Han Gwan Hee, Kim Hae-Rim, Yun Hee, Chung Joon-Yong, Kim Jae-Hoon, Cho Hanbyoul
Department of Obstetrics and Gynecology, Sanggye Paik Hospital, Inje University College of Medicine Seoul 01757, Republic of Korea.
Department of Statistics, College of Natural Science, University of Seoul Seoul 02504, Republic of Korea.
Am J Cancer Res. 2024 Jun 25;14(6):3186-3197. doi: 10.62347/MTER1763. eCollection 2024.
This study developed a molecular classification model for cervical cancer using machine learning, integrating prognosis related biomarkers with clinical features. Analyzing 281 specimens, 27 biomarkers were identified, associated with recurrence and treatment response. The model identified four molecular subgroups: group 1 (OALO) with Overexpression of ATP5H and LOw risk; group 2 (LASIM) with low expression of ATP5H and SCP, indicating InterMediate risk; group 3 (LASNIM) characterized by Low expression of ATP5H, SCP, and NANOG, also at InterMediate risk; and group 4 (LASONH), with Low expression of ATP5H, and SCP, Over expression of NANOG, indicating High risk, and potentially aggressive disease. This classification correlated with clinical outcomes such as tumor stage, lymph node metastasis, and response to treatment, demonstrating that combining molecular and clinical factors could significantly enhance the prediction of recurrence and aid in personalized treatment strategies for cervical cancer.
本研究利用机器学习开发了一种宫颈癌分子分类模型,将预后相关生物标志物与临床特征相结合。通过分析281个样本,鉴定出27种与复发和治疗反应相关的生物标志物。该模型识别出四个分子亚组:第1组(OALO),ATP5H过表达且风险低;第2组(LASIM),ATP5H和SCP低表达,提示中等风险;第3组(LASNIM),其特征为ATP5H、SCP和NANOG低表达,同样为中等风险;第4组(LASONH),ATP5H和SCP低表达,NANOG过表达,提示高风险,且可能为侵袭性疾病。这种分类与肿瘤分期、淋巴结转移和治疗反应等临床结果相关,表明结合分子和临床因素可显著提高复发预测能力,并有助于制定宫颈癌的个性化治疗策略。