Clinical application value of long non-coding RNAs signatures of genomic instability in predicting prognosis of hepatocellular carcinoma.

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastrointestinal Surgery Pub Date : 2024-08-27 DOI:10.4240/wjgs.v16.i8.2386
Xiao-Wen Xing, Xiao Huang, Wei-Peng Li, Ming-Ke Wang, Ji-Shun Yang
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Abstract

Hepatocellular carcinoma (HCC) presents challenges due to its high recurrence and metastasis rates and poor prognosis. While current clinical diagnostic and prognostic indicators exist, their accuracy remains imperfect due to their biological complexity. Therefore, there is a quest to identify improved biomarkers for HCC diagnosis and prognosis. By combining long non-coding RNA (lncRNA) expression and somatic mutations, Duan et al identified five representative lncRNAs from 88 lncRNAs related to genomic instability (GI), forming a GI-derived lncRNA signature (LncSig). This signature outperforms previously reported LncSig and TP53 mutations in predicting HCC prognosis. In this editorial, we comprehensively evaluate the clinical application value of such prognostic evaluation model based on sequencing technology in terms of cost, time, and practicability. Additionally, we provide an overview of various prognostic models for HCC, aiding in a comprehensive understanding of research progress in prognostic evaluation methods.

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长非编码 RNA 基因组不稳定性特征在预测肝细胞癌预后中的临床应用价值。
肝细胞癌(HCC)复发率高、转移率高、预后差,这给我们带来了挑战。虽然目前已有临床诊断和预后指标,但由于其生物学复杂性,其准确性仍不尽如人意。因此,人们一直在寻找更好的生物标志物来诊断 HCC 和预后。通过结合长非编码RNA(lncRNA)的表达和体细胞突变,Duan等人从88个与基因组不稳定性(GI)相关的lncRNA中鉴定出了5个具有代表性的lncRNA,形成了GI衍生的lncRNA特征(LncSig)。该特征在预测 HCC 预后方面优于之前报道的 LncSig 和 TP53 突变。在这篇社论中,我们从成本、时间和实用性等方面全面评估了这种基于测序技术的预后评估模型的临床应用价值。此外,我们还概述了各种 HCC 预后模型,有助于全面了解预后评估方法的研究进展。
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