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pmid:33585210

Development of an Oncogenic Driver Alteration Associated Immune-Related Prognostic Model for Stage I-II Lung Adenocarcinoma.

Jian-Zhao Xu · Chen Gong · Zheng-Fu Xie · Hua Zhao

Frontiers in oncology · 2020 doi:10.3389/fonc.2020.593022

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Experiment

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Data

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title
Development of an Oncogenic Driver Alteration Associated Immune-Related Prognostic Model for Stage I-II Lung Adenocarcinoma.
doi
10.3389/fonc.2020.593022
pmid
33585210
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[0]
Jian-Zhao Xu
[1]
Chen Gong
[2]
Zheng-Fu Xie
[3]
Hua Zhao
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Frontiers in oncology
year
2020
abstract
Lung adenocarcinoma (LUAD) needs to be stratified for its heterogeneity. Oncogenic driver alterations such as EGFR mutation, ALK translocation, ROS1 translocation, and BRAF mutation predict response to treatment for LUAD. Since oncogenic driver alterations may modulate immune response in tumor microenvironment that may influence prognosis in LUAD, the effects of EGFR, ALK, ROS1, and BRAF alterations on tumor microenvironment remain unclear. Immune-related prognostic model associated with oncogenic driver alterations is needed. In this study, we performed the Cox-proportional Hazards Analysis based on the L1-penalized (LASSO) Analysis to establish an immune-related prognostic model (IPM) in stage I-II LUAD patients, which was based on 3 immune-related genes (PDE4B, RIPK2, and IFITM1) significantly enriched in patients without EGFR, ALK, ROS1, and BRAF alterations in The Cancer Genome Atlas (TCGA) database. Then, patients were categorized into high-risk and low-risk groups individually according to the IPM defined risk score. The predicting ability of the IPM was validated in GSE31210 and GSE26939 downloaded from the Gene Expression Omnibus (GEO) database. High-risk was significantly associated with lower overall survival (OS) rates in 3 independent stage I-II LUAD cohorts (all P < 0.05). Moreover, the IPM defined risk independently predicted OS for patients in TCGA stage I-II LUAD cohort (P = 0.011). High-risk group had significantly higher proportions of macrophages M1 and activated mast cells but lower proportions of memory B cells, resting CD4 memory T cells and resting mast cells than low-risk group (all P < 0.05). In addition, the high-risk group had a significantly lower expression of CTLA-4, PDCD1, HAVCR2, and TIGIT than the low-risk group (all P < 0.05). In summary, we established a novel IPM that could provide new biomarkers for risk stratification of stage I-II LUAD patients.
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Therefore, a sub-selection among the immune-related genes that were significant in the univariate Cox regression analysis was determined by LASSO-penalized Cox regression analysis, which was performed by using the R package “glmnet” (Version: 2.0–16; https://cran.r-project.org/web/packages/glmnet/index.html), and genes were regarded as significant at P < 0.05.
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sections[6] "Cox-Proportional Hazards Analysis Based on the L1-Penalized (LASSO) Analysis" paragraph 2
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Therefore, a sub-selection among the immune-related genes that were significant in the univariate Cox regression analysis was determined by LASSO-penalized Cox regression analysis, which was performed by using the R package “glmnet” (Version: 2.0–16; https://cran.r-project.org/web/packages/glmnet/index.html), and genes were regarded as significant at P < 0.05.
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Publicly available datasets were analyzed in this study. These can be found in The Cancer Genome Atlas (https://portal.gdc.cancer.gov/) and GEO databases (https://www.ncbi.nlm.nih.gov/geo/).
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sections[20] "Data Availability Statement" paragraph 2
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Publicly available datasets were analyzed in this study. These can be found in The Cancer Genome Atlas (https://portal.gdc.cancer.gov/) and GEO databases (https://www.ncbi.nlm.nih.gov/geo/).
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Univariate Cox regression analysis results of seven prognostic immune-related genes significantly associated with overall survival in stage I-II LUAD patients in TCGA cohort.
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Univariate Cox regression analysis results of seven prognostic immune-related genes significantly associated with overall survival in stage I-II LUAD patients in TCGA cohort.
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Relationship between IPM-defined risk and patient characteristics at diagnosis in Stage I-II LUAD patients in the TCGA cohort.
structure object · 5 fields
pmcid
PMC7876383
section_index
15
section_title
Relationship Between IPM-Defined Risk and Patient Characteristics in the TCGA Cohort
row_count
39
column_count
5
table object · 8 fields
label
Table 2
caption
Relationship between IPM-defined risk and patient characteristics at diagnosis in Stage I-II LUAD patients in the TCGA cohort.
rows array · 39 items
[0] array · 4 items
[0]
Variable
[1]
All
[2]
IPM defined risk
[3]
P value
[1] array · 2 items
[0]
IPM-LR
[1]
IPM-HR
[2] array · 5 items
[0]
Number of patients
[1]
164
[2]
114
[3]
50
[4]
[3] array · 5 items
[0]
Age (year, median, range)
[1]
67 (41–86)
[2]
68 (41–86)
[3]
65.5 (42–85)
[4]
<0.0001
[4] array · 5 items
[0]
Males (%)
[1]
69 (42.1%)
[2]
46 (40.4%)
[3]
23 (46%)
[4]
0.61
[5] array · 5 items
[0]
Smoker, n (%)
[1]
[2]
[3]
[4]
[6] array · 5 items
[0]
Smokers
[1]
133 (81.1%)
[2]
93 (81.6%)
[3]
40 (80.0%)
[4]
0.63
[7] array · 5 items
[0]
Never smokers
[1]
25 (15.2%)
[2]
16 (14.0%)
[3]
9 (18.0%)
[4]
[8] array · 5 items
[0]
Not Available
[1]
6 (3.7%)
[2]
5 (4.4%)
[3]
1 (2.0%)
[4]
[9] array · 5 items
[0]
Survival status, n (%)
[1]
[2]
[3]
[4]
[10] array · 5 items
[0]
alive
[1]
106 (64.6%)
[2]
85 (74.6%)
[3]
21 (42%)
[4]
<0.0001
[11] array · 5 items
[0]
dead
[1]
58 (35.4%)
[2]
29 (25.4%)
[3]
29 (58%)
[4]
[12] array · 5 items
[0]
T stage, n (%)
[1]
[2]
[3]
[4]
[13] array · 5 items
[0]
T1
[1]
58 (35.4%)
[2]
45 (39.5%)
[3]
13 (26%)
[4]
0.11
[14] array · 5 items
[0]
T2-3
[1]
106 (64.6%)
[2]
69 (60.5%)
[3]
37 (74%)
[4]
[15] array · 5 items
[0]
N stage, n (%)
[1]
[2]
[3]
[4]
[16] array · 5 items
[0]
N0
[1]
124 (75.6%)
[2]
89 (78.1%)
[3]
11 (55.0%)
[4]
<0.0001
[17] array · 4 items
[0]
N1
[1]
35 (21.3%)
[2]
20 (17.5%)
[3]
15 (35.0%)
[18] array · 5 items
[0]
Nx
[1]
5 (3%)
[2]
5 (4.4)
[3]
0 (0%)
[4]
[19] array · 5 items
[0]
Residual tumor, n (%)
[1]
[2]
[3]
[4]
[20] array · 5 items
[0]
R0
[1]
116 (70.7%)
[2]
83 (72.8%)
[3]
33 (66.0%)
[4]
0.84
[21] array · 4 items
[0]
R1
[1]
5 (3.0%)
[2]
3 (2.6%)
[3]
2 (4.0%)
[22] array · 5 items
[0]
Rx
[1]
3 (1.8%)
[2]
2 (1.8%)
[3]
1 (2.0%)
[4]
[23] array · 5 items
[0]
Not Available
[1]
40 (24.4%)
[2]
26 (22.8%)
[3]
14 (28.0%)
[4]
[24] array · 5 items
[0]
EGFR, n (%)
[1]
[2]
[3]
[4]
[25] array · 5 items
[0]
Mutation
[1]
25 (15.2%)
[2]
16 (14.0%)
[3]
9 (18.0%)
[4]
0.64
[26] array · 4 items
[0]
Wild type
[1]
139 (84.8%)
[2]
98 (86.0%)
[3]
41 (82.0%)
[27] array · 5 items
[0]
ALK, n (%)
[1]
[2]
[3]
[4]
[28] array · 5 items
[0]
Mutation
[1]
15 (9.1%)
[2]
10 (8.8%)
[3]
5 (10.0%)
[4]
0.78
[29] array · 4 items
[0]
Wild type
[1]
149 (90.9%)
[2]
104 (91.2%)
[3]
45 (90.0%)
[30] array · 5 items
[0]
ROS1, n (%)
[1]
[2]
[3]
[4]
[31] array · 5 items
[0]
Mutation
[1]
10 (6.1%)
[2]
7 (6.1%)
[3]
3 (6.0%)
[4]
0.97
[32] array · 4 items
[0]
Wild type
[1]
154 (93.1%)
[2]
107 (93.9%)
[3]
47 (94.0%)
[33] array · 5 items
[0]
BRAF, n (%)
[1]
[2]
[3]
[4]
[34] array · 5 items
[0]
Mutation
[1]
15 (9.1%)
[2]
10 (8.8%)
[3]
5 (10.0%)
[4]
0.80
[35] array · 4 items
[0]
Wild type
[1]
149 (90.9%)
[2]
104 (91.2%)
[3]
45 (90.0%)
[36] array · 5 items
[0]
WT/MUT Group, n (%)
[1]
[2]
[3]
[4]
[37] array · 5 items
[0]
MUT group
[1]
58 (35.4%)
[2]
38 (33.3%)
[3]
20 (40.0%)
[4]
0.41
[38] array · 4 items
[0]
WT group
[1]
106 (64.6%)
[2]
76 (66.7%)
[3]
30 (60.0%)
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section[15]/table-wrap[1]#T2
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Univariate analysis of OS in stage I-II LUAD patients in TCGA.
structure object · 5 fields
pmcid
PMC7876383
section_index
16
section_title
The IPM Independently Predicted Poor Outcomes for Stage I-II LUAD Patients in TCGA Dataset
row_count
8
column_count
3
table object · 8 fields
label
Table 3
caption
Univariate analysis of OS in stage I-II LUAD patients in TCGA.
rows array · 8 items
[0] array · 2 items
[0]
Variable
[1]
OS
[1] array · 2 items
[0]
HR(95%CI)
[1]
P value
[2] array · 3 items
[0]
High-risk
[1]
3.08(1.83–5.18)
[2]
<0.0001
[3] array · 3 items
[0]
N1
[1]
3.09(1.80–5.30)
[2]
<0.0001
[4] array · 3 items
[0]
Stage II
[1]
2.94(1.72–5.01)
[2]
<0.0001
[5] array · 3 items
[0]
Age > 70y
[1]
1.71(1.01–2.89)
[2]
0.045
[6] array · 3 items
[0]
With tumor
[1]
8.47(4.47–16.02)
[2]
<0.0001
[7] array · 3 items
[0]
Residual tumor
[1]
4.62(1.59–13.39)
[2]
0.005
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section[16]/table-wrap[1]#T3
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Independent prognostic factors for OS in stage I-II LUAD patients in TCGA.
structure object · 5 fields
pmcid
PMC7876383
section_index
16
section_title
The IPM Independently Predicted Poor Outcomes for Stage I-II LUAD Patients in TCGA Dataset
row_count
7
column_count
4
table object · 8 fields
label
Table 4
caption
Independent prognostic factors for OS in stage I-II LUAD patients in TCGA.
rows array · 7 items
[0] array · 4 items
[0]
[1]
No. of patients
[2]
HR(95%CI)
[3]
P value
[1] array · 4 items
[0]
IPM
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[2]
[3]
[2] array · 4 items
[0]
High-risk
[1]
50
[2]
2.63(1.24–5.56)
[3]
0.011
[3] array · 3 items
[0]
Low-risk
[1]
114
[2]
1.00
[4] array · 4 items
[0]
Neoplasm cancer status
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[2]
[3]
[5] array · 4 items
[0]
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27
[2]
6.13(2.93–12.84)
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<0.0001
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1.00
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asset:data:geo:GSE26939 not downloaded
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[3]
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quote
Therefore, a sub-selection among the immune-related genes that were significant in the univariate Cox regression analysis was determined by LASSO-penalized Cox regression analysis, which was performed by using the R package “glmnet” (Version: 2.0–16; https://cran.r-project.org/web/packages/glmnet/index.html), and genes were regarded as significant at P < 0.05.
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Automated Assays Laravel application and simulated adapters
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basis
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Publicly available datasets were analyzed in this study. These can be found in The Cancer Genome Atlas (https://portal.gdc.cancer.gov/) and GEO databases (https://www.ncbi.nlm.nih.gov/geo/).
basis
The paper names GSE31210, GSE26939 in Gene Expression Omnibus (GEO) and the accession resolves in the repository. No dataset was downloaded and no licence was read.
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Therefore, a sub-selection among the immune-related genes that were significant in the univariate Cox regression analysis was determined by LASSO-penalized Cox regression analysis, which was performed by using the R package “glmnet” (Version: 2.0–16; https://cran.r-project.org/web/packages/glmnet/index.html), and genes were regarded as significant at P < 0.05.
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:33585210", "kind": "science-record", "revision": 7, "content_hash": "sha256:79b49934dd0b75e47f3ae0bf922939f523d24688547b7440e3c9b96a5c46fab6", "created_at": "2026-11-01T15:41:25Z", "updated_at": "2026-11-01T22:03:07Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Development of an Oncogenic Driver Alteration Associated Immune-Related Prognostic Model for Stage I-II Lung Adenocarcinoma.", "doi": "10.3389/fonc.2020.593022", "pmid": "33585210", "authors": ["Jian-Zhao Xu", "Chen Gong", "Zheng-Fu Xie", "Hua Zhao"], "journal": "Frontiers in oncology", "year": 2020, "abstract": "Lung adenocarcinoma (LUAD) needs to be stratified for its heterogeneity. Oncogenic driver alterations such as EGFR mutation, ALK translocation, ROS1 translocation, and BRAF mutation predict response to treatment for LUAD. Since oncogenic driver alterations may modulate immune response in tumor microenvironment that may influence prognosis in LUAD, the effects of EGFR, ALK, ROS1, and BRAF alterations on tumor microenvironment remain unclear. Immune-related prognostic model associated with oncogenic driver alterations is needed. In this study, we performed the Cox-proportional Hazards Analysis based on the L1-penalized (LASSO) Analysis to establish an immune-related prognostic model (IPM) in stage I-II LUAD patients, which was based on 3 immune-related genes (PDE4B, RIPK2, and IFITM1) significantly enriched in patients without EGFR, ALK, ROS1, and BRAF alterations in The Cancer Genome Atlas (TCGA) database. Then, patients were categorized into high-risk and low-risk groups individually according to the IPM defined risk score. The predicting ability of the IPM was validated in GSE31210 and GSE26939 downloaded from the Gene Expression Omnibus (GEO) database. High-risk was significantly associated with lower overall survival (OS) rates in 3 independent stage I-II LUAD cohorts (all P < 0.05). Moreover, the IPM defined risk independently predicted OS for patients in TCGA stage I-II LUAD cohort (P = 0.011). High-risk group had significantly higher proportions of macrophages M1 and activated mast cells but lower proportions of memory B cells, resting CD4 memory T cells and resting mast cells than low-risk group (all P < 0.05). In addition, the high-risk group had a significantly lower expression of CTLA-4, PDCD1, HAVCR2, and TIGIT than the low-risk group (all P < 0.05). In summary, we established a novel IPM that could provide new biomarkers for risk stratification of stage I-II LUAD patients.", "claims": [{"id": "claim-method", "statement": "Therefore, a sub-selection among the immune-related genes that were significant in the univariate Cox regression analysis was determined by LASSO-penalized Cox regression analysis, which was performed by using the R package “glmnet” (Version: 2.0–16; https://cran.r-project.org/web/packages/glmnet/index.html), and genes were regarded as significant at P < 0.05.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:33585210", "locator": "sections[6] \"Cox-Proportional Hazards Analysis Based on the L1-Penalized (LASSO) Analysis\" paragraph 2", "quote": "Therefore, a sub-selection among the immune-related genes that were significant in the univariate Cox regression analysis was determined by LASSO-penalized Cox regression analysis, which was performed by using the R package “glmnet” (Version: 2.0–16; https://cran.r-project.org/web/packages/glmnet/index.html), and genes were regarded as significant at P < 0.05."}], "state": "complete"}, {"id": "claim-data-access", "statement": "Publicly available datasets were analyzed in this study. These can be found in The Cancer Genome Atlas (https://portal.gdc.cancer.gov/) and GEO databases (https://www.ncbi.nlm.nih.gov/geo/).", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:33585210", "locator": "sections[20] \"Data Availability Statement\" paragraph 2", "quote": "Publicly available datasets were analyzed in this study. 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