Transcriptome analysis reveals a reprogramming energy metabolism-related signature to improve prognosis in colon cancer

Although much progress has been made to improve treatment, colon cancer remains a leading cause of cancer death worldwide. Metabolic reprogramming is a significant ability of cancer cells to ensure the necessary energy supply in uncontrolled proliferation. Since reprogramming energy metabolism has e...

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Main Authors: Xinxin Zhang, Jinyuan Xu, Yujia Lan, Fenghua Guo, Yun Xiao, Yixue Li, Xia Li
Format: Article
Language:English
Published: PeerJ Inc. 2020-07-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/9458.pdf
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author Xinxin Zhang
Jinyuan Xu
Yujia Lan
Fenghua Guo
Yun Xiao
Yixue Li
Xia Li
author_facet Xinxin Zhang
Jinyuan Xu
Yujia Lan
Fenghua Guo
Yun Xiao
Yixue Li
Xia Li
author_sort Xinxin Zhang
collection DOAJ
description Although much progress has been made to improve treatment, colon cancer remains a leading cause of cancer death worldwide. Metabolic reprogramming is a significant ability of cancer cells to ensure the necessary energy supply in uncontrolled proliferation. Since reprogramming energy metabolism has emerged as a new hallmark of cancer cells, accumulating evidences have suggested that metabolism-related genes may serve as key regulators of tumorigenesis and potential biomarkers. In this study, we analyzed a set of reprogramming energy metabolism-related genes by transcriptome analysis in colon cancer and revealed a five-gene signature that could significantly predict the overall survival. The reprogramming energy metabolism-related signature could distinguish patients into high-risk and low-risk groups with significantly different survival times (P = 0.0011; HR = 1.92; 95% CI [1.29–2.87]). Its prognostic value was confirmed in another two independent colon cancer cohorts (P = 5.2e–04; HR = 2.09, 95%; CI [1.37–3.2] for GSE17538 and P = 3.8e−04; HR = 2.08, 95% CI [1.37–3.16] for GSE41258). By multivariable analysis, we found that the signature was independent of clinicopathological features. Its power in promoting risk stratification of the current clinical stage was then evaluated by stratified analysis. Moreover, the signature could improve the power of the TNM stage for the prediction of overall survival and could be used in patients who received adjuvant chemotherapy. Overall, our results demonstrated the important role of the reprogramming energy metabolism-related signature in promoting stratification of high-risk patients, which could be diagnostic of adjuvant therapy benefit.
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spelling doaj.art-e96b862331804fc4b431ba84310235992023-12-03T01:26:13ZengPeerJ Inc.PeerJ2167-83592020-07-018e945810.7717/peerj.9458Transcriptome analysis reveals a reprogramming energy metabolism-related signature to improve prognosis in colon cancerXinxin Zhang0Jinyuan Xu1Yujia Lan2Fenghua Guo3Yun Xiao4Yixue Li5Xia Li6College of Bioinformatics Science and Technology, Harbin Medical University, Harbin, Heilongjiang, ChinaCollege of Bioinformatics Science and Technology, Harbin Medical University, Harbin, Heilongjiang, ChinaCollege of Bioinformatics Science and Technology, Harbin Medical University, Harbin, Heilongjiang, ChinaCollege of Bioinformatics Science and Technology, Harbin Medical University, Harbin, Heilongjiang, ChinaCollege of Bioinformatics Science and Technology, Harbin Medical University, Harbin, Heilongjiang, ChinaCollege of Bioinformatics Science and Technology, Harbin Medical University, Harbin, Heilongjiang, ChinaCollege of Bioinformatics Science and Technology, Harbin Medical University, Harbin, Heilongjiang, ChinaAlthough much progress has been made to improve treatment, colon cancer remains a leading cause of cancer death worldwide. Metabolic reprogramming is a significant ability of cancer cells to ensure the necessary energy supply in uncontrolled proliferation. Since reprogramming energy metabolism has emerged as a new hallmark of cancer cells, accumulating evidences have suggested that metabolism-related genes may serve as key regulators of tumorigenesis and potential biomarkers. In this study, we analyzed a set of reprogramming energy metabolism-related genes by transcriptome analysis in colon cancer and revealed a five-gene signature that could significantly predict the overall survival. The reprogramming energy metabolism-related signature could distinguish patients into high-risk and low-risk groups with significantly different survival times (P = 0.0011; HR = 1.92; 95% CI [1.29–2.87]). Its prognostic value was confirmed in another two independent colon cancer cohorts (P = 5.2e–04; HR = 2.09, 95%; CI [1.37–3.2] for GSE17538 and P = 3.8e−04; HR = 2.08, 95% CI [1.37–3.16] for GSE41258). By multivariable analysis, we found that the signature was independent of clinicopathological features. Its power in promoting risk stratification of the current clinical stage was then evaluated by stratified analysis. Moreover, the signature could improve the power of the TNM stage for the prediction of overall survival and could be used in patients who received adjuvant chemotherapy. Overall, our results demonstrated the important role of the reprogramming energy metabolism-related signature in promoting stratification of high-risk patients, which could be diagnostic of adjuvant therapy benefit.https://peerj.com/articles/9458.pdfColon cancerOverall survivalReprogramming energy metabolismSignatureMetabolism
spellingShingle Xinxin Zhang
Jinyuan Xu
Yujia Lan
Fenghua Guo
Yun Xiao
Yixue Li
Xia Li
Transcriptome analysis reveals a reprogramming energy metabolism-related signature to improve prognosis in colon cancer
PeerJ
Colon cancer
Overall survival
Reprogramming energy metabolism
Signature
Metabolism
title Transcriptome analysis reveals a reprogramming energy metabolism-related signature to improve prognosis in colon cancer
title_full Transcriptome analysis reveals a reprogramming energy metabolism-related signature to improve prognosis in colon cancer
title_fullStr Transcriptome analysis reveals a reprogramming energy metabolism-related signature to improve prognosis in colon cancer
title_full_unstemmed Transcriptome analysis reveals a reprogramming energy metabolism-related signature to improve prognosis in colon cancer
title_short Transcriptome analysis reveals a reprogramming energy metabolism-related signature to improve prognosis in colon cancer
title_sort transcriptome analysis reveals a reprogramming energy metabolism related signature to improve prognosis in colon cancer
topic Colon cancer
Overall survival
Reprogramming energy metabolism
Signature
Metabolism
url https://peerj.com/articles/9458.pdf
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