A circRNA signature predicts postoperative recurrence in stage II/III colon cancer

Abstract Accurate risk stratification for patients with stage II/III colon cancer is pivotal for postoperative treatment decisions. Here, we aimed to identify and validate a circRNA‐based signature that could improve postoperative prognostic stratification for these patients. In current retrospectiv...

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Main Authors: Huai‐Qiang Ju, Qi Zhao, Feng Wang, Ping Lan, Zixian Wang, Zhi‐Xiang Zuo, Qi‐Nian Wu, Xin‐Juan Fan, Hai‐Yu Mo, Li Chen, Ting Li, Chao Ren, Xiang‐Bo Wan, Gong Chen, Yu‐Hong Li, Wei‐Hua Jia, Rui‐Hua Xu
Format: Article
Language:English
Published: Springer Nature 2019-09-01
Series:EMBO Molecular Medicine
Subjects:
Online Access:https://doi.org/10.15252/emmm.201810168
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author Huai‐Qiang Ju
Qi Zhao
Feng Wang
Ping Lan
Zixian Wang
Zhi‐Xiang Zuo
Qi‐Nian Wu
Xin‐Juan Fan
Hai‐Yu Mo
Li Chen
Ting Li
Chao Ren
Xiang‐Bo Wan
Gong Chen
Yu‐Hong Li
Wei‐Hua Jia
Rui‐Hua Xu
author_facet Huai‐Qiang Ju
Qi Zhao
Feng Wang
Ping Lan
Zixian Wang
Zhi‐Xiang Zuo
Qi‐Nian Wu
Xin‐Juan Fan
Hai‐Yu Mo
Li Chen
Ting Li
Chao Ren
Xiang‐Bo Wan
Gong Chen
Yu‐Hong Li
Wei‐Hua Jia
Rui‐Hua Xu
author_sort Huai‐Qiang Ju
collection DOAJ
description Abstract Accurate risk stratification for patients with stage II/III colon cancer is pivotal for postoperative treatment decisions. Here, we aimed to identify and validate a circRNA‐based signature that could improve postoperative prognostic stratification for these patients. In current retrospective analysis, we included 667 patients with R0 resected stage II/III colon cancer. Using RNA‐seq analysis of 20 paired frozen tissues collected postoperation, we profiled differential circRNA expression between patients with and without recurrence, followed by quantitative validation. With clinical information, we generated a four‐circRNA‐based cirScore to classify patients into high‐risk and low‐risk groups in the training cohort. The patients with high cirScores in the training cohort had a shorter disease‐free survival (DFS) and overall survival (OS) than patients with low cirScores. The prognostic capacity of the classifier was validated in the internal and external cohorts. Loss‐of‐function assays indicated that the selected circRNAs played functional roles in colon cancer progression. Overall, our four‐circRNA‐based classifier is a reliable prognostic tool for postoperative disease recurrence in patients with stage II/III colon cancer.
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spelling doaj.art-94e8fd3a10b94556b180eefd64ab1aa92024-10-28T08:57:58ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842019-09-01111011310.15252/emmm.201810168A circRNA signature predicts postoperative recurrence in stage II/III colon cancerHuai‐Qiang Ju0Qi Zhao1Feng Wang2Ping Lan3Zixian Wang4Zhi‐Xiang Zuo5Qi‐Nian Wu6Xin‐Juan Fan7Hai‐Yu Mo8Li Chen9Ting Li10Chao Ren11Xiang‐Bo Wan12Gong Chen13Yu‐Hong Li14Wei‐Hua Jia15Rui‐Hua Xu16State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterThe Sixth Affiliated Hospital, Sun Yat‐sen UniversityState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterThe Sixth Affiliated Hospital, Sun Yat‐sen UniversityState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Biocontrol, School of Life Sciences, Sun Yat‐sen UniversityState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterThe Sixth Affiliated Hospital, Sun Yat‐sen UniversityState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterAbstract Accurate risk stratification for patients with stage II/III colon cancer is pivotal for postoperative treatment decisions. Here, we aimed to identify and validate a circRNA‐based signature that could improve postoperative prognostic stratification for these patients. In current retrospective analysis, we included 667 patients with R0 resected stage II/III colon cancer. Using RNA‐seq analysis of 20 paired frozen tissues collected postoperation, we profiled differential circRNA expression between patients with and without recurrence, followed by quantitative validation. With clinical information, we generated a four‐circRNA‐based cirScore to classify patients into high‐risk and low‐risk groups in the training cohort. The patients with high cirScores in the training cohort had a shorter disease‐free survival (DFS) and overall survival (OS) than patients with low cirScores. The prognostic capacity of the classifier was validated in the internal and external cohorts. Loss‐of‐function assays indicated that the selected circRNAs played functional roles in colon cancer progression. Overall, our four‐circRNA‐based classifier is a reliable prognostic tool for postoperative disease recurrence in patients with stage II/III colon cancer.https://doi.org/10.15252/emmm.201810168biomarkercircular RNArecurrencestage II/III colon cancer
spellingShingle Huai‐Qiang Ju
Qi Zhao
Feng Wang
Ping Lan
Zixian Wang
Zhi‐Xiang Zuo
Qi‐Nian Wu
Xin‐Juan Fan
Hai‐Yu Mo
Li Chen
Ting Li
Chao Ren
Xiang‐Bo Wan
Gong Chen
Yu‐Hong Li
Wei‐Hua Jia
Rui‐Hua Xu
A circRNA signature predicts postoperative recurrence in stage II/III colon cancer
EMBO Molecular Medicine
biomarker
circular RNA
recurrence
stage II/III colon cancer
title A circRNA signature predicts postoperative recurrence in stage II/III colon cancer
title_full A circRNA signature predicts postoperative recurrence in stage II/III colon cancer
title_fullStr A circRNA signature predicts postoperative recurrence in stage II/III colon cancer
title_full_unstemmed A circRNA signature predicts postoperative recurrence in stage II/III colon cancer
title_short A circRNA signature predicts postoperative recurrence in stage II/III colon cancer
title_sort circrna signature predicts postoperative recurrence in stage ii iii colon cancer
topic biomarker
circular RNA
recurrence
stage II/III colon cancer
url https://doi.org/10.15252/emmm.201810168
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