Ferroptosis-related lncRNAs as prognostic biomarkers in renal cell carcinoma: a systematic review and meta-analysis

BackgroundAbundant evidences have indicated that long non-coding RNAs (lncRNAs) can be used to evaluate the prognosis of patients with renal cell carcinoma (RCC), and the purpose of this study was to evaluate the association between ferroptosis-related lncRNAs (FRLs) and the prognosis of patients wi...

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Main Authors: Jia-Feng Lin, Zhi-Huang Wu, Min-Jie Zhang, Jian-Bin Luo, Guo-Qiang Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1579013/full
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author Jia-Feng Lin
Zhi-Huang Wu
Min-Jie Zhang
Jian-Bin Luo
Guo-Qiang Chen
author_facet Jia-Feng Lin
Zhi-Huang Wu
Min-Jie Zhang
Jian-Bin Luo
Guo-Qiang Chen
author_sort Jia-Feng Lin
collection DOAJ
description BackgroundAbundant evidences have indicated that long non-coding RNAs (lncRNAs) can be used to evaluate the prognosis of patients with renal cell carcinoma (RCC), and the purpose of this study was to evaluate the association between ferroptosis-related lncRNAs (FRLs) and the prognosis of patients with RCC by means of a meta-analysis.Materials and methodsAll studies assessing the prognosis of patients with FRLs and RCC were collected up to 31 October 2024 by searching databases such as PubMed, Web of Science, Embase, Scopus and Cochrane Library. Pooled analyses were performed on the collected data, including metrics such as gender, age, risk score, tumor stage, and tumor grade. Hazard ratio (HR) and 95% confidence intervals (CI) were employed to assess the outcome metrics. To evaluate the heterogeneity among studies, the I² statistic and Q test were utilized. P < 0.05 was regarded as statistically significant. All data analyses were conducted by Stata 17.0 software and Review Manager 5.4.1.Results19 literatures involving 5974 RCC patients were included in this study. The meta-analysis outcomes indicate that there was no significant correlation between FRLs and the gender of RCC patients (HR = 0.93, 95% CI = 0.85 - 1.03, P = 0.17). However, FRLs were associated with patient age (HR = 1.03, 95% CI = 1.03 - 1.04, P < 0.00001), risk score (HR = 1.05, 95% CI = 1.03 - 1.06, P < 0.00001), tumor grade (HR = 1.46, 95% CI = 1.28 - 1.67, P < 0.00001) and tumor stage (HR = 1.85, 95% CI = 1.68-2.03, P < 0.00001) were significantly correlated. In tumor staging, FRLs were significantly correlated with N-stage (HR = 1.51, 95% CI = 1.10 - 2.08, P = 0.01) and M-stage (HR = 1.80, 95% CI = 1.21 - 2.68, P = 0.004) in patients with RCC, but not significantly correlated with T-stage in patients (HR = 1.34, 95% CI = 0.86 - 2.09, P = 0.19).ConclusionThe findings of this study indicate that the abnormal expression of FRLs in RCC is obviously associated with the prognosis of patients, and that FRLs can be used as a new tumor marker to predict the prognosis of RCC patients with high accuracy.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD42024610803, identifier CRD42024610803.
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spelling doaj-art-97d7eea97b514d209f2eb9b08a2e83042025-08-20T03:54:07ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-05-011510.3389/fonc.2025.15790131579013Ferroptosis-related lncRNAs as prognostic biomarkers in renal cell carcinoma: a systematic review and meta-analysisJia-Feng LinZhi-Huang WuMin-Jie ZhangJian-Bin LuoGuo-Qiang ChenBackgroundAbundant evidences have indicated that long non-coding RNAs (lncRNAs) can be used to evaluate the prognosis of patients with renal cell carcinoma (RCC), and the purpose of this study was to evaluate the association between ferroptosis-related lncRNAs (FRLs) and the prognosis of patients with RCC by means of a meta-analysis.Materials and methodsAll studies assessing the prognosis of patients with FRLs and RCC were collected up to 31 October 2024 by searching databases such as PubMed, Web of Science, Embase, Scopus and Cochrane Library. Pooled analyses were performed on the collected data, including metrics such as gender, age, risk score, tumor stage, and tumor grade. Hazard ratio (HR) and 95% confidence intervals (CI) were employed to assess the outcome metrics. To evaluate the heterogeneity among studies, the I² statistic and Q test were utilized. P < 0.05 was regarded as statistically significant. All data analyses were conducted by Stata 17.0 software and Review Manager 5.4.1.Results19 literatures involving 5974 RCC patients were included in this study. The meta-analysis outcomes indicate that there was no significant correlation between FRLs and the gender of RCC patients (HR = 0.93, 95% CI = 0.85 - 1.03, P = 0.17). However, FRLs were associated with patient age (HR = 1.03, 95% CI = 1.03 - 1.04, P < 0.00001), risk score (HR = 1.05, 95% CI = 1.03 - 1.06, P < 0.00001), tumor grade (HR = 1.46, 95% CI = 1.28 - 1.67, P < 0.00001) and tumor stage (HR = 1.85, 95% CI = 1.68-2.03, P < 0.00001) were significantly correlated. In tumor staging, FRLs were significantly correlated with N-stage (HR = 1.51, 95% CI = 1.10 - 2.08, P = 0.01) and M-stage (HR = 1.80, 95% CI = 1.21 - 2.68, P = 0.004) in patients with RCC, but not significantly correlated with T-stage in patients (HR = 1.34, 95% CI = 0.86 - 2.09, P = 0.19).ConclusionThe findings of this study indicate that the abnormal expression of FRLs in RCC is obviously associated with the prognosis of patients, and that FRLs can be used as a new tumor marker to predict the prognosis of RCC patients with high accuracy.Systematic Review Registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD42024610803, identifier CRD42024610803.https://www.frontiersin.org/articles/10.3389/fonc.2025.1579013/fullrenal cell carcinomaferroptosislncRNAsprognosismeta-analysis
spellingShingle Jia-Feng Lin
Zhi-Huang Wu
Min-Jie Zhang
Jian-Bin Luo
Guo-Qiang Chen
Ferroptosis-related lncRNAs as prognostic biomarkers in renal cell carcinoma: a systematic review and meta-analysis
Frontiers in Oncology
renal cell carcinoma
ferroptosis
lncRNAs
prognosis
meta-analysis
title Ferroptosis-related lncRNAs as prognostic biomarkers in renal cell carcinoma: a systematic review and meta-analysis
title_full Ferroptosis-related lncRNAs as prognostic biomarkers in renal cell carcinoma: a systematic review and meta-analysis
title_fullStr Ferroptosis-related lncRNAs as prognostic biomarkers in renal cell carcinoma: a systematic review and meta-analysis
title_full_unstemmed Ferroptosis-related lncRNAs as prognostic biomarkers in renal cell carcinoma: a systematic review and meta-analysis
title_short Ferroptosis-related lncRNAs as prognostic biomarkers in renal cell carcinoma: a systematic review and meta-analysis
title_sort ferroptosis related lncrnas as prognostic biomarkers in renal cell carcinoma a systematic review and meta analysis
topic renal cell carcinoma
ferroptosis
lncRNAs
prognosis
meta-analysis
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1579013/full
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AT zhihuangwu ferroptosisrelatedlncrnasasprognosticbiomarkersinrenalcellcarcinomaasystematicreviewandmetaanalysis
AT minjiezhang ferroptosisrelatedlncrnasasprognosticbiomarkersinrenalcellcarcinomaasystematicreviewandmetaanalysis
AT jianbinluo ferroptosisrelatedlncrnasasprognosticbiomarkersinrenalcellcarcinomaasystematicreviewandmetaanalysis
AT guoqiangchen ferroptosisrelatedlncrnasasprognosticbiomarkersinrenalcellcarcinomaasystematicreviewandmetaanalysis