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pmid:33824863

Development and Validation of a Metabolic Gene-Based Prognostic Signature for Hepatocellular Carcinoma.

Jialei Weng · Chenhao Zhou · Qiang Zhou · Wanyong Chen · Yirui Yin · Manar Atyah · Qiongzhu Dong · Yi Shi · Ning Ren

Journal of hepatocellular carcinoma · 2021 doi:10.2147/JHC.S300633

Paper

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Experiment

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Data

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title
Development and Validation of a Metabolic Gene-Based Prognostic Signature for Hepatocellular Carcinoma.
doi
10.2147/JHC.S300633
pmid
33824863
authors array · 9 items
[0]
Jialei Weng
[1]
Chenhao Zhou
[2]
Qiang Zhou
[3]
Wanyong Chen
[4]
Yirui Yin
[5]
Manar Atyah
[6]
Qiongzhu Dong
[7]
Yi Shi
[8]
Ning Ren
journal
Journal of hepatocellular carcinoma
year
2021
abstract
BACKGROUND: Hepatocellular carcinoma (HCC) is a malignant tumor with great variation in prognosis among individuals. Changes in metabolism influence disease progression and clinical outcomes. The objective of this study was to determine the overall survival (OS) risk of HCC patients from a metabolic perspective. PATIENTS AND METHODS: The model was constructed using the least absolute shrinkage and selection operator (LASSO) COX regression based on The Cancer Genome Atlas (TCGA, n=342) dataset. The International Cancer Genome Consortium (ICGC, n=232), GSE14520 (n=242) datasets, and a clinical cohort (n=64) were then used to assess the prognostic value of the signature. RESULTS: A 10 metabolic gene-based signature was constructed and verified as a robust and independent prognostic classifier in public and real-world validation cohorts. Meanwhile, the signature enabled the identification of HCC molecular subtypes, yielding an AUC value of 0.678 [95% CI: 0.592-0.763]. Besides, the signature was associated with metabolic processes like glycolysis, supported by a clear correlation between the risk score and expression of rate-limiting enzymes. Furthermore, high-risk tumor was likely to have a high tumor infiltration status of immunosuppressive cells, as well as elevated expression of some immune checkpoint molecules. For final clinical translation, a nomogram integrating the signature and tumor stage was established, and showed improved predictive accuracy of 3- and 5-year OS and brought more net benefit to patients. CONCLUSION: We developed a prognostic signature based on 10 metabolic genes, which has proven to be an independent and reliable prognostic predictor for HCC and reflects the metabolic and immune characteristics of tumors.
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sections[6] "Construction of the Prognostic Metabolic-Related Gene Signature" paragraph 2
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The least absolute shrinkage and selection operator (LASSO) COX regression analysis was then conducted to construct the prognostic signature with 1000-fold cross-validation using the “glmnet” package in R software.
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Gene expression and clinical information of TCGA cohort were acquired from Genomic Data Commons Data Portal and cBioPortal for Cancer Genomics, respectively.
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sha256:a60744a6fbd77a596f3639813e119d6ed9c3eee1a2bba75f77c60bf7f111f649
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Clinicopathologic Characteristics of HCC Patients in Training and Validation Cohorts
structure object · 5 fields
pmcid
PMC8018394
section_index
12
section_title
Establishment of a Prognostic Metabolic-Related Gene Signature
row_count
37
column_count
5
table object · 8 fields
label
Table 1
caption
Clinicopathologic Characteristics of HCC Patients in Training and Validation Cohorts
rows array · 37 items
[0] array · 5 items
[0]
Characteristics
[1]
TCGA Cohort
[2]
GSE14520 Cohort
[3]
ICGC Cohort
[4]
Clinical Cohort
[1] array · 5 items
[0]
Samples sizea
[1]
342
[2]
242
[3]
232
[4]
64
[2] array · 5 items
[0]
Median OS (year)
[1]
1.61 (0.08–10.07)
[2]
4.24 (0.15–5.54)
[3]
2.14 (0.03–5.92)
[4]
4.77 (0.47–5.10)
[3] array · 5 items
[0]
Number of deaths
[1]
119 (34.8%)
[2]
96 (39.7%)
[3]
43 (18.5%)
[4]
35 (54.7%)
[4] array · 5 items
[0]
Age (year)
[1]
[2]
[3]
[4]
[5] array · 5 items
[0]
≤ 50
[1]
73 (21.3%)
[2]
125 (51.7%)
[3]
17 (7.3%)
[4]
19 (29.7%)
[6] array · 5 items
[0]
> 50
[1]
269 (78.7%)
[2]
117 (48.3%)
[3]
215 (92.7%)
[4]
45 (70.3%)
[7] array · 5 items
[0]
Gender
[1]
[2]
[3]
[4]
[8] array · 5 items
[0]
Male
[1]
233 (68.1%)
[2]
211 (87.2%)
[3]
171 (73.7%)
[4]
60 (93.8%)
[9] array · 5 items
[0]
Female
[1]
109 (31.9%)
[2]
31 (12.8%)
[3]
61 (26.3%)
[4]
4 (6.2%)
[10] array · 5 items
[0]
TNM stage
[1]
[2]
[3]
[4]
[11] array · 5 items
[0]
Stage I–II
[1]
238 (74.1%)
[2]
174 (77.3%)
[3]
142 (61.2%)
[4]
51 (79.7%)
[12] array · 5 items
[0]
Stage III–IV
[1]
83 (25.9%)
[2]
51 (22.7%)
[3]
90 (38.8%)
[4]
13 (20.3%)
[13] array · 5 items
[0]
AFP (ng/mL)
[1]
[2]
[3]
[4]
[14] array · 5 items
[0]
≤ 300
[1]
198 (76.2%)
[2]
–
[3]
–
[4]
34 (53.1%)
[15] array · 5 items
[0]
> 300
[1]
62 (23.8%)
[2]
–
[3]
–
[4]
30 (46.9%)
[16] array · 5 items
[0]
Histologic grade
[1]
[2]
[3]
[4]
[17] array · 5 items
[0]
G1-2
[1]
214 (63.5%)
[2]
–
[3]
–
[4]
39 (60.9%)
[18] array · 5 items
[0]
G3-4
[1]
123 (36.5%)
[2]
–
[3]
–
[4]
25 (39.1%)
[19] array · 5 items
[0]
Vascular invasion
[1]
[2]
[3]
[4]
[20] array · 5 items
[0]
Absent
[1]
187 (64.9%)
[2]
–
[3]
–
[4]
57 (89.1%)
[21] array · 5 items
[0]
Present
[1]
101 (35.1%)
[2]
–
[3]
–
[4]
7 (10.9%)
[22] array · 5 items
[0]
Child-pugh score
[1]
[2]
[3]
[4]
[23] array · 5 items
[0]
A
[1]
204 (91.1%)
[2]
–
[3]
–
[4]
62 (96.9%)
[24] array · 5 items
[0]
B
[1]
20 (8.9%)
[2]
–
[3]
–
[4]
2 (3.1%)
[25] array · 5 items
[0]
Tumor size (cm)
[1]
[2]
[3]
[4]
[26] array · 5 items
[0]
≤ 5
[1]
–
[2]
153 (63.5%)
[3]
–
[4]
36 (56.3%)
[27] array · 5 items
[0]
> 5
[1]
–
[2]
88 (36.5%)
[3]
–
[4]
28 (43.7%)
[28] array · 5 items
[0]
Multinodular
[1]
[2]
[3]
[4]
[29] array · 5 items
[0]
No
[1]
–
[2]
190 (78.5%)
[3]
–
[4]
49 (76.6%)
[30] array · 5 items
[0]
Yes
[1]
–
[2]
52 (21.5%)
[3]
–
[4]
15 (23.4%)
[31] array · 5 items
[0]
Cirrhosis
[1]
[2]
[3]
[4]
[32] array · 5 items
[0]
Absent
[1]
–
[2]
19 (7.9%)
[3]
–
[4]
13 (20.3%)
[33] array · 5 items
[0]
Present
[1]
–
[2]
223 (92.1%)
[3]
–
[4]
51 (79.7%)
[34] array · 5 items
[0]
BCLC stage
[1]
[2]
[3]
[4]
[35] array · 5 items
[0]
0-A
[1]
–
[2]
172 (76.4%)
[3]
–
[4]
36 (56.3%)
[36] array · 5 items
[0]
B-C
[1]
–
[2]
53 (23.6%)
[3]
–
[4]
28 (43.7%)
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Description of 10 Metabolic-Related Genes Identified by LASSO Regression Analysis
structure object · 5 fields
pmcid
PMC8018394
section_index
12
section_title
Establishment of a Prognostic Metabolic-Related Gene Signature
row_count
11
column_count
3
table object · 8 fields
label
Table 2
caption
Description of 10 Metabolic-Related Genes Identified by LASSO Regression Analysis
rows array · 11 items
[0] array · 3 items
[0]
Gene
[1]
Coefficient
[2]
Description of the Encoded Protein
[1] array · 3 items
[0]
HEXB
[1]
0.006533217
[2]
The beta subunit of beta-hexosaminidase
[2] array · 3 items
[0]
CYP2C9
[1]
−0.000601418
[2]
A member of the cytochrome P450 superfamily
[3] array · 3 items
[0]
ATIC
[1]
0.02286243
[2]
A protein involved in the de novo purine biosynthesis
[4] array · 3 items
[0]
G6PD
[1]
0.001574899
[2]
Glucose-6-phosphate dehydrogenase
[5] array · 3 items
[0]
LPCAT1
[1]
0.008226413
[2]
A member of the 1-acyl-sn-glycerol-3-phosphate acyltransferase family
[6] array · 3 items
[0]
RRM1
[1]
0.02908161
[2]
The large and catalytic subunit of ribonucleotide reductase
[7] array · 3 items
[0]
RRM2
[1]
0.013628698
[2]
One of two non-identical subunits for ribonucleotide reductase
[8] array · 3 items
[0]
TXNRD1
[1]
0.012162138
[2]
A member of the pyridine nucleotide-disulfide oxidoreductase family
[9] array · 3 items
[0]
ME1
[1]
0.006466633
[2]
An enzyme that generates NADPH for fatty acid biosynthesis
[10] array · 3 items
[0]
ADH1C
[1]
−0.001026019
[2]
Class I alcohol dehydrogenase, gamma subunit
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Correlation of Risk Score with Clinicopathologic Characteristics of HCC Patients in the TCGA Cohort
structure object · 5 fields
pmcid
PMC8018394
section_index
13
section_title
The Risk-Stratification and Subtype-Identification Value of the Signature in HCC
row_count
23
column_count
4
table object · 8 fields
label
Table 3
caption
Correlation of Risk Score with Clinicopathologic Characteristics of HCC Patients in the TCGA Cohort
rows array · 23 items
[0] array · 3 items
[0]
Characteristics
[1]
TCGA Cohorta
[2]
P valueb
[1] array · 2 items
[0]
High Risk (n = 171)
[1]
Low Risk (n = 171)
[2] array · 4 items
[0]
Age (year)
[1]
[2]
[3]
0.692
[3] array · 3 items
[0]
≤ 50
[1]
35 (20.5%)
[2]
38 (22.2%)
[4] array · 3 items
[0]
> 50
[1]
136 (79.5%)
[2]
133 (77.8%)
[5] array · 4 items
[0]
Gender
[1]
[2]
[3]
0.908
[6] array · 3 items
[0]
Male
[1]
117 (68.4%)
[2]
116 (67.8%)
[7] array · 3 items
[0]
Female
[1]
54 (31.6%)
[2]
55 (32.2%)
[8] array · 4 items
[0]
TNM stage
[1]
[2]
[3]
0.001
[9] array · 3 items
[0]
Stage I–II
[1]
107 (66.0%)
[2]
131 (82.4%)
[10] array · 3 items
[0]
Stage III–IV
[1]
55 (34.0%)
[2]
28 (17.6%)
[11] array · 4 items
[0]
AFP (ng/mL)
[1]
[2]
[3]
0.071
[12] array · 3 items
[0]
≤ 300
[1]
89 (71.2%)
[2]
109 (80.7%)
[13] array · 3 items
[0]
> 300
[1]
36 (28.8%)
[2]
26 (19.3%)
[14] array · 4 items
[0]
Histologic grade
[1]
[2]
[3]
< 0.001
[15] array · 3 items
[0]
G1-2
[1]
90 (53.3%)
[2]
124 (73.8%)
[16] array · 3 items
[0]
G3-4
[1]
79 (46.7%)
[2]
44 (26.2%)
[17] array · 4 items
[0]
Vascular invasion
[1]
[2]
[3]
0.001
[18] array · 3 items
[0]
Absent
[1]
76 (55.5%)
[2]
111 (73.5%)
[19] array · 3 items
[0]
Present
[1]
61 (44.5%)
[2]
40 (26.5%)
[20] array · 4 items
[0]
Child-pugh score
[1]
[2]
[3]
0.546
[21] array · 3 items
[0]
A
[1]
96 (92.3%)
[2]
108 (90.0%)
[22] array · 3 items
[0]
B
[1]
8 (7.7%)
[2]
12 (10.0%)
locator
section[13]/table-wrap[1]#t0003
gaps array · 2 items
[0]
asset:data:geo:GSE14520 not downloaded
[1]
asset:data:geo:GSE14520 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
The least absolute shrinkage and selection operator (LASSO) COX regression analysis was then conducted to construct the prognostic signature with 1000-fold cross-validation using the “glmnet” package in R software.
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id
method-2
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regression_modelling
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Regression modelling
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[0]
glm_logit_fit
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predictors_and_outcome
evidence object · 3 fields
score
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logistic regression
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id
method-3
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diagnostic_evaluation
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roc
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Diagnostic test evaluation
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[0]
confusion_counts
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roc_curve
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sensitivity_specificity
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solve_confusion_matrix
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classification_metrics
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reference_standard_and_test
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score
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ROC curve
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method-4
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model_calibration
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Model calibration / clinical utility
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Categorical (contingency table) analysis
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state
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[0] object · 6 fields
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capability:computational_analysis
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meta_analysis
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survival_analysis
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statistical_regression
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pca
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molecular_docking
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network_analysis
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differential_expression
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gwas
candidate
Automated Assays Laravel application and simulated adapters
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readiness object · 8 fields
state
complete
tier
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blocked_on
nothing:replicable_now
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method object · 5 fields
tier
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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
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accessions array · 1 item
[0]
GSE14520
resolved_accessions array · 1 item
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GSE14520
statements array · 1 item
[0]
Gene expression and clinical information of TCGA cohort were acquired from Genomic Data Commons Data Portal and cBioPortal for Cancer Genomics, respectively.
basis
The paper names GSE14520 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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minimax
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minimax
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The least absolute shrinkage and selection operator (LASSO) COX regression analysis was then conducted to construct the prognostic signature with 1000-fold cross-validation using the “glmnet” package in R software.
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Complete file
{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:33824863", "kind": "science-record", "revision": 8, "content_hash": "sha256:4600672d9aaeca75f150104109c5ad695a20ad9f2a2d498b13b3b7d34128f3dd", "created_at": "2026-11-01T15:41:31Z", "updated_at": "2026-11-01T22:03:29Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Development and Validation of a Metabolic Gene-Based Prognostic Signature for Hepatocellular Carcinoma.", "doi": "10.2147/JHC.S300633", "pmid": "33824863", "authors": ["Jialei Weng", "Chenhao Zhou", "Qiang Zhou", "Wanyong Chen", "Yirui Yin", "Manar Atyah", "Qiongzhu Dong", "Yi Shi", "Ning Ren"], "journal": "Journal of hepatocellular carcinoma", "year": 2021, "abstract": "BACKGROUND: Hepatocellular carcinoma (HCC) is a malignant tumor with great variation in prognosis among individuals. Changes in metabolism influence disease progression and clinical outcomes. The objective of this study was to determine the overall survival (OS) risk of HCC patients from a metabolic perspective.\nPATIENTS AND METHODS: The model was constructed using the least absolute shrinkage and selection operator (LASSO) COX regression based on The Cancer Genome Atlas (TCGA, n=342) dataset. The International Cancer Genome Consortium (ICGC, n=232), GSE14520 (n=242) datasets, and a clinical cohort (n=64) were then used to assess the prognostic value of the signature.\nRESULTS: A 10 metabolic gene-based signature was constructed and verified as a robust and independent prognostic classifier in public and real-world validation cohorts. Meanwhile, the signature enabled the identification of HCC molecular subtypes, yielding an AUC value of 0.678 [95% CI: 0.592-0.763]. Besides, the signature was associated with metabolic processes like glycolysis, supported by a clear correlation between the risk score and expression of rate-limiting enzymes. Furthermore, high-risk tumor was likely to have a high tumor infiltration status of immunosuppressive cells, as well as elevated expression of some immune checkpoint molecules. For final clinical translation, a nomogram integrating the signature and tumor stage was established, and showed improved predictive accuracy of 3- and 5-year OS and brought more net benefit to patients.\nCONCLUSION: We developed a prognostic signature based on 10 metabolic genes, which has proven to be an independent and reliable prognostic predictor for HCC and reflects the metabolic and immune characteristics of tumors.", "claims": [{"id": "claim-method", "statement": "The least absolute shrinkage and selection operator (LASSO) COX regression analysis was then conducted to construct the prognostic signature with 1000-fold cross-validation using the “glmnet” package in R software.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:33824863", "locator": "sections[6] \"Construction of the Prognostic Metabolic-Related Gene Signature\" paragraph 2", "quote": "The least absolute shrinkage and selection operator (LASSO) COX regression analysis was then conducted to construct the prognostic signature with 1000-fold cross-validation using the “glmnet” package in R software."}], "state": "complete"}, {"id": "claim-data-access", "statement": "Gene expression and clinical information of TCGA cohort were acquired from Genomic Data Commons Data Portal and cBioPortal for Cancer Genomics, respectively.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:33824863", "locator": "sections[3] \"Data Collection\" paragraph 2", "quote": "Gene expression and clinical information of TCGA cohort were acquired from Genomic Data Commons Data Portal and cBioPortal for Cancer Genomics, respectively."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "complete", "objective": null, "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:33824863"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "complete", "blocked_on": null, "description": "The GEO series accession resolves and its sample accessions are listed. This lane did not download the dataset or read its licence.", "duration_hours": null, "parameters": {}, "inputs": ["data:geo:GSE14520"], "outputs": ["the source data with its repository provenance"], "instruments": [], "reagents": []}, {"id": "run_analysis", "order": 3, "name": "Run the published analysis", "kind": "analysis", "state": "complete", "blocked_on": null, "description": "Apply the paper's statistical method to the resolved series and compare the result with the published target.", "duration_hours": null, "parameters": {}, "inputs": ["data:geo:GSE14520"], "outputs": ["the replicated result and its comparison"], "instruments": [], "reagents": []}], "materials": [], "instruments": [], "reagents": [], "conditions": {}, "gaps": []}, "data": {"state": "partial", "assets": [{"id": "source:pmid:33824863", "role": "manuscript", "format": "xml", "media_type": "application/xml", "uri": "https://doi.org/10.2147/JHC.S300633", "sha256": 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Cohort"], ["Samples sizea", "342", "242", "232", "64"], ["Median OS (year)", "1.61 (0.08–10.07)", "4.24 (0.15–5.54)", "2.14 (0.03–5.92)", "4.77 (0.47–5.10)"], ["Number of deaths", "119 (34.8%)", "96 (39.7%)", "43 (18.5%)", "35 (54.7%)"], ["Age (year)", "", "", "", ""], ["≤ 50", "73 (21.3%)", "125 (51.7%)", "17 (7.3%)", "19 (29.7%)"], ["> 50", "269 (78.7%)", "117 (48.3%)", "215 (92.7%)", "45 (70.3%)"], ["Gender", "", "", "", ""], ["Male", "233 (68.1%)", "211 (87.2%)", "171 (73.7%)", "60 (93.8%)"], ["Female", "109 (31.9%)", "31 (12.8%)", "61 (26.3%)", "4 (6.2%)"], ["TNM stage", "", "", "", ""], ["Stage I–II", "238 (74.1%)", "174 (77.3%)", "142 (61.2%)", "51 (79.7%)"], ["Stage III–IV", "83 (25.9%)", "51 (22.7%)", "90 (38.8%)", "13 (20.3%)"], ["AFP (ng/mL)", "", "", "", ""], ["≤ 300", "198 (76.2%)", "–", "–", "34 (53.1%)"], ["> 300", "62 (23.8%)", "–", "–", "30 (46.9%)"], ["Histologic grade", "", "", "", ""], ["G1-2", "214 (63.5%)", "–", "–", "39 (60.9%)"], ["G3-4", "123 (36.5%)", "–", 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"jats-table", "media_type": "application/vnd.jats.table+json", "uri": null, "sha256": "sha256:fb0fd900b3487912c5383dd8e85787f5473dbf5de6b162952b59b8c01858cc13", "bytes": 1090, "access": "open", "state": "verified", "reader": "read_table", "reader_status": "available", "identifier": "section[12]/table-wrap[2]#t0002", "version": null, "note": "Description of 10 Metabolic-Related Genes Identified by LASSO Regression Analysis", "structure": {"pmcid": "PMC8018394", "section_index": 12, "section_title": "Establishment of a Prognostic Metabolic-Related Gene Signature", "row_count": 11, "column_count": 3}, "table": {"label": "Table 2", "caption": "Description of 10 Metabolic-Related Genes Identified by LASSO Regression Analysis", "rows": [["Gene", "Coefficient", "Description of the Encoded Protein"], ["HEXB", "0.006533217", "The beta subunit of beta-hexosaminidase"], ["CYP2C9", "−0.000601418", "A member of the cytochrome P450 superfamily"], ["ATIC", "0.02286243", "A protein involved in the de novo purine biosynthesis"], ["G6PD", "0.001574899", "Glucose-6-phosphate dehydrogenase"], ["LPCAT1", "0.008226413", "A member of the 1-acyl-sn-glycerol-3-phosphate acyltransferase family"], ["RRM1", "0.02908161", "The large and catalytic subunit of ribonucleotide reductase"], ["RRM2", "0.013628698", "One of two non-identical subunits for ribonucleotide reductase"], ["TXNRD1", "0.012162138", "A member of the pyridine nucleotide-disulfide oxidoreductase family"], ["ME1", "0.006466633", "An enzyme that generates NADPH for fatty acid biosynthesis"], ["ADH1C", "−0.001026019", "Class I alcohol dehydrogenase, gamma subunit"]], "row_count": 11, "column_count": 3, "numeric_cells": 13, "header_rows": 1, "locator": "section[12]/table-wrap[2]#t0002"}}, {"id": "asset:table:pmid:33824863:3", "role": "table", "format": "jats-table", "media_type": "application/vnd.jats.table+json", "uri": null, "sha256": "sha256:97d0a6002c6263963bd953ab8d21caf848166efd26f3c806207ab06a90c14a33", "bytes": 1085, "access": "open", "state": "verified", "reader": "read_table", "reader_status": "available", "identifier": "section[13]/table-wrap[1]#t0003", "version": null, "note": "Correlation of Risk Score with Clinicopathologic Characteristics of HCC Patients in the TCGA Cohort", "structure": {"pmcid": "PMC8018394", "section_index": 13, "section_title": "The Risk-Stratification and Subtype-Identification Value of the Signature in HCC", "row_count": 23, "column_count": 4}, "table": {"label": "Table 3", "caption": "Correlation of Risk Score with Clinicopathologic Characteristics of HCC Patients in the TCGA Cohort", "rows": [["Characteristics", "TCGA Cohorta", "P valueb"], ["High Risk (n = 171)", "Low Risk (n = 171)"], ["Age (year)", "", "", "0.692"], ["≤ 50", "35 (20.5%)", "38 (22.2%)"], ["> 50", "136 (79.5%)", "133 (77.8%)"], ["Gender", "", "", "0.908"], ["Male", "117 (68.4%)", "116 (67.8%)"], ["Female", "54 (31.6%)", "55 (32.2%)"], ["TNM stage", "", "", "0.001"], ["Stage I–II", "107 (66.0%)", 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