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pmid:31422414
A 5-Gene Prognostic Combination for Predicting Survival of Patients with Gastric Cancer.
Liang Song · Xiao-Yan Wang · Xiao-Feng He
Medical science monitor : international medical journal of experimental and clinical research · 2019 doi:10.12659/MSM.914815
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Complete file
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MATERIAL AND METHODS Random survival forest (RSF) was performed to screen survival-related genes and develop a multigene combination based on the cumulative hazard function of each GC patient in TCGA-STAD and GSE15459. Kaplan-Meier curve and univariate and multivariable Cox proportional hazards regression model were applied to evaluate the prognostic performance of the 5-gene combination. C-index was used to compare the prognostic performance of the 5-gene combination and another 9-gene signature in GC. Gene set enrichment analysis (GSEA) was conducted. RESULTS We obtained 19 survival-related genes through univariate Cox proportional hazards analysis in the training set, 5 of which were identified and were used to develop a 5-gene combination through RSF. Patients in the 5-gene combination low-risk group had better overall survival (OS) than those in the 5-gene combination high-risk group, and the 5-gene combination was demonstrated to be an independent prognostic factor in patients with GC. The 5-gene combination outperformed the 9-gene signature in predicting the OS of GC patients, and it might affect the prognosis of GC patients through E2F signaling, MYC signaling, and G2M checkpoint. CONCLUSIONS We introduce a 5-gene combination that can predict the survival of GC patients and might be an independent prognostic factor in GC.", "claims": [{"id": "claim-data-access", "statement": "The GC gene expression study TCGA-STAD (level 3 data) [13], measured by using the Illumina HiSeq 2000 RNA Sequencing platform by the University of North Carolina TCGA genome characterization center, was shown as in log2(x+1) transformed RSEM normalized count and downloaded from UCSC Xena (https://xenabrowser.net/datapages/). 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