Development of a prognostic gene signature for hepatocellular carcinoma

Accurate prediction of overall survival is important for prognosis and the assignment of appropriate personalized clinical treatment in hepatocellular carcinoma (HCC) patients. The aim of the present study was to establish an optimal gene model for the independent prediction of prognosis associated...

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Main Authors: Cuiyun Wu, Yaosheng Luo, Yinghui Chen, Hongling Qu, Lin Zheng, Jie Yao
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Cancer Treatment and Research Communications
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S246829422200003X
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author Cuiyun Wu
Yaosheng Luo
Yinghui Chen
Hongling Qu
Lin Zheng
Jie Yao
author_facet Cuiyun Wu
Yaosheng Luo
Yinghui Chen
Hongling Qu
Lin Zheng
Jie Yao
author_sort Cuiyun Wu
collection DOAJ
description Accurate prediction of overall survival is important for prognosis and the assignment of appropriate personalized clinical treatment in hepatocellular carcinoma (HCC) patients. The aim of the present study was to establish an optimal gene model for the independent prediction of prognosis associated with common clinical patterns. Gene expression profiles and the corresponding clinical information of the LIHC cohort were obtained from The Cancer Genome Atlas. Differentially expressed genes were found using the R package “limma”. Subsequently, a prognostic gene signature was developed using the LASSO Cox regression model. Kaplan–Meier, log-rank, and receiver operating characteristic (ROC) analyses were performed to verify the predictive accuracy of the prognostic model. Finally, a nomogram and calibration plot were created using the “rms” package. Differentially expressed genes were screened with threshold criteria (FDR < 0.01 and |log FC|>3) and 563 differentially expressed genes were obtained, including 448 downregulated and 115 upregulated genes. Using the LASSO Cox regression model, a prognostic gene signature was developed based on nine genes, IQGAP3, BIRC5, PTTG1, STC2, CDKN3, PBK, EXO1, NEIL3, and HOXD9, the expression levels of which were quantitated using RT-qPCR. According to the risk scores, patients were separated into high-risk and low-risk groups. In conclusion, the prognostic gene signature can be used as a combined biomarker for the independent prediction of overall survival in HCC patients. Moreover, we created a nomogram that can be used to infer prognosis and aid individualized decisions regarding treatment and surveillance.
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spelling doaj.art-ab6186eaead44540abcf30f39cb7dadb2022-12-22T00:40:55ZengElsevierCancer Treatment and Research Communications2468-29422022-01-0131100511Development of a prognostic gene signature for hepatocellular carcinomaCuiyun Wu0Yaosheng Luo1Yinghui Chen2Hongling Qu3Lin Zheng4Jie Yao5Department of Laboratory, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, 528308, Guangdong, ChinaMedical research center, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, 528308, Guangdong, ChinaDepartment of Laboratory, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, 528308, Guangdong, ChinaDepartment of Laboratory, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, 528308, Guangdong, ChinaDepartment of Laboratory, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, 528308, Guangdong, ChinaDepartment of Laboratory, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, 528308, Guangdong, China; Medical research center, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, 528308, Guangdong, China; Corresponding author at: Shunde Hospital, Southern Medical University, Foshan, Guangdong, China. 528308.Accurate prediction of overall survival is important for prognosis and the assignment of appropriate personalized clinical treatment in hepatocellular carcinoma (HCC) patients. The aim of the present study was to establish an optimal gene model for the independent prediction of prognosis associated with common clinical patterns. Gene expression profiles and the corresponding clinical information of the LIHC cohort were obtained from The Cancer Genome Atlas. Differentially expressed genes were found using the R package “limma”. Subsequently, a prognostic gene signature was developed using the LASSO Cox regression model. Kaplan–Meier, log-rank, and receiver operating characteristic (ROC) analyses were performed to verify the predictive accuracy of the prognostic model. Finally, a nomogram and calibration plot were created using the “rms” package. Differentially expressed genes were screened with threshold criteria (FDR < 0.01 and |log FC|>3) and 563 differentially expressed genes were obtained, including 448 downregulated and 115 upregulated genes. Using the LASSO Cox regression model, a prognostic gene signature was developed based on nine genes, IQGAP3, BIRC5, PTTG1, STC2, CDKN3, PBK, EXO1, NEIL3, and HOXD9, the expression levels of which were quantitated using RT-qPCR. According to the risk scores, patients were separated into high-risk and low-risk groups. In conclusion, the prognostic gene signature can be used as a combined biomarker for the independent prediction of overall survival in HCC patients. Moreover, we created a nomogram that can be used to infer prognosis and aid individualized decisions regarding treatment and surveillance.http://www.sciencedirect.com/science/article/pii/S246829422200003XHepatocellular carcinomaDifferentially expressed genePrognostic gene signature
spellingShingle Cuiyun Wu
Yaosheng Luo
Yinghui Chen
Hongling Qu
Lin Zheng
Jie Yao
Development of a prognostic gene signature for hepatocellular carcinoma
Cancer Treatment and Research Communications
Hepatocellular carcinoma
Differentially expressed gene
Prognostic gene signature
title Development of a prognostic gene signature for hepatocellular carcinoma
title_full Development of a prognostic gene signature for hepatocellular carcinoma
title_fullStr Development of a prognostic gene signature for hepatocellular carcinoma
title_full_unstemmed Development of a prognostic gene signature for hepatocellular carcinoma
title_short Development of a prognostic gene signature for hepatocellular carcinoma
title_sort development of a prognostic gene signature for hepatocellular carcinoma
topic Hepatocellular carcinoma
Differentially expressed gene
Prognostic gene signature
url http://www.sciencedirect.com/science/article/pii/S246829422200003X
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AT honglingqu developmentofaprognosticgenesignatureforhepatocellularcarcinoma
AT linzheng developmentofaprognosticgenesignatureforhepatocellularcarcinoma
AT jieyao developmentofaprognosticgenesignatureforhepatocellularcarcinoma