Identification and exploration of key genes associated with radioresistance in lung adenocarcinoma

Ying Wang1, Yangyang Shang2,3, Mingyu Hua1

  • 1Department of Radiation Oncology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

PubMed
Abstract

Insights

High Stanniocalcin 2 (STC2) expression in lung adenocarcinoma (LUAD) correlates with resistance to radiation therapy and poor patient survival. Targeting STC2 may improve radiotherapy outcomes for LUAD patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Radiotherapy Research

Background:

  • Radiation resistance is a major challenge in treating lung adenocarcinoma (LUAD).
  • The molecular mechanisms underlying LUAD radiosensitivity are not fully understood.

Purpose of the Study:

  • To identify radioresistance-related genes (RRRGs) in LUAD.
  • To develop a prediction model for radiotherapy efficacy.
  • To investigate the role of Stanniocalcin 2 (STC2) in LUAD radioresistance.

Main Methods:

  • RNA sequencing and bioinformatics analysis to screen RRRGs.
  • LASSO-Cox regression for model development.
  • Immunohistochemical staining (IHC) to validate STC2 expression in LUAD patient samples.
  • Cell line experiments (siSTC2) with Western blotting, CCK8, and colony formation assays.

Main Results:

  • A 6-gene prediction model for radiotherapy efficacy was established, including STC2.
  • Elevated STC2 expression was observed in non-responders to radiotherapy and correlated with shorter overall survival in LUAD patients.
  • STC2 knockdown significantly reduced proliferation and clonogenic ability in LUAD cells.

Conclusions:

  • STC2 is a significant mediator of radioresistance in LUAD.
  • High STC2 expression is associated with poor prognosis in LUAD patients.
  • STC2 represents a potential therapeutic target to enhance radiotherapy efficacy in LUAD.