Department of Bioinformatics and Medical Engineering, Asia University, No. 500, Lioufeng Rd., Wufeng, Taichung 41354, Taiwan.
Department of Laboratory Medicine and Center for Precision Medicine, China Medical University and Hospital, No. 2, Yude Rd., North District, Taichung 404332, Taiwan.
Int J Mol Sci. 2021 Feb 5;22(4):1632. doi: 10.3390/ijms22041632.
Hepatocellular carcinoma (HCC) is one of the most common lethal cancers worldwide and is often related to late diagnosis and poor survival outcome. More evidence is demonstrating that gene-based prognostic models can be used to predict high-risk HCC patients. Therefore, our study aimed to construct a novel prognostic model for predicting the prognosis of HCC patients. We used multivariate Cox regression model with three hybrid penalties approach including least absolute shrinkage and selection operator (Lasso), adaptive lasso and elastic net algorithms for informative prognostic-related genes selection. Then, the best subset regression was used to identify the best prognostic gene signature. The prognostic gene-based risk score was constructed using the Cox coefficient of the prognostic gene signature. The model was evaluated by Kaplan-Meier (KM) and receiver operating characteristic curve (ROC) analyses. A novel four-gene signature associated with prognosis was identified and the risk score was constructed based on the four-gene signature. The risk score efficiently distinguished the patients into a high-risk group with poor prognosis. The time-dependent ROC analysis revealed that the risk model had a good performance with an area under the curve (AUC) of 0.780, 0.732, 0.733 in 1-, 2- and 3-year prognosis prediction in The Cancer Genome Atlas (TCGA) dataset. Moreover, the risk score revealed a high diagnostic performance to classify HCC from normal samples. The prognosis and diagnosis prediction performances of risk scores were verified in external validation datasets. Functional enrichment analysis of the four-gene signature and its co-expressed genes involved in the metabolic and cell cycle pathways was constructed. Overall, we developed a novel-gene-based prognostic model to predict high-risk HCC patients and we hope that our findings can provide promising insight to explore the role of the four-gene signature in HCC patients and aid risk classification.
肝细胞癌(HCC)是全球最常见的致命癌症之一,通常与晚期诊断和预后不良有关。越来越多的证据表明,基于基因的预后模型可用于预测高危 HCC 患者。因此,我们的研究旨在构建一种新的预测 HCC 患者预后的模型。我们使用了包含最小绝对收缩和选择算子(Lasso)、自适应 Lasso 和弹性网络算法的多变量 Cox 回归模型,对有意义的预后相关基因进行选择。然后,使用最佳子集回归方法来识别最佳的预后基因特征。利用预后基因特征的 Cox 系数构建预后基因的风险评分。通过 Kaplan-Meier(KM)和接收者操作特征曲线(ROC)分析来评估模型。确定了一个与预后相关的新的四基因特征,并基于该四基因特征构建了风险评分。该评分能够有效地将患者分为预后不良的高风险组。时间依赖性 ROC 分析表明,该风险模型具有良好的性能,在 TCGA 数据集的 1 年、2 年和 3 年预后预测中,曲线下面积(AUC)分别为 0.780、0.732、0.733。此外,该评分能够很好地区分 HCC 与正常样本。在外部验证数据集中验证了风险评分的预后和诊断预测性能。构建了四基因特征及其共表达基因在代谢和细胞周期途径中的功能富集分析。总之,我们开发了一种新的基于基因的预后模型,用于预测高危 HCC 患者,我们希望我们的研究结果能够为探索四基因特征在 HCC 患者中的作用和辅助风险分类提供有前景的见解。