PMID- 38317842 OWN - NLM STAT- MEDLINE DCOM- 20240207 LR - 20240207 IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 12 DP - 2024 TI - Novel application of the ferroptosis-related genes risk model associated with disulfidptosis in hepatocellular carcinoma prognosis and immune infiltration. PG - e16819 LID - 10.7717/peerj.16819 [doi] LID - e16819 AB - Hepatocellular carcinoma (HCC) stands as the prevailing manifestation of primary liver cancer and continues to pose a formidable challenge to human well-being and longevity, owing to its elevated incidence and mortality rates. Nevertheless, the quest for reliable predictive biomarkers for HCC remains ongoing. Recent research has demonstrated a close correlation between ferroptosis and disulfidptosis, two cellular processes, and cancer prognosis, suggesting their potential as predictive factors for HCC. In this study, we employed a combination of bioinformatics algorithms and machine learning techniques, leveraging RNA sequencing data, mutation profiles, and clinical data from HCC samples in The Cancer Genome Atlas (TCGA), Gene Expression Omnibus (GEO), and the International Cancer Genome Consortium (ICGC) databases, to develop a risk prognosis model based on genes associated with ferroptosis and disulfidptosis. We conducted an unsupervised clustering analysis, calculating a risk score (RS) to predict the prognosis of HCC using these genes. Clustering analysis revealed two distinct HCC clusters, each characterized by significantly different prognostic and immune features. The median RS stratified HCC samples in the TCGA, GEO, and ICGC cohorts into high-and low-risk groups. Importantly, RS emerged as an independent prognostic factor in all three cohorts, with the high-risk group demonstrating poorer prognosis and a more active immunosuppressive microenvironment. Additionally, the high-risk group exhibited higher expression levels of tumor mutation burden (TMB), immune checkpoints (ICs), and human leukocyte antigen (HLA), suggesting a heightened responsiveness to immunotherapy. A cancer stem cell infiltration analysis revealed a higher similarity between tumor cells and stem cells in the high-risk group. Furthermore, drug sensitivity analysis highlighted significant differences in response to antitumor drugs between the two risk groups. In summary, our risk prognostic model, constructed based on ferroptosis-related genes associated with disulfidptosis, effectively predicts HCC prognosis. These findings hold potential implications for patient stratification and clinical decision-making, offering valuable theoretical insights in this field. CI - (c) 2024 Wei et al. FAU - Wei, Jiayan AU - Wei J AD - Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. FAU - Wang, Jinsong AU - Wang J AD - Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. FAU - Chen, Xinyi AU - Chen X AD - Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. FAU - Zhang, Li AU - Zhang L AD - Basic Medical Sciences, Wuhan University School of Basic Medical Sciences, Wuhan, Hubei, China. FAU - Peng, Min AU - Peng M AD - Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. LA - eng SI - figshare/10.6084/m9.figshare.24971169.v1 PT - Journal Article DEP - 20240202 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 SB - IM MH - Humans MH - *Carcinoma, Hepatocellular/genetics MH - *Ferroptosis/genetics MH - *Liver Neoplasms/genetics MH - Algorithms MH - Clinical Decision-Making MH - Tumor Microenvironment PMC - PMC10840499 OTO - NOTNLM OT - Disulfidptosis OT - Ferroptosis OT - HCC OT - Prognosis model OT - Tumor microenvironment COIS- The authors declare that they have no competing interests. EDAT- 2024/02/06 06:42 MHDA- 2024/02/07 06:43 PMCR- 2024/02/02 CRDT- 2024/02/06 03:48 PHST- 2023/07/13 00:00 [received] PHST- 2023/12/31 00:00 [accepted] PHST- 2024/02/07 06:43 [medline] PHST- 2024/02/06 06:42 [pubmed] PHST- 2024/02/06 03:48 [entrez] PHST- 2024/02/02 00:00 [pmc-release] AID - 16819 [pii] AID - 10.7717/peerj.16819 [doi] PST - epublish SO - PeerJ. 2024 Feb 2;12:e16819. doi: 10.7717/peerj.16819. eCollection 2024.