Integrated machine learning identifies disulfidptosis-related and ferroptosis-related genes to evaluate survival prognosis and treatment efficacy in kidney renal clear cell carcinoma

Background: Ferroptosis and disulfidptosis, two programmed cell death pathways, critically drive tumor growth by affecting metastasis. Although the prognostic value of disulfidptosis and ferroptosis had been separately validated in kidney renal clear cell carcinoma (KIRC), prognostic effect of integ...

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Main Authors: Yuan Xiang, Zijian Zhou, Tong Mu, Shunyao Zhang, Lei Xie, Yajie Zhou, Wenxiong Zhang, Liuxiang Fu
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Biochemistry and Biophysics Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S240558082500189X
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author Yuan Xiang
Zijian Zhou
Tong Mu
Shunyao Zhang
Lei Xie
Yajie Zhou
Wenxiong Zhang
Liuxiang Fu
author_facet Yuan Xiang
Zijian Zhou
Tong Mu
Shunyao Zhang
Lei Xie
Yajie Zhou
Wenxiong Zhang
Liuxiang Fu
author_sort Yuan Xiang
collection DOAJ
description Background: Ferroptosis and disulfidptosis, two programmed cell death pathways, critically drive tumor growth by affecting metastasis. Although the prognostic value of disulfidptosis and ferroptosis had been separately validated in kidney renal clear cell carcinoma (KIRC), prognostic effect of integrating two programmed death genes remains unclear in KIRC. Our objective is to establish an innovative prognostic model for KIRC. Methods: We sourced KIRC patients’ information that contains clinical and genomic from The Cancer Genome Atlas (TCGA) database. We selected disulfidptosis-related and ferroptosis-related genes (DRFs) to construct a prognostic model. By combining clinical features and prognostic models, we developed the nomogram. Additionally, the mechanism of DRF was explored in KIRC, including tumor immune dysfunction and exclusion (TIDE), Kaplan-Meier (K-M) analysis, tumor microenvironment (TME) analysis, and more. Drug sensitivity analysis shows which drugs are sensitive to tumors. Experiment with RT-PCR to confirm DRFs gene expression in the cell line. Results: Constructing risk score with five DRFs, all tumor samples were categorized into high-risk group (HG) and low-risk group (LG). The HG samples demonstrated lower survival rates according to K-M survival curves. The nomogram with risk score demonstrated significant predictive value than nomogram without the risk score. TME analysis indicated that the proportion of T cells follicular helper and Tregs was higher in HG, while Macrophages M1 and Mast cells resting were higher in LG. GSEA analysis demonstrated Retinol metabolism pathway, drug metabolism other enzymes pathway, etc. were enriched in HG, while endocytosis-related pathway, neurotrophin signaling pathway, etc. were enriched in LG. TIDE analysis showed tumors in HG are more prone to immune evasion. The drug sensitivity analysis indicated that the HG is sensitive to antitumor drugs such as Cedrane and Osimertinib, while the LG is sensitive to antitumor drugs such as 5-Fluorouracil and Entinostat. RT-qPCR have confirmed expression of DRFs in KIRC cell lines. Conclusions: Our DRFs-based prognostic model and nomogram effectively predict survival and guide treatment decisions.
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spelling doaj-art-a325bf0a80894edfa46ceb45545e5c2e2025-08-20T03:50:22ZengElsevierBiochemistry and Biophysics Reports2405-58082025-09-014310210210.1016/j.bbrep.2025.102102Integrated machine learning identifies disulfidptosis-related and ferroptosis-related genes to evaluate survival prognosis and treatment efficacy in kidney renal clear cell carcinomaYuan Xiang0Zijian Zhou1Tong Mu2Shunyao Zhang3Lei Xie4Yajie Zhou5Wenxiong Zhang6Liuxiang Fu7Department of Thoracic Surgery, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China; The Second Clinical Medical School, Jiangxi Medical College, Nanchang University, Nanchang, 330088, ChinaThe Second Clinical Medical School, Jiangxi Medical College, Nanchang University, Nanchang, 330088, China; Department of Urology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, ChinaThe Second Clinical Medical School, Jiangxi Medical College, Nanchang University, Nanchang, 330088, China; Department of Urology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, ChinaThe Second Clinical Medical School, Jiangxi Medical College, Nanchang University, Nanchang, 330088, China; Department of Urology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, ChinaDepartment of Thoracic Surgery, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, ChinaDepartment of Thoracic Surgery, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, ChinaDepartment of Thoracic Surgery, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China; Corresponding author. Department of Thoracic Surgery, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, No.1 Minde Road, Nanchang, 330006, China.Emergency Department, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China; Corresponding author. Emergency Department, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China.Background: Ferroptosis and disulfidptosis, two programmed cell death pathways, critically drive tumor growth by affecting metastasis. Although the prognostic value of disulfidptosis and ferroptosis had been separately validated in kidney renal clear cell carcinoma (KIRC), prognostic effect of integrating two programmed death genes remains unclear in KIRC. Our objective is to establish an innovative prognostic model for KIRC. Methods: We sourced KIRC patients’ information that contains clinical and genomic from The Cancer Genome Atlas (TCGA) database. We selected disulfidptosis-related and ferroptosis-related genes (DRFs) to construct a prognostic model. By combining clinical features and prognostic models, we developed the nomogram. Additionally, the mechanism of DRF was explored in KIRC, including tumor immune dysfunction and exclusion (TIDE), Kaplan-Meier (K-M) analysis, tumor microenvironment (TME) analysis, and more. Drug sensitivity analysis shows which drugs are sensitive to tumors. Experiment with RT-PCR to confirm DRFs gene expression in the cell line. Results: Constructing risk score with five DRFs, all tumor samples were categorized into high-risk group (HG) and low-risk group (LG). The HG samples demonstrated lower survival rates according to K-M survival curves. The nomogram with risk score demonstrated significant predictive value than nomogram without the risk score. TME analysis indicated that the proportion of T cells follicular helper and Tregs was higher in HG, while Macrophages M1 and Mast cells resting were higher in LG. GSEA analysis demonstrated Retinol metabolism pathway, drug metabolism other enzymes pathway, etc. were enriched in HG, while endocytosis-related pathway, neurotrophin signaling pathway, etc. were enriched in LG. TIDE analysis showed tumors in HG are more prone to immune evasion. The drug sensitivity analysis indicated that the HG is sensitive to antitumor drugs such as Cedrane and Osimertinib, while the LG is sensitive to antitumor drugs such as 5-Fluorouracil and Entinostat. RT-qPCR have confirmed expression of DRFs in KIRC cell lines. Conclusions: Our DRFs-based prognostic model and nomogram effectively predict survival and guide treatment decisions.http://www.sciencedirect.com/science/article/pii/S240558082500189XDisulfidptosisFerroptosisKIRCDRFsPrognostic signatureDrug sensitivity
spellingShingle Yuan Xiang
Zijian Zhou
Tong Mu
Shunyao Zhang
Lei Xie
Yajie Zhou
Wenxiong Zhang
Liuxiang Fu
Integrated machine learning identifies disulfidptosis-related and ferroptosis-related genes to evaluate survival prognosis and treatment efficacy in kidney renal clear cell carcinoma
Biochemistry and Biophysics Reports
Disulfidptosis
Ferroptosis
KIRC
DRFs
Prognostic signature
Drug sensitivity
title Integrated machine learning identifies disulfidptosis-related and ferroptosis-related genes to evaluate survival prognosis and treatment efficacy in kidney renal clear cell carcinoma
title_full Integrated machine learning identifies disulfidptosis-related and ferroptosis-related genes to evaluate survival prognosis and treatment efficacy in kidney renal clear cell carcinoma
title_fullStr Integrated machine learning identifies disulfidptosis-related and ferroptosis-related genes to evaluate survival prognosis and treatment efficacy in kidney renal clear cell carcinoma
title_full_unstemmed Integrated machine learning identifies disulfidptosis-related and ferroptosis-related genes to evaluate survival prognosis and treatment efficacy in kidney renal clear cell carcinoma
title_short Integrated machine learning identifies disulfidptosis-related and ferroptosis-related genes to evaluate survival prognosis and treatment efficacy in kidney renal clear cell carcinoma
title_sort integrated machine learning identifies disulfidptosis related and ferroptosis related genes to evaluate survival prognosis and treatment efficacy in kidney renal clear cell carcinoma
topic Disulfidptosis
Ferroptosis
KIRC
DRFs
Prognostic signature
Drug sensitivity
url http://www.sciencedirect.com/science/article/pii/S240558082500189X
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