Identification of an Individualized Prognostic Biomarker for Serous Ovarian Cancer: A Qualitative Model

Serous ovarian cancer is the most common type of ovarian epithelial cancer and usually has a poor prognosis. The objective of this study was to construct an individualized prognostic model for predicting overall survival in serous ovarian cancer. Based on the relative expression orderings (Ea > E...

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Main Authors: Fengyuan Luo, Na Li, Qi Zhang, Liyuan Ma, Xinqiao Li, Tao Hu, Haijian Zhong, Hongdong Li, Guini Hong
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/12/3128
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author Fengyuan Luo
Na Li
Qi Zhang
Liyuan Ma
Xinqiao Li
Tao Hu
Haijian Zhong
Hongdong Li
Guini Hong
author_facet Fengyuan Luo
Na Li
Qi Zhang
Liyuan Ma
Xinqiao Li
Tao Hu
Haijian Zhong
Hongdong Li
Guini Hong
author_sort Fengyuan Luo
collection DOAJ
description Serous ovarian cancer is the most common type of ovarian epithelial cancer and usually has a poor prognosis. The objective of this study was to construct an individualized prognostic model for predicting overall survival in serous ovarian cancer. Based on the relative expression orderings (Ea > Eb/Ea ≤ Eb) of gene pairs closely associated with serous ovarian prognosis, we tried constructing a potential individualized qualitative biomarker by the greedy algorithm and evaluated the performance in independent validation datasets. We constructed a prognostic biomarker consisting of 20 gene pairs (SOV-P20). The overall survival between high- and low-risk groups stratified by SOV-P20 was statistically significantly different in the training and independent validation datasets from other platforms (<i>p</i> < 0.05, Wilcoxon test). The average area under the curve (AUC) values of the training and three validation datasets were 0.756, 0.590, 0.630, and 0.680, respectively. The distribution of most immune cells between high- and low-risk groups was quite different (<i>p</i> < 0.001, Wilcoxon test). The low-risk patients tended to show significantly better tumor response to chemotherapy than the high-risk patients (<i>p</i> < 0.05, Fisher’s exact test). SOV-P20 achieved the highest mean index of concordance (C-index) (0.624) compared with the other seven existing prognostic signatures (ranging from 0.511 to 0.619). SOV-P20 is a promising prognostic biomarker for serous ovarian cancer, which will be applicable for clinical predictive risk assessment.
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spelling doaj.art-f019bd9b933949128686dc3cccd5fc6b2023-11-24T14:19:10ZengMDPI AGDiagnostics2075-44182022-12-011212312810.3390/diagnostics12123128Identification of an Individualized Prognostic Biomarker for Serous Ovarian Cancer: A Qualitative ModelFengyuan Luo0Na Li1Qi Zhang2Liyuan Ma3Xinqiao Li4Tao Hu5Haijian Zhong6Hongdong Li7Guini Hong8School of Medical Information Engineering, Gannan Medical University, Ganzhou 341000, ChinaSchool of Medical Information Engineering, Gannan Medical University, Ganzhou 341000, ChinaAffiliated Hospital of Jiangxi, University of Chinese Medicine, Nanchang 330006, ChinaSchool of Medical Information Engineering, Gannan Medical University, Ganzhou 341000, ChinaSchool of Medical Information Engineering, Gannan Medical University, Ganzhou 341000, ChinaSchool of Medical Information Engineering, Gannan Medical University, Ganzhou 341000, ChinaSchool of Medical Information Engineering, Gannan Medical University, Ganzhou 341000, ChinaSchool of Medical Information Engineering, Gannan Medical University, Ganzhou 341000, ChinaSchool of Medical Information Engineering, Gannan Medical University, Ganzhou 341000, ChinaSerous ovarian cancer is the most common type of ovarian epithelial cancer and usually has a poor prognosis. The objective of this study was to construct an individualized prognostic model for predicting overall survival in serous ovarian cancer. Based on the relative expression orderings (Ea > Eb/Ea ≤ Eb) of gene pairs closely associated with serous ovarian prognosis, we tried constructing a potential individualized qualitative biomarker by the greedy algorithm and evaluated the performance in independent validation datasets. We constructed a prognostic biomarker consisting of 20 gene pairs (SOV-P20). The overall survival between high- and low-risk groups stratified by SOV-P20 was statistically significantly different in the training and independent validation datasets from other platforms (<i>p</i> < 0.05, Wilcoxon test). The average area under the curve (AUC) values of the training and three validation datasets were 0.756, 0.590, 0.630, and 0.680, respectively. The distribution of most immune cells between high- and low-risk groups was quite different (<i>p</i> < 0.001, Wilcoxon test). The low-risk patients tended to show significantly better tumor response to chemotherapy than the high-risk patients (<i>p</i> < 0.05, Fisher’s exact test). SOV-P20 achieved the highest mean index of concordance (C-index) (0.624) compared with the other seven existing prognostic signatures (ranging from 0.511 to 0.619). SOV-P20 is a promising prognostic biomarker for serous ovarian cancer, which will be applicable for clinical predictive risk assessment.https://www.mdpi.com/2075-4418/12/12/3128serous ovarian cancerrelative expression orderingsprognostic biomarker
spellingShingle Fengyuan Luo
Na Li
Qi Zhang
Liyuan Ma
Xinqiao Li
Tao Hu
Haijian Zhong
Hongdong Li
Guini Hong
Identification of an Individualized Prognostic Biomarker for Serous Ovarian Cancer: A Qualitative Model
Diagnostics
serous ovarian cancer
relative expression orderings
prognostic biomarker
title Identification of an Individualized Prognostic Biomarker for Serous Ovarian Cancer: A Qualitative Model
title_full Identification of an Individualized Prognostic Biomarker for Serous Ovarian Cancer: A Qualitative Model
title_fullStr Identification of an Individualized Prognostic Biomarker for Serous Ovarian Cancer: A Qualitative Model
title_full_unstemmed Identification of an Individualized Prognostic Biomarker for Serous Ovarian Cancer: A Qualitative Model
title_short Identification of an Individualized Prognostic Biomarker for Serous Ovarian Cancer: A Qualitative Model
title_sort identification of an individualized prognostic biomarker for serous ovarian cancer a qualitative model
topic serous ovarian cancer
relative expression orderings
prognostic biomarker
url https://www.mdpi.com/2075-4418/12/12/3128
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