes by stepwise logistic regression and then benchmarked through one million random 20-gene models, yielding a final 19-gene prognostic signature. Six immune-cell features associated with survival were identified, including higher M0 macrophages, regulatory T cells, activated CD4 memory T cells, plasma cells, and neutrophils (worse prognosis) and resting mast cells (better prognosis). LBP was highly expressed in the poor-survival subgroup and functionally validated
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