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Development and Validation of a Seven-Gene Signature for Predicting the Prognosis of Lung Adenocarcinoma.


ABSTRACT: Background:Prognosis is a main factor affecting the survival of patients with lung adenocarcinoma (LUAD), yet no robust prognostic model of high effectiveness has been developed. This study is aimed at constructing a stable and practicable gene signature-based model via bioinformatics methods for predicting the prognosis of LUAD sufferers. Methods:The mRNA expression data were accessed from the TCGA-LUAD dataset, and paired clinical information was collected from the GDC website. R package "edgeR" was employed to select the differentially expressed genes (DEGs), which were then used for the construction of a gene signature-based model via univariate COX, Lasso, and multivariate COX regression analyses. Kaplan-Meier and ROC survival analyses were conducted to comprehensively evaluate the performance of the model in predicting LUAD prognosis, and an independent dataset GSE26939 was accessed for further validation. Results:Totally, 1,655 DEGs were obtained, and a 7-gene signature-based risk score was developed and formulated as risk_score = 0.000245?NTSR1 + (7.13E - 05)?RHOV + 0.000505?KLK8 + (7.01E - 05)?TNS4 + 0.000288?C1QTNF6 + 0.00044?IVL + 0.000161?B4GALNT2. Kaplan-Meier survival curves revealed that the survival rate of patients in the high-risk group was lower in both the TCGA-LUAD dataset and GSE26939 relative to that of patients in the low-risk group. The relationship between the risk score and clinical characteristics was further investigated, finding that the model was effective in prognosis prediction in the patients with different age (age > 65, age < 65) and TNM stage (N0&N1, T1&T2, and tumor stage I/II). In sum, our study provides a robust predictive model for LUAD prognosis, which boosts the clinical research on LUAD and helps to explore the mechanism underlying the occurrence and progression of LUAD.

SUBMITTER: Zhang Y 

PROVIDER: S-EPMC7641279 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Development and Validation of a Seven-Gene Signature for Predicting the Prognosis of Lung Adenocarcinoma.

Zhang Yingqing Y   Zhang Xiaoping X   Lv Xiaodong X   Zhang Ming M   Gao Xixi X   Liu Jialiang J   Xu Yufen Y   Fang Zhixian Z   Chen Wenyu W  

BioMed research international 20200817


<h4>Background</h4>Prognosis is a main factor affecting the survival of patients with lung adenocarcinoma (LUAD), yet no robust prognostic model of high effectiveness has been developed. This study is aimed at constructing a stable and practicable gene signature-based model via bioinformatics methods for predicting the prognosis of LUAD sufferers.<h4>Methods</h4>The mRNA expression data were accessed from the TCGA-LUAD dataset, and paired clinical information was collected from the GDC website.  ...[more]

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