Background: Kidney renal papillary cell carcinoma (KIRP) is a histologically heterogeneous renal cancer subtype with distinct clinical behavior. While localized cases have favorable outcomes, advanced or metastatic KIRP presents significant therapeutic challenges due to limited targeted therapies and reliable biomarkers. Long non-coding RNAs (lncRNAs) have emerged as crucial regulators in tumorigenesis and tumor immune microenvironment (TIME) modulation.
Methods: We comprehensively analyzed RNA-sequencing and clinical data from the TCGA-KIRP cohort. LINC02471 expression was evaluated using Wilcoxon tests, its diagnostic efficacy via ROC curve analysis, and prognostic value through Kaplan-Meier survival analysis with log-rank tests. Immune cell infiltration was assessed using ssGSEA and Spearman correlation. Experimental validation included qPCR expression profiling across multiple KIRP cell lines, lentivirus-mediated knockdown and overexpression, and CCK-8 proliferation assays.
Results: LINC02471 was significantly upregulated in KIRP tissues and correlated with advanced pathological stages. It demonstrated excellent diagnostic accuracy (AUC = 0.887) and was associated with improved overall survival (HR = 0.49), disease-specific survival (HR = 0.12), and progression-free interval (HR = 0.44). LINC02471 expression negatively correlated with plasmacytoid dendritic cells (R = -0.538), activated dendritic cells (R = -0.362), and natural killer cells (R = -0.360). In vitro experiments confirmed LINC02471 upregulation in KIRP cells and revealed its pro-proliferative function through gain- and loss-of-function studies.
Conclusion: Our integrated analysis identifies LINC02471 as a robust diagnostic biomarker and independent favorable prognostic indicator in KIRP. Its correlation with immune cell subsets and demonstrated proliferative role position it as a promising candidate for mechanistic studies and therapeutic development in renal papillary cell carcinoma.
Keywords: Kidney Renal Papillary Cell Carcinoma (KIRP); LINC02471; Long Non-Coding RNA; Biomarker; Prognosis; Tumor Immune Microenvironment; TCGA