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A prognostic eight-gene expression signature for patients with breast cancer receiving adjuvant chemotherapy

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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 [4]Department of General Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China [5]Department of Biological Repositories, Zhongnan Hospital of Wuhan University, Wuhan, China
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关键词: breast cancer distant recurrence LASSO Cox regression multi-mRNA-based signature nomogram

摘要:
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.

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出版当年[2019]版:
大类 | 3 区 生物
小类 | 3 区 生化与分子生物学 4 区 细胞生物学
最新[2025]版:
大类 | 3 区 生物学
小类 | 4 区 生化与分子生物学 4 区 细胞生物学
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出版当年[2018]版:
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Q3 CELL BIOLOGY
最新[2024]版:
Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Q3 CELL BIOLOGY

影响因子: 最新[2024版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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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.
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