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Construction and Validation of a Ferroptosis-Related Prognostic Model for Gastric Cancer.

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机构: [1]Department of Gastroenterology, e First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China [2]First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China [3]No. 1 Traditional Chinese Medicine Hospital in Changde, Changde 415000, Hunan, China [4]Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China [5]Department of Gastroenterology, Hainan Provincial Hospital of Traditional Chinese Medicine, Haikou 570100, Hainan, China [6]Ningde Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine, Ningde 352100, Fujian, China [7]Baiyun Hospital of e First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510470, Guangdong, China [8]Lingnan Medical Research Center, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
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Gastric cancer (GC), an extremely aggressive tumor with a very different prognosis, is the third leading cause of cancer-related mortality. We aimed to construct a ferroptosis-related prognostic model that can be distinguished prognostically. The gene expression and the clinical data of GC patients were downloaded from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus database (GEO). The ferroptosis-related genes were obtained from the FerrDb. Using the "limma" R package and univariate Cox analysis, ferroptosis-related genes with differential expression and prognostic value were identified in the TCGA cohort. Last absolute shrinkage and selection operator (LASSO) Cox regression was applied to shrink ferroptosis-related predictors and construct a prognostic model. Functional enrichment, ESTIMATE algorithm, and single-sample gene set enrichment analysis (ssGSEA) were applied for exploring the potential mechanism. GC patients from the GEO cohort were used for validation. An 8-gene prognostic model was constructed and stratified GC patients from TCGA and meta-GEO cohort into high-risk groups or low-risk groups. GC patients in high-risk groups have significantly poorer OS compared with those in low-risk groups. The risk score was identified as an independent predictor for OS. Functional analysis revealed that the risk score was mainly associated with the biological function of extracellular matrix (ECM) organization and tumor immunity. In conclusion, the ferroptosis-related model can be utilized for the clinical prognostic prediction in GC. Copyright © 2021 Xiaotao Jiang et al.

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大类 | 3 区 医学
小类 | 3 区 肿瘤学
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第一作者机构: [1]Department of Gastroenterology, e First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China [2]First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
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通讯机构: [1]Department of Gastroenterology, e First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China [7]Baiyun Hospital of e First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510470, Guangdong, China [8]Lingnan Medical Research Center, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
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