A novel signature of two long non-coding RNAs in BRCA mutant ovarian cancer to predict prognosis and efficiency of chemotherapy

Abstract Background In this study we aimed to identify a prognostic signature in BRCA1/2 mutations to predict disease progression and the efficiency of chemotherapy ovarian cancer (OV), the second most common cause of death from gynecologic cancer in women worldwide. Methods Univariate Cox proportio...

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Main Authors: Yinglian Pan, Li Ping Jia, Yuzhu Liu, Yiyu Han, Qian Li, Qin Zou, Zhongpei Zhang, Jin Huang, Qingchun Deng
Format: Article
Language:English
Published: BMC 2020-09-01
Series:Journal of Ovarian Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13048-020-00712-w
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author Yinglian Pan
Li Ping Jia
Yuzhu Liu
Yiyu Han
Qian Li
Qin Zou
Zhongpei Zhang
Jin Huang
Qingchun Deng
author_facet Yinglian Pan
Li Ping Jia
Yuzhu Liu
Yiyu Han
Qian Li
Qin Zou
Zhongpei Zhang
Jin Huang
Qingchun Deng
author_sort Yinglian Pan
collection DOAJ
description Abstract Background In this study we aimed to identify a prognostic signature in BRCA1/2 mutations to predict disease progression and the efficiency of chemotherapy ovarian cancer (OV), the second most common cause of death from gynecologic cancer in women worldwide. Methods Univariate Cox proportional-hazards and multivariate Cox regression analyses were used to identifying prognostic factors from data obtained from The Cancer Genome Atlas (TCGA) database. The area under the curve of the receiver operating characteristic curve was assessed, and the sensitivity and specificity of the prediction model were determined. Results A signature consisting of two long noncoding RNAs(lncRNAs), Z98885.2 and AC011601.1, was selected as the basis for classifying patients into high and low-risk groups (median survival: 7.2 years vs. 2.3 years). The three-year overall survival (OS) rates for the high- and low-risk group were approximately 38 and 100%, respectively. Chemotherapy treatment survival rates indicated that the high-risk group had significantly lower OS rates with adjuvant chemotherapy than the low-risk group. The one-, three-, and five-year OS were 100, 40, and 15% respectively in the high-risk group. The survival rate of the high-risk group declined rapidly after 2 years of OV chemotherapy treatment. Multivariate Cox regression associated with other traditional clinical factors showed that the 2-lncRNA model could be used as an independent OV prognostic factor. Analyses of data from the Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Ontology (GO) indicated that these signatures are pivotal to cancer development. Conclusion In conclusion, Z98885.2 and AC011601.1 comprise a novel prognostic signature for OV patients with BRCA1/2 mutations, and can be used to predict prognosis and the efficiency of chemotherapy.
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spelling doaj.art-b887684a7f9841699031b4a6b82692f02023-01-02T19:02:28ZengBMCJournal of Ovarian Research1757-22152020-09-0113111010.1186/s13048-020-00712-wA novel signature of two long non-coding RNAs in BRCA mutant ovarian cancer to predict prognosis and efficiency of chemotherapyYinglian Pan0Li Ping Jia1Yuzhu Liu2Yiyu Han3Qian Li4Qin Zou5Zhongpei Zhang6Jin Huang7Qingchun Deng8Department of Medical Oncology, The First Affiliated Hospital of Hainan Medical UniversityDepartment of Gynecology, The Second Affiliated Hospital of Hainan Medical UniversityDepartment of Gynecology, The Second Affiliated Hospital of Hainan Medical UniversityDepartment of Gynecology, The Second Affiliated Hospital of Hainan Medical UniversityDepartment of Clinical Laboratory, Wuhan Fourth Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology WuhanDepartment of Clinical Laboratory, Wuhan Fourth Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology WuhanDepartment of Clinical Laboratory, Wuhan Fourth Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology WuhanDepartment of Clinical Laboratory, Wuhan Fourth Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology WuhanDepartment of Gynecology, The Second Affiliated Hospital of Hainan Medical UniversityAbstract Background In this study we aimed to identify a prognostic signature in BRCA1/2 mutations to predict disease progression and the efficiency of chemotherapy ovarian cancer (OV), the second most common cause of death from gynecologic cancer in women worldwide. Methods Univariate Cox proportional-hazards and multivariate Cox regression analyses were used to identifying prognostic factors from data obtained from The Cancer Genome Atlas (TCGA) database. The area under the curve of the receiver operating characteristic curve was assessed, and the sensitivity and specificity of the prediction model were determined. Results A signature consisting of two long noncoding RNAs(lncRNAs), Z98885.2 and AC011601.1, was selected as the basis for classifying patients into high and low-risk groups (median survival: 7.2 years vs. 2.3 years). The three-year overall survival (OS) rates for the high- and low-risk group were approximately 38 and 100%, respectively. Chemotherapy treatment survival rates indicated that the high-risk group had significantly lower OS rates with adjuvant chemotherapy than the low-risk group. The one-, three-, and five-year OS were 100, 40, and 15% respectively in the high-risk group. The survival rate of the high-risk group declined rapidly after 2 years of OV chemotherapy treatment. Multivariate Cox regression associated with other traditional clinical factors showed that the 2-lncRNA model could be used as an independent OV prognostic factor. Analyses of data from the Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Ontology (GO) indicated that these signatures are pivotal to cancer development. Conclusion In conclusion, Z98885.2 and AC011601.1 comprise a novel prognostic signature for OV patients with BRCA1/2 mutations, and can be used to predict prognosis and the efficiency of chemotherapy.http://link.springer.com/article/10.1186/s13048-020-00712-wOvarian cancerLong non-coding RNAPrognostic biomarkerMutationsBRCA1/2 geneChemotherapy
spellingShingle Yinglian Pan
Li Ping Jia
Yuzhu Liu
Yiyu Han
Qian Li
Qin Zou
Zhongpei Zhang
Jin Huang
Qingchun Deng
A novel signature of two long non-coding RNAs in BRCA mutant ovarian cancer to predict prognosis and efficiency of chemotherapy
Journal of Ovarian Research
Ovarian cancer
Long non-coding RNA
Prognostic biomarker
Mutations
BRCA1/2 gene
Chemotherapy
title A novel signature of two long non-coding RNAs in BRCA mutant ovarian cancer to predict prognosis and efficiency of chemotherapy
title_full A novel signature of two long non-coding RNAs in BRCA mutant ovarian cancer to predict prognosis and efficiency of chemotherapy
title_fullStr A novel signature of two long non-coding RNAs in BRCA mutant ovarian cancer to predict prognosis and efficiency of chemotherapy
title_full_unstemmed A novel signature of two long non-coding RNAs in BRCA mutant ovarian cancer to predict prognosis and efficiency of chemotherapy
title_short A novel signature of two long non-coding RNAs in BRCA mutant ovarian cancer to predict prognosis and efficiency of chemotherapy
title_sort novel signature of two long non coding rnas in brca mutant ovarian cancer to predict prognosis and efficiency of chemotherapy
topic Ovarian cancer
Long non-coding RNA
Prognostic biomarker
Mutations
BRCA1/2 gene
Chemotherapy
url http://link.springer.com/article/10.1186/s13048-020-00712-w
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