Machine learning-based integration develops an immune-derived lncRNA signature for improving outcomes in colorectal cancer

Z Liu, L Liu, S Weng, C Guo, Q Dang, H Xu… - Nature …, 2022 - nature.com
Z Liu, L Liu, S Weng, C Guo, Q Dang, H Xu, L Wang, T Lu, Y Zhang, Z Sun, X Han
Nature communications, 2022nature.com
Long noncoding RNAs (lncRNAs) are recently implicated in modifying immunology in
colorectal cancer (CRC). Nevertheless, the clinical significance of immune-related lncRNAs
remains largely unexplored. In this study, we develope a machine learning-based
integrative procedure for constructing a consensus immune-related lncRNA signature
(IRLS). IRLS is an independent risk factor for overall survival and displays stable and
powerful performance, but only demonstrates limited predictive value for relapse-free …
Abstract
Long noncoding RNAs (lncRNAs) are recently implicated in modifying immunology in colorectal cancer (CRC). Nevertheless, the clinical significance of immune-related lncRNAs remains largely unexplored. In this study, we develope a machine learning-based integrative procedure for constructing a consensus immune-related lncRNA signature (IRLS). IRLS is an independent risk factor for overall survival and displays stable and powerful performance, but only demonstrates limited predictive value for relapse-free survival. Additionally, IRLS possesses distinctly superior accuracy than traditional clinical variables, molecular features, and 109 published signatures. Besides, the high-risk group is sensitive to fluorouracil-based adjuvant chemotherapy, while the low-risk group benefits more from bevacizumab. Notably, the low-risk group displays abundant lymphocyte infiltration, high expression of CD8A and PD-L1, and a response to pembrolizumab. Taken together, IRLS could serve as a robust and promising tool to improve clinical outcomes for individual CRC patients.
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