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pmid:34337046

Construction of Immune-Associated Nomogram for Predicting the Recurrence Survival Risk of Stage I Cervical Cancer.

Yajuan Wang · Lejing Zhang · Bin Wang · Yuanfang Cheng

BioMed research international · 2021 doi:10.1155/2021/6699131

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Experiment

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Data

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Analysis

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Record details sci_version · id · kind · revision · content_hash · schema · created_at · updated_at · generator
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pmid:34337046
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science-record
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sha256:672351495029cc588b39e09368d66c1bdd7facc7e13cd91d8009144eee3286e3
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2026-11-01T15:41:46Z
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2026-11-01T22:04:24Z
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title
Construction of Immune-Associated Nomogram for Predicting the Recurrence Survival Risk of Stage I Cervical Cancer.
doi
10.1155/2021/6699131
pmid
34337046
authors array · 4 items
[0]
Yajuan Wang
[1]
Lejing Zhang
[2]
Bin Wang
[3]
Yuanfang Cheng
journal
BioMed research international
year
2021
abstract
BACKGROUND: Various studies reported that the prognosis of patients with cervical cancer (CC) was significantly associated with immunity, whereas limited studies have explored whether immune-associated genes could be classifiers for recurrence-free survival (RFS) of stage I CC. Thus, an improved immune-related gene signature for stage I CC patients' prognosis is urgently required. MATERIALS AND METHODS: We retrospectively analyzed the gene expression profiles of stage I CC patients in the GSE44001 set from the Gene Expression Omnibus (GEO) database. The stage I CC patients were randomly divided into the training group and the internal validation group. The training patients were adopted to develop a prognostic immune gene-based signature; meanwhile, the internal validation patients were used to validate the power of the selected immune gene-related signature using univariate Cox proportional hazard analysis, least absolute shrinkage and selection operator (LASSO), and multivariate Cox regression analysis. The accuracy and reliability of the immune gene-related signature were evaluated based on Kaplan-Meier analysis and time-dependent receiver operating characteristic (ROC) curves. RESULTS: High power of the 8-immune gene signature was found on the basis of ROC analysis (AUC at 1, 3, and 5 years were exhibited in the internal validation group (0.702, 0.715, and 0.728, respectively), external validation group (0.702, 0.825, and 0.842, respectively), and entire GEO dataset (0.840, 0.894, and 0.852, respectively)). Besides, C-index, ROC, calibration plots, and decision curve analysis (DCA) also acted well in our nomogram, suggestive of a high ability of the nomogram to elevate the prognostic prediction of stage I CC patients. CONCLUSIONS: In this study, we successfully constructed an integrated 8-immune gene-based signature which could accurately identify patients with low prognostic risk from those with high prognostic risk. In addition, we developed an immune-related nomogram which can elevate the prognostic prediction of stage I CC patients.
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The gene expression and clinical data of stage I cervical cancer patients in our study were obtained from TCGA (http://tumorsurvival.org/) and GEO (https://www.ncbi.nlm.nih.gov/geo).
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sections[18] "Data Availability" paragraph 2
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The gene expression and clinical data of stage I cervical cancer patients in our study were obtained from TCGA (http://tumorsurvival.org/) and GEO (https://www.ncbi.nlm.nih.gov/geo).
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Univariate Cox regression analysis and multivariate Cox regression analysis outcomes based on immune gene risk score and other clinic-relevant factors.
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3.6. Nomogram Construction
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Univariate Cox regression analysis and multivariate Cox regression analysis outcomes based on immune gene risk score and other clinic-relevant factors.
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review.human_critique
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review.machine_critique
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step:obtain_source_data blocked on data:accession_absent
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support_state
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confidence
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evidence array · 1 item
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es in CC tissues was assessed by qRT-PCR and IHC analysis. Figure S5: immune gene risk score
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evidence array · 1 item
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Complete file
{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:34337046", "kind": "science-record", "revision": 7, "content_hash": "sha256:672351495029cc588b39e09368d66c1bdd7facc7e13cd91d8009144eee3286e3", "created_at": "2026-11-01T15:41:46Z", "updated_at": "2026-11-01T22:04:24Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Construction of Immune-Associated Nomogram for Predicting the Recurrence Survival Risk of Stage I Cervical Cancer.", "doi": "10.1155/2021/6699131", "pmid": "34337046", "authors": ["Yajuan Wang", "Lejing Zhang", "Bin Wang", "Yuanfang Cheng"], "journal": "BioMed research international", "year": 2021, "abstract": "BACKGROUND: Various studies reported that the prognosis of patients with cervical cancer (CC) was significantly associated with immunity, whereas limited studies have explored whether immune-associated genes could be classifiers for recurrence-free survival (RFS) of stage I CC. Thus, an improved immune-related gene signature for stage I CC patients' prognosis is urgently required.\nMATERIALS AND METHODS: We retrospectively analyzed the gene expression profiles of stage I CC patients in the GSE44001 set from the Gene Expression Omnibus (GEO) database. The stage I CC patients were randomly divided into the training group and the internal validation group. The training patients were adopted to develop a prognostic immune gene-based signature; meanwhile, the internal validation patients were used to validate the power of the selected immune gene-related signature using univariate Cox proportional hazard analysis, least absolute shrinkage and selection operator (LASSO), and multivariate Cox regression analysis. The accuracy and reliability of the immune gene-related signature were evaluated based on Kaplan-Meier analysis and time-dependent receiver operating characteristic (ROC) curves.\nRESULTS: High power of the 8-immune gene signature was found on the basis of ROC analysis (AUC at 1, 3, and 5 years were exhibited in the internal validation group (0.702, 0.715, and 0.728, respectively), external validation group (0.702, 0.825, and 0.842, respectively), and entire GEO dataset (0.840, 0.894, and 0.852, respectively)). Besides, C-index, ROC, calibration plots, and decision curve analysis (DCA) also acted well in our nomogram, suggestive of a high ability of the nomogram to elevate the prognostic prediction of stage I CC patients.\nCONCLUSIONS: In this study, we successfully constructed an integrated 8-immune gene-based signature which could accurately identify patients with low prognostic risk from those with high prognostic risk. In addition, we developed an immune-related nomogram which can elevate the prognostic prediction of stage I CC patients.", "claims": [{"id": "claim-data-access", "statement": "The gene expression and clinical data of stage I cervical cancer patients in our study were obtained from TCGA (http://tumorsurvival.org/) and GEO (https://www.ncbi.nlm.nih.gov/geo).", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:34337046", "locator": "sections[18] \"Data Availability\" paragraph 2", "quote": "The gene expression and clinical data of stage I cervical cancer patients in our study were obtained from TCGA (http://tumorsurvival.org/) and GEO (https://www.ncbi.nlm.nih.gov/geo)."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "partial", "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:34337046"], "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": "blocked", "blocked_on": "data:accession_absent", "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": [], "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": [], "outputs": ["the replicated result and its comparison"], "instruments": [], "reagents": []}], "materials": [], "instruments": [], "reagents": [], "conditions": {}, "gaps": ["step:obtain_source_data blocked on data:accession_absent"]}, "data": {"state": "partial", "assets": [{"id": "source:pmid:34337046", "role": "manuscript", "format": "xml", "media_type": "application/xml", "uri": "https://doi.org/10.1155/2021/6699131", "sha256": "sha256:f8c63672f139c9fbb74d8740cdf860c49eb41ffc6543eefda90a0dc9b8b4f033", "bytes": 35429, "access": "open", "state": "resolved", "reader": null, "reader_status": "reader_required", "identifier": "10.1155/2021/6699131", "version": null, "note": "Full article fetched from PMC; the checksum covers the rendered section body, not the original XML bytes.", "structure": {"pmcid": "PMC8289578", "source": "europe_pmc_fulltext", "coverage": "whole_body", "text_hash_scope": "rendered_section_body"}}, {"id": "asset:table:pmid:34337046:1", "role": "table", "format": "jats-table", "media_type": "application/vnd.jats.table+json", "uri": null, "sha256": "sha256:d75577e3796f299eb0f7f3c61e96a3e485e1d45998528796ac783d4bd818c189", "bytes": 999, "access": "open", "state": "verified", "reader": "read_table", "reader_status": "available", "identifier": "section[9]/table-wrap[1]#tab1", "version": null, "note": "Clinical features of contained samples.", "structure": {"pmcid": "PMC8289578", "section_index": 9, "section_title": "3.1. 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