Department of Pathology and Microbiology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Medicine (Baltimore). 2024 Sep 27;103(39):e39678. doi: 10.1097/MD.0000000000039678.
Clear cell renal cell carcinoma (ccRCC) continues to pose a significant global health concern, with rising incidence and high mortality rate. Accordingly, identifying molecular alternations associated with ccRCC is crucial to boost our understanding of its onset, persistence, and progression as well as developing prognostic biomarkers and novel therapies. Bulk RNA sequencing data and its associated clinicopathological variables of ccRCC were obtained from The Cancer Genome Atlas Program. Atypical differential gene expression analysis of advanced disease states using the extreme categories of staging and grading components was performed. Upregulated differentially expressed genes shared across the aforementioned components were selected. The risk-score construction pipeline started with univariate Cox logistic regression analysis, least absolute shrinkage and selection operator, and multivariate Cox logistic regression analysis in sequence. The generated risk score classified patients into low- vs high-risk groups. The predictive power of the constructed risk score was assessed using Kaplan-Meier curves analysis, multivariate Cox logistic regression analysis, and receiver operator curve of the overall survival. External validation of the risk score was performed using the E-MTAB-1980 cohort. The analysis work scheme established a novel nine-gene prognostic risk score composed of the following genes: ZIC2, TNNT1, SAA1, OTX1, C20orf141, CDHR4, HOXB13, IGFL2, and IGFN1. The high-risk group was associated with shortened overall survival and possessed an independent predictive power (hazard ratio: 1.942, 95% CI: 1.367-2.758, P < .0001, area under the curve = 0.719). In addition, the high-risk score was associated with advance clinicopathological parameters. The same pattern was observed within the external validation dataset (E-MTAB-1980 cohort), in which the high-risk score held a poor prognostic signature as well as independent predictive potential (hazard ratio: 5.121, 95% CI: 1.412-18.568, P = .013, area under the curve = 0.787). In the present work, a novel nine-gene prognostic risk score was constructed and validated. The risk score correlated with tumor immune microenvironment, somatic mutation patterns, and altered molecular pathways involved in tumorigenesis. Further experimental data are warranted to expand the work.
透明细胞肾细胞癌(ccRCC)仍然是一个全球性的健康问题,其发病率和死亡率都很高。因此,鉴定与 ccRCC 相关的分子改变对于提高我们对其发病、持续和进展的认识以及开发预后生物标志物和新的治疗方法至关重要。从癌症基因组图谱计划中获取了 ccRCC 的批量 RNA 测序数据及其相关临床病理变量。使用分期和分级成分的极端类别对晚期疾病状态进行了非典型差异基因表达分析。选择了上述成分之间共有的上调差异表达基因。风险评分构建管道首先进行单变量 Cox 逻辑回归分析、最小绝对收缩和选择算子以及多变量 Cox 逻辑回归分析。生成的风险评分将患者分为低风险组和高风险组。通过 Kaplan-Meier 曲线分析、多变量 Cox 逻辑回归分析和总生存的接收器操作曲线评估构建风险评分的预测能力。使用 E-MTAB-1980 队列进行风险评分的外部验证。分析工作方案建立了一个由以下基因组成的新的九基因预后风险评分:ZIC2、TNNT1、SAA1、OTX1、C20orf141、CDHR4、HOXB13、IGFL2 和 IGFN1。高风险组与总生存期缩短相关,具有独立的预测能力(风险比:1.942,95%置信区间:1.367-2.758,P<0.0001,曲线下面积=0.719)。此外,高风险评分与先进的临床病理参数相关。在外部验证数据集(E-MTAB-1980 队列)中也观察到相同的模式,其中高风险评分具有不良的预后特征和独立的预测潜力(风险比:5.121,95%置信区间:1.412-18.568,P=0.013,曲线下面积=0.787)。在本工作中,构建并验证了一个新的九基因预后风险评分。该评分与肿瘤免疫微环境、体细胞突变模式以及参与肿瘤发生的改变的分子途径相关。需要进一步的实验数据来扩展这项工作。
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