Novel immune-related prognostic model and nomogram for breast cancer based on ssGSEA

This study aimed to construct an immune-related prognostic model and a nomogram to predict the 1-, 3-, and 5-year overall survival (OS) of breast cancer patients. We applied single-sample gene set enrichment analysis to classify 1,053 breast cancer samples from The Cancer Genome Atlas (TCGA) databas...

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Main Authors: Linrong Li, Lin Li, Mohan Liu, Yan Li, Qiang Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2022.957675/full
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author Linrong Li
Lin Li
Mohan Liu
Yan Li
Qiang Sun
author_facet Linrong Li
Lin Li
Mohan Liu
Yan Li
Qiang Sun
author_sort Linrong Li
collection DOAJ
description This study aimed to construct an immune-related prognostic model and a nomogram to predict the 1-, 3-, and 5-year overall survival (OS) of breast cancer patients. We applied single-sample gene set enrichment analysis to classify 1,053 breast cancer samples from The Cancer Genome Atlas (TCGA) database into high and low immune cell infiltration clusters. In cluster construction and validation, the R packages “GSVA,” “hclust,” “ESTIMATE,” and “CIBERSORT” and GSEA software were utilized. ImmPort, univariate Cox regression analysis, and Venn analysis were then used to identify 42 prognostic immune-related genes. Eventually, the genes TAPBPL, RAC2, IL27RA, ULBP2, PSMB8, SOCS3, NFKBIE, IGLV6-57, CXCL1, IGHD, AIMP1, and CXCL13 were chosen for model construction utilizing least absolute shrinkage and selection operator regression analysis. The Kaplan–Meier curves of both the training and validation sets indicated that the overall survival of patients in the low-risk group was superior to that of patients in the high-risk group (p < .05). The areas under curves (AUCs) of the model at 1, 3, and 5 years were, respectively, .697, .710, and .675 for the training set and .930, .688, and .712 for the validation set. Regarding clinicopathologic characteristics, breast cancer-related genes, and tumor mutational burden, effective differentiation was achieved between high-risk and low-risk groups. A nomogram integrating the risk model and clinicopathologic factors was constructed using the “rms” R software package. The nomogram’s 1-, 3-, and 5-year AUCs were .828, .783, and .751, respectively. Overall, our study developed an immune-related model and a nomogram that could reliably predict OS for breast cancer patients, and offered insights into tumor immune and pathological mechanisms.
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spelling doaj.art-e36b7987ce4c4cc583d2d57a537eac752023-01-10T19:01:24ZengFrontiers Media S.A.Frontiers in Genetics1664-80212023-01-011310.3389/fgene.2022.957675957675Novel immune-related prognostic model and nomogram for breast cancer based on ssGSEALinrong Li0Lin Li1Mohan Liu2Yan Li3Qiang Sun4Department of Breast Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Joint and Orthopedics, Zhujiang Hospital, Second Clinical Medical College, Southern Medical University, Guangzhou, ChinaDepartment of Breast Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Breast Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, ChinaDepartment of Breast Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, ChinaThis study aimed to construct an immune-related prognostic model and a nomogram to predict the 1-, 3-, and 5-year overall survival (OS) of breast cancer patients. We applied single-sample gene set enrichment analysis to classify 1,053 breast cancer samples from The Cancer Genome Atlas (TCGA) database into high and low immune cell infiltration clusters. In cluster construction and validation, the R packages “GSVA,” “hclust,” “ESTIMATE,” and “CIBERSORT” and GSEA software were utilized. ImmPort, univariate Cox regression analysis, and Venn analysis were then used to identify 42 prognostic immune-related genes. Eventually, the genes TAPBPL, RAC2, IL27RA, ULBP2, PSMB8, SOCS3, NFKBIE, IGLV6-57, CXCL1, IGHD, AIMP1, and CXCL13 were chosen for model construction utilizing least absolute shrinkage and selection operator regression analysis. The Kaplan–Meier curves of both the training and validation sets indicated that the overall survival of patients in the low-risk group was superior to that of patients in the high-risk group (p < .05). The areas under curves (AUCs) of the model at 1, 3, and 5 years were, respectively, .697, .710, and .675 for the training set and .930, .688, and .712 for the validation set. Regarding clinicopathologic characteristics, breast cancer-related genes, and tumor mutational burden, effective differentiation was achieved between high-risk and low-risk groups. A nomogram integrating the risk model and clinicopathologic factors was constructed using the “rms” R software package. The nomogram’s 1-, 3-, and 5-year AUCs were .828, .783, and .751, respectively. Overall, our study developed an immune-related model and a nomogram that could reliably predict OS for breast cancer patients, and offered insights into tumor immune and pathological mechanisms.https://www.frontiersin.org/articles/10.3389/fgene.2022.957675/fullimmuneprognosticmodelbreast cancerssGSEAnomogram
spellingShingle Linrong Li
Lin Li
Mohan Liu
Yan Li
Qiang Sun
Novel immune-related prognostic model and nomogram for breast cancer based on ssGSEA
Frontiers in Genetics
immune
prognostic
model
breast cancer
ssGSEA
nomogram
title Novel immune-related prognostic model and nomogram for breast cancer based on ssGSEA
title_full Novel immune-related prognostic model and nomogram for breast cancer based on ssGSEA
title_fullStr Novel immune-related prognostic model and nomogram for breast cancer based on ssGSEA
title_full_unstemmed Novel immune-related prognostic model and nomogram for breast cancer based on ssGSEA
title_short Novel immune-related prognostic model and nomogram for breast cancer based on ssGSEA
title_sort novel immune related prognostic model and nomogram for breast cancer based on ssgsea
topic immune
prognostic
model
breast cancer
ssGSEA
nomogram
url https://www.frontiersin.org/articles/10.3389/fgene.2022.957675/full
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AT mohanliu novelimmunerelatedprognosticmodelandnomogramforbreastcancerbasedonssgsea
AT yanli novelimmunerelatedprognosticmodelandnomogramforbreastcancerbasedonssgsea
AT qiangsun novelimmunerelatedprognosticmodelandnomogramforbreastcancerbasedonssgsea