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pmid:34285836

Identification of a circadian gene signature that predicts overall survival in lung adenocarcinoma.

Xinliang Gao · Mingbo Tang · Suyan Tian · Jialin Li · Wei Liu

PeerJ · 2021 doi:10.7717/peerj.11733

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title
Identification of a circadian gene signature that predicts overall survival in lung adenocarcinoma.
doi
10.7717/peerj.11733
pmid
34285836
authors array · 5 items
[0]
Xinliang Gao
[1]
Mingbo Tang
[2]
Suyan Tian
[3]
Jialin Li
[4]
Wei Liu
journal
PeerJ
year
2021
abstract
BACKGROUND: Lung adenocarcinoma (LUAD) is one of the most common subtypes of lung cancer which is the leading cause of death in cancer patients. Circadian clock disruption has been listed as a likely carcinogen. However, whether the expression of circadian genes affects overall survival (OS) in LUAD patients remains unknown. In this article, we identified a circadian gene signature to predict overall survival in LUAD. METHODS: RNA sequencing (HTSeq-FPKM) data and clinical characteristics were obtained for a cohort of LUAD patients from The Cancer Genome Atlas (TCGA). A multigene signature based on differentially expressed circadian clock-related genes was generated for the prediction of OS using Least Absolute Shrinkage and Selection Operator (LASSO)-penalized Cox regression analysis, and externally validated using the GSE72094 dataset from the GEO database. RESULTS: Five differentially expressed genes (DEGs) were identified to be significantly associated with OS using univariate Cox proportional regression analysis (P < 0.05). Patients classified as high risk based on these five DEGs had significantly lower OS than those classified as low risk in both the TGCA cohort and GSE72094 dataset (P < 0.001). Multivariate Cox regression analysis revealed that the five-gene-signature based risk score was an independent predictor of OS (hazard ratio > 1, P < 0.001). Receiver operating characteristic (ROC) curves confirmed its prognostic value. Gene set enrichment analysis (GSEA) showed that Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways related to cell proliferation, gene damage repair, proteasomes, and immune and autoimmune diseases were significantly enriched. CONCLUSION: A novel circadian gene signature for OS in LUAD was found to be predictive in both the derivation and validation cohorts. Targeting circadian genes is a potential therapeutic option in LUAD.
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A multigene signature based on differentially expressed circadian clock-related genes was generated for the prediction of OS using Least Absolute Shrinkage and Selection Operator (LASSO)-penalized Cox regression analysis, and externally validated using the GSE72094 dataset from the GEO database.
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A multigene signature based on differentially expressed circadian clock-related genes was generated for the prediction of OS using Least Absolute Shrinkage and Selection Operator (LASSO)-penalized Cox regression analysis, and externally validated using the GSE72094 dataset from the GEO database.
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The following information was supplied regarding data availability:Data is available at TCGA-LUAD (https://portal.gdc.cancer.gov/repository), and at NCBI GEO: GSE72094.
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sections[21] "Data Availability" paragraph 2
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The following information was supplied regarding data availability:Data is available at TCGA-LUAD (https://portal.gdc.cancer.gov/repository), and at NCBI GEO: GSE72094.
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65.1 (33–88)
[2]
69.7 (41–89)
[3]
P < 0.01
[3] array · 4 items
[0]
Gender (%) Female Male
[1]
257 (54.8%) 212 (45.2%)
[2]
172 (52.4%) 156 (47.6%)
[3]
P = 0.559
[4] array · 4 items
[0]
TNM Stage I II III IV
[1]
257 (54.8%) 112 (23.9%) 75 (16.0%) 25 (5.3%)
[2]
218 (66.5%) 53 (16.2%) 46 (14.0%) 11 (3.4%)
[3]
P = 0.007
[5] array · 4 items
[0]
Smoking history Non-smoker Smoker
[1]
69 (14.7%) 400 (85.3%)
[2]
30 (9.1%) 298 (90.9%)
[3]
P = 0.025
[6] array · 4 items
[0]
Median OS (days)
[1]
629
[2]
842
[3]
P = 0.034
locator
section[8]/table-wrap[1]#table-1
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asset:table:pmid:34285836:2
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jats-table
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application/vnd.jats.table+json
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read_table
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note
Risk factors affecting OS in the TCGA LUAD cohort and GSE72094.
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pmcid
PMC8272922
section_index
12
section_title
Prognostic value of the five-gene-signature based risk score
row_count
8
column_count
13
table object · 8 fields
label
Table 2
caption
Risk factors affecting OS in the TCGA LUAD cohort and GSE72094.
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[0] array · 3 items
[0]
Factors
[1]
TCGA LUAD
[2]
GSE72094
[1] array · 5 items
[0]
[1]
Univariate
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Multivariate
[3]
Univariate
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Multivariate
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[1]
HR
[2]
95% CI
[3]
P
[4]
HR
[5]
95% CI
[6]
P
[7]
HR
[8]
95% CI
[9]
P
[10]
HR
[11]
95% CI
[12]
P
[3] array · 13 items
[0]
Age
[1]
1.01
[2]
0.99–1.02
[3]
0.302
[4]
1.02
[5]
1.00–1.03
[6]
0.026
[7]
1.01
[8]
0.98–1.03
[9]
0.533
[10]
1.00
[11]
0.98–1.02
[12]
0.973
[4] array · 13 items
[0]
Gender
[1]
1.12
[2]
0.83–1.52
[3]
0.458
[4]
1.09
[5]
0.79–1.49
[6]
0.606
[7]
1.99
[8]
1.30–3.05
[9]
0.002
[10]
2.32
[11]
1.49–3.62
[12]
0.000
[5] array · 13 items
[0]
Stage
[1]
1.61
[2]
1.39–1.85
[3]
0.000
[4]
1.59
[5]
1.37–1.84
[6]
0.000
[7]
1.70
[8]
1.40–2.07
[9]
0.000
[10]
1.86
[11]
1.52–2.29
[12]
0.000
[6] array · 13 items
[0]
Smoking
[1]
0.91
[2]
0.60–1.38
[3]
0.655
[4]
0.81
[5]
0.53–1.26
[6]
0.351
[7]
1.31
[8]
0.57–3.01
[9]
0.523
[10]
0.87
[11]
0.37–2.03
[12]
0.750
[7] array · 13 items
[0]
Risk score
[1]
3.37
[2]
2.20–5.17
[3]
0.000
[4]
3.53
[5]
2.26–5.49
[6]
0.000
[7]
2.16
[8]
1.39–3.36
[9]
0.001
[10]
2.20
[11]
1.41–3.41
[12]
0.000
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section[12]/table-wrap[1]#table-2
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version
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note
GSEA of DEGs between high-risk group and low-risk group with KEGG pathways.
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pmcid
PMC8272922
section_index
13
section_title
Enrichment analysis in the TGCA LUAD cohort
row_count
21
column_count
4
table object · 8 fields
label
Table 3
caption
GSEA of DEGs between high-risk group and low-risk group with KEGG pathways.
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[0] array · 4 items
[0]
KEGG pathway
[1]
NES
[2]
NOM p-val
[3]
FDR q-val
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[0]
PYRIMIDINE_METABOLISM
[1]
2.17
[2]
0.000
[3]
0.000
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CELL_CYCLE
[1]
2.11
[2]
0.000
[3]
0.003
[3] array · 4 items
[0]
SPLICEOSOME
[1]
2.08
[2]
0.000
[3]
0.005
[4] array · 4 items
[0]
PROTEASOME
[1]
2.05
[2]
0.000
[3]
0.006
[5] array · 4 items
[0]
BASE_EXCISION_REPAIR
[1]
2.02
[2]
0.000
[3]
0.009
[6] array · 4 items
[0]
HOMOLOGOUS_RECOMBINATION
[1]
1.97
[2]
0.000
[3]
0.015
[7] array · 4 items
[0]
PATHOGENIC_ESCHERICHIA_COLI_INFECTION
[1]
1.97
[2]
0.000
[3]
0.025
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DNA_REPLICATION
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1.91
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0.000
[3]
0.025
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GLYCOSPHINGOLIPID_BIOSYNTHESIS_LACTO_AND_NEOLACTO_SERIES
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1.89
[2]
0.000
[3]
0.030
[10] array · 4 items
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PENTOSE_PHOSPHATE_PATHWAY
[1]
1.88
[2]
0.006
[3]
0.030
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THYROID_CANCER
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1.87
[2]
0.002
[3]
0.032
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INTESTINAL_IMMUNE_NETWORK_FOR_IGA_PRODUCTION
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−2.11
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0.000
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0.011
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HEMATOPOIETIC_CELL_LINEAGE
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−2.04
[2]
0.002
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0.018
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ASTHMA
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−1.95
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0.002
[3]
0.039
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AUTOIMMUNE_THYROID_DISEASE
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−1.95
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CELL_ADHESION_MOLECULES_CAMS
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−1.95
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0.002
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0.025
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PRIMARY_BILE_ACID_BIOSYNTHESIS
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−1.91
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0.000
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0.032
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GLYCOSPHINGOLIPID_BIOSYNTHESIS_GANGLIO_SERIES
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−1.90
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0.004
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0.029
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ALLOGRAFT_REJECTION
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−1.89
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TYPE_I_DIABETES_MELLITUS
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−1.88
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section[13]/table-wrap[1]#table-3
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cox_proportional_hazards
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cox_ph
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time_to_event_with_censoring
evidence object · 3 fields
score
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verbatim
quote
A multigene signature based on differentially expressed circadian clock-related genes was generated for the prediction of OS using Least Absolute Shrinkage and Selection Operator (LASSO)-penalized Cox regression analysis, and externally validated using the GSE72094 dataset from the GEO database.
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time_to_event_with_censoring
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capability:computational_analysis
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meta_analysis
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gwas
candidate
Automated Assays Laravel application and simulated adapters
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readiness object · 8 fields
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complete
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blocked_on
nothing:replicable_now
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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.
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tier
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capability_id
capability:computational_analysis
availability_state
owned
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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
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accessions array · 1 item
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GSE72094
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GSE72094
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The following information was supplied regarding data availability:Data is available at TCGA-LUAD (https://portal.gdc.cancer.gov/repository), and at NCBI GEO: GSE72094.
basis
The paper names GSE72094 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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cox_ph
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minimax
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o predict overall survival in LUAD. METHODS: RNA sequencing (HTSeq-FPKM) data and clinical characteristi
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A multigene signature based on differentially expressed circadian clock-related genes was generated for the prediction of OS using Least Absolute Shrinkage and Selection Operator (LASSO)-penalized Cox regression analysis, and externally validated using the GSE72094 dataset from the GEO database.
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:34285836", "kind": "science-record", "revision": 6, "content_hash": "sha256:75e51817f5c53fe275de4b18c5e51bd3dea9d89cb540a44d14d90e3333a3f54a", "created_at": "2026-11-01T15:41:44Z", "updated_at": "2026-11-01T21:25:49Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Identification of a circadian gene signature that predicts overall survival in lung adenocarcinoma.", "doi": "10.7717/peerj.11733", "pmid": "34285836", "authors": ["Xinliang Gao", "Mingbo Tang", "Suyan Tian", "Jialin Li", "Wei Liu"], "journal": "PeerJ", "year": 2021, "abstract": "BACKGROUND: Lung adenocarcinoma (LUAD) is one of the most common subtypes of lung cancer which is the leading cause of death in cancer patients. Circadian clock disruption has been listed as a likely carcinogen. However, whether the expression of circadian genes affects overall survival (OS) in LUAD patients remains unknown. In this article, we identified a circadian gene signature to predict overall survival in LUAD.\nMETHODS: RNA sequencing (HTSeq-FPKM) data and clinical characteristics were obtained for a cohort of LUAD patients from The Cancer Genome Atlas (TCGA). A multigene signature based on differentially expressed circadian clock-related genes was generated for the prediction of OS using Least Absolute Shrinkage and Selection Operator (LASSO)-penalized Cox regression analysis, and externally validated using the GSE72094 dataset from the GEO database.\nRESULTS: Five differentially expressed genes (DEGs) were identified to be significantly associated with OS using univariate Cox proportional regression analysis (P < 0.05). Patients classified as high risk based on these five DEGs had significantly lower OS than those classified as low risk in both the TGCA cohort and GSE72094 dataset (P < 0.001). Multivariate Cox regression analysis revealed that the five-gene-signature based risk score was an independent predictor of OS (hazard ratio > 1, P < 0.001). Receiver operating characteristic (ROC) curves confirmed its prognostic value. Gene set enrichment analysis (GSEA) showed that Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways related to cell proliferation, gene damage repair, proteasomes, and immune and autoimmune diseases were significantly enriched.\nCONCLUSION: A novel circadian gene signature for OS in LUAD was found to be predictive in both the derivation and validation cohorts. Targeting circadian genes is a potential therapeutic option in LUAD.", "claims": [{"id": "claim-method", "statement": "A multigene signature based on differentially expressed circadian clock-related genes was generated for the prediction of OS using Least Absolute Shrinkage and Selection Operator (LASSO)-penalized Cox regression analysis, and externally validated using the GSE72094 dataset from the GEO database.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:34285836", "locator": "sections[0] \"Abstract\" paragraph 2", "quote": "A multigene signature based on differentially expressed circadian clock-related genes was generated for the prediction of OS using Least Absolute Shrinkage and Selection Operator (LASSO)-penalized Cox regression analysis, and externally validated using the GSE72094 dataset from the GEO database."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The following information was supplied regarding data availability:Data is available at TCGA-LUAD (https://portal.gdc.cancer.gov/repository), and at NCBI GEO: GSE72094.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:34285836", "locator": "sections[21] \"Data Availability\" paragraph 2", "quote": "The following information was supplied regarding data availability:Data is available at TCGA-LUAD (https://portal.gdc.cancer.gov/repository), and at NCBI GEO: GSE72094."}], "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:34285836"], "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:GSE72094"], "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:GSE72094"], "outputs": ["the replicated result and its comparison"], "instruments": [], "reagents": []}], "materials": [], "instruments": [], "reagents": [], "conditions": {}, "gaps": []}, "data": {"state": "partial", "assets": [{"id": "source:pmid:34285836", "role": "manuscript", "format": "xml", "media_type": "application/xml", "uri": "https://doi.org/10.7717/peerj.11733", "sha256": 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