Targeting NLRC4 for potential therapeutic strategies in lung adenocarcinoma

Xue Xu1, Meng-Yu Zhang2, Jia-Qi Fan3

  • 1Department of Gerontology, The Second Hospital of Shandong University, Jinan, China.

Discover Oncology
|June 9, 2025
PubMed
Abstract

Insights

This study developed a prognostic signature using autophagy-related genes (ARGs) to predict outcomes in lung adenocarcinoma (LUAD) and other cancers. The signature correlates with immune response and drug sensitivity, identifying NLRC4 as a potential therapeutic target.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Autophagy is a critical cellular process implicated in cancer development.
  • Autophagy-related genes (ARGs) play a significant role in various cancers, including lung adenocarcinoma (LUAD).

Purpose of the Study:

  • To assess the prognostic significance of ARGs in LUAD and 33 other cancer types.
  • To develop a predictive model for patient outcomes based on ARGs.

Main Methods:

  • ARGs were identified from the Human Autophagy Database (HADb).
  • Gene expression data from TCGA and GEO databases were analyzed using LASSO Cox and multivariate Cox regression.
  • A pan-cancer analysis explored correlations with immune infiltration, stemness, and drug sensitivity.
  • Virtual drug screening was performed to identify potential therapeutic agents.

Main Results:

  • A prognostic signature (ARGPS) comprising seven ARGs was developed.
  • ARGPS effectively stratified LUAD patients into low-risk and high-risk groups.
  • ARGPS expression showed significant correlations with immune infiltration, drug resistance, and stemness across various cancers.
  • Five potential NLRC4-targeting drugs were identified for LUAD treatment.

Conclusions:

  • A novel seven-ARG prognostic model (ARGPS) was established for LUAD and other cancers.
  • The ARGPS is linked to immune infiltration and the tumor microenvironment, informing targeted therapies.
  • Low NLRC4 expression in LUAD suggests its potential as a therapeutic target for novel treatments.