Screening of independent prognostic long non-coding RNA for gastric cancer in TCGA

Background The global incidence of gastric cancer (GC) ranks the fourth among cancers and its 5-year survival is less than 25%. LncRNAs are vital regulators involved in pathological processes of cancer. It is urgent to screen the prognostic lncRNA in GC. Method Expression file and clinical data of GC were downloaded from TCGA. Differentially expressed lncRNAs were calculated by edger R package, followed by the prognosis analysis. COX analysis was conducted to compute the independent factor of GC. Potential signaling pathways that the screened lncRNAs enriched in were evaluated by gene set enrichment analysis (GSEA). At last, Pearson analysis was conducted to predict the possible mechanism of lncRNA in GC process. Result ENSG00000224363 was an unfavorable prognostic factor to OS (overall survival) and DFS (disease-free survival) of GC as COX regression analyzed. GSEA analysis indicated that ENSG00000224363 may regulate cell cycle, apoptosis and autophagy of GC cells. Conclusion LncRNA ENSG00000224363 is overexpressed in GC, serving as an independent unfavorable prognostic factor.

Impact of CD56 Continuously Recognizable as Prognostic Value of Acute Promyelocytic Leukemia: Results of Multivariate Analyses in the Japan Adult Leukemia Study Group (JALSG)-APL204 Study and a Review of the Literature

Background: After long-term analysis of the JALSG-APL204 study we recently reported that maintenance therapy with tamibarotene was more effective than all-trans retinoic acid (ATRA) by reducing relapse in APL patients. Here, the clinical significance of other important prognostic factors was evaluated with multivariate analyses. Patients and Methods: Newly diagnosed acute promyelocytic leukemia (APL) patients were registered with the study. Induction was composed of ATRA and chemotherapy. Patients who achieved molecular remission after consolidation were randomly assigned to maintenance with tamibarotene or ATRA. Results: Of the 344 eligible patients, 319 (93%) achieved complete remission (CR). After completing consolidation, 269 patients underwent maintenance random assignment—135 to ATRA, and 134 to tamibarotene. By multivariate analysis, overexpression of CD56 in blast was an independent unfavorable prognostic factor for relapse-free survival (RFS) (p = 0.006) together with more than 10.0 × 109/L WBC counts (p = 0.001) and the ATRA arm in maintenance (p = 0.028). Of all phenotypes, CD56 was related most clearly to an unfavorable prognosis. The CR rate, mortality rate during induction and overall survival of CD56+ APL were not significantly different compared with CD56− APL. CD56 is continuously an independent unfavorable prognostic factor for RFS in APL patients treated with ATRA and chemotherapy followed by ATRA or tamibarotene maintenance therapy.