基于细胞生长相关生物标志物的口腔鳞状细胞癌列线图的开发与验证

Development and Validation of a Nomogram based on cell growth-related Biomarkers for Oral Squamous Cell Carcinoma.

作者信息

Shuai Yanjie, Duan Yuansheng, Zhou Mengqian, Yue Kai, Liu Dandan, Fang Yan, Wang Yuxuan, Wu Yansheng, Zhang Ze, Wang Xudong

机构信息

Department of Maxillofacial & E.N.T oncology, Tianjin Medical University Cancer Institute & Hospital, Key Laboratory of Cancer Prevention and Therapy, Tianjin Cancer Institute, National Clinical Research Center of Cancer, Tianjin, China.

出版信息

J Cancer. 2021 Jun 22;12(17):5153-5163. doi: 10.7150/jca.54475. eCollection 2021.

Abstract

We aimed to develop a prognostic nomogram based on immunohistochemistry (IHC) biomarkers of patients with oral squamous cell carcinoma (OSCC). A total of 294 patients were enrolled in the study. The least absolute shrinkage and selection operator (LASSO) Cox regression model was performed to develop a combined IHC score (IHCs) classifier. Five biomarkers, specifically c-Met, Vimentin, HIF-2α, VEGF-c, and Bcl-2 were extracted. Then, an IHCs classifier was developed, and patients were stratified into high- and low-IHCs groups. In the training cohort, the 5-year overall survival (OS) was 62.1% in low-IHCs group and 28.2% in high-IHCs group (<0.001). The 5-year OS was 68.6% for the low-IHCs group and 28.4% for the high-IHCs group in the validation cohort (<0.001). The area under the ROC curve (AUROC) of the combination of the IHCs classifier and TNM stage was 0.746 (95% CI: 0.658-0.833) in the training cohort and 0.735 (95% CI: 0.651-0.818) in the validation cohort, respectively. The nomogram could effectively predict the prognosis for patients with OSCC and may be employed as a potential tool to guide the individual decision-making process.

摘要

我们旨在基于口腔鳞状细胞癌(OSCC)患者的免疫组化(IHC)生物标志物开发一种预后列线图。本研究共纳入294例患者。采用最小绝对收缩和选择算子(LASSO)Cox回归模型来开发一种联合免疫组化评分(IHCs)分类器。提取了五个生物标志物,分别为c-Met、波形蛋白、低氧诱导因子-2α(HIF-2α)、血管内皮生长因子-C(VEGF-c)和Bcl-2。然后,开发了一种IHCs分类器,并将患者分为高IHCs组和低IHCs组。在训练队列中,低IHCs组的5年总生存率(OS)为62.1%,高IHCs组为28.2%(<0.001)。在验证队列中,低IHCs组的5年OS为68.6%,高IHCs组为28.4%(<0.001)。在训练队列中,IHCs分类器与TNM分期联合的ROC曲线下面积(AUROC)为0.746(95%CI:0.658 - 0.833),在验证队列中为0.735(95%CI:0.651 - 0.818)。该列线图可以有效地预测OSCC患者的预后,并可作为指导个体决策过程的潜在工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a0b/8317514/bd38e60e67b2/jcav12p5153g001.jpg

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