机构:[1]Department of Epidemiology and Statistics, School of Public Health, Hebei Key Laboratory of Environment and Human Health, Hebei Medical University, Shijiazhuang 050017, P.R. China.[2]Department of Medical Record, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, P.R. China.河北医科大学第四医院[3]Department of Pathology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, P.R. China.[4]Department of Clinical Pharmacology, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, P.R. China.河北医科大学第四医院[5]Department of Thoracic Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, P.R. China.河北医科大学第四医院
Evidence suggests that abnormal DNA methylation patterns play a crucial role in the etiology and pathogenesis of colon adenocarcinoma (COAD). In this study, we identified a total of 97 methylation-driven genes (MDGs) through a comprehensive analysis of the Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases. Univariate Cox regression analysis identified four MDGs (CBLN2, RBM47, SLCO4C1, and TMEM220) associated with overall survival (OS) in COAD patients. A risk prediction model was then developed based on these four MDGs to predict the prognosis of COAD patients. We also created a nomogram that incorporated risk scores, age, and TNM stage to promote a personalized prediction of OS in COAD patients. Compared with the traditional TNM staging system, our new nomogram was better at predicting the OS of COAD patients. In cell experiments, we confirmed that the mRNA expression levels of CLBN2 and TMEM220 were regulated by the methylation of their promoter regions. Moreover, immunohistochemistry showed that CBLN2 and TMEM220 were potential prognostic biomarkers for COAD patients. In summary, we have established a risk prediction model and nomogram that might be effectively utilized to promote the prediction of OS in COAD patients.
基金:
National Natural Science Foundation of China (No. 81600563 and 81400322), the Hebei Medical Science Research Project (No. 20150631), the National Natural Science Foundation of Hebei Province (H2020206513 and H2019206528), Hebei Province Science and Technology Support Program (BJ2019019) and the intelligence projects introduced from abroad by Hebei province wzycyz202004.
第一作者机构:[1]Department of Epidemiology and Statistics, School of Public Health, Hebei Key Laboratory of Environment and Human Health, Hebei Medical University, Shijiazhuang 050017, P.R. China.
通讯作者:
推荐引用方式(GB/T 7714):
Zhu Liangyu,Sun Hongyu,Tian Guo,et al.Development and validation of a risk prediction model and nomogram for colon adenocarcinoma based on methylation-driven genes.[J].AGING-US.2021,13(12):16600-16619.doi:10.18632/aging.203179.
APA:
Zhu Liangyu,Sun Hongyu,Tian Guo,Wang Juan,Zhou Qian...&Liu Guangjie.(2021).Development and validation of a risk prediction model and nomogram for colon adenocarcinoma based on methylation-driven genes..AGING-US,13,(12)
MLA:
Zhu Liangyu,et al."Development and validation of a risk prediction model and nomogram for colon adenocarcinoma based on methylation-driven genes.".AGING-US 13..12(2021):16600-16619