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Published on: May 30, 2025
Functional, Pharmacogenomic, and Immune Landscapes of Long Non-Coding RNAs in Cancer
Runhao Wang1,2,3, Mei Luo1,2,3, Yuan Liu1,2,3
1Department of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, IN, 46202, USA.
Abstract:
Long non-coding RNAs (lncRNAs) are emerging as key regulators in cancer, with significant potential as diagnostic, prognostic, and therapeutic targets. Here, this work systematically analyzes lncRNA associations with targeted therapies and immunotherapies across 33 cancer types using The Cancer Genome Atlas (TCGA) and real-world datasets. This work identifies 53,173 lncRNA-pathway associations, millions of lncRNA-drug response associations (via CancerRxTissue and VAEN), and extensive correlations with immune checkpoints and infiltration. This work further identifies 69 lncRNAs associated with immunotherapy response and 2,611 differentially expressed lncRNAs between low and high objective response rate (ORR) groups. Additionally, two lncRNAs are correlated with immune-related adverse events (irAEs), and 1,376 lncRNAs exhibited expression differences between cancers with low and high irAE risk. To facilitate further research, this work develops PILNC (https://hanlaboratory.com/PILNC), a comprehensive web portal enabling exploration of lncRNA associations with cancer pathways, drug responses, immune features, and immunotherapy outcomes.
Insights
Long non-coding RNAs (lncRNAs) are crucial in cancer. This study reveals their links to targeted therapies, immunotherapies, and patient outcomes, offering new diagnostic and therapeutic avenues.
Area of Science:
- Oncology
- Genomics
- Bioinformatics
Background:
- Long non-coding RNAs (lncRNAs) are increasingly recognized for their regulatory roles in cancer development and progression.
- Their potential as biomarkers and therapeutic targets necessitates comprehensive analysis across diverse cancer types.
Purpose of the Study:
- To systematically investigate the associations between lncRNAs and targeted therapies, immunotherapies, and clinical outcomes in a large cohort of cancer patients.
- To identify specific lncRNAs that can predict response to cancer treatments and influence immune-related adverse events (irAEs).
Main Methods:
- Utilized The Cancer Genome Atlas (TCGA) and real-world datasets for comprehensive analysis of lncRNA expression.
- Integrated data from CancerRxTissue and VAEN to identify lncRNA-drug response associations.
- Correlated lncRNA expression with immune checkpoints, infiltration, immunotherapy response, and irAEs.
Main Results:
- Identified over 53,000 lncRNA-pathway associations and millions of lncRNA-drug response associations.
- Discovered 69 lncRNAs linked to immunotherapy response and 2,611 differentially expressed lncRNAs in relation to objective response rate (ORR).
- Found two lncRNAs associated with irAEs and identified 1,376 lncRNAs differing between low and high irAE risk groups.
Conclusions:
- lncRNAs play significant roles in modulating responses to cancer therapies, including targeted and immunotherapies.
- The identified lncRNAs serve as potential biomarkers for predicting treatment efficacy and managing irAEs.
- The developed web portal, PILNC, provides a valuable resource for exploring lncRNA functions in cancer and facilitating further research.
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