Department of Spine and Orthopedic Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Center for Evidence-Based Medicine and Clinical Research, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Aging (Albany NY). 2020 Feb 21;12(4):3807-3827. doi: 10.18632/aging.102847.
In this study, The Cancer Genome Atlas and Genotype-Tissue Expression databases were used to identify potential biomarkers of soft tissue sarcoma (STS) and construct a prognostic model. The model was used to calculate risk scores based on the expression of five key genes, among which MYBL2 and FBN2 were upregulated and TSPAN7, GCSH, and DDX39B were downregulated in STS patients. We also examined gene signatures associated with the key genes and evaluated the model's clinical utility. The key genes were found to be involved in the cell cycle, DNA replication, and various cancer pathways, and gene alterations were associated with a poor prognosis. According to the prognostic model, risk scores negatively correlated with infiltration of six types of immune cells. Furthermore, age, margin status, presence of metastasis, and risk score were independent prognostic factors for STS patients. A nomogram that incorporated the risk score and other independent prognostic factors accurately predicted survival in STS patients. These findings may help to improve prognostic prediction and aid in the identification of effective treatments for STS patients.
在这项研究中,使用了癌症基因组图谱和基因型组织表达数据库来鉴定软组织肉瘤(STS)的潜在生物标志物并构建预后模型。该模型用于根据五个关键基因的表达计算风险评分,其中 MYBL2 和 FBN2 在 STS 患者中上调,而 TSPAN7、GCSH 和 DDX39B 下调。我们还检查了与关键基因相关的基因特征,并评估了该模型的临床实用性。关键基因参与细胞周期、DNA 复制和各种癌症途径,基因改变与预后不良相关。根据预后模型,风险评分与六种免疫细胞浸润呈负相关。此外,年龄、切缘状态、转移存在和风险评分是 STS 患者的独立预后因素。纳入风险评分和其他独立预后因素的列线图准确预测了 STS 患者的生存情况。这些发现可能有助于改善预后预测,并有助于确定 STS 患者的有效治疗方法。