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pmid:34248641

Unsupervised Hierarchical Clustering Identifies Immune Gene Subtypes in Gastric Cancer.

Jing Cao · Jiao Gong · Xinhua Li · Zhaoxia Hu · Yingjun Xu · Hong Shi · Danyang Li · Guangjian Liu · Yusheng Jie · Bo Hu · Yutian Chong

Frontiers in pharmacology · 2021 doi:10.3389/fphar.2021.692454

Paper

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Experiment

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Data

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title
Unsupervised Hierarchical Clustering Identifies Immune Gene Subtypes in Gastric Cancer.
doi
10.3389/fphar.2021.692454
pmid
34248641
authors array · 11 items
[0]
Jing Cao
[1]
Jiao Gong
[2]
Xinhua Li
[3]
Zhaoxia Hu
[4]
Yingjun Xu
[5]
Hong Shi
[6]
Danyang Li
[7]
Guangjian Liu
[8]
Yusheng Jie
[9]
Bo Hu
[10]
Yutian Chong
journal
Frontiers in pharmacology
year
2021
abstract
Objectives: The pathogenesis of heterogeneity in gastric cancer (GC) is not clear and presents as a significant obstacle in providing effective drug treatment. We aimed to identify subtypes of GC and explore the underlying pathogenesis. Methods: We collected two microarray datasets from GEO (GSE84433 and GSE84426), performed an unsupervised cluster analysis based on gene expression patterns, and identified related immune and stromal cells. Then, we explored the possible molecular mechanisms of each subtype by functional enrichment analysis and identified related hub genes. Results: First, we identified three clusters of GC by unsupervised hierarchical clustering, with average silhouette width of 0.96, and also identified their related representative genes and immune cells. We validated our findings using dataset GSE84426. Subtypes associated with the highest mortality (subtype 2 in the training group and subtype C in the validation group) showed high expression of SPARC, COL3A1, and CCN. Both subtypes also showed high infiltration of fibroblasts, endothelial cells, hematopoietic stem cells, and a high stromal score. Furthermore, subtypes with the best prognosis (subtype 3 in the training group and subtype A in the validation group) showed high expression of FGL2, DLGAP1-AS5, and so on. Both subtypes also showed high infiltration of CD4+ T cells, CD8+ T cells, NK cells, pDC, macrophages, and CD4+ T effector memory cells. Conclusion: We found that GC can be classified into three subtypes based on gene expression patterns and cell composition. Findings of this study help us better understand the tumor microenvironment and immune milieu associated with heterogeneity in GC and provide practical information to guide personalized treatment.
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Then, the clustering method, consensus nonnegative matrix factorization (NMF), was used to identify different subtypes.
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Then, the clustering method, consensus nonnegative matrix factorization (NMF), was used to identify different subtypes.
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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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Analysis of the clinical characteristics of the three subtypes from the training dataset.
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12
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Correlation Between Clinical Characteristics and GC Subtypes
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TABLE 1
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Analysis of the clinical characteristics of the three subtypes from the training dataset.
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61 (59.2)
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66.89 (50.05)
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87.33 (47.65)
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56.88 (12.44)
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58.95 (11.39)
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Analysis of the clinical characteristics of the three subtypes from the validation dataset.
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14
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Differential Genes and Immune Cell Analysis of Validation Set
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TABLE 2
caption
Analysis of the clinical characteristics of the three subtypes from the validation dataset.
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A (n = 36)
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B (n = 10)
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P value
[1] array · 5 items
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Status
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Death (%)
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0.60 (0.50)
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Overall survival time (mean; SD) (month)
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64.06 (24.57)
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39.10 (32.13)
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46.53 (27.88)
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0.008
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65.64 (9.09)
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64.70 (15.17)
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58.33 (14.19)
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0.050
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26 (72.2)
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9 (90.0)
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19 (63.3)
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0.267
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0.017
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Then, the clustering method, consensus nonnegative matrix factorization (NMF), was used to identify different subtypes.
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Method Patients and Gene Expression Microarray Data Acquisition The National Center for Bio
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roughput gene expression sequencing data and microarray data. Gene expression profile of GSE84433 ba
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:34248641", "kind": "science-record", "revision": 7, "content_hash": "sha256:272ee1fde2e9ff83c2de740c6a3c292032c57a06a05ed10ea2954ec684b5b6f8", "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": "Unsupervised Hierarchical Clustering Identifies Immune Gene Subtypes in Gastric Cancer.", "doi": "10.3389/fphar.2021.692454", "pmid": "34248641", "authors": ["Jing Cao", "Jiao Gong", "Xinhua Li", "Zhaoxia Hu", "Yingjun Xu", "Hong Shi", "Danyang Li", "Guangjian Liu", "Yusheng Jie", "Bo Hu", "Yutian Chong"], "journal": "Frontiers in pharmacology", "year": 2021, "abstract": "Objectives: The pathogenesis of heterogeneity in gastric cancer (GC) is not clear and presents as a significant obstacle in providing effective drug treatment. We aimed to identify subtypes of GC and explore the underlying pathogenesis. Methods: We collected two microarray datasets from GEO (GSE84433 and GSE84426), performed an unsupervised cluster analysis based on gene expression patterns, and identified related immune and stromal cells. Then, we explored the possible molecular mechanisms of each subtype by functional enrichment analysis and identified related hub genes. Results: First, we identified three clusters of GC by unsupervised hierarchical clustering, with average silhouette width of 0.96, and also identified their related representative genes and immune cells. We validated our findings using dataset GSE84426. Subtypes associated with the highest mortality (subtype 2 in the training group and subtype C in the validation group) showed high expression of SPARC, COL3A1, and CCN. Both subtypes also showed high infiltration of fibroblasts, endothelial cells, hematopoietic stem cells, and a high stromal score. Furthermore, subtypes with the best prognosis (subtype 3 in the training group and subtype A in the validation group) showed high expression of FGL2, DLGAP1-AS5, and so on. Both subtypes also showed high infiltration of CD4+ T cells, CD8+ T cells, NK cells, pDC, macrophages, and CD4+ T effector memory cells. Conclusion: We found that GC can be classified into three subtypes based on gene expression patterns and cell composition. Findings of this study help us better understand the tumor microenvironment and immune milieu associated with heterogeneity in GC and provide practical information to guide personalized treatment.", "claims": [{"id": "claim-method", "statement": "Then, the clustering method, consensus nonnegative matrix factorization (NMF), was used to identify different subtypes.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:34248641", "locator": "sections[4] \"Unsupervised Cluster Analysis\" paragraph 2", "quote": "Then, the clustering method, consensus nonnegative matrix factorization (NMF), was used to identify different subtypes."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The datasets presented in this study can be found in online repositories. 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