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  • Machine learning-based inte...
    Liu, Zaoqu; Liu, Long; Weng, Siyuan; Guo, Chunguang; Dang, Qin; Xu, Hui; Wang, Libo; Lu, Taoyuan; Zhang, Yuyuan; Sun, Zhenqiang; Han, Xinwei

    Nature communications, 02/2022, Letnik: 13, Številka: 1
    Journal Article

    Long noncoding RNAs (lncRNAs) are recently implicated in modifying immunology in colorectal cancer (CRC). Nevertheless, the clinical significance of immune-related lncRNAs remains largely unexplored. In this study, we develope a machine learning-based integrative procedure for constructing a consensus immune-related lncRNA signature (IRLS). IRLS is an independent risk factor for overall survival and displays stable and powerful performance, but only demonstrates limited predictive value for relapse-free survival. Additionally, IRLS possesses distinctly superior accuracy than traditional clinical variables, molecular features, and 109 published signatures. Besides, the high-risk group is sensitive to fluorouracil-based adjuvant chemotherapy, while the low-risk group benefits more from bevacizumab. Notably, the low-risk group displays abundant lymphocyte infiltration, high expression of CD8A and PD-L1, and a response to pembrolizumab. Taken together, IRLS could serve as a robust and promising tool to improve clinical outcomes for individual CRC patients.