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pmid:31011256
Seven-senescence-associated gene signature predicts overall survival for Asian patients with hepatocellular carcinoma.
Xiao-Hong Xiang · Li Yang · Xing Zhang · Xiao-Hua Ma · Run-Chen Miao · Jing-Xian Gu · Yu-Nong Fu · Qing Yao · Jing-Yao Zhang · Chang Liu · Ting Lin · Kai Qu
World journal of gastroenterology · 2019 doi:10.3748/wjg.v25.i14.1715
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Experiment
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The expression of a cluster of genes is altered in response to environmental factors during senescence. However, it is questionable whether these genes could serve as biomarkers for HCC patients.\nAIM: To develop a signature of senescence-associated genes (SAGs) that predicts patients' overall survival (OS) to improve prognosis prediction of HCC.\nMETHODS: SAGs were identified using two senescent cell models. Univariate COX regression analysis was performed to screen the candidate genes significantly associated with OS of HCC in a discovery cohort (GSE14520) for the least absolute shrinkage and selection operator modelling. Prognostic value of this seven-gene signature was evaluated using two independent cohorts retrieved from the GEO (GSE14520) and the Cancer Genome Atlas datasets, respectively. Time-dependent receiver operating characteristic (ROC) curve analysis was conducted to compare the predictive accuracy of the seven-SAG signature and serum α-fetoprotein (AFP).\nRESULTS: A total of 42 SAGs were screened and seven of them, including KIF18B, CEP55, CIT, MCM7, CDC45, EZH2, and MCM5, were used to construct a prognostic formula. All seven genes were significantly downregulated in senescent cells and upregulated in HCC tissues. Survival analysis indicated that our seven-SAG signature was strongly associated with OS, especially in Asian populations, both in discovery and validation cohorts. Moreover, time-dependent ROC curve analysis suggested the seven-gene signature had a better predictive accuracy than serum AFP in predicting HCC patients' 1-, 3-, and 5-year OS.\nCONCLUSION: We developed a seven-SAG signature, which could predict OS of Asian HCC patients. 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