Dysregulated long noncoding RNAs (lncRNAs) are potential markers of several tumor prognoses. This study aimed to develop a lncRNA expression signature that can predict chemotherapeutic sensitivity for patients with advanced stage and high-grade serous ovarian cancer (HGS-OvCa) treated with platinum-based chemotherapy. The lncRNA expression profiles of 258 HGS-OvCa patients from The Cancer Genome Atlas were analyzed. Results revealed that an eight-lncRNA signature was significantly associated with chemosensitivity in the multivariate logistic regression model, which can accurately predict the chemosensitivity of patients [Area under curve (AUC) = 0.83]. The association of a chemosensitivity predictor with molecular subtypes indicated the excellent prognosis performance of this marker in differentiated, mesenchymal, and immunoreactive subtypes (AUC > 0.8). The significant correlation between ZFAS1 expression and chemosensitivity was confirmed in 233 HGS-OvCa patients from the Gene Expression Omnibus datasets (GSE9891, GSE63885, and GSE51373). In vitro experiments demonstrated that the ZFAS1 expression was upregulated by cisplatin in A2008, HeyA8, and HeyC2 cell lines. This finding suggested that ZFAS1 may participate in platinum resistance. Therefore, the evaluation of the eight-lncRNA signature may be clinically implicated in the selection of platinumresistant HGS-OvCa patients. The role of ZFAS1 in platinum resistance should be further investigated.Ovarian cancer yields the highest mortality rate of all lethal gynecologic cancers and represents approximately 3% of all cancers diagnosed in women worldwide 1,2 . The prognosis of ovarian cancer is unsatisfactory, with a 5-year survival rate of approximately 30% 3 . Approximately 70% of patient deaths are advanced stage and high-grade serous ovarian cancers (HGS-OvCa) 4 . Despite advancements in surgery and chemotherapy, platinum-resistant cancer recurs in approximately 25% of patients within 6 months after they undergo initial standard treatments consisting of aggressive surgery and platinum-based chemotherapy 5 . Some patients with a complete response to first-line chemotherapy develop acquired drug resistance 6 . Several molecular mechanisms, including drug efflux and tolerance, increased DNA repair, and increased cellular glutathione levels 7-9 , are implicated in chemosensitivity. However, exact mechanisms have yet to be fully investigated. Clinical biomarkers that accurately predict sensitivity to chemotherapy have yet to be developed 10,11 . These factors should be understood to identify prognostic signatures, which can be utilized to develop effective treatment modalities for stratified patients who unlikely respond to platinum-based chemotherapy and thus can benefit from alternative strategies 10 .Dysregulated and functional long noncoding RNAs (lncRNAs) are associated with the tumorigenesis and progression of various human cancers [12][13][14] . lncRNAs are mRNA-like transcripts range from 200 nucleotides (bp) to multiple kilobases (kb) in length but lack ...