单位:[a]Department of Obstetrics and Gynaecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China华中科技大学同济医学院附属同济医院妇产科学系围产医学科[b]Department of Pathology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China华中科技大学同济医学院附属同济医院病理科[c]Department of Haematology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China华中科技大学同济医学院附属同济医院[d]Department of Obstetrics and Gynecology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, 441021, China
Long-term outcome of high-grade serous epithelial ovarian carcinoma (HGSOC) remains poor as a result of recurrence and the emergence of drug resistance. Almost all the patients were given the same platinum-based chemotherapy after debulking surgery even though some of them are naturally resistant to the first-line chemotherapy. No method could verify this part of patients right after the surgery currently. In this study, we used 156 paraffin-embedded high-grade HGSOC specimens for immunohistochemical analysis with 37 immunology markers, and association between the expression levels of these markers and the chemoresponse were evaluated. A support vector machine (SVM)-based HGSOC prognostic classifier was then established, and was validated by a 95-patient independent cohort. The classifier was strongly predictive of chemotherapy resistance, and divided patients into low- and high-risk groups with significant differences progression-free survival (PFS) and overall survival (OS). This classifier may provide a potential way to predict the chemotherapy resistance of HGSOC right after the surgery, and then allow clinicians to make optimal clinical decision for those potentially chemoresistant patients. The potential clinical application of this classifier will benefit those patients with primary drug resistance.
基金:
National Basic Research Program of China (973 Program)National Basic Research Program of China [2009CB521808]; National High Technology ResearchNational High Technology Research and Development Program of China; National Development Program of China (863 program)National High Technology Research and Development Program of China [2012AA02A507]; Nature and Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81272859, 81230038, 81101962, 81402163, 81402164]
第一作者单位:[a]Department of Obstetrics and Gynaecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China
共同第一作者:
通讯作者:
通讯机构:[a]Department of Obstetrics and Gynaecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China
推荐引用方式(GB/T 7714):
Chao-Yang Sun,Tie-Fen Su,Na Li,et al.A chemotherapy response classifier based on support vector machines for high-grade serous ovarian carcinoma[J].Oncotarget.2016,7(3):3538-3547.doi:10.18632/oncotarget.6569.
APA:
Chao-Yang Sun,Tie-Fen Su,Na Li,Bo Zhou,En-Song Guo...&Gang Chen.(2016).A chemotherapy response classifier based on support vector machines for high-grade serous ovarian carcinoma.Oncotarget,7,(3)
MLA:
Chao-Yang Sun,et al."A chemotherapy response classifier based on support vector machines for high-grade serous ovarian carcinoma".Oncotarget 7..3(2016):3538-3547