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SnoRNA SCARNA4 as an independent prognostic factor drives tumor progression by promoting lung adenocarcinoma cell proliferation, migration and invasion and predicts poor prognosis: a functional validation and clinical cohort study
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Qingyun PENG1, 2, Weijia XIE2, Tingting XIA2, Yifan SHAN2, Ying XIANG2, Na WU2, Chengying LI2, Long WU2, Zubing YU3, Li BAI4, Jingyuan YANG1, Yafei LI2
Journal of Army Medical University | 2026, 48(5) : 572 - 582
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Journal of Army Medical University | 2026, 48(5): 572-582
• Clinical Medicine •
SnoRNA SCARNA4 as an independent prognostic factor drives tumor progression by promoting lung adenocarcinoma cell proliferation, migration and invasion and predicts poor prognosis: a functional validation and clinical cohort study
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Qingyun PENG1, 2, Weijia XIE2, Tingting XIA2, Yifan SHAN2, Ying XIANG2, Na WU2, Chengying LI2, Long WU2, Zubing YU3, Li BAI4, Jingyuan YANG1, Yafei LI2
Affiliations
  • 1School of Public Health, Key Laboratory of Environmental Pollution Monitoring and Disease Control of Ministry of Education, Guizhou Medical University, Guiyang, Guizhou
  • 2Department of Epidemiology, College of Military Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing
  • 3Department of Thoracic Surgery
  • 4Institute of Respiratory Diseases, Key Laboratory of Respiratory Diseases, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China
Published: 2026-03-15 doi: 10.16016/j.2097-0927.202509095
Outline
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Objective

To analyze the differential expression profiles of small nucleolar RNAs (snoRNAs) in lung adenocarcinoma and their association with prognosis, screen and validate lung adenocarcinoma-related snoRNAs, and explore their roles in tumorigenesis and progression.

Methods

Differentially expressed snoRNAs between lung adenocarcinoma and normal tissues were screened using Arraystar Small RNA expression microarrays. The obtained candidates were validated through the GEO database (GSE261702), followed by selecting snoRNAs that passed molecular cloning experiments, and finally RT-qPCR. By constructing SCARNA4 overexpression models (Vector group and SCARNA4 group) and knockdown models (siNC group and siSCARNA4 group), proliferation, migration and invasion assays were carried out to assess the biological functions of SCARNA4 in lung adenocarcinoma cells. Based on tumor tissues from 108 lung adenocarcinoma patients (Second Affiliated Hospital of Army Medical University, between February 2013 and May 2015), the expression level of SCARNA4 was detected by RT-qPCR. Using X-tile software to determine the optimal cut-off value (3.48), the patients were accordingly stratified into high (57 cases) and low SCARNA4 expression (51 cases) groups. Kaplan-Meier survival curves and Cox proportional hazards regression models were constructed to analyze the impact of SCARNA4 expression on prognosis.

Results

Small RNA microarray identified 62 up-regulated and 4 down-regulated snoRNAs in lung adenocarcinoma tissues. Integration with GEO database and molecular cloning yielded 8 candidate snoRNAs. RT-qPCR results revealed significantly elevated SCARNA4 expression in lung adenocarcinoma tissues than normal tissues (P=0.042 7). Overexpression of SCARNA4 significantly promoted the proliferative, migrative, and invasive capacities in A549 cells (P<0.01), whereas its knockdown obviously inhibited these functions (P<0.01). Kaplan-Meier survival analysis demonstrated significantly shorter overall survival in the high-expression group when compared with the low-expression group (P=0.034). Univariate Cox regression analysis further confirmed that high SCARNA4 expression was significantly associated with poor prognosis (HR=2.285, 95%CI: 1.040 to 5.020, P=0.039). Multivariate Cox regression analysis confirmed that, after adjusting for relevant covariates, the expression level of SCARNA4 was an independent risk factor of overall survival of lung adenocarcinoma patients, and its high expression was notably associated with shortened overall survival of patients (HR=3.038, 95%CI:1.261 to 7.323, P=0.013).

Conclusion

SCARNA4 is up-regulated in lung adenocarcinoma tissues and associated with poor prognosis. It may be involved in the tumorigenesis and development of lung adenocarcinoma by regulating cell proliferation, migration, and invasion. The molecule might hold promise as a novel therapeutic target and prognostic biomarker for lung adenocarcinoma.

small nucleolar RNA  /  SCARNA4  /  adenocarcinoma of lung  /  carcinogenesis  /  prognosis
彭青云, 谢薇佳, 夏婷婷, 单亦凡, 向颖, 邬娜, 李成英, 吴龙, 余祖滨, 白莉, 杨敬源, 李亚斐. 一项独立预后因素分析snoRNA SCARNA4通过促进肺腺癌细胞增殖、迁移与侵袭驱动肿瘤进展并预示不良预后:基于功能验证与临床队列的研究. 陆军军医大学学报, 2026 , 48 (5) : 572 -582 . DOI: 10.16016/j.2097-0927.202509095
Qingyun PENG, Weijia XIE, Tingting XIA, Yifan SHAN, Ying XIANG, Na WU, Chengying LI, Long WU, Zubing YU, Li BAI, Jingyuan YANG, Yafei LI. SnoRNA SCARNA4 as an independent prognostic factor drives tumor progression by promoting lung adenocarcinoma cell proliferation, migration and invasion and predicts poor prognosis: a functional validation and clinical cohort study[J]. Journal of Army Medical University, 2026 , 48 (5) : 572 -582 . DOI: 10.16016/j.2097-0927.202509095
Year 2026 volume 48 Issue 5
75
33
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Article Info
doi: 10.16016/j.2097-0927.202509095
  • Receive Date:2025-09-29
  • Online Date:2026-10-23
  • Published:2026-03-15
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History
  • Received:2025-09-29
  • Revised:2026-01-19
Affiliations
    1School of Public Health, Key Laboratory of Environmental Pollution Monitoring and Disease Control of Ministry of Education, Guizhou Medical University, Guiyang, Guizhou
    2Department of Epidemiology, College of Military Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing
    3Department of Thoracic Surgery
    4Institute of Respiratory Diseases, Key Laboratory of Respiratory Diseases, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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