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pmid:33178587
Development and Validation of Autophagy-Related Gene Signature and Nomogram for Predicting Survival in Oral Squamous Cell Carcinoma.
Chen Hou · Hongshi Cai · Yue Zhu · Shuojin Huang · Fan Song · Jinsong Hou
Frontiers in oncology · 2020 doi:10.3389/fonc.2020.558596
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Complete file
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However, the prognostic value of autophagy-related genes (ARGs) for OSCC still remains unclear. Our study set out to develop a multigene expression signature based on ARGs for individualized prognosis assessment in OSCC patients.\nMETHODS: Based on The Cancer Genome Atlas (TCGA) database, we identified prognosis-related ARGs through univariate COX regression analysis. Then we performed the least absolute shrinkage and selection operator (LASSO) regression analysis to identify an optimal autophagy-related multigene signature with the subsequent validation in testing set, GSE41613 and GSE42743 datasets.\nRESULTS: We identified 36 prognosis-related ARGs for OSCC. Subsequently, the multigene signature based on 13 prognostic ARGs was constructed and successfully divided OSCC patients into low and high-risk groups with significantly different overall survival in TCGA training set (p < 0.0001). The autophagy signature remained as an independent prognostic factor for OSCC in univariate and multivariate Cox regression analyses. The area under the curve (AUC) values of the receiver operating characteristic (ROC) curves for 1, 3, and 5-year survival were 0.758, 0.810, 0.798, respectively. Then the gene signature was validated in TCGA testing set, GSE41613 and GSE42743 datasets. Moreover, Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis, and single-sample gene set enrichment analysis (ssGSEA) revealed the underlying biological characteristics and signaling pathways associated with this signature in OSCC. Finally, we constructed a nomogram by combining the gene signature with multiple clinical parameters (age, gender, TNM-stage, tobacco, and alcohol history). The concordance index (C-index) and calibration plots demonstrated favorable predictive performance of our nomogram.\nCONCLUSION: In summary, we identified and verified a 13-ARGs prognostic signature and nomogram, which provide individualized prognosis evaluation and show insight for potential therapeutic targets for OSCC.", "claims": [{"id": "claim-method", "statement": "Univariate Cox proportional hazard regression analysis was performed to identify the ARGs significantly correlated with the overall survival (OS) in TCGA-OSCC cohort, using the survival package.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:33178587", "locator": "sections[5] \"Construction and Validation of the Autophagy-Related Genes-Based Prognostic Signature\" paragraph 2", "quote": "Univariate Cox proportional hazard regression analysis was performed to identify the ARGs significantly correlated with the overall survival (OS) in TCGA-OSCC cohort, using the survival package."}], "state": "complete"}, {"id": "claim-data-access", "statement": "Publicly available datasets were analyzed in this study. 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