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Construction of a set of novel and robust gene expression signatures predicting prostate cancer recurrence.

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机构: [1]Department of Gastroenterology, Xiangya Hospital, Central South University, Changsa, Hunan, China [2]Division of Nephrology, Department of Medicine, McMaster University, Hamilton, Ontario, Canada [3]Father Sean O’Sullivan Research Institute, Hamilton, Canada [4]The Hamilton Center for Kidney Research, St. Joseph’s Hospital, Canada [5]Department of Nephrology, The First Affiliated Hospital of Nanchang University, Jiangxi, China [6]Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA [7]Department of Thoracic Surgery, Fourth Hospital of Hebei Medical University, Shijiazhuang City, China [8]The Genetics Laboratory, Longgang District Maternity and Child Healthcare Hospital, Shenzhen, Guangdong, China [9]Division of Medical Oncology, Department of Oncology, McMaster University, Hamilton, Ontario, Canada
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关键词: biomarkers MUC1 prostate cancer prostate cancer recurrence

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We report here numerous novel genes and multiple new signatures which robustly predict prostate cancer (PC) recurrence. We extracted 696 differentially expressed genes relative to a reported PC signature from the TCGA dataset (n = 492) and built a 15-gene signature (SigMuc1NW) using Elastic-net with 10-fold cross-validation through analyzing their expressions at 1.5 standard deviation/SD below and 2 SD above a population mean. SigMuc1NW predicts biochemical recurrence (BCR) following surgery with 56.4% sensitivity, 72.6% specificity, and 63.24 median months disease free (MMDF) (P = 1.12e-12). The prediction accuracy is improved with the use of SigMuc1NW's cutpoint (P = 3e-15) and is further enhanced (sensitivity 67%, specificity 75.7%, MMDF 45.2, P = 0) when all 15 genes were analyzed through their cutpoints instead of their SDs. These genes individually associate with BCR using either SD or cutpoint as the cutoff points. Eight of 15 genes are individual risk factors after adjusting for age at diagnosis, Gleason score, surgical margin, and tumor stage. Eleven of 15 genes are novel to PC. SigMuc1NW discriminates BCR with time-dependent AUC (tAUC) values of 76.6% at 11.5 months (76.6%-11.5 m), 73.8%-22.3 m, 78.5%-32.1 m, and 76.4%-48.4 m. SigMuc1NW is correlated with adverse features of PC, high Gleason scores (odds ratio/OR 1.48, P < 2e-16), and advanced tumor stages (OR 1.33, P = 4.37e-13). SigMuc1NW remains an independent risk factor of BCR (HR 2.44, 95% CI 1.53-3.87, P = 1.62e-4) after adjusting for age at diagnosis, Gleason score, surgical margin, and tumor stage. In an independent PC (MSKCC) cohort (n = 140), these 15 genes were altered in PC vs normal tissue, metastatic PCs vs primary PCs, and recurrent PCs vs nonrecurrent PCs. Importantly, a 10-gene subsignature SigMuc1NW1 predicts BCR in MSKCC (P = 3.11e-15) and TCGA (P = 3.13e-12); SigMuc1NW1 discriminates BCR at 18.4 m with tAUC as 82.5%. Collectively, our analyses support SigMuc1NW as a novel and robust signature in predicting BCR of PC. © 2018 The Authors. Published by FEBS Press and John Wiley & Sons Ltd.

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出版当年[2018]版:
大类 | 2 区 医学
小类 | 2 区 肿瘤学
最新[2025]版:
大类 | 2 区 医学
小类 | 3 区 肿瘤学
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出版当年[2018]版:
Q1 ONCOLOGY
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Q1 ONCOLOGY

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第一作者机构: [1]Department of Gastroenterology, Xiangya Hospital, Central South University, Changsa, Hunan, China [2]Division of Nephrology, Department of Medicine, McMaster University, Hamilton, Ontario, Canada [3]Father Sean O’Sullivan Research Institute, Hamilton, Canada [4]The Hamilton Center for Kidney Research, St. Joseph’s Hospital, Canada
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通讯机构: [2]Division of Nephrology, Department of Medicine, McMaster University, Hamilton, Ontario, Canada [3]Father Sean O’Sullivan Research Institute, Hamilton, Canada [4]The Hamilton Center for Kidney Research, St. Joseph’s Hospital, Canada [9]Division of Medical Oncology, Department of Oncology, McMaster University, Hamilton, Ontario, Canada [*1]St. Joseph’s Hospital, T3310, 50 Charlton Ave East, Hamilton L8N 4A6, Ontario, Canada [*2]Division of Medical Oncology, Department of Oncology, McMaster University, 699 Concession Street, Hamilton L8V 5C2, Ontario, Canada
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