Integrated plasma and exosome long noncoding RNA profiling is promising for diagnosing non-small cell lung cancer

© 2023 Walter de Gruyter GmbH, Berlin/Boston..

OBJECTIVES: Non-small cell lung cancer (NSCLC) accounts for more than 80 % of all lung cancers, and its 5-year survival rate can be greatly improved by early diagnosis. However, early diagnosis remains elusive because of the lack of effective biomarkers. In this study, we aimed to develop an effective diagnostic model for NSCLC based on a combination of circulating biomarkers.

METHODS: Tissue-deregulated long noncoding RNAs (lncRNAs) in NSCLC were identified in datasets retrieved from the Gene Expression Omnibus (GEO, n=727) and The Cancer Genome Atlas (TCGA, n=1,135) databases, and their differential expression was verified in paired local plasma and exosome samples from NSCLC patients. Subsequently, LASSO regression was used to screen for biomarkers in a large clinical population, and a logistic regression model was used to establish a multi-marker diagnostic model. The area under the receiver operating characteristic (ROC) curve (AUC), calibration plots, decision curve analysis (DCA), clinical impact curves, and integrated discrimination improvement (IDI) were used to evaluate the efficiency of the diagnostic model.

RESULTS: Three lncRNAs-PGM5-AS1, SFTA1P, and CTA-384D8.35 were consistently expressed in online tissue datasets, plasma, and exosomes from local patients. LASSO regression identified nine variables (Plasma CTA-384D8.35, Plasma PGM5-AS1, Exosome CTA-384D8.35, Exosome PGM5-AS1, Exosome SFTA1P, Log10CEA, Log10CA125, SCC, and NSE) in clinical samples that were eventually included in the multi-marker diagnostic model. Logistic regression analysis revealed that Plasma CTA-384D8.35, exosome SFTA1P, Log10CEA, Exosome CTA-384D8.35, SCC, and NSE were independent risk factors for NSCLC (p<0.01), and their results were visualized using a nomogram to obtain personalized prediction outcomes. The constructed diagnostic model demonstrated good NSCLC prediction ability in both the training and validation sets (AUC=0.97).

CONCLUSIONS: In summary, the constructed circulating lncRNA-based diagnostic model has good NSCLC prediction ability in clinical samples and provides a potential diagnostic tool for NSCLC.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:61

Enthalten in:

Clinical chemistry and laboratory medicine - 61(2023), 12 vom: 27. Nov., Seite 2216-2228

Sprache:

Englisch

Beteiligte Personen:

Wang, Na [VerfasserIn]
Yao, Cong [VerfasserIn]
Luo, Changliang [VerfasserIn]
Liu, Shaoping [VerfasserIn]
Wu, Long [VerfasserIn]
Hu, Weidong [VerfasserIn]
Zhang, Qian [VerfasserIn]
Rong, Yuan [VerfasserIn]
Yuan, Chunhui [VerfasserIn]
Wang, Fubing [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers, Tumor
Clinical data
Diagnosis
Exosome lncRNAs
Journal Article
NSCLC
Plasma lncRNAs
RNA, Long Noncoding

Anmerkungen:

Date Completed 26.10.2023

Date Revised 12.11.2023

published: Electronic-Print

Citation Status MEDLINE

doi:

10.1515/cclm-2023-0291

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358888905