AUTHOR=Tang Xinfang , Jiang Feng , Wang Xiaoyu , Xia Ying , Mao Yan , Chen Yan TITLE=Identification of the Ferroptosis-Related Long Non-Coding RNAs Signature to Improve the Prognosis Prediction in Papillary Renal Cell Carcinoma JOURNAL=Frontiers in Surgery VOLUME=Volume 9 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.741726 DOI=10.3389/fsurg.2022.741726 ISSN=2296-875X ABSTRACT=Papillary renal cell carcinoma (pRCC) is one of the epithelial renal cell carcinoma (RCC) histological subtypes. Ferroptosis is a new iron-dependent form of cell death that has been seen in a variety of clinical situations. Using differentially expressed ferroptosis-related lncRNAs from pRCC patients in TCGA, we built a prognostic lncRNA-based signature. We discovered seven different lncRNAs that were strongly linked to the prognosis of pRCC patients. High risk scores were linked to a poor prognosis for pRCC, which was confirmed by the findings of Kaplan-Meier studies. In addition, the constructed lncRNA signature has a 1-year AUC of 0.908, suggesting that it has a high predictive value in pRCC. In the high-risk group, GSEA analysis identified immunological and tumor-related pathways. Furthermore, ssGSEA revealed significant differences in T cell functions checkpoint, APC co-stimulation, inflammation promoting, and para inflammation between the two groups with different risk scores. In addition, immune checkpoints like PDCD1LG2 (PD-L2), LAG3, and IDO1 were expressed differently in the two risk groups. In summary, a novel signature based on ferroptosis-related lncRNAs could be applied in predicting the prognosis of patients with pRCC.