Estrogen receptor—positive breast cancer survival prediction and analysis of resistance–related genes introduction

Background In recent years, ER+ and HER2- breast cancer of adjuvant therapy has made great progress, including chemotherapy and endocrine therapy. We found that the responsiveness of breast cancer treatment was related to the prognosis of patients. However, reliable prognostic signatures based on ER...

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Main Authors: Chen Shuai, Fengyan Yuan, Yu Liu, Chengchen Wang, Jiansong Wang, Hongye He
Format: Article
Language:English
Published: PeerJ Inc. 2021-10-01
Series:PeerJ
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Online Access:https://peerj.com/articles/12202.pdf
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author Chen Shuai
Fengyan Yuan
Yu Liu
Chengchen Wang
Jiansong Wang
Hongye He
author_facet Chen Shuai
Fengyan Yuan
Yu Liu
Chengchen Wang
Jiansong Wang
Hongye He
author_sort Chen Shuai
collection DOAJ
description Background In recent years, ER+ and HER2- breast cancer of adjuvant therapy has made great progress, including chemotherapy and endocrine therapy. We found that the responsiveness of breast cancer treatment was related to the prognosis of patients. However, reliable prognostic signatures based on ER+ and HER2- breast cancer and drug resistance-related prognostic markers have not been well confirmed, This study in amied to establish a drug resistance-related gene signature for risk stratification in ER+ and HER2- breast cancer. Methods We used the data from The Cancer Genoma Atlas (TCGA) breast cancer dataset and gene expression database (Gene Expression Omnibus, GEO), constructed a risk profile based on four drug resistance-related genes, and developed a nomogram to predict the survival of patients with I-III ER+ and HER2- breast cancer. At the same time, we analyzed the relationship between immune infiltration and the expression of these four genes or risk groups. Results Four drug resistance genes (AMIGO2, LGALS3BP, SCUBE2 and WLS) were found to be promising tools for ER+ and HER2- breast cancer risk stratification. Then, the nomogram, which combines genetic characteristics with known risk factors, produced better performance and net benefits in calibration and decision curve analysis. Similar results were validated in three separate GEO cohorts. All of these results showed that the model can be used as a prognostic classifier for clinical decision-making, individual prediction and treatment, as well as follow-up.
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spelling doaj.art-411eda30d2504bafab376d7461e2825f2023-12-03T09:18:03ZengPeerJ Inc.PeerJ2167-83592021-10-019e1220210.7717/peerj.12202Estrogen receptor—positive breast cancer survival prediction and analysis of resistance–related genes introductionChen Shuai0Fengyan Yuan1Yu Liu2Chengchen Wang3Jiansong Wang4Hongye He5Department of Breast and Thyroid Surgery, Yiyang Central Hospital, Yiyang, Hunan, ChinaHunan Normal University of Medicine, Changsha, Hunan, ChinaHunan Provincial People’s Hospital, Changsha, Hunan, ChinaHunan Provincial People’s Hospital, Changsha, Hunan, ChinaHunan Provincial People’s Hospital, Changsha, Hunan, ChinaDepartment of General Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, ChinaBackground In recent years, ER+ and HER2- breast cancer of adjuvant therapy has made great progress, including chemotherapy and endocrine therapy. We found that the responsiveness of breast cancer treatment was related to the prognosis of patients. However, reliable prognostic signatures based on ER+ and HER2- breast cancer and drug resistance-related prognostic markers have not been well confirmed, This study in amied to establish a drug resistance-related gene signature for risk stratification in ER+ and HER2- breast cancer. Methods We used the data from The Cancer Genoma Atlas (TCGA) breast cancer dataset and gene expression database (Gene Expression Omnibus, GEO), constructed a risk profile based on four drug resistance-related genes, and developed a nomogram to predict the survival of patients with I-III ER+ and HER2- breast cancer. At the same time, we analyzed the relationship between immune infiltration and the expression of these four genes or risk groups. Results Four drug resistance genes (AMIGO2, LGALS3BP, SCUBE2 and WLS) were found to be promising tools for ER+ and HER2- breast cancer risk stratification. Then, the nomogram, which combines genetic characteristics with known risk factors, produced better performance and net benefits in calibration and decision curve analysis. Similar results were validated in three separate GEO cohorts. All of these results showed that the model can be used as a prognostic classifier for clinical decision-making, individual prediction and treatment, as well as follow-up.https://peerj.com/articles/12202.pdfER+ and HER2- breast cancerDrug resistance-related geneRisk signature
spellingShingle Chen Shuai
Fengyan Yuan
Yu Liu
Chengchen Wang
Jiansong Wang
Hongye He
Estrogen receptor—positive breast cancer survival prediction and analysis of resistance–related genes introduction
PeerJ
ER+ and HER2- breast cancer
Drug resistance-related gene
Risk signature
title Estrogen receptor—positive breast cancer survival prediction and analysis of resistance–related genes introduction
title_full Estrogen receptor—positive breast cancer survival prediction and analysis of resistance–related genes introduction
title_fullStr Estrogen receptor—positive breast cancer survival prediction and analysis of resistance–related genes introduction
title_full_unstemmed Estrogen receptor—positive breast cancer survival prediction and analysis of resistance–related genes introduction
title_short Estrogen receptor—positive breast cancer survival prediction and analysis of resistance–related genes introduction
title_sort estrogen receptor positive breast cancer survival prediction and analysis of resistance related genes introduction
topic ER+ and HER2- breast cancer
Drug resistance-related gene
Risk signature
url https://peerj.com/articles/12202.pdf
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AT fengyanyuan estrogenreceptorpositivebreastcancersurvivalpredictionandanalysisofresistancerelatedgenesintroduction
AT yuliu estrogenreceptorpositivebreastcancersurvivalpredictionandanalysisofresistancerelatedgenesintroduction
AT chengchenwang estrogenreceptorpositivebreastcancersurvivalpredictionandanalysisofresistancerelatedgenesintroduction
AT jiansongwang estrogenreceptorpositivebreastcancersurvivalpredictionandanalysisofresistancerelatedgenesintroduction
AT hongyehe estrogenreceptorpositivebreastcancersurvivalpredictionandanalysisofresistancerelatedgenesintroduction