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pmid:29138577
Identification and validation of potential prognostic gene biomarkers for predicting survival in patients with acute myeloid leukemia.
Rui Huang · Xiwen Liao · Qiaochuan Li
OncoTargets and therapy · 2017 doi:10.2147/OTT.S147717
Paper
complete
Experiment
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Data
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Analysis
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Complete file
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The aim of this investigation was to identify prognostic biomarkers for patients with acute myeloid leukemia (AML) by using the gene expression profile dataset from public database.\nMETHODS: The gene expression profile dataset and corresponding overall survival (OS) information of three cohorts of AML patients from GSE12417 and The Cancer Genome Atlas AML project (TCGA-LAML) were included in the present study. Prognostic gene screening was performed by using a survival package, whereas time-dependent receiver operating characteristic (ROC) curve analysis was performed using the survivalROC package.\nRESULTS: In the three cohorts, 11 genes were identified that were significantly associated with AML OS. A linear prognostic model of the 11 genes was constructed and weighted by regression coefficient (β) from the multivariate Cox regression analyses of GSE12417 HG-U133A cohort to divide patients into high- and low-risk groups. GSE12417 HG-U133 plus 2.0 and TCGA-LAML were validation cohorts. Patients assigned to the high-risk group exhibited poor OS compared to patients in the low-risk group. The 11-gene signature is a prognostic marker of AML and demonstrates good performance for predicting 1-, 3-, and 5-year OS as evaluated by survivalROC in the three cohorts.\nCONCLUSION: Our study has identified an mRNA signature including 11 genes, which may serve as a potential prognostic marker of AML.", "claims": [{"id": "claim-method", "statement": "Univariate Cox proportional hazards regression analysis was applied to estimate survival in the study sample by using a survival package in the R platform, and the low expression group was set as the reference group.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:29138577", "locator": "sections[4] \"Identification of prognostic gene markers\" paragraph 2", "quote": "Univariate Cox proportional hazards regression analysis was applied to estimate survival in the study sample by using a survival package in the R platform, and the low expression group was set as the reference group."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The bone marrow expression profile dataset of AML patients with complete survival data available was included in the present study.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:29138577", "locator": "sections[3] \"Data source and preprocessing\" paragraph 2", "quote": "The bone marrow expression profile dataset of AML patients with complete survival data available was included in the present study."}], "state": "complete"}, {"id": "claim-target-result", "statement": "The study screened AML prognostic markers with univariate Cox proportional hazards regression, constructed an 11-gene linear risk score from multivariate Cox regression coefficients, and evaluated time-dependent survival prediction with survivalROC using GSE12417 and TCGA-LAML data; the high-risk group had worse overall survival in all three cohorts, with discovery-cohort HR 2.03 (95% CI 1.359–3.032) and 1-, 3-, and 5-year survival AUCs of 0.729, 0.722, and 0.703.", "kind": "quantitative", "target": {"value": 95.0, "unit": "per cent", "tolerance": null, "source": "Survival analysis demonstrated that patients with a high-risk score had an increased risk of death compared to the low-risk group (log-rank P=0.0004, HR =2.03, 95% CI =1.359–3.032, Figure 5B)."}, "evidence": [{"asset": "source:pmid:29138577", "locator": "sections[0] \"Abstract\" paragraph 2", "quote": "The gene expression profile dataset and corresponding overall survival (OS) information of three cohorts of AML patients from GSE12417 and The Cancer Genome Atlas AML project (TCGA-LAML) were included in the present study."}, {"asset": "source:pmid:29138577", "locator": "sections[4] \"Identification of prognostic gene markers\" paragraph 2", "quote": "Univariate Cox proportional hazards regression analysis was applied to estimate survival in the study sample by using a survival package in the R platform, and the low expression group was set as the reference group."}, {"asset": "source:pmid:29138577", "locator": "sections[5] \"Construction and validation of the prognostic gene signature\" paragraph 2", "quote": "These prognostic gene markers from the GSE12417 HG-U133A cohort were fitted in a multivariate Cox regression model with OS as a dependent variable to measure the relative contributions for survival prediction."}, {"asset": "source:pmid:29138577", "locator": "sections[5] \"Construction and validation of the prognostic gene signature\" paragraph 2", "quote": "The time-dependent receiver operating characteristic (ROC) curve analysis was performed using the survivalROC package in the R platform to evaluate the predictive accuracy of the prognostic signature for time-dependent cancer death."}, {"asset": "source:pmid:29138577", "locator": "sections[10] \"Prognostic gene signature construction and validation\" paragraph 2", "quote": "Survival analysis demonstrated that patients with a high-risk score had an increased risk of death compared to the low-risk group (log-rank P=0.0004, HR =2.03, 95% CI =1.359–3.032, Figure 5B)."}, {"asset": "source:pmid:29138577", "locator": "sections[10] \"Prognostic gene signature construction and validation\" paragraph 2", "quote": "The prognostic signature in the GSE12417 HG-U133A cohort showed a good performance in the prediction of clinical outcome, as the area under the ROC curve (AUC) was 0.729, 0.722, and 0.703 for 1-, 3-, and 5-year survivals (Figure 5C), respectively."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "complete", "objective": "The study screened AML prognostic markers with univariate Cox proportional hazards regression, constructed an 11-gene linear risk score from multivariate Cox regression coefficients, and evaluated time-dependent survival prediction with survivalROC using GSE12417 and TCGA-LAML data; 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