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A novel orognostic signature of metastasis-associated genes and personalized therapeutic strategy for lung adenocarcinoma patients

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单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Inst Pathol,Wuhan 430030,Peoples R China [2]Hubei Univ Sci & Technol, Xianning Med Coll, Xianning 437100, Peoples R China
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关键词: lung adenocarcinoma metastasis prognostic signature candidate drugs

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Lung adenocarcinoma (LUAD) is a highly invasive and metastatic malignant tumor with high morbidity and mortality. This study aimed to construct a prognostic signature for LUAD patients based on metastasis-associated genes (MAGs). RNA expression profiles were downloaded from the Cancer Genome Atlas (TCGA) database. RRA method was applied to identify differentially expressed MAGs. A total of 192 significantly robust MAGs were determined among seven GEO datasets. MAGs were initially selected through the Lasso Cox regression analysis and 6 MAGs were included to construct a prognostic signature model. Transcriptome profile, patient prognosis, correlation between the risk score and clinicopathological features, immune cell infiltration characteristics, immunotherapy sensitivity and chemotherapy sensitivity differed between low- and high-risk groups after grouping according to median risk score. The reliability and applicability of the signature were further validated in the GSE31210, GSE50081 and GSE68465 cohort. CMap predicted 62 small molecule drugs on the base of the prognostic MAGs. Targeted drug staurosporine had hydrogen bonding with Gln-172 of SLC2A1, which is one of MAGs. Staurosporine could inhibit cell migration in A549 and H1299. We further verified mRNA and protein expression of 6 MAGs in A549 and H1299. The signature can serve as a promising prognostic tool and may provide a novel personalized therapeutic strategy for LUAD patients.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 细胞生物学 3 区 老年医学
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出版当年[2020]版:
Q1 GERIATRICS & GERONTOLOGY Q2 CELL BIOLOGY
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Q2 CELL BIOLOGY Q2 GERIATRICS & GERONTOLOGY

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第一作者单位: [2]Hubei Univ Sci & Technol, Xianning Med Coll, Xianning 437100, Peoples R China
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