Identification of reliable predictive biomarkers for patients with breast cancer (BC). Univariate Cox proportional hazards regression model was conducted to identify genes correlated with the overall survival (OS) of patients in the TCGA-BRCA cohort. Functional enrichment analysis was conducted to investigate the biological meaning of these survival related genes. Then, patients in TCGA-BCRA were randomly divided into training set and test. Least absolute shrinkage and selection operator (LASSO) penalized Cox regression model was performed and the risk score of BC patients in this model was used to build a prognostic signature. The prognostic performance of the signature was evaluated in the training set, test set, and an independent validation set GSE7390. 2519 genes were demonstrated to be significantly associated with the OS of BC patients. Functional annotation of the 2519 genes suggested that these genes were associated with immune response and protein synthesis related gene ontology terms and pathways. 17 genes were identified in the LASSO Cox regression model and used to construct a 17-gene signature. Patients in the 17-gene signature low risk group have better OS and event-free survival compared with those in the 17-gene signature high risk group in the TCGA-BRCA cohort. The prognostic role of the 17-gene signature has been confirmed in the validation cohort. Multivariable Cox proportional hazards regression model suggested the 17-gene signature was an independent prognostic factor in BC. The 17-gene signature we developed could successfully classify patients into high-and low-risk groups, indicating that it might serve as candidate biomarker in BC.
第一作者机构:[1]Kunming Med Univ, Affiliated Hosp 1, Dept Breast Surg, Kunming 650032, Yunnan, Peoples R China
通讯作者:
通讯机构:[1]Kunming Med Univ, Affiliated Hosp 1, Dept Breast Surg, Kunming 650032, Yunnan, Peoples R China[3]Yunnan Univ, Sch Life Sci, 2 Cuihubei Rd, Kunming 650091, Yunnan, Peoples R China[4]Kunming Med Univ, Affiliated Hosp 1, 295 Xichang Rd, Kunming 650032, Yunnan, Peoples R China
推荐引用方式(GB/T 7714):
Qian Jin-Xian,Yu Min,Sun Zhe,et al.A 17-gene expression-based prognostic signature associated with the prognosis of patients with breast cancer A STROBE-compliant study[J].MEDICINE.2020,99(15):doi:10.1097/MD.0000000000019255.
APA:
Qian, Jin-Xian,Yu, Min,Sun, Zhe,Jiang, Ai-Mei&Long, Bo.(2020).A 17-gene expression-based prognostic signature associated with the prognosis of patients with breast cancer A STROBE-compliant study.MEDICINE,99,(15)
MLA:
Qian, Jin-Xian,et al."A 17-gene expression-based prognostic signature associated with the prognosis of patients with breast cancer A STROBE-compliant study".MEDICINE 99..15(2020)