Abstract

A lot of evidence has emphasized the function of long noncoding RNAs (lncRNAs) in tumors' development and progression. Nevertheless, there is still a lack of lncRNA biomarkers that can predict the prognosis of acute myeloid leukemia (AML). Our goal was to develop a lncRNA marker with prognostic value for the survival of AML. AML patients' RNA sequencing data as well as clinical characteristics were obtained from the public TARGET database. Then, differentially expressed lncRNAs were identified in female and male AML samples. By adopting univariate and multivariate Cox regression analyses, AML patients' survival was predicted by a seven-lncRNA signature. It was found that 95 abnormal expressed lncRNAs existed in AML. Then, the analysis of multivariate Cox regression showed that, among them, 7 (LINC00461, RP11-309M23.1, AC016735.2, RP11-61I13.3, KIAA0087, RORB-AS1, and AC012354.6) had an obvious prognostic value, and according to their cumulative risk scores, these 7 lncRNA signatures could independently predict the AML patients' overall survival. Overall, the prognosis of AML patients could be predicted by a reliable tool, that is, seven-lncRNA prognostic signature.

Highlights

  • As a malignant and aggressive disease, acute myeloid leukemia (AML) has a lot of advantages, such as abnormal expansion of myeloid blasts, and it appears especially in the elderly [1, 2]

  • A seven-long noncoding RNAs (lncRNAs) model was established by using the Cox regression method, aiming to independently access prognosis and precisely predict survival probability in AML patients from the TARGET database

  • We found 95 abnormal expressed lncRNAs in AML, which were shown using volcano plot and heat map (Figures 1(a) and 1(b))

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Summary

Introduction

As a malignant and aggressive disease, acute myeloid leukemia (AML) has a lot of advantages, such as abnormal expansion of myeloid blasts, and it appears especially in the elderly [1, 2]. Some researchers have proved that lncRNAs are indispensable through comprehensive mechanisms in a number of biological events, including cell differentiation, cell cycle, and apoptosis [8, 9]. In the field of tumors, a larger number of researches have confirmed that lncRNAs are involved in tumor genesis and metastasis by multiple mechanisms, including sponging miRNAs, epigenetic regulation, translation regulation, cell differentiation regulation, and therapy resistance [10, 11]. It is noteworthy that these lncRNAs can be biomarkers as well as therapeutic targets for tumors. A seven-lncRNA model was established by using the Cox regression method, aiming to independently access prognosis and precisely predict survival probability in AML patients from the TARGET database

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