Wu Pancheng, Zheng Yi, Wu Wei, Zhang Beichen, Wang Yichang, Zhou Mingjing, Liu Ziyi, Wang Zhao, Wang Maode, Wang Jia
Department of Neurosurgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Center of Brain Science, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Sci Rep. 2025 Aug 7;15(1):28926. doi: 10.1038/s41598-025-13547-6.
The mortality rates have been increasing for glioma in adolescents and young adults (AYAs, aged 15-39 years). However, current biomarkers for clinical assessment in AYAs glioma are limited, prompting the urgent need for identifying ideal prognostic signature. Extracellular matrix is involved in the development of tumors, while their prognostic significance in AYAs glioma remains unclear. By an integrated machine learning workflow and circuit training and validation procedure, we developed a machine learning-derived prognostic signature (MLDPS) based on 1,026 extracellular matrix-related genes and 3 AYAs glioma cohorts. MLDPS exhibited robust and consistent predictive performance in overall survival and could serve as an independent prognostic factor for AYAs glioma. Simultaneously, MLDPS outperformed previous 89 published prognostic signatures and traditional clinical characteristics, confirming the robust predictive capability. Besides, MLDPS had the potential to stratify prognosis in patients with other cancer types. In addition, the tumor microenvironment between high and low MLDPS groups displayed different patterns while more tumor-infiltrating immune cells were observed in high MLDPS group. Additionally, patients in low MLDPS group had significantly prolonged survival when received immunotherapy in cancers including glioblastoma, urothelial carcinoma and melanoma. Overall, our study proposes a promising signature, which can be utilized for clinicians to evaluate prognosis and might provide individualized clinical management for AYAs glioma.
青少年和青年(15 - 39岁)的胶质瘤死亡率一直在上升。然而,目前用于青少年胶质瘤临床评估的生物标志物有限,这促使人们迫切需要确定理想的预后特征。细胞外基质参与肿瘤的发展,但其在青少年胶质瘤中的预后意义仍不清楚。通过综合机器学习工作流程以及循环训练和验证程序,我们基于1026个细胞外基质相关基因和3个青少年胶质瘤队列开发了一种机器学习衍生的预后特征(MLDPS)。MLDPS在总生存期方面表现出强大且一致的预测性能,可作为青少年胶质瘤的独立预后因素。同时,MLDPS优于之前发表的89种预后特征和传统临床特征,证实了其强大的预测能力。此外,MLDPS有可能对其他癌症类型患者的预后进行分层。此外,高MLDPS组和低MLDPS组之间的肿瘤微环境呈现出不同模式,高MLDPS组中观察到更多肿瘤浸润免疫细胞。此外,低MLDPS组的患者在接受包括胶质母细胞瘤、尿路上皮癌和黑色素瘤等癌症的免疫治疗时,生存期显著延长。总体而言,我们的研究提出了一个有前景的特征,可用于临床医生评估预后,并可能为青少年胶质瘤提供个体化临床管理。
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