Identification of metabolism-associated molecular classification for effect and prognosis in lung adenocarcinoma based on multidatabases including the cancer genome atlas and gene expression omnibus

Background: Lung adenocarcinoma is a highly heterogeneous group of diseases with distinct molecular genetic features, pathological characteristics, metabolic profiles, and clinical behaviors. However, the clinical relevance of metabolic characteristics of lung adenocarcinoma remains unclear. This st...

Full description

Saved in:
Bibliographic Details
Main Authors: Lilin Que, Zhibing Liu, Yinghui Wu, Lan Luo, Leifeng Liang
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/20503121251341114
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849335722350215168
author Lilin Que
Zhibing Liu
Yinghui Wu
Lan Luo
Leifeng Liang
author_facet Lilin Que
Zhibing Liu
Yinghui Wu
Lan Luo
Leifeng Liang
author_sort Lilin Que
collection DOAJ
description Background: Lung adenocarcinoma is a highly heterogeneous group of diseases with distinct molecular genetic features, pathological characteristics, metabolic profiles, and clinical behaviors. However, the clinical relevance of metabolic characteristics of lung adenocarcinoma remains unclear. This study aimed to describe the molecular characteristics of lung adenocarcinoma. Methods: The gene expression profiles of 1037 lung adenocarcinoma samples were downloaded from The Cancer Genome Atlas and Gene Expression Omnibus databases. This study is based on sample data from 2006 to 2020. The long-time span and sufficient sample size ensure the robustness of the research findings. Using unsupervised transcriptome analysis, we identified three distinct subtypes (C1, C2, and C3). We then compared the prognostic traits, transcriptome characteristics, metabolic signatures, immune infiltration, clinical features, and drug sensitivity of the lung adenocarcinoma subclasses. A classifier was generated to determine lung adenocarcinoma classification, and we verified the clinical value of this classifier in other tumors. Results: Our results indicated that C1 possessed the most abundant metabolic pathways. Compared with C2 and C3, C1 possessed 35 metabolic pathways that exhibited significant differences. The immune score, matrix score, and immune infiltration for subtype C1 were significantly lower than those for subtypes C2 and C3, suggesting that C1 is a metabolically active subtype. Five metabolic pathways were observed in C2. Subtype C2 was associated with the best prognosis and exhibited the lowest tumor mutation burden and copy number variation. Subtype C3 comprised five metabolic pathways. Immune checkpoint analysis revealed that C3 cells may potentially benefit from immunotherapy. Conclusions: Our study deepens the understanding of the metabolic characteristics of lung adenocarcinoma and may provide valuable information for immunotherapy.
format Article
id doaj-art-b7df3dc6993e4bd48efd689b17a86994
institution Kabale University
issn 2050-3121
language English
publishDate 2025-06-01
publisher SAGE Publishing
record_format Article
series SAGE Open Medicine
spelling doaj-art-b7df3dc6993e4bd48efd689b17a869942025-08-20T03:45:11ZengSAGE PublishingSAGE Open Medicine2050-31212025-06-011310.1177/20503121251341114Identification of metabolism-associated molecular classification for effect and prognosis in lung adenocarcinoma based on multidatabases including the cancer genome atlas and gene expression omnibusLilin Que0Zhibing Liu1Yinghui Wu2Lan Luo3Leifeng Liang4Department of Oncology, The Sixth Affiliated Hospital of Guangxi Medical University, The First People’s Hospital of Yulin, ChinaDepartment of Oncology, Binzhou Medical University Hospital, Shandong, ChinaDepartment of Pathology, The Sixth Affiliated Hospital of Guangxi Medical University, The First People’s Hospital of Yulin, ChinaDepartment of Oncology, The Sixth Affiliated Hospital of Guangxi Medical University, The First People’s Hospital of Yulin, ChinaDepartment of Oncology, The Sixth Affiliated Hospital of Guangxi Medical University, The First People’s Hospital of Yulin, ChinaBackground: Lung adenocarcinoma is a highly heterogeneous group of diseases with distinct molecular genetic features, pathological characteristics, metabolic profiles, and clinical behaviors. However, the clinical relevance of metabolic characteristics of lung adenocarcinoma remains unclear. This study aimed to describe the molecular characteristics of lung adenocarcinoma. Methods: The gene expression profiles of 1037 lung adenocarcinoma samples were downloaded from The Cancer Genome Atlas and Gene Expression Omnibus databases. This study is based on sample data from 2006 to 2020. The long-time span and sufficient sample size ensure the robustness of the research findings. Using unsupervised transcriptome analysis, we identified three distinct subtypes (C1, C2, and C3). We then compared the prognostic traits, transcriptome characteristics, metabolic signatures, immune infiltration, clinical features, and drug sensitivity of the lung adenocarcinoma subclasses. A classifier was generated to determine lung adenocarcinoma classification, and we verified the clinical value of this classifier in other tumors. Results: Our results indicated that C1 possessed the most abundant metabolic pathways. Compared with C2 and C3, C1 possessed 35 metabolic pathways that exhibited significant differences. The immune score, matrix score, and immune infiltration for subtype C1 were significantly lower than those for subtypes C2 and C3, suggesting that C1 is a metabolically active subtype. Five metabolic pathways were observed in C2. Subtype C2 was associated with the best prognosis and exhibited the lowest tumor mutation burden and copy number variation. Subtype C3 comprised five metabolic pathways. Immune checkpoint analysis revealed that C3 cells may potentially benefit from immunotherapy. Conclusions: Our study deepens the understanding of the metabolic characteristics of lung adenocarcinoma and may provide valuable information for immunotherapy.https://doi.org/10.1177/20503121251341114
spellingShingle Lilin Que
Zhibing Liu
Yinghui Wu
Lan Luo
Leifeng Liang
Identification of metabolism-associated molecular classification for effect and prognosis in lung adenocarcinoma based on multidatabases including the cancer genome atlas and gene expression omnibus
SAGE Open Medicine
title Identification of metabolism-associated molecular classification for effect and prognosis in lung adenocarcinoma based on multidatabases including the cancer genome atlas and gene expression omnibus
title_full Identification of metabolism-associated molecular classification for effect and prognosis in lung adenocarcinoma based on multidatabases including the cancer genome atlas and gene expression omnibus
title_fullStr Identification of metabolism-associated molecular classification for effect and prognosis in lung adenocarcinoma based on multidatabases including the cancer genome atlas and gene expression omnibus
title_full_unstemmed Identification of metabolism-associated molecular classification for effect and prognosis in lung adenocarcinoma based on multidatabases including the cancer genome atlas and gene expression omnibus
title_short Identification of metabolism-associated molecular classification for effect and prognosis in lung adenocarcinoma based on multidatabases including the cancer genome atlas and gene expression omnibus
title_sort identification of metabolism associated molecular classification for effect and prognosis in lung adenocarcinoma based on multidatabases including the cancer genome atlas and gene expression omnibus
url https://doi.org/10.1177/20503121251341114
work_keys_str_mv AT lilinque identificationofmetabolismassociatedmolecularclassificationforeffectandprognosisinlungadenocarcinomabasedonmultidatabasesincludingthecancergenomeatlasandgeneexpressionomnibus
AT zhibingliu identificationofmetabolismassociatedmolecularclassificationforeffectandprognosisinlungadenocarcinomabasedonmultidatabasesincludingthecancergenomeatlasandgeneexpressionomnibus
AT yinghuiwu identificationofmetabolismassociatedmolecularclassificationforeffectandprognosisinlungadenocarcinomabasedonmultidatabasesincludingthecancergenomeatlasandgeneexpressionomnibus
AT lanluo identificationofmetabolismassociatedmolecularclassificationforeffectandprognosisinlungadenocarcinomabasedonmultidatabasesincludingthecancergenomeatlasandgeneexpressionomnibus
AT leifengliang identificationofmetabolismassociatedmolecularclassificationforeffectandprognosisinlungadenocarcinomabasedonmultidatabasesincludingthecancergenomeatlasandgeneexpressionomnibus