PMID- 37233879 OWN - NLM STAT- MEDLINE DCOM- 20231221 LR - 20240409 IS - 1591-9528 (Electronic) IS - 1591-8890 (Print) IS - 1591-8890 (Linking) VI - 23 IP - 8 DP - 2023 Dec TI - Immune-related lncRNAs pairs prognostic score model for prediction of survival in acute myeloid leukemia patients. PG - 4527-4538 LID - 10.1007/s10238-023-01085-2 [doi] AB - Acute myeloid leukemia (AML) is one of the most common malignant and aggressive hematologic tumors, and risk stratification is indispensable to ensure proper treatment. But immune-related long noncoding RNAs (ir-lncRNAs) pairs prognostic risk models used to stratify AML have yet to be reported. In this study, we established a prognostic risk model based on eight ir-lncRNAs pairs using LASSO-penalized Cox regression analysis and successfully validated the model in an independent cohort. According to risk scores, patients were divided into a high-risk group and a low-risk group. High-risk patients presented more tumor mutation frequency and higher expression of human leukocyte antigen (HLA)-related genes and immune checkpoint molecules. Gene Set Enrichment Analysis (GSEA) indicated that the transforming growth factors beta (TGFbeta) pathway was activated in the high-risk group; meanwhile, we found that TGFbeta1 mRNA levels were significantly elevated in AML patients and correlated with poor prognosis, which is closely related to drug resistance. Consistently, in vitro studies found that exogenous TGFbeta1 can protect AML cells from chemotherapy-induced apoptosis. Collectively, we developed an ir-lncRNA prognostic model that helps predict the prognosis of AML patients and provides valuable information about their response to immune checkpoint inhibitors, and we found that increased TGFbeta1 levels resulting in chemoresistance may be one of the leading causes of treatment failure in high-risk AML patients. CI - (c) 2023. The Author(s). FAU - Liang, Xue AU - Liang X AD - Department of Hematology/Hematological Lab, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. FAU - Li, Cong AU - Li C AD - Department of Hematology/Hematological Lab, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. FAU - Fan, Mengmeng AU - Fan M AD - Department of Hematology/Hematological Lab, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. FAU - Zhang, Wanqiu AU - Zhang W AD - Department of Hematology/Hematological Lab, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. FAU - Liu, Linlin AU - Liu L AD - Department of Hematology/Hematological Lab, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. FAU - Zhou, Ji AU - Zhou J AD - Department of Hematology/Hematological Lab, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. FAU - Hu, Linhui AU - Hu L AD - Department of Hematology/Hematological Lab, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. FAU - Zhai, Zhimin AU - Zhai Z AD - Department of Hematology/Hematological Lab, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. zzzm889@163.com. LA - eng GR - 201903a07020030/the major subject of science and technology of Anhui province/ PT - Journal Article DEP - 20230526 PL - Italy TA - Clin Exp Med JT - Clinical and experimental medicine JID - 100973405 RN - 0 (RNA, Long Noncoding) SB - IM MH - Humans MH - Prognosis MH - *RNA, Long Noncoding/genetics MH - *Leukemia, Myeloid, Acute/drug therapy/genetics/pathology MH - Risk Factors MH - Research Design PMC - PMC10725353 OTO - NOTNLM OT - Acute myeloid leukemia OT - Chemoresistance OT - Prognostic model OT - TGFbeta OT - lncRNAs COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/05/26 13:09 MHDA- 2023/12/21 06:42 PMCR- 2023/05/26 CRDT- 2023/05/26 11:10 PHST- 2022/11/30 00:00 [received] PHST- 2023/04/28 00:00 [accepted] PHST- 2023/12/21 06:42 [medline] PHST- 2023/05/26 13:09 [pubmed] PHST- 2023/05/26 11:10 [entrez] PHST- 2023/05/26 00:00 [pmc-release] AID - 10.1007/s10238-023-01085-2 [pii] AID - 1085 [pii] AID - 10.1007/s10238-023-01085-2 [doi] PST - ppublish SO - Clin Exp Med. 2023 Dec;23(8):4527-4538. doi: 10.1007/s10238-023-01085-2. Epub 2023 May 26.