A lactate related signature for predicting prognosis and tumor microenvironment in lung adenocarcinoma

Abstract Background Lactate plays a critical role in tumor development, metastasis, drug resistance, and regulation of tumor microenvironment. This study aimed to develop a prognostic signature for lung adenocarcinoma (LUAD) based on lactate-related genes (LRGs). Methods We initially performed univa...

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Main Authors: Ying Wang, Huiting Li, Chao Chen, Hui Yu, Lichao Xu
Format: Article
Language:English
Published: Springer 2025-07-01
Series:Discover Oncology
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Online Access:https://doi.org/10.1007/s12672-025-03015-y
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author Ying Wang
Huiting Li
Chao Chen
Hui Yu
Lichao Xu
author_facet Ying Wang
Huiting Li
Chao Chen
Hui Yu
Lichao Xu
author_sort Ying Wang
collection DOAJ
description Abstract Background Lactate plays a critical role in tumor development, metastasis, drug resistance, and regulation of tumor microenvironment. This study aimed to develop a prognostic signature for lung adenocarcinoma (LUAD) based on lactate-related genes (LRGs). Methods We initially performed univariate Cox regression analysis on 269 cases of LRGs in TCGA- LUAD cohort to determine LRGs related to overall survival (OS). Fourteen LRGs were used to construct a prognostic risk model and verified in three external cohorts (GSE31210, GSE68465, and GSE30219). The relationship between risk model and immune cell infiltration, as well as drug sensitivity was explored. The expression of 14 key genes in lung cancer cell lines (A549, NCI-H2009, and NCI-H1975) and normal bronchial epithelial cell line (BEAS-2B) was detected by qRT-PCR. Results A 14-LRG prognosis signature was constructed. Patients in the high-risk group had significant worse OS compared to those in the low-risk group (HR = 2.33; 95%CI, 1.72–3.14; P < 0.0001). Three independent external verification cohorts were used to verify our results, and consistent results were observed in them. There are significant differences in the infiltration of seven kinds of immune cells between high-risk and low-risk patients with LUAD. Low-risk patients responded well to carboplatin and paclitaxel, whereas high-risk patients were more sensitive to docetaxel (P < 0.05). Additionally, qRT-PCR confirmed that the expression of prognostic genes was basically consistent with the results of bioinformatics analysis. Conclusion We successfully developed and validated a 14-LRG prognostic signature for LUAD, which was associated with immune status and drug resistance.
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spelling doaj-art-69d36d70eb5849b8ae469b93e90cfbf02025-08-20T04:01:35ZengSpringerDiscover Oncology2730-60112025-07-0116111610.1007/s12672-025-03015-yA lactate related signature for predicting prognosis and tumor microenvironment in lung adenocarcinomaYing Wang0Huiting Li1Chao Chen2Hui Yu3Lichao Xu4Department of Interventional Radiology, Fudan University Shanghai Cancer CenterDepartment of Radiation Oncology, Shanghai Medical College, Fudan UniversityDepartment of Interventional Radiology, Fudan University Shanghai Cancer CenterDepartment of Oncology, Shanghai Medical College, Fudan UniversityDepartment of Interventional Radiology, Fudan University Shanghai Cancer CenterAbstract Background Lactate plays a critical role in tumor development, metastasis, drug resistance, and regulation of tumor microenvironment. This study aimed to develop a prognostic signature for lung adenocarcinoma (LUAD) based on lactate-related genes (LRGs). Methods We initially performed univariate Cox regression analysis on 269 cases of LRGs in TCGA- LUAD cohort to determine LRGs related to overall survival (OS). Fourteen LRGs were used to construct a prognostic risk model and verified in three external cohorts (GSE31210, GSE68465, and GSE30219). The relationship between risk model and immune cell infiltration, as well as drug sensitivity was explored. The expression of 14 key genes in lung cancer cell lines (A549, NCI-H2009, and NCI-H1975) and normal bronchial epithelial cell line (BEAS-2B) was detected by qRT-PCR. Results A 14-LRG prognosis signature was constructed. Patients in the high-risk group had significant worse OS compared to those in the low-risk group (HR = 2.33; 95%CI, 1.72–3.14; P < 0.0001). Three independent external verification cohorts were used to verify our results, and consistent results were observed in them. There are significant differences in the infiltration of seven kinds of immune cells between high-risk and low-risk patients with LUAD. Low-risk patients responded well to carboplatin and paclitaxel, whereas high-risk patients were more sensitive to docetaxel (P < 0.05). Additionally, qRT-PCR confirmed that the expression of prognostic genes was basically consistent with the results of bioinformatics analysis. Conclusion We successfully developed and validated a 14-LRG prognostic signature for LUAD, which was associated with immune status and drug resistance.https://doi.org/10.1007/s12672-025-03015-yLactateLung adenocarcinomaPrognosisImmune microenvironment
spellingShingle Ying Wang
Huiting Li
Chao Chen
Hui Yu
Lichao Xu
A lactate related signature for predicting prognosis and tumor microenvironment in lung adenocarcinoma
Discover Oncology
Lactate
Lung adenocarcinoma
Prognosis
Immune microenvironment
title A lactate related signature for predicting prognosis and tumor microenvironment in lung adenocarcinoma
title_full A lactate related signature for predicting prognosis and tumor microenvironment in lung adenocarcinoma
title_fullStr A lactate related signature for predicting prognosis and tumor microenvironment in lung adenocarcinoma
title_full_unstemmed A lactate related signature for predicting prognosis and tumor microenvironment in lung adenocarcinoma
title_short A lactate related signature for predicting prognosis and tumor microenvironment in lung adenocarcinoma
title_sort lactate related signature for predicting prognosis and tumor microenvironment in lung adenocarcinoma
topic Lactate
Lung adenocarcinoma
Prognosis
Immune microenvironment
url https://doi.org/10.1007/s12672-025-03015-y
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