Ferroptosis-Related Long Non-coding RNA Predicts Prognosis Model of Hepatocellular Carcinoma
Abstract Background: Hepatocellular carcinoma (HCC) is the most common malignancy globally, and ferroptosis is an iron-dependent cell death process. Furthermore, aberrant expression of long non-coding RNAs (lncRNAs) driving HCC development and progression has increased attention. Materials and Methods: We collected lncRNA expression profiles associated with ferroptosis from The Cancer Genome Atlas (TCGA) and FerrDb databases and clinicopathological and overall survival (OS) information to determine the association between ferroptosis-related lncRNAs(FRlncRNAs) and survival of HCC patients by co-expression analysis. A prognostic lncRNA model of 22 differentially expressed lncRNAs was constructed using Cox regression analysis and the LASSO algorithm. Kaplan-Meier analysis revealed that a high-risk lncRNAs profile was associated with poor prognosis in HCC. Our risk assessment model outperformed conventional clinical data in predicting the prognosis of HCC. Result: GSEA revealed immune and tumor-related pathways in individuals in the high- and low-risk groups. In addition, TCGA showed that T cell functions, including B cells, Cytolytic, macrophages, MHC-class-I, mast cells, neutrophils, NK cells, helper T cells, Type-I-IFN, and Type-II-IFN, were significantly different between high and low-risk groups. Immune checkpoints such as TNFSF18, IDO2, CD276, NRP1, and TNFSF4 were also differentially expressed between the two risk groups. Conclusions: Our findings provide a robust prognostic and immune response prediction model for HCC patients based on lncRNAs associated with ferroptosis.