Identification and validation of a prognostic signature related to hypoxic tumor microenvironment in cervical cancer.

<h4>Background</h4>Hypoxia is a common microenvironment condition in most malignant tumors and has been shown to be associated with adverse outcomes of cervical cancer patients. In this study, we investigated the effects of hypoxia-related genes on tumor progress to characterize the tumo...

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Main Authors: Chenyu Nie, Haixia Qin, Li Zhang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0269462
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author Chenyu Nie
Haixia Qin
Li Zhang
author_facet Chenyu Nie
Haixia Qin
Li Zhang
author_sort Chenyu Nie
collection DOAJ
description <h4>Background</h4>Hypoxia is a common microenvironment condition in most malignant tumors and has been shown to be associated with adverse outcomes of cervical cancer patients. In this study, we investigated the effects of hypoxia-related genes on tumor progress to characterize the tumor hypoxic microenvironment.<h4>Methods</h4>We retrieved a set of hypoxia-related genes from the Molecular Signatures Database and evaluated their prognostic value for cervical cancer. A hypoxia-based prognostic signature for cervical cancer was then developed and validated using tumor samples from two independent cohorts (TCGA-CESC and CGCI-HTMCP-CC cohorts). Finally, we validated the hypoxia prediction of ccHPS score in eight human cervical cancer cell lines treated with the hypoxic and normoxic conditions, and 286 tumor samples with hypoxic category (more or less) from Gene Expression Omnibus (GEO) database with accession GSE72723.<h4>Results</h4>A risk signature model containing nine hypoxia-related genes was developed and validated in cervical cancer. Further analysis showed that this risk model could be an independent prognosis factor of cervical cancer, which reflects the condition of the hypoxic tumor microenvironment and its remodeling of cell metabolism and tumor immunity. Furthermore, a nomogram integrating the novel risk model and lymphovascular invasion status was developed, accurately predicting the 1-, 3- and 5-year prognosis with AUC values of 0.928, 0.916 and 0.831, respectively. These findings provided a better understanding of the hypoxic tumor microenvironment in cervical cancer and insights into potential new therapeutic strategies in improving cancer therapy.
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spelling doaj.art-492bc2c09fa44003a65bf3f20707a5932022-12-22T00:44:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176e026946210.1371/journal.pone.0269462Identification and validation of a prognostic signature related to hypoxic tumor microenvironment in cervical cancer.Chenyu NieHaixia QinLi Zhang<h4>Background</h4>Hypoxia is a common microenvironment condition in most malignant tumors and has been shown to be associated with adverse outcomes of cervical cancer patients. In this study, we investigated the effects of hypoxia-related genes on tumor progress to characterize the tumor hypoxic microenvironment.<h4>Methods</h4>We retrieved a set of hypoxia-related genes from the Molecular Signatures Database and evaluated their prognostic value for cervical cancer. A hypoxia-based prognostic signature for cervical cancer was then developed and validated using tumor samples from two independent cohorts (TCGA-CESC and CGCI-HTMCP-CC cohorts). Finally, we validated the hypoxia prediction of ccHPS score in eight human cervical cancer cell lines treated with the hypoxic and normoxic conditions, and 286 tumor samples with hypoxic category (more or less) from Gene Expression Omnibus (GEO) database with accession GSE72723.<h4>Results</h4>A risk signature model containing nine hypoxia-related genes was developed and validated in cervical cancer. Further analysis showed that this risk model could be an independent prognosis factor of cervical cancer, which reflects the condition of the hypoxic tumor microenvironment and its remodeling of cell metabolism and tumor immunity. Furthermore, a nomogram integrating the novel risk model and lymphovascular invasion status was developed, accurately predicting the 1-, 3- and 5-year prognosis with AUC values of 0.928, 0.916 and 0.831, respectively. These findings provided a better understanding of the hypoxic tumor microenvironment in cervical cancer and insights into potential new therapeutic strategies in improving cancer therapy.https://doi.org/10.1371/journal.pone.0269462
spellingShingle Chenyu Nie
Haixia Qin
Li Zhang
Identification and validation of a prognostic signature related to hypoxic tumor microenvironment in cervical cancer.
PLoS ONE
title Identification and validation of a prognostic signature related to hypoxic tumor microenvironment in cervical cancer.
title_full Identification and validation of a prognostic signature related to hypoxic tumor microenvironment in cervical cancer.
title_fullStr Identification and validation of a prognostic signature related to hypoxic tumor microenvironment in cervical cancer.
title_full_unstemmed Identification and validation of a prognostic signature related to hypoxic tumor microenvironment in cervical cancer.
title_short Identification and validation of a prognostic signature related to hypoxic tumor microenvironment in cervical cancer.
title_sort identification and validation of a prognostic signature related to hypoxic tumor microenvironment in cervical cancer
url https://doi.org/10.1371/journal.pone.0269462
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