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Fig 1.

Flowchart of the research process.

This includes data collection, identification of chromatin epigenetic-related lncRNA signatures, clinical data validation, prognostic prediction, and immunotherapy prediction.

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Fig 2.

Prognostic prediction based on the identified lncRNA signature (CELncSig).

(A) Patients in the low-risk group showed longer overall survival (OS) in the Kaplan-Meier analysis. (B, C) Survival status and risk scores for each sample. (D) Heatmap shows the expression of CELncSigs, with blue indicating low expression and red indicating high expression.

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Fig 3.

Validation of the prognostic prediction.

(A, B) Calibration curves show the consistency between predicted and observed OS. (C-N) Kaplan-Meier OS curves of subgroups stratified by clinical factors, including AJCC stages (C-E), age (F, G), race (H, I), T stage (J-L), gender (M, N), M stage (O), and N stage (P-R).

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Fig 4.

GO and KEGG pathway analysis of the differentially expressed lncRNAs between high- and low-risk groups.

(A, B) GO enrichment analysis. (C, D) KEGG enrichment analysis.

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Fig 5.

Tumor immune escape analysis of the cohorts.

Comparison of CD274, CD8, TIDE, Dysfunction, and Exclusion scores between high- and low-risk groups in the (A-E) training, (F-J) validation, and (K-O) all cohorts. "*" means P value<0.05, "**" means P value<0.01, "***" means P value<0.001. "ns" means no significance.

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Fig 6.

Tumor immune escape analysis of the cohorts.

Comparison of IFNG, MDSC, and CAFs scores between high- and low-risk groups in the training, validation, and all cohorts. "*" means that P value<0.05, "**" means that P value<0.01, "***" means that P value<0.001. "ns" means no significance.

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Fig 7.

Prediction of differential chemotherapy drug sensitivity between high- and low-Risk groups.

CMK, Bortezomib, Bryostatin 1, Docetaxel, Doxorubicin, Elesclomol, MS275, MK2206, Methotrexate, and Lenalidomide showed higher sensitivity in the low-risk group. CMK, Bortezomib, Bryostatin 1, Docetaxel, Doxorubicin, Elesclomol, and MS275 showed higher sensitivity in the high-risk group.

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Fig 7 Expand