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pmid:34247148

Clinical significance and prognostic role of an immune-related gene signature in gastric adenocarcinoma.

Rui Mao · Kehao Liu · Nana Zhao · Pengsen Guo · Yingxin Wu · Zheng Wang · Yanjun Liu · Tongtong Zhang

Aging · 2021 doi:10.18632/aging.203266

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Experiment

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Data

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title
Clinical significance and prognostic role of an immune-related gene signature in gastric adenocarcinoma.
doi
10.18632/aging.203266
pmid
34247148
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Rui Mao
[1]
Kehao Liu
[2]
Nana Zhao
[3]
Pengsen Guo
[4]
Yingxin Wu
[5]
Zheng Wang
[6]
Yanjun Liu
[7]
Tongtong Zhang
journal
Aging
year
2021
abstract
Limited progress has been made in the treatment of gastric adenocarcinoma (GAC) in recent years, but the potential of immunotherapy in GAC is worthy of consideration. The purpose of this study was to develop a reliable, personalized signature based on immune genes to predict the prognosis of GAC. Here, we identified two groups of patients with significantly different prognoses by performing unsupervised clustering analysis of The Cancer Genome Atlas (TCGA) database based on 881 immune genes. The immune signature was constructed with a training set composed of 350 GAC samples from the TCGA and subsequently validated with 431 samples from GSE84437, 432 samples from GSE26253, and 145 GAC samples from real-time quantitative reverse transcription polymerase chain reaction data. This classification system can also be used to predict prognosis in different clinical subgroups. Further analysis suggested that high-risk patients were characterized by low immune scores, distinctive immune cell proportions, different immune checkpoint profiles, and a low tumor mutational burden. Ultimately, the signature was identified as an independent prognostic factor. In general, the signature can accurately predict recurrence and overall survival in patients with GAC and may serve as a powerful prognostic tool to further optimize cancer immunotherapy.
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The data obtained from the TCGA and GEO datasets in this study are publicly available. Our research has been approved by the Institute of Oncology / Hospital Ethics Committee / Institutional Review Committee of Peking Union Medical College and the Chinese Academy of Medical Sciences (approval no. NCC2013RE-025).
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[56]
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[63]
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[65]
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[66]
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[67]
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[68]
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[69]
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[70]
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[71]
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[72]
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[73]
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[74]
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[75]
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[76]
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[77]
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[78]
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[80]
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[81]
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[162]
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[163]
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[290]
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[291]
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[292]
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[293]
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[294]
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[295]
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[298]
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[299]
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[300]
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[302]
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[304]
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[310]
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[311]
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[312]
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[313]
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[314]
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[315]
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[316]
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[318]
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[319]
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[320]
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[324]
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[326]
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[327]
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[328]
GSM2235987
[329]
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[330]
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[332]
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[333]
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[334]
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[335]
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[336]
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[337]
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[338]
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[339]
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[340]
GSM2236001
[341]
GSM2236002
[342]
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[343]
GSM2236004
[344]
GSM2236005
[345]
GSM2236006
[346]
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[347]
GSM2236008
[348]
GSM2236009
[349]
GSM2236010
[350]
GSM2236011
[351]
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[352]
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[353]
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[354]
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[355]
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[356]
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[357]
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[358]
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[359]
GSM2236020
[360]
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[361]
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[362]
GSM2236023
[363]
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[364]
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[365]
GSM2236026
[366]
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[367]
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[368]
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[369]
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[370]
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[371]
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[377]
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[384]
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[387]
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[399]
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[400]
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[401]
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[406]
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sample_count
483
group_sizes
null
group_sizes_basis
null
platform
6947
taxon
Homo sapiens
title
Molecular subtypes in gastric cancer.
resolution_checked_at
2026-11-01T15:39:55Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
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[3] object · 16 fields
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asset:table:pmid:34247148:1
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jats-table
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application/vnd.jats.table+json
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null
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sha256:2038c7a4c939548565eae661d5c30b20ea9a9f7a8e9a91a6194652c9afc35308
bytes
2001
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open
state
verified
reader
read_table
reader_status
available
identifier
section[2]/table-wrap[1]#t1
version
null
note
Clinical information on patients in the training dataset, internal validation dataset and entire validation dataset.
structure object · 5 fields
pmcid
PMC8312416
section_index
2
section_title
RESULTS
row_count
45
column_count
5
table object · 8 fields
label
Table 1
caption
Clinical information on patients in the training dataset, internal validation dataset and entire validation dataset.
rows array · 45 items
[0] array · 5 items
[0]
Characteristic
[1]
Training datasetTCGA-STAD (n=350)
[2]
Validation datasetGSE84437 (n=431)
[3]
Validation datasetGSE26253 (n=432)
[4]
Independent dataset (n=145)
[1] array · 5 items
[0]
Age (y)
[1]
[2]
[3]
[4]
[2] array · 5 items
[0]
<62
[1]
150
[2]
213
[3]
-
[4]
53
[3] array · 5 items
[0]
≥62
[1]
197
[2]
218
[3]
-
[4]
59
[4] array · 5 items
[0]
Not available
[1]
3
[2]
-
[3]
-
[4]
-
[5] array · 5 items
[0]
Sex
[1]
[2]
[3]
[4]
[6] array · 5 items
[0]
Male
[1]
226
[2]
294
[3]
-
[4]
85
[7] array · 5 items
[0]
Female
[1]
124
[2]
137
[3]
-
[4]
27
[8] array · 5 items
[0]
Survival status
[1]
[2]
[3]
[4]
[9] array · 5 items
[0]
Alive (no recurrence)
[1]
208
[2]
224
[3]
255
[4]
67
[10] array · 5 items
[0]
Dead (recurrence)
[1]
142
[2]
207
[3]
177
[4]
45
[11] array · 5 items
[0]
pT stage
[1]
[2]
[3]
[4]
[12] array · 5 items
[0]
T1 (T1; T1a; T1b)
[1]
16 (5; 2; 9)
[2]
11
[3]
-
[4]
15 (0; 10; 5)
[13] array · 5 items
[0]
T2 (T2; T2a; T2b)
[1]
74 (55; 7; 12)
[2]
38
[3]
-
[4]
14
[14] array · 5 items
[0]
T3
[1]
161
[2]
92
[3]
-
[4]
2
[15] array · 5 items
[0]
T4 (T4; T4a; T4b)
[1]
95 (28; 45; 22)
[2]
290
[3]
-
[4]
81 (0; 48; 33)
[16] array · 5 items
[0]
TX
[1]
4
[2]
-
[3]
-
[4]
-
[17] array · 5 items
[0]
pN stage
[1]
[2]
[3]
[4]
[18] array · 5 items
[0]
N0
[1]
103
[2]
80
[3]
-
[4]
47
[19] array · 5 items
[0]
N1
[1]
93
[2]
187
[3]
-
[4]
37
[20] array · 5 items
[0]
N2
[1]
72
[2]
132
[3]
-
[4]
24
[21] array · 5 items
[0]
N3 (N3; N3a; N3b)
[1]
71 (25; 40; 6)
[2]
32
[3]
-
[4]
4
[22] array · 5 items
[0]
NX
[1]
11
[2]
-
[3]
-
[4]
-
[23] array · 5 items
[0]
M
[1]
[2]
[3]
[4]
[24] array · 5 items
[0]
M0
[1]
312
[2]
-
[3]
-
[4]
106
[25] array · 5 items
[0]
M1
[1]
23
[2]
-
[3]
-
[4]
6
[26] array · 5 items
[0]
Not available
[1]
15
[2]
-
[3]
-
[4]
-
[27] array · 5 items
[0]
AJCC stage
[1]
[2]
[3]
[4]
[28] array · 5 items
[0]
Stage I (I; IA; IB)
[1]
46 (1; 12; 33)
[2]
-
[3]
68
[4]
26 (0; 15; 11)
[29] array · 5 items
[0]
Stage II (II; IIA; IIB)
[1]
110 (27; 34; 49)
[2]
-
[3]
167
[4]
19 (0; 4; 15)
[30] array · 5 items
[0]
Stage III (III; IIIA; IIIB; IIIC)
[1]
145 (3; 58; 51; 33)
[2]
-
[3]
111 (IIIA); 19 (IIIB)
[4]
61 (0; 37; 23; 1)
[31] array · 5 items
[0]
Stage IV
[1]
35
[2]
-
[3]
67
[4]
6
[32] array · 5 items
[0]
Not available
[1]
14
[2]
-
[3]
-
[4]
-
[33] array · 5 items
[0]
Grade
[1]
[2]
[3]
[4]
[34] array · 5 items
[0]
1
[1]
9
[2]
-
[3]
-
[4]
6
[35] array · 5 items
[0]
2
[1]
125
[2]
-
[3]
-
[4]
29
[36] array · 5 items
[0]
3
[1]
207
[2]
-
[3]
-
[4]
77
[37] array · 5 items
[0]
Not available
[1]
9
[2]
-
[3]
-
[4]
-
[38] array · 5 items
[0]
Histological type
[1]
[2]
[3]
[4]
[39] array · 5 items
[0]
Signet ring cell type
[1]
11
[2]
-
[3]
-
[4]
-
[40] array · 5 items
[0]
Diffuse type
[1]
61
[2]
-
[3]
-
[4]
-
[41] array · 5 items
[0]
Mucinous type
[1]
19
[2]
-
[3]
-
[4]
-
[42] array · 5 items
[0]
Papillary type
[1]
5
[2]
-
[3]
-
[4]
-
[43] array · 5 items
[0]
Tubular type
[1]
67
[2]
-
[3]
-
[4]
-
[44] array · 5 items
[0]
NOS
[1]
187
[2]
-
[3]
-
[4]
-
locator
section[2]/table-wrap[1]#t1
[4] object · 16 fields
id
asset:table:pmid:34247148:2
role
table
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jats-table
media_type
application/vnd.jats.table+json
uri
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Univariable and multivariable Cox regression analyses of the IBPS and correlations with OS in the TCGA cohort.
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The IBPS is an independent risk factor for GAC patients
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Table 2
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Univariable and multivariable Cox regression analyses of the IBPS and correlations with OS in the TCGA cohort.
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0.0170
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Univariable and multivariable Cox regression analyses of the IBPS and correlations with OS in the GSE84437 cohort.
structure object · 5 fields
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The IBPS is an independent risk factor for GAC patients
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Table 3
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Univariable and multivariable Cox regression analyses of the IBPS and correlations with OS in the GSE84437 cohort.
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The data obtained from the TCGA and GEO datasets in this study are publicly available. Our research has been approved by the Institute of Oncology / Hospital Ethics Committee / Institutional Review Committee of Peking Union Medical College and the Chinese Academy of Medical Sciences (approval no. NCC2013RE-025).
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:34247148", "kind": "science-record", "revision": 7, "content_hash": "sha256:d63877cd8cd7bc0fe3114b1be03a5f6640f709ee46e795c185046f7865fa4901", "created_at": "2026-11-01T15:41:42Z", "updated_at": "2026-11-01T22:04:10Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Clinical significance and prognostic role of an immune-related gene signature in gastric adenocarcinoma.", "doi": "10.18632/aging.203266", "pmid": "34247148", "authors": ["Rui Mao", "Kehao Liu", "Nana Zhao", "Pengsen Guo", "Yingxin Wu", "Zheng Wang", "Yanjun Liu", "Tongtong Zhang"], "journal": "Aging", "year": 2021, "abstract": "Limited progress has been made in the treatment of gastric adenocarcinoma (GAC) in recent years, but the potential of immunotherapy in GAC is worthy of consideration. The purpose of this study was to develop a reliable, personalized signature based on immune genes to predict the prognosis of GAC. Here, we identified two groups of patients with significantly different prognoses by performing unsupervised clustering analysis of The Cancer Genome Atlas (TCGA) database based on 881 immune genes. The immune signature was constructed with a training set composed of 350 GAC samples from the TCGA and subsequently validated with 431 samples from GSE84437, 432 samples from GSE26253, and 145 GAC samples from real-time quantitative reverse transcription polymerase chain reaction data. This classification system can also be used to predict prognosis in different clinical subgroups. Further analysis suggested that high-risk patients were characterized by low immune scores, distinctive immune cell proportions, different immune checkpoint profiles, and a low tumor mutational burden. Ultimately, the signature was identified as an independent prognostic factor. In general, the signature can accurately predict recurrence and overall survival in patients with GAC and may serve as a powerful prognostic tool to further optimize cancer immunotherapy.", "claims": [{"id": "claim-data-access", "statement": "The data obtained from the TCGA and GEO datasets in this study are publicly available. Our research has been approved by the Institute of Oncology / Hospital Ethics Committee / Institutional Review Committee of Peking Union Medical College and the Chinese Academy of Medical Sciences (approval no. NCC2013RE-025).", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:34247148", "locator": "sections[24] \"Data availability statement\" paragraph 2", "quote": "The data obtained from the TCGA and GEO datasets in this study are publicly available. 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