机构:[1]Department of Gastroenterology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.[2]Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.[3]Department of Gastroenterology, Hainan Provincial Hospital of Traditional Chinese Medicine, Haikou, Hainan, China.
Increasing evidence suggests that aberrant long noncoding (lnc) RNA expression plays a vital role in gastric cancer (GC) initiation and progression. Thus, we aimed to develop a lncRNA-based risk signature and nomogram to predict overall survival (OS) for patients with GC. Our primary cohort was composed of 341 patients with clinical and lncRNA expression data in The Cancer Genome Atlas stomach adenocarcinoma (TCGA STAD), the internal validation cohort was composed of 172 randomly assigned patients, and the external validation cohort was composed of 300 patients from GSE62254 dataset. A risk signature and nomogram were developed for the primary cohort and validated on the validation cohorts. Furthermore, gene set enrichment analysis (GSEA) was used to investigate the pathway enrichment for the risk signature. The expression patterns of several lncRNAs were also investigated in clinical samples from 10 GC patients. We identified and validated a 14-lncRNA signature highly associated with the OS of patients with GC, which performed well on evaluation with C-index, area under the curve, and calibration curves. In addition, univariate and multivariate Cox regression analyses indicated that the lncRNA signature was an independent predictive factor for GC patients. Therefore, a nomogram incorporating lncRNA signature and clinical factors was constructed to predict OS for patients with GC in primary cohort that suggested powerful predictive values for survival in the TCGA cohort and the other two validation cohorts. In addition, GSEA indicated that the identified lncRNAs may regulate the autophagy pathway, affecting tumorigenesis and prognosis of patients with GC. Experimental validation demonstrated that the expression of lncRNAs showed the same trend both in our clinical samples and STAD dataset. These results suggest that both risk signature and nomogram were effective prognostic indicators for patients with GC.
基金:
Breakthrough project of TCMdominant diseases with special
funds for strengthening traditional Chinese medicine in 2015
(no. 19), Guangdong administration of traditional Chinese
medicine; The Natural Science Foundation of Guangdong Province
in 2019 (2019A1515011145); Major projects of first-class
disciplines in Guangzhou University of TCM in 2018 (A1-
AFD018181A27); Major research projects in Guangzhou University of TCM in 2019 (A1-2606-19-110-007); Innovative
research team project of innovation hospital in the First Affiliated
Hospital of Guangzhou University of Traditional Chinese
Medicine in 2017 (2017TD05); Natural science foundation
of Guangdong province in 2017 (2017A030310121); andYouth
scientific research talents training program of innovation hospital
in the First Affiliated Hospital of Guangzhou University of
Traditional Chinese Medicine in 2015 (2015QN09).
语种:
外文
PubmedID:
中科院(CAS)分区:
出版当年[2019]版:
大类|3 区生物
小类|4 区生化与分子生物学4 区细胞生物学4 区遗传学
最新[2025]版:
大类|4 区生物学
小类|4 区生化与分子生物学4 区细胞生物学4 区遗传学
第一作者:
第一作者机构:[1]Department of Gastroenterology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
通讯作者:
通讯机构:[1]Department of Gastroenterology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.[*1]Department of Gastroenterology, The First Affiliated Hospital of Guangzhou University, of Chinese Medicine, Guangzhou 510405, Guangdong, China[*2]Department of Gastroenterology, The First Affiliated Hospital of Guangzhou University, of Chinese Medicine, Guangzhou 510405, Guangdong, China
推荐引用方式(GB/T 7714):
Kechao Nie,Zhitong Deng,Zhihua Zheng,et al.Identification of a 14-lncRNA Signature and Construction of a Prognostic Nomogram Predicting Overall Survival of Gastric Cancer.[J].DNA and cell biology.2020,39(9):1532-1544.doi:10.1089/dna.2020.5565.
APA:
Kechao Nie,Zhitong Deng,Zhihua Zheng,Yi Wen,Jinglin Pan...&Peiwu Li.(2020).Identification of a 14-lncRNA Signature and Construction of a Prognostic Nomogram Predicting Overall Survival of Gastric Cancer..DNA and cell biology,39,(9)
MLA:
Kechao Nie,et al."Identification of a 14-lncRNA Signature and Construction of a Prognostic Nomogram Predicting Overall Survival of Gastric Cancer.".DNA and cell biology 39..9(2020):1532-1544