PMID- 38464337 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240312 IS - 1792-1082 (Electronic) IS - 1792-1074 (Print) IS - 1792-1074 (Linking) VI - 27 IP - 4 DP - 2024 Apr TI - Identification and prognostic analysis of ferroptosis‑related gene HSPA5 to predict the progression of lung squamous cell carcinoma. PG - 186 LID - 10.3892/ol.2024.14320 [doi] LID - 186 AB - Ferroptosis, an iron-dependent form of regulated cell death driven by excessive lipid peroxidation, is implicated in the development and therapeutic responses of cancer. However, the role of ferroptosis-related gene profiles in lung squamous cell carcinoma (LSCC) remains largely unknown. The present study aimed to identify the prognostic roles of ferroptosis-related genes in LSCC. Sequencing data from the Cancer Genome Atlas were analyzed and ferroptosis-related gene expression between tumor and para-tumor tissue was identified. The prognostic role of these genes was also assessed using Kaplan-Meier analyses and univariate and multivariate Cox proportional hazards regression model analyses. Immunological correlation, tumor stemness, drug sensitivity and the transcriptional differences of heat shock protein (HSP)A5 in LSCC were also analyzed. Thereafter, the expression of HSPA5 in 100 patients with metastatic LSCC was evaluated using immunohistochemistry (IHC) and the clinical significance of these markers with different risk factors was assessed. Of the 22 ferroptosis-related genes, the expression of HSPA5, HSPB1, glutathione peroxidase 4, Fanconi anemia complementation group D2, CDGSH iron sulfur domain 1, farnesyl-diphosphate farnesyltransferase 1, nuclear factor erythroid 2 like 2, solute carrier (SLC)1A5, ribosomal protein L8, nuclear receptor coactivator 4, transferrin receptor and SLC7A11 was significantly increased in LSCC compared with adjacent tissues. However, only high expression of HSPA5 was able to predict progression-free survival (PFS) and disease-free survival in LSCC. Although HSPA5 was also significantly elevated in patients with lung adenocarcinoma, HSPA5 expression did not predict the prognosis of patients with lung adenocarcinoma. Of note, a higher expression of HSPA5 was related to higher responses to chemotherapy but not to immunotherapy. In addition, HSPA5 expression was positively correlated with 'ferroptosis', 'cellular responses to hypoxia', 'tumor proliferation signature', 'G2M checkpoint', 'MYC targets' and 'TGFB'. IHC analysis also demonstrated that a high expression of HSPA5 in patients with metastatic LSCC in the study cohort was associated with shorter PFS and overall survival. In conclusion, the present study demonstrated that the expression of the ferroptosis-related gene HSPA5 may be a negative prognostic marker for LSCC. CI - Copyright: (c) 2024 Guo et al. FAU - Guo, Di AU - Guo D AD - Department of Respiratory and Critical Care Medicine, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, P.R. China. FAU - Feng, Yonghai AU - Feng Y AD - Department of Respiratory and Critical Care Medicine, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, P.R. China. FAU - Liu, Peijie AU - Liu P AD - Department of Respiratory and Critical Care Medicine, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, P.R. China. FAU - Yang, Shanshan AU - Yang S AD - Department of Respiratory and Critical Care Medicine, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, P.R. China. FAU - Zhao, Wenfei AU - Zhao W AD - Department of Respiratory and Critical Care Medicine, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, P.R. China. FAU - Li, Hongyun AU - Li H AD - Department of Respiratory and Critical Care Medicine, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450000, P.R. China. LA - eng PT - Journal Article DEP - 20240229 PL - Greece TA - Oncol Lett JT - Oncology letters JID - 101531236 PMC - PMC10921261 OTO - NOTNLM OT - HSPA5 OT - LSCC OT - NSCLC OT - biomarkers OT - ferroptosis OT - prognosis COIS- The authors declare that they have no competing interests. EDAT- 2024/03/11 06:42 MHDA- 2024/03/11 06:43 PMCR- 2024/02/29 CRDT- 2024/03/11 04:33 PHST- 2023/11/08 00:00 [received] PHST- 2024/02/01 00:00 [accepted] PHST- 2024/03/11 06:43 [medline] PHST- 2024/03/11 06:42 [pubmed] PHST- 2024/03/11 04:33 [entrez] PHST- 2024/02/29 00:00 [pmc-release] AID - OL-27-4-14320 [pii] AID - 10.3892/ol.2024.14320 [doi] PST - epublish SO - Oncol Lett. 2024 Feb 29;27(4):186. doi: 10.3892/ol.2024.14320. eCollection 2024 Apr.