4.3 Article

The prognostic value of 4.1 mRNA expression in non-small cell lung cancer

Journal

TRANSLATIONAL CANCER RESEARCH
Volume 10, Issue 3, Pages 1216-1228

Publisher

AME PUBLISHING COMPANY
DOI: 10.21037/tcr-20-2501

Keywords

4.1 mRNA; prognosis; non-small cell lung cancer (NSCLC); Kaplan-Meier plotter (KM plotter)

Categories

Funding

  1. Zhejiang Provincial Program for the Cultivation of High-Level Innovative Health Talents [2015-43]
  2. Program for the Cultivation of Youth talents in China Association of Chinese Medicine [QNRC2-C08]
  3. Zhejiang Provincial Program for the Cultivation of the Young and Middle-Aged Academic Leaders in Colleges and Universities [2017-248]
  4. Zhejiang Provincial Project for the key discipline of Traditional Chinese Medicine [2017-XK-A09]

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This study explored the prognostic value of mRNA expression of the 4.1 family in non-small cell lung cancer (NSCLC). Different members of the 4.1 family were found to be associated with various survival outcomes in different types of NSCLC. Additionally, factors such as gender, smoking status, and tumor stage also influenced the impact of 4.1 family members on patient prognosis.
Background: The mechanism of 4.1 family in human cancer has not been elucidated. In this study we investigate the value as a prognostic factor of mRNA expression of 4.1 family in non-small cell lung cancer (NSCLC). Methods: A survival analysis was carried out through the Kaplan-Meier plotter (KM plotter) database. KM's method was used to estimate the prognostic value of 4.1 mRNA expression in NSCLC. Results: Expression of four members are linked to overall survival (OS) in NSCLC patients, among which 4.1G, 4.1B, 4.1R are concerned with first progression (FP), and 4.1G, 4.1R are correlated with post progression survival (PPS) besides. Only 4.1B expression is associated with OS in squamous cell carcinoma, as four members with OS in adenocarcinoma. What's more, 4.1G, 4.1N high mRNA are linked to better FP in adenocarcinoma, and 4.1R overexpression is linked to better PPS. The expression of 4.1G is associated with the prognosis in female, whereas 4.1R in male. Furthermore, 4.1G and 4.1B play as protective roles in non-smoking populations, while 4.1N overexpression is related to poorer PPS. All the four family members are associated with early stage in NSCLC 4.1G, 4.1B and 4.1R are closely related to surgical resection, yet 4.1N has no prognostic significance in patients receiving treatments. However, the results need to be verified in clinical trials further. Conclusions: Our results offer new opinion about the prognostic value of 4.1 protein family in NSCLC, which may contribute to the development of new therapy for NSCLC.

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