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基于生物信息学的肺鳞状细胞癌预后建模及免疫治疗反应预测

Bioinformatics-based modeling of lung squamous cell carcinoma prognosis and prediction of immunotherapy response.

作者信息

Zhang Qiqing, He Haidong, Wei Yi, Li Guoping, Shou Lu

机构信息

Department Oncology, Tongde Hospital of Zhejiang Provincial, Hangzhou, China.

Department Pulmonary and Critical Care Medicine, Tongde Hospital of Zhejiang Provincial, Hangzhou, China.

出版信息

Discov Oncol. 2024 Dec 26;15(1):840. doi: 10.1007/s12672-024-01717-3.

Abstract

Lung squamous cell carcinoma (LUSC) is a subtype of non-small cell lung cancer. It has a grim prognosis for patients, primarily because the disease often remains asymptomatic in its early stages. As a result, it is frequently diagnosed at an advanced stage, limiting treatment options. This underscores the importance of studying potential biomarkers and developing personalized treatment strategies. In this study, we used an advanced bioinformatics approach, integrating two authoritative databases, NCBI's GEO and TCGA, to perform a large-scale cross-platform gene expression analysis. To deeply mine the gene expression data of a large number of lung squamous carcinoma samples, we used a screening strategy based on median absolute deviation to select genes that differed significantly in multiple datasets. The expression variations of these genes between normal and cancerous tissues provided us with valuable clues revealing key molecules that may be involved in the disease process. Through rigorous statistical tests, we identified 36 genes that were significantly associated with patient survival, and further constructed a model using Cox proportional risk model containing 11 key genes (MRPL40, GABPB1AS1, PTPN3, SNCA, PYGB, RAP1, VDR, PHPT1, KIAA0100, TBC1D30, CYP7B1) in a risk prediction model. The prediction model not only reflects the strong correlation between gene expression and LUSC prognosis, but also provides clinicians with an effective tool to predict patients' survival prospects. In the future, this model is expected to guide the development of individualized treatment plans, thereby improving the quality of life and overall prognosis of patients.

摘要

肺鳞状细胞癌(LUSC)是非小细胞肺癌的一种亚型。它对患者的预后很严峻,主要是因为该疾病在早期通常没有症状。因此,它常常在晚期才被诊断出来,限制了治疗选择。这凸显了研究潜在生物标志物和制定个性化治疗策略的重要性。在本研究中,我们使用了一种先进的生物信息学方法,整合了两个权威数据库,即NCBI的GEO和TCGA,以进行大规模跨平台基因表达分析。为了深入挖掘大量肺鳞状癌样本的基因表达数据,我们使用了一种基于中位数绝对偏差的筛选策略来选择在多个数据集中有显著差异的基因。这些基因在正常组织和癌组织之间的表达变化为我们提供了有价值的线索,揭示了可能参与疾病过程的关键分子。通过严格的统计测试,我们确定了36个与患者生存显著相关的基因,并进一步使用包含11个关键基因(MRPL40、GABPB1AS1、PTPN3、SNCA、PYGB、RAP1、VDR、PHPT1、KIAA0100、TBC1D30、CYP7B1)的Cox比例风险模型构建了一个风险预测模型。该预测模型不仅反映了基因表达与LUSC预后之间的强相关性,还为临床医生提供了一种预测患者生存前景的有效工具。未来,该模型有望指导个性化治疗方案的制定,从而提高患者的生活质量和总体预后。

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