机构:[1]School of Medicine, University of Electronic Science and Technology of China, No. 2006, Xiyuan Avenue, High-tech Zone (West District), Chengdu 611731, Sichuan, People’s Republic of China四川省人民医院[2]Department of Radiation Oncology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, No. 55, South Renmin Avenue Fourth Section, Chengdu 610041, Sichuan, People’s Republic of China四川省人民医院四川省肿瘤医院[3]Radiation Oncology Key Laboratory of Sichuan Province, No. 55, South Renmin Avenue Fourth Section, Chengdu 610041, Sichuan, People’s Republic of China[4]Department of Oncology, Xiangya Hospital Central South University, Kaifu District, Changsha 410008, Hunan, People’s Republic of China.
Background Cervical cancer (CC) represents the fourth most frequently diagnosed malignancy affecting women all over the world. However, effective prognostic biomarkers are still limited for accurately identifying high-risk patients. Here, we provided a combination machine learning algorithm-based signature to predict the prognosis of cervical squamous cell carcinoma (CSCC). Methods and materials After utilizing RNA sequencing (RNA-seq) data from 36 formalin-fixed and paraffin-embedded (FFPE) samples, the most significant modules were highlighted by the weighted gene co-expression network analysis (WGCNA). A candidate genes-based prognostic classifier was constructed by the least absolute shrinkage and selection operator (LASSO) and then validated in an independent validation set. Finally, based on the multivariate analysis, a nomogram including the FIGO stage, therapy outcome, and risk score level was built to predict progression-free survival (PFS) probability. Results A mRNA-based signature was developed to classify patients into high- and low-risk groups with significantly different PFS and overall survival (OS) rate (training set: p < 0.001 for PFS, p = 0.016 for OS; validation set: p = 0.002 for PFS, p = 0.028 for OS). The prognostic classifier was an independent and powerful prognostic biomarker for PFS in both cohorts (training set: hazard ratio [HR] = 0.13, 95% CI 0.05-0.33, p < 0.001; validation set: HR = 0.02, 95% CI 0.01-0.04, p < 0.001). A nomogram that integrated the independent prognostic factors was constructed for clinical application. The calibration curve showed that the nomogram was able to predict 1-, 3-, and 5-year PFS accurately, and it performed well in the external validation cohorts (concordance index: 0.828 and 0.864, respectively). Conclusion The mRNA-based biomarker is a powerful and independent prognostic factor. Furthermore, the nomogram comprising our prognostic classifier is a promising predictor in identifying the progression risk of CSCC patients.
基金:
National Key Research and Development Program "Digital Diagnosis and Treatment Equipment Research and Development" [2017YFC0113100]
第一作者机构:[1]School of Medicine, University of Electronic Science and Technology of China, No. 2006, Xiyuan Avenue, High-tech Zone (West District), Chengdu 611731, Sichuan, People’s Republic of China
通讯作者:
通讯机构:[2]Department of Radiation Oncology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, No. 55, South Renmin Avenue Fourth Section, Chengdu 610041, Sichuan, People’s Republic of China[3]Radiation Oncology Key Laboratory of Sichuan Province, No. 55, South Renmin Avenue Fourth Section, Chengdu 610041, Sichuan, People’s Republic of China
推荐引用方式(GB/T 7714):
Li Yimin,Lu Shun,Lan Mei,et al.A prognostic nomogram integrating novel biomarkers identified by machine learning for cervical squamous cell carcinoma[J].JOURNAL OF TRANSLATIONAL MEDICINE.2020,18(1):doi:10.1186/s12967-020-02387-9.
APA:
Li, Yimin,Lu, Shun,Lan, Mei,Peng, Xinhao,Zhang, Zijian&Lang, Jinyi.(2020).A prognostic nomogram integrating novel biomarkers identified by machine learning for cervical squamous cell carcinoma.JOURNAL OF TRANSLATIONAL MEDICINE,18,(1)
MLA:
Li, Yimin,et al."A prognostic nomogram integrating novel biomarkers identified by machine learning for cervical squamous cell carcinoma".JOURNAL OF TRANSLATIONAL MEDICINE 18..1(2020)