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pmid:33719345

Identification and Validation of a Novel DNA Damage and DNA Repair Related Genes Based Signature for Colon Cancer Prognosis.

Xue-Quan Wang · Shi-Wen Xu · Wei Wang · Song-Zhe Piao · Xin-Li Mao · Xian-Bin Zhou · Yi Wang · Wei-Dan Wu · Li-Ping Ye · Shao-Wei Li

Frontiers in genetics · 2021 doi:10.3389/fgene.2021.635863

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title
Identification and Validation of a Novel DNA Damage and DNA Repair Related Genes Based Signature for Colon Cancer Prognosis.
doi
10.3389/fgene.2021.635863
pmid
33719345
authors array · 10 items
[0]
Xue-Quan Wang
[1]
Shi-Wen Xu
[2]
Wei Wang
[3]
Song-Zhe Piao
[4]
Xin-Li Mao
[5]
Xian-Bin Zhou
[6]
Yi Wang
[7]
Wei-Dan Wu
[8]
Li-Ping Ye
[9]
Shao-Wei Li
journal
Frontiers in genetics
year
2021
abstract
Backgrounds: Colorectal cancer (CRC) with high incidence, has the third highest mortality of tumors. DNA damage and repair influence a variety of tumors. However, the role of these genes in colon cancer prognosis has been less systematically investigated. Here, we aim to establish a corresponding prognostic signature providing new therapeutic opportunities for CRC. Method: After related genes were collected from GSEA, univariate Cox regression was performed to evaluate each gene's prognostic relevance through the TCGA-COAD dataset. Stepwise COX regression was used to establish a risk prediction model through the training sets randomly separated from the TCGA cohort and validated in the remaining testing sets and two GEO datasets (GSE17538 and GSE38832). A 12-DNA-damage-and-repair-related gene-based signature able to classify COAD patients into high and low-risk groups was developed. The predictive ability of the risk model or nomogram were evaluated by different bioinformatics- methods. Gene functional enrichment analysis was performed to analyze the co-expressed genes of the risk-based genes. Result: A 12-gene based prognostic signature established within 160 significant survival-related genes from DNA damage and repair related gene sets performed well with an AUC of ROC 0.80 for 5 years in the TCGA-CODA dataset. The signature includes CCNB3, ISY1, CDC25C, SMC1B, MC1R, LSP1P4, RIN2, TPM1, ELL3, POLG, CD36, and NEK4. Kaplan-Meier survival curves showed that the prognosis of the risk status owns more significant differences than T, M, N, and stage prognostic parameters. A nomogram was constructed by LASSO regression analysis with T, M, N, age, and risk as prognostic parameters. ROC curve, C-index, Calibration analysis, and Decision Curve Analysis showed the risk module and nomogram performed best in years 1, 3, and 5. KEGG, GO, and GSEA enrichment analyses suggest the risk involved in a variety of important biological processes and well-known cancer-related pathways. These differences may be the key factors affecting the final prognosis. Conclusion: The established gene signature for CRC prognosis provides a new molecular tool for clinical evaluation of prognosis, individualized diagnosis, and treatment. Therapies based on targeted DNA damage and repair mechanisms may formulate more sensitive and potential chemotherapy regimens, thereby expanding treatment options and potentially improving the clinical outcome of CRC patients.
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Univariate Cox regression analysis (Cox, 1972) was first performed with DNA damage and DNA repair related genes, and genes with a p value of less than 0.05 were considered a statistically significant difference.
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sections[4] "Construction of the DNA Damage and DNA Repair Related Gene Signature" paragraph 2
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Univariate Cox regression analysis (Cox, 1972) was first performed with DNA damage and DNA repair related genes, and genes with a p value of less than 0.05 were considered a statistically significant difference.
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sections[17] "Data Availability Statement" paragraph 2
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The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/Supplementary Material.
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title
Experimentally Derived Metastasis Gene Expression Profile Predicts Recurrence and Death in Colon Cancer Patients
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GSM1077656
[59]
GSM1077657
[60]
GSM1077658
[61]
GSM1077659
[62]
GSM1077660
[63]
GSM1077661
[64]
GSM1077662
[65]
GSM1077663
[66]
GSM1077664
[67]
GSM1077665
[68]
GSM1077666
[69]
GSM1077667
[70]
GSM1077668
[71]
GSM1077669
[72]
GSM1077670
[73]
GSM1077671
[74]
GSM1077672
[75]
GSM1077673
[76]
GSM1077674
[77]
GSM1077675
[78]
GSM1077676
[79]
GSM1077677
[80]
GSM1077678
[81]
GSM1077679
[82]
GSM1077680
[83]
GSM1077681
[84]
GSM1077682
[85]
GSM1077683
[86]
GSM1077684
[87]
GSM1077685
[88]
GSM1077686
[89]
GSM1077687
[90]
GSM1077688
[91]
GSM1077689
[92]
GSM1077690
[93]
GSM1077691
[94]
GSM1077692
[95]
GSM1077693
[96]
GSM1077694
[97]
GSM1077695
[98]
GSM1077696
[99]
GSM1077697
[100]
GSM1077698
[101]
GSM1077699
[102]
GSM1077700
[103]
GSM1077701
[104]
GSM1077702
[105]
GSM1077703
[106]
GSM1077704
[107]
GSM1077705
[108]
GSM1077706
[109]
GSM1077707
[110]
GSM1077708
[111]
GSM1077709
[112]
GSM1077710
[113]
GSM1077711
[114]
GSM1077712
[115]
GSM1077713
[116]
GSM1077714
[117]
GSM1077715
[118]
GSM1077716
[119]
GSM1077717
[120]
GSM1077718
[121]
GSM1077719
[122]
GSM1077720
[123]
GSM1077721
[124]
GSM1077722
[125]
GSM1077723
[126]
GSM1077724
[127]
GSM1077725
[128]
GSM1077726
[129]
GSM1077727
[130]
GSM1077728
[131]
GSM1077729
[132]
GSM1077730
[133]
GSM1077731
[134]
GSM1077732
[135]
GSM1077733
[136]
GSM1077734
[137]
GSM1077735
[138]
GSM1077736
[139]
GSM1077737
[140]
GSM1077738
[141]
GSM1077739
[142]
GSM1077740
[143]
GSM1077741
[144]
GSM1077742
[145]
GSM1077743
[146]
GSM1077744
[147]
GSM1077745
[148]
GSM1077746
[149]
GSM1077747
[150]
GSM1077748
[151]
GSM1077749
[152]
GSM1077750
[153]
GSM1077751
[154]
GSM1077752
[155]
GSM1077753
[156]
GSM1077754
[157]
GSM1077755
[158]
GSM1077756
[159]
GSM1077757
[160]
GSM1077758
[161]
GSM1077759
[162]
GSM1077760
[163]
GSM1077761
[164]
GSM1077762
[165]
GSM1077763
[166]
GSM1077764
[167]
GSM1077765
[168]
GSM1077766
[169]
GSM1077767
[170]
GSM1077768
[171]
GSM1077769
[172]
GSM1077770
[173]
GSM1077771
[174]
GSM1077772
[175]
GSM1077773
[176]
GSM1077774
[177]
GSM1077775
[178]
GSM1077776
[179]
GSM1077777
[180]
GSM1077778
[181]
GSM1077779
[182]
GSM1077780
[183]
GSM1077781
[184]
GSM1077782
[185]
GSM1077783
[186]
GSM1077784
[187]
GSM1077785
[188]
GSM1077786
[189]
GSM1077787
[190]
GSM1077788
[191]
GSM1077789
[192]
GSM1077790
[193]
GSM1077791
[194]
GSM1077792
[195]
GSM1077793
[196]
GSM1077794
[197]
GSM1077795
[198]
GSM1077796
[199]
GSM1077797
[200]
GSM1077798
[201]
GSM1077799
[202]
GSM1077800
[203]
GSM1077801
[204]
GSM1077802
[205]
GSM1077803
[206]
GSM1077804
[207]
GSM1077805
[208]
GSM1077806
[209]
GSM1077807
[210]
GSM1077808
[211]
GSM1077809
[212]
GSM1077810
[213]
GSM1077811
[214]
GSM1077812
[215]
GSM1077813
[216]
GSM1077814
[217]
GSM1077815
[218]
GSM1077816
[219]
GSM1077817
[220]
GSM1077818
[221]
GSM1077819
[222]
GSM1077820
[223]
GSM1077821
[224]
GSM1077822
[225]
GSM1077823
[226]
GSM1077824
[227]
GSM1077825
[228]
GSM1077826
[229]
GSM1077827
[230]
GSM1077828
[231]
GSM1077829
[232]
GSM1077830
[233]
GSM1077831
[234]
GSM1077832
[235]
GSM1077833
[236]
GSM1077834
[237]
GSM1077835
[238]
GSM1077836
[239]
GSM1077837
[240]
GSM1077838
[241]
GSM1077839
[242]
GSM1077840
[243]
GSM1077841
[244]
GSM1077842
[245]
GSM1077843
sample_count
246
group_sizes
null
group_sizes_basis
null
platform
13667
taxon
Homo sapiens
title
Gene expression data from healthy, adjacent normal and tumor colon cells
resolution_checked_at
2026-11-01T15:39:54Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[4] object · 15 fields
id
data:geo:GSE44861
role
raw
format
geo-series
media_type
application/vnd.ncbi.geo-series+json
uri
https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE44861
sha256
null
bytes
null
access
open
state
resolved
reader
null
reader_status
reader_required
identifier
GSE44861
version
null
note
The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/Supplementary Material.
structure object · 15 fields
repository
GEO
access_route
GEO accession URL
access_statement_verbatim
The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/Supplementary Material.
access_statement_kind
data_availability_statement
sample_accessions array · 111 items
[0]
GSM1092909
[1]
GSM1092910
[2]
GSM1092911
[3]
GSM1092912
[4]
GSM1092913
[5]
GSM1092914
[6]
GSM1092915
[7]
GSM1092916
[8]
GSM1092917
[9]
GSM1092918
[10]
GSM1092919
[11]
GSM1092920
[12]
GSM1092921
[13]
GSM1092922
[14]
GSM1092923
[15]
GSM1092924
[16]
GSM1092925
[17]
GSM1092926
[18]
GSM1092927
[19]
GSM1092928
[20]
GSM1092929
[21]
GSM1092930
[22]
GSM1092931
[23]
GSM1092932
[24]
GSM1092933
[25]
GSM1092934
[26]
GSM1092935
[27]
GSM1092936
[28]
GSM1092937
[29]
GSM1092938
[30]
GSM1092939
[31]
GSM1092940
[32]
GSM1092941
[33]
GSM1092942
[34]
GSM1092943
[35]
GSM1092944
[36]
GSM1092945
[37]
GSM1092946
[38]
GSM1092947
[39]
GSM1092948
[40]
GSM1092949
[41]
GSM1092950
[42]
GSM1092951
[43]
GSM1092952
[44]
GSM1092953
[45]
GSM1092954
[46]
GSM1092955
[47]
GSM1092956
[48]
GSM1092957
[49]
GSM1092958
[50]
GSM1092959
[51]
GSM1092960
[52]
GSM1092961
[53]
GSM1092962
[54]
GSM1092963
[55]
GSM1092964
[56]
GSM1092965
[57]
GSM1092966
[58]
GSM1092967
[59]
GSM1092968
[60]
GSM1092969
[61]
GSM1092970
[62]
GSM1092971
[63]
GSM1092972
[64]
GSM1092973
[65]
GSM1092974
[66]
GSM1092975
[67]
GSM1092976
[68]
GSM1092977
[69]
GSM1092978
[70]
GSM1092979
[71]
GSM1092980
[72]
GSM1092981
[73]
GSM1092982
[74]
GSM1092983
[75]
GSM1092984
[76]
GSM1092985
[77]
GSM1092986
[78]
GSM1092987
[79]
GSM1092988
[80]
GSM1092989
[81]
GSM1092990
[82]
GSM1092991
[83]
GSM1092992
[84]
GSM1092993
[85]
GSM1092994
[86]
GSM1092995
[87]
GSM1092996
[88]
GSM1092997
[89]
GSM1092998
[90]
GSM1092999
[91]
GSM1093000
[92]
GSM1093001
[93]
GSM1093002
[94]
GSM1093003
[95]
GSM1093004
[96]
GSM1093005
[97]
GSM1093006
[98]
GSM1093007
[99]
GSM1093008
[100]
GSM1093009
[101]
GSM1093010
[102]
GSM1093011
[103]
GSM1093012
[104]
GSM1093013
[105]
GSM1093014
[106]
GSM1093015
[107]
GSM1093016
[108]
GSM1093017
[109]
GSM1093018
[110]
GSM1093019
sample_count
111
group_sizes
null
group_sizes_basis
null
platform
3921
taxon
Homo sapiens
title
Affymetrix expression data from colon cancer patient tissues
resolution_checked_at
2026-11-01T15:39:54Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[5] object · 16 fields
id
asset:table:pmid:33719345:1
role
table
format
jats-table
media_type
application/vnd.jats.table+json
uri
null
sha256
sha256:c61b3358d211fd5627ea31ae9023ff06b447709b170014ff8d6d967a0c11ed51
bytes
1021
access
open
state
verified
reader
read_table
reader_status
available
identifier
section[10]/table-wrap[1]#tab1
version
null
note
TGCA patient characteristics.
structure object · 5 fields
pmcid
PMC7943631
section_index
10
section_title
Characteristics of COAD Patients in the TCGA Dataset and GEO Dataset
row_count
24
column_count
6
table object · 8 fields
label
Table 1
caption
TGCA patient characteristics.
rows array · 24 items
[0] array · 2 items
[0]
Variable
[1]
Number
[1] array · 4 items
[0]
Total set
[1]
Training set
[2]
Testing set
[3]
p value
[2] array · 5 items
[0]
Case
[1]
439
[2]
263
[3]
176
[4]
/
[3] array · 6 items
[0]
Gender
[1]
Female
[2]
204
[3]
119
[4]
85
[5]
0.396
[4] array · 5 items
[0]
[1]
Male
[2]
235
[3]
144
[4]
91
[5] array · 6 items
[0]
Survival status
[1]
Alive
[2]
346
[3]
210
[4]
136
[5]
0.811
[6] array · 5 items
[0]
[1]
Dead
[2]
93
[3]
53
[4]
40
[7] array · 6 items
[0]
Endpoint time
[1]
[2]
2.4 ± 2.0
[3]
2.5 ± 2.2
[4]
2.3 ± 1.8
[5]
0.943
[8] array · 6 items
[0]
Age
[1]
[2]
66.3 ± 12.7
[3]
66.8 ± 12.2
[4]
65.5 ± 13.4
[5]
0.649
[9] array · 6 items
[0]
M
[1]
M0
[2]
324
[3]
194
[4]
130
[5]
0.994
[10] array · 5 items
[0]
[1]
M1
[2]
61
[3]
39
[4]
22
[11] array · 5 items
[0]
[1]
MX
[2]
49
[3]
27
[4]
22
[12] array · 6 items
[0]
N
[1]
N0
[2]
258
[3]
149
[4]
109
[5]
0.574
[13] array · 5 items
[0]
[1]
N1
[2]
103
[3]
65
[4]
38
[14] array · 5 items
[0]
[1]
N2
[2]
78
[3]
49
[4]
29
[15] array · 6 items
[0]
T
[1]
T1
[2]
11
[3]
6
[4]
4
[5]
0.313
[16] array · 5 items
[0]
[1]
T2
[2]
78
[3]
42
[4]
36
[17] array · 5 items
[0]
[1]
T3
[2]
299
[3]
174
[4]
125
[18] array · 5 items
[0]
[1]
T4
[2]
51
[3]
40
[4]
11
[19] array · 5 items
[0]
[1]
NA
[2]
11
[3]
6
[4]
5
[20] array · 6 items
[0]
Stage
[1]
STAGE I
[2]
75
[3]
41
[4]
34
[5]
0.499
[21] array · 5 items
[0]
[1]
STAGE II
[2]
167
[3]
100
[4]
67
[22] array · 5 items
[0]
[1]
STAGE III
[2]
125
[3]
77
[4]
48
[23] array · 5 items
[0]
[1]
STAGE IV
[2]
61
[3]
39
[4]
22
locator
section[10]/table-wrap[1]#tab1
[6] object · 16 fields
id
asset:table:pmid:33719345:2
role
table
format
jats-table
media_type
application/vnd.jats.table+json
uri
null
sha256
sha256:dcab606ccf320a03458a67755cc3670f2fe30ad7132b54fa3990980ab325ff03
bytes
747
access
open
state
verified
reader
read_table
reader_status
available
identifier
section[10]/table-wrap[2]#tab2
version
null
note
GEO patient characteristics.
structure object · 5 fields
pmcid
PMC7943631
section_index
10
section_title
Characteristics of COAD Patients in the TCGA Dataset and GEO Dataset
row_count
17
column_count
6
table object · 8 fields
label
Table 2
caption
GEO patient characteristics.
rows array · 17 items
[0] array · 2 items
[0]
GSE17583
[1]
GSE38832
[1] array · 4 items
[0]
Case
[1]
232
[2]
Case
[3]
122
[2] array · 5 items
[0]
Gender
[1]
Female
[2]
110
[3]
dfs time (year)
[4]
3.84 ± 2.77
[3] array · 3 items
[0]
[1]
Male
[2]
122
[4] array · 6 items
[0]
Survival status
[1]
Alive
[2]
139
[3]
dfs status
[4]
no recurrence
[5]
83
[5] array · 2 items
[0]
recurrence
[1]
9
[6] array · 2 items
[0]
NA
[1]
30
[7] array · 3 items
[0]
[1]
Dead
[2]
93
[8] array · 6 items
[0]
Endpoint time (year)
[1]
[2]
3.95 ± 2.56
[3]
dss status
[4]
no death
[5]
94
[9] array · 6 items
[0]
Age
[1]
[2]
64.73 ± 13.43
[3]
[4]
death from cancer
[5]
28
[10] array · 6 items
[0]
Ajcc stage
[1]
1
[2]
28
[3]
Ajcc atage
[4]
1
[5]
18
[11] array · 6 items
[0]
[1]
2
[2]
72
[3]
[4]
2
[5]
35
[12] array · 6 items
[0]
[1]
3
[2]
76
[3]
[4]
3
[5]
39
[13] array · 6 items
[0]
[1]
4
[2]
56
[3]
[4]
4
[5]
30
[14] array · 4 items
[0]
Tumor differentiation
[1]
WD
[2]
17
[3]
/
[15] array · 3 items
[0]
[1]
MD
[2]
235
[16] array · 3 items
[0]
[1]
PD
[2]
30
locator
section[10]/table-wrap[2]#tab2
gaps array · 8 items
[0]
asset:data:geo:GSE17538 not downloaded
[1]
asset:data:geo:GSE17538 licence not read
[2]
asset:data:geo:GSE38832 not downloaded
[3]
asset:data:geo:GSE38832 licence not read
[4]
asset:data:geo:GSE44076 not downloaded
[5]
asset:data:geo:GSE44076 licence not read
[6]
asset:data:geo:GSE44861 not downloaded
[7]
asset:data:geo:GSE44861 licence not read
analysis object · 4 fields
state
complete
methods array · 5 items
[0] object · 10 fields
id
method-1
family
survival_analysis
specific
cox_proportional_hazards
label
Survival analysis
dsl_operations array · 1 item
[0]
cox_ph
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
time_to_event_with_censoring
evidence object · 3 fields
score
1
band
verbatim
quote
Univariate Cox regression analysis (Cox, 1972) was first performed with DNA damage and DNA repair related genes, and genes with a p value of less than 0.05 were considered a statistically significant difference.
[1] object · 10 fields
id
method-2
family
survival_analysis
specific
kaplan_meier
label
Survival analysis
dsl_operations array · 1 item
[0]
survival_km
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
time_to_event_with_censoring
evidence object · 3 fields
score
0.7
band
medium
quote
Kaplan-Meier
[2] object · 10 fields
id
method-3
family
network_analysis
specific
pathway_enrichment
label
Network / pathway analysis
dsl_operations array · 1 item
[0]
pathway_enrich
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
edge_list
evidence object · 3 fields
score
0.8
band
high
quote
GO enrichment
[3] object · 10 fields
id
method-4
family
diagnostic_evaluation
specific
roc
label
Diagnostic test evaluation
dsl_operations array · 6 items
[0]
confusion_counts
[1]
roc_curve
[2]
sensitivity_specificity
[3]
solve_confusion_matrix
[4]
classification_metrics
[5]
published_precision_envelope
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
reference_standard_and_test
evidence object · 3 fields
score
0.7
band
medium
quote
ROC curve
[4] object · 10 fields
id
method-5
family
model_calibration
specific
decision_curve
label
Model calibration / clinical utility
dsl_operations array · 2 items
[0]
calibration_bins
[1]
net_benefit
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
predictions_and_outcomes
evidence object · 3 fields
score
0.7
band
medium
quote
Decision Curve Analysis
targets array · 0 items
gaps array · 0 items
capability object · 3 fields
state
complete
requirements array · 1 item
[0] object · 6 fields
capability_id
capability:computational_analysis
label
Computational analysis platform
assay_families array · 9 items
[0]
meta_analysis
[1]
machine_learning
[2]
survival_analysis
[3]
statistical_regression
[4]
pca
[5]
molecular_docking
[6]
network_analysis
[7]
differential_expression
[8]
gwas
candidate
Automated Assays Laravel application and simulated adapters
gaps array · 0 items
readiness object · 8 fields
state
complete
tier
R1
blocked_on
nothing:replicable_now
axes object · 3 fields
method object · 5 fields
tier
R1
expressible
true
required_operations array · 1 item
[0]
cox_ph
missing_operations array · 0 items
basis
The paper names the method it used and the corpus's method extractor maps it onto the DSL catalogue: cox_proportional_hazards.
capability object · 4 fields
tier
R1
capability_id
capability:computational_analysis
availability_state
owned
basis
The computational analysis is owned. The physical bench the paper used is not, so a physical validation cannot be run here.
data object · 6 fields
tier
R1
reachable
true
accessions array · 4 items
[0]
GSE17538
[1]
GSE38832
[2]
GSE44861
[3]
GSE44076
resolved_accessions array · 4 items
[0]
GSE17538
[1]
GSE38832
[2]
GSE44861
[3]
GSE44076
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The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found in the article/Supplementary Material.
basis
The paper names GSE17538, GSE38832, GSE44861, GSE44076 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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Univariate Cox regression analysis (Cox, 1972) was first performed with DNA damage and DNA repair related genes, and genes with a p value of less than 0.05 were considered a statistically significant difference.
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Complete file
{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:33719345", "kind": "science-record", "revision": 7, "content_hash": "sha256:f278c330d8c6f2e59afc5520e0df24ce22bf14dd1117767a18d5ff74ffbf0703", "created_at": "2026-11-01T15:41:28Z", "updated_at": "2026-11-01T22:03:20Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Identification and Validation of a Novel DNA Damage and DNA Repair Related Genes Based Signature for Colon Cancer Prognosis.", "doi": "10.3389/fgene.2021.635863", "pmid": "33719345", "authors": ["Xue-Quan Wang", "Shi-Wen Xu", "Wei Wang", "Song-Zhe Piao", "Xin-Li Mao", "Xian-Bin Zhou", "Yi Wang", "Wei-Dan Wu", "Li-Ping Ye", "Shao-Wei Li"], "journal": "Frontiers in genetics", "year": 2021, "abstract": "Backgrounds: Colorectal cancer (CRC) with high incidence, has the third highest mortality of tumors. DNA damage and repair influence a variety of tumors. However, the role of these genes in colon cancer prognosis has been less systematically investigated. Here, we aim to establish a corresponding prognostic signature providing new therapeutic opportunities for CRC. Method: After related genes were collected from GSEA, univariate Cox regression was performed to evaluate each gene's prognostic relevance through the TCGA-COAD dataset. Stepwise COX regression was used to establish a risk prediction model through the training sets randomly separated from the TCGA cohort and validated in the remaining testing sets and two GEO datasets (GSE17538 and GSE38832). A 12-DNA-damage-and-repair-related gene-based signature able to classify COAD patients into high and low-risk groups was developed. The predictive ability of the risk model or nomogram were evaluated by different bioinformatics- methods. Gene functional enrichment analysis was performed to analyze the co-expressed genes of the risk-based genes. Result: A 12-gene based prognostic signature established within 160 significant survival-related genes from DNA damage and repair related gene sets performed well with an AUC of ROC 0.80 for 5 years in the TCGA-CODA dataset. The signature includes CCNB3, ISY1, CDC25C, SMC1B, MC1R, LSP1P4, RIN2, TPM1, ELL3, POLG, CD36, and NEK4. Kaplan-Meier survival curves showed that the prognosis of the risk status owns more significant differences than T, M, N, and stage prognostic parameters. A nomogram was constructed by LASSO regression analysis with T, M, N, age, and risk as prognostic parameters. ROC curve, C-index, Calibration analysis, and Decision Curve Analysis showed the risk module and nomogram performed best in years 1, 3, and 5. KEGG, GO, and GSEA enrichment analyses suggest the risk involved in a variety of important biological processes and well-known cancer-related pathways. These differences may be the key factors affecting the final prognosis. Conclusion: The established gene signature for CRC prognosis provides a new molecular tool for clinical evaluation of prognosis, individualized diagnosis, and treatment. Therapies based on targeted DNA damage and repair mechanisms may formulate more sensitive and potential chemotherapy regimens, thereby expanding treatment options and potentially improving the clinical outcome of CRC patients.", "claims": [{"id": "claim-method", "statement": "Univariate Cox regression analysis (Cox, 1972) was first performed with DNA damage and DNA repair related genes, and genes with a p value of less than 0.05 were considered a statistically significant difference.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:33719345", "locator": "sections[4] \"Construction of the DNA Damage and DNA Repair Related Gene Signature\" paragraph 2", "quote": "Univariate Cox regression analysis (Cox, 1972) was first performed with DNA damage and DNA repair related genes, and genes with a p value of less than 0.05 were considered a statistically significant difference."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The datasets presented in this study can be found in online repositories. 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