Yao Jie, Li Rui, Liu Xiao, Zhou Xijia, Li Jianping, Liu Tingting, Huo Chen, Qu Yiqing
Department of Pulmonary and Critical Care Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, China.
Department of Pulmonary and Critical Care Medicine, Qilu Hospital of Shandong University, Jinan 250012, China.
J Cancer. 2021 Jan 1;12(3):885-898. doi: 10.7150/jca.50274. eCollection 2021.
Abnormal glycolysis is one of the hallmarks of cancer and plays an important role in its development. This study was devoted to identify glycolysis related genes as prognostic biomarkers for non-small cell lung cancer (NSCLC). The mRNA expression profile and clinical follow-up data were obtained using The Cancer Genome Atlas (TCGA) database. The validation set was obtained by bootstrap method of random repeated sampling. A total of 200 glycolysis-related genes were obtained from Gene Set Enrichment Analysis (GSEA) and 46 genes were significantly associated with overall survival (OS). Five genes (PKP2, LDHA, HMMR, COL5A1 and B3GNT3) were eventually identified to calculate risk score of NSCLC patients. The univariate and multivariate Cox regression analysis indicated that the risk score was an independent prognostic factor (training set: HR=2.126, 95% CI [1.605, 2.815], <0.001; validation set: HR=2.298, 95%CI [1.450, 3.640], <0.001). Patients assigned to the high-risk group were associated with poor OS compared with patients in the low-risk group (training set: =7.946e-06; validation set: =6.368e-07). Receiver operating characteristic (ROC) curve and stratification analysis also demonstrated the potential prognostic performance. In conclusion, we constructed a novel glycolysis related risk signature which might contribute to predicting the prognosis of NSCLC.
糖酵解异常是癌症的标志之一,在癌症发展过程中发挥着重要作用。本研究致力于识别与糖酵解相关的基因,作为非小细胞肺癌(NSCLC)的预后生物标志物。使用癌症基因组图谱(TCGA)数据库获取mRNA表达谱和临床随访数据。通过随机重复抽样的自助法获得验证集。从基因集富集分析(GSEA)中总共获得200个与糖酵解相关的基因,其中46个基因与总生存期(OS)显著相关。最终确定了五个基因(PKP2、LDHA、HMMR、COL5A1和B3GNT3)来计算NSCLC患者的风险评分。单因素和多因素Cox回归分析表明,风险评分是一个独立的预后因素(训练集:HR = 2.126, 95%CI [1.605, 2.815], <0.001;验证集:HR = 2.298, 95%CI [1.450, 3.640], <0.001)。与低风险组患者相比,高风险组患者的总生存期较差(训练集:= 7.946e - 06;验证集:= 6.368e - 07)。受试者工作特征(ROC)曲线和分层分析也证明了其潜在的预后性能。总之,我们构建了一种新的与糖酵解相关的风险特征,这可能有助于预测NSCLC的预后。