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Construction and Validation of a Novel Prognostic Model Based on Cervical Cancer-Related Genes.

作者信息

Zou Daoyang, Wu Xiuhong, Xin Xi, Xu Tianwen

机构信息

The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China.

Ganzhou Cancer Hospital, Ganzhou, 341000, China.

出版信息

Reprod Sci. 2025 Sep 4. doi: 10.1007/s43032-025-01973-w.


DOI:10.1007/s43032-025-01973-w
PMID:40908400
Abstract

BACKGROUND: Cervical cancer (CC) is the fourth most frequently diagnosed cancer and the fourth leading cause of cancer-related deaths in women worldwide, however, the treatment options for advanced CC are limited. Therefore, there is an urgent need in the clinic for reliable prognostic models to guide clinical decision-making. METHODS: We conducted differential gene expression analysis on cervical cancer samples and normal samples to obtain differentially expressed genes (DEGs). We used WGCNA analysis to identify the most relevant module associated with cervical cancer and intersected with DEGs to obtain cervical cancer-related genes. We then constructed a protein-protein interaction (PPI) network using these genes and identified core genes using the Hubba plugin in Cytoscape software. Subsequently, we built a prognostic model using the identified cervical cancer-related genes in combination with the TCGA database. GSE44001 was used to verify the accuracy of the model. We performed a single-gene survival analysis on the genes involved in model construction. RESULTS: We obtained 52 cervical cancer-related genes and 22 core genes (DNA2, CEP55, GINS1, RFC4, KIF14, GINS2, MYBL2, KIF4A, RAD54L, KNTC1, SPAG5, MELK, CENPE, MCM2, NCAPH, MCM5, ASPM, HELLS, DTL, FOXM1, TOP2A, CDC45). We successfully constructed a prognostic model using cervical cancer-related genes. The comprehensive analysis showed that the constructed prognostic model could effectively predict the prognosis of cervical cancer patients, with AUC values of 0.858, 0.802, and 0.797 for 1, 3, and 5 years in the training group, respectively. The results were consistent in the validation using the GSE44001 dataset. Single-gene survival analysis showed that APOD was an independent prognostic biomarker for cervical cancer. CONCLUSION: APOD is a prognostic biomarker for cervical cancer, and the prognostic model constructed by identified cervical cancer-related genes can successfully distinguish the prognosis of patients with cervical cancer.

摘要

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本文引用的文献

[1]
A prognostic model for cervical cancer based on ferroptosis-related genes.

Front Endocrinol (Lausanne). 2022

[2]
ER-α36 Promotes the Malignant Progression of Cervical Cancer Mediated by Estrogen HMGA2.

Front Oncol. 2021-7-14

[3]
Human Papillomavirus-Negative Cervical Cancer: A Comprehensive Review.

Front Oncol. 2021-2-17

[4]
A Prognostic Model Based on Immune-Related Long Non-Coding RNAs for Patients With Cervical Cancer.

Front Pharmacol. 2020-11-30

[5]
The Tumor Microenvironment in the Response to Immune Checkpoint Blockade Therapies.

Front Immunol. 2020

[6]
Inferring tumour purity and stromal and immune cell admixture from expression data.

Nat Commun. 2013

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