单位:[1]Department of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China[2]Department of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China[3]Department of Thyroid and Breast Surgery, Tongji Hospital of Huazhong University of Science and Technology, Wuhan, China外科学系甲状腺乳腺外科华中科技大学同济医学院附属同济医院[4]Department of General Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China[5]Department of Biological Repositories, Zhongnan Hospital of Wuhan University, Wuhan, China
Breast cancer is a popularly diagnosed malignant tumor. Genomic profiling studies suggest that breast cancer is a disease with heterogeneity. Chemotherapy is one of the chief means to treat breast cancer, while its responses and clinical outcomes vary largely due to the conventional clinicopathological factors and inherent chemosensitivity of breast cancer. Using the least absolute shrinkage and selection operator (LASSO) Cox regression model, our study established a multi-mRNA-based signature model and constructed a relative nomogram in predicting distant-recurrence-free survival for patients receiving surgery and following chemotherapy. We constructed a signature of eight mRNAs (IPCEF1, SYNDIG1, TIGIT, SPESP1, C2CD4A, CLCA2, RLN2, and CCL19) with the LASSO model, which was employed to separate subjects into groups with high- and low-risk scores. Obvious differences of distant-recurrence-free survival were found between these two groups. This eight-mRNA-based signature was independently associated with the prognosis and had better prognostic value than classical clinicopathologic factors according to multivariate Cox regression results. Receiver operating characteristic results demonstrated excellent performance in diagnosing 3-year distant-recurrence by the eight-mRNA signature. A nomogram that combined both the eight-mRNA-based signature and clinicopathological risk factors was constructed. Comparing with an ideal model, the nomograms worked well both in the training and validation sets. Through the results that the eight-mRNA signature effectively classified patients into low- and high-risk of distant recurrence, we concluded that this eight-mRNA-based signature played a promising predictive role in prognosis and could be clinically applied in breast cancer patients receiving adjuvant chemotherapy.
第一作者单位:[1]Department of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China[2]Department of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China
通讯作者:
通讯机构:[1]Department of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China[2]Department of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan, China[*1]Department of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan, Hubei 430071, China.[*2]Department of Breast and Thyroid Surgery, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan, Hubei 430071, China.
推荐引用方式(GB/T 7714):
Cui Qiuxia,Tang Jianing,Zhang Dan,et al.A prognostic eight-gene expression signature for patients with breast cancer receiving adjuvant chemotherapy[J].JOURNAL OF CELLULAR BIOCHEMISTRY.2020,121(8-9):3923-3934.doi:10.1002/jcb.29550.
APA:
Cui,Qiuxia,Tang,Jianing,Zhang,Dan,Kong,Deguang,Liao,Xing...&Wu,Gaosong.(2020).A prognostic eight-gene expression signature for patients with breast cancer receiving adjuvant chemotherapy.JOURNAL OF CELLULAR BIOCHEMISTRY,121,(8-9)
MLA:
Cui,Qiuxia,et al."A prognostic eight-gene expression signature for patients with breast cancer receiving adjuvant chemotherapy".JOURNAL OF CELLULAR BIOCHEMISTRY 121..8-9(2020):3923-3934