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pmid:34447636

Development and validation of a novel survival model for acute myeloid leukemia based on autophagy-related genes.

Li Huang · Lier Lin · Xiangjun Fu · Can Meng

PeerJ · 2021 doi:10.7717/peerj.11968

Paper

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Experiment

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Data

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Analysis

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pmid:34447636
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title
Development and validation of a novel survival model for acute myeloid leukemia based on autophagy-related genes.
doi
10.7717/peerj.11968
pmid
34447636
authors array · 4 items
[0]
Li Huang
[1]
Lier Lin
[2]
Xiangjun Fu
[3]
Can Meng
journal
PeerJ
year
2021
abstract
BACKGROUND: Acute myeloid leukemia (AML) is one of the most common blood cancers, and is characterized by impaired hematopoietic function and bone marrow (BM) failure. Under normal circumstances, autophagy may suppress tumorigenesis, however under the stressful conditions of late stage tumor growth autophagy actually protects tumor cells, so inhibiting autophagy in these cases also inhibits tumor growth and promotes tumor cell death. METHODS: AML gene expression profile data and corresponding clinical data were obtained from the Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases, from which prognostic-related genes were screened to construct a risk score model through LASSO and univariate and multivariate Cox analyses. Then the model was verified in the TCGA cohort and GEO cohorts. In addition, we also analyzed the relationship between autophagy genes and immune infiltrating cells and therapeutic drugs. RESULTS: We built a model containing 10 autophagy-related genes to predict the survival of AML patients by dividing them into high- or low-risk subgroups. The high-risk subgroup was prone to a poorer prognosis in both the training TCGA-LAML cohort and the validation GSE37642 cohort. Univariate and multivariate Cox analysis revealed that the risk score of the autophagy model can be used as an independent prognostic factor. The high-risk subgroup had not only higher fractions of CD4 naïve T cell, NK cell activated, and resting mast cells but also higher expression of immune checkpoint genes CTLA4 and CD274. Last, we screened drug sensitivity between high- and low-risk subgroups. CONCLUSION: The risk score model based on 10 autophagy-related genes can serve as an effective prognostic predictor for AML patients and may guide for patient stratification for immunotherapies and drugs.
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The Time-dependent receiver operating characteristic (ROC) curve was used to evaluate the predictive performance of 10-gene features.
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sections[8] "Statistical analysis" paragraph 2
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The Time-dependent receiver operating characteristic (ROC) curve was used to evaluate the predictive performance of 10-gene features.
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sections[22] "Data Availability" paragraph 2
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The following information was supplied regarding data availability:The R script is available in the Supplemental Files.
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[509]
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[510]
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[511]
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[512]
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[513]
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[514]
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[515]
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[516]
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[517]
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[518]
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[519]
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[520]
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[521]
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[522]
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[523]
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[524]
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[525]
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[526]
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[527]
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[528]
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[529]
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[530]
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[531]
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[532]
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[533]
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[534]
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[535]
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[536]
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[537]
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[538]
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[539]
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[540]
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[541]
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[542]
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[543]
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[544]
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[545]
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[546]
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[547]
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[548]
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[549]
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[550]
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[551]
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[552]
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[553]
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[554]
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[555]
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[556]
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[557]
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[558]
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[559]
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[560]
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[561]
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[562]
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[563]
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[564]
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[565]
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[566]
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[567]
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[568]
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[569]
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[570]
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[571]
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[572]
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[573]
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[574]
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[575]
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[576]
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[577]
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[578]
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[579]
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[580]
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[581]
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[582]
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[583]
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[584]
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[585]
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[586]
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[587]
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[588]
GSM924184
[589]
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[590]
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[591]
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[592]
GSM924188
[593]
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[594]
GSM924190
[595]
GSM924191
[596]
GSM924192
[597]
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[598]
GSM924194
[599]
GSM924195
[600]
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[601]
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[602]
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[603]
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[604]
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[605]
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[606]
GSM924202
[607]
GSM924203
[608]
GSM924204
[609]
GSM924205
[610]
GSM924206
[611]
GSM924207
[612]
GSM924208
[613]
GSM924209
[614]
GSM924210
[615]
GSM924211
[616]
GSM924212
[617]
GSM924213
[618]
GSM924214
[619]
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[620]
GSM924216
[621]
GSM924217
[622]
GSM924218
[623]
GSM924219
[624]
GSM924220
[625]
GSM924221
[626]
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[627]
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[628]
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[629]
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[630]
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[631]
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[632]
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[633]
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[634]
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[635]
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[636]
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[637]
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[638]
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[639]
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[640]
GSM924236
[641]
GSM924237
[642]
GSM924238
[643]
GSM924239
[644]
GSM924240
[645]
GSM924241
[646]
GSM924242
[647]
GSM924243
[648]
GSM924244
[649]
GSM924245
[650]
GSM924246
[651]
GSM924247
[652]
GSM924248
[653]
GSM924249
[654]
GSM924250
[655]
GSM924251
[656]
GSM924252
[657]
GSM924253
[658]
GSM924254
[659]
GSM924255
[660]
GSM924256
[661]
GSM924257
[662]
GSM924258
[663]
GSM924259
[664]
GSM924260
[665]
GSM924261
[666]
GSM924262
[667]
GSM924263
[668]
GSM924264
[669]
GSM924265
[670]
GSM924266
[671]
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[672]
GSM924268
[673]
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[674]
GSM924270
[675]
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[676]
GSM924272
[677]
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[678]
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[679]
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[680]
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[681]
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[682]
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[683]
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[684]
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[685]
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[686]
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[687]
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[688]
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[689]
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[690]
GSM924286
[691]
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[692]
GSM924288
[693]
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[694]
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[695]
GSM924291
[696]
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[697]
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[698]
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[699]
GSM924295
[700]
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[701]
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[702]
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[703]
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[704]
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[705]
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[706]
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[707]
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[708]
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[709]
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[710]
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[711]
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[712]
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[713]
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[714]
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[715]
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[716]
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[717]
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[718]
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[719]
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[720]
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[721]
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[722]
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[723]
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[724]
GSM924320
[725]
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[726]
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[727]
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[728]
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[729]
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[730]
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[731]
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[732]
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[733]
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[734]
GSM924330
[735]
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[736]
GSM924332
[737]
GSM924333
[738]
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[739]
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[740]
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[741]
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[742]
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[743]
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[744]
GSM924340
[745]
GSM924341
[746]
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[747]
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[748]
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[749]
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[750]
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[751]
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[752]
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[753]
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[754]
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[755]
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[756]
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[757]
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[758]
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[759]
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[760]
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[761]
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[762]
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[763]
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[764]
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[765]
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[766]
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[767]
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[768]
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[769]
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[770]
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[771]
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[772]
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[773]
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[774]
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[775]
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[776]
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[777]
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[778]
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[779]
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[780]
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[781]
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[782]
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[783]
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[784]
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[785]
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[786]
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[787]
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[788]
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[789]
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[790]
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[791]
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[792]
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[793]
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[794]
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[795]
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[796]
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[797]
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[798]
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[799]
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[800]
GSM924396
[801]
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[802]
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[803]
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[804]
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[805]
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[806]
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[807]
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[808]
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[809]
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[810]
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[811]
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[812]
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[813]
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[814]
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[815]
GSM924411
[816]
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[817]
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[818]
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[819]
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[820]
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[821]
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[822]
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[823]
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[824]
GSM924420
[825]
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[826]
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[827]
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[828]
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[829]
GSM924425
[830]
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[831]
GSM924427
[832]
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[833]
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[834]
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[835]
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[836]
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[837]
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[838]
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[839]
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[840]
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[841]
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[842]
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[843]
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[844]
GSM924440
[845]
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[846]
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[847]
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[848]
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[849]
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[850]
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[851]
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[852]
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[853]
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[854]
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[855]
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[856]
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[857]
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[858]
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[859]
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[860]
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[861]
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[862]
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[863]
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[864]
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[865]
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[866]
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[867]
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[868]
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[869]
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[870]
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[871]
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[872]
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[873]
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[874]
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[875]
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[876]
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[877]
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[878]
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[879]
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[880]
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[881]
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[882]
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[883]
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[884]
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[885]
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[886]
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[887]
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[888]
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[889]
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[890]
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[891]
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[892]
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[893]
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[894]
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[896]
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[897]
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[898]
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[899]
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[900]
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[901]
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[902]
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[903]
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[905]
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[906]
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[907]
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[910]
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[911]
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[912]
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[913]
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[915]
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[916]
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[917]
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[918]
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[920]
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[921]
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[922]
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[926]
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[953]
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[981]
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[983]
GSM924579
sample_count
984
group_sizes
null
group_sizes_basis
null
platform
570;96;97
taxon
Homo sapiens
title
Prognostic gene signature for AML
resolution_checked_at
2026-11-01T15:39:54Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
gaps array · 2 items
[0]
asset:data:geo:GSE37642 not downloaded
[1]
asset:data:geo:GSE37642 licence not read
analysis object · 4 fields
state
partial
methods array · 5 items
[0] object · 10 fields
id
method-1
family
group_comparison
specific
anova
label
Group comparison
dsl_operations array · 4 items
[0]
group_summary
[1]
welch_t
[2]
bootstrap_mean_difference
[3]
group_comparison_anova
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
two_or_more_groups_continuous
evidence object · 3 fields
score
0.8
band
high
quote
ANOVA
[1] object · 10 fields
id
method-2
family
network_analysis
specific
pathway_enrichment
label
Network / pathway analysis
dsl_operations array · 1 item
[0]
pathway_enrich
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
edge_list
evidence object · 3 fields
score
0.8
band
high
quote
GO enrichment
[2] object · 10 fields
id
method-3
family
diagnostic_evaluation
specific
roc
label
Diagnostic test evaluation
dsl_operations array · 6 items
[0]
confusion_counts
[1]
roc_curve
[2]
sensitivity_specificity
[3]
solve_confusion_matrix
[4]
classification_metrics
[5]
published_precision_envelope
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
reference_standard_and_test
evidence object · 3 fields
score
0.8
band
high
quote
ROC curve
[3] object · 10 fields
id
method-4
family
model_calibration
specific
decision_curve
label
Model calibration / clinical utility
dsl_operations array · 2 items
[0]
calibration_bins
[1]
net_benefit
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
predictions_and_outcomes
evidence object · 3 fields
score
0.8
band
high
quote
decision curve analysis
[4] object · 10 fields
id
method-5
family
null
specific
null
label
Time-dependent receiver operating characteristic (ROC) curve
dsl_operations array · 0 items
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 0 items
evidence object · 3 fields
score
1
band
verbatim
quote
The Time-dependent receiver operating characteristic (ROC) curve was used to evaluate the predictive performance of 10-gene features.
targets array · 0 items
gaps array · 1 item
[0]
method.reader_named_unmapped
capability object · 3 fields
state
complete
requirements array · 1 item
[0] object · 6 fields
capability_id
capability:computational_analysis
label
Computational analysis platform
assay_families array · 9 items
[0]
meta_analysis
[1]
machine_learning
[2]
survival_analysis
[3]
statistical_regression
[4]
pca
[5]
molecular_docking
[6]
network_analysis
[7]
differential_expression
[8]
gwas
candidate
Automated Assays Laravel application and simulated adapters
gaps array · 0 items
readiness object · 8 fields
state
complete
tier
R1
blocked_on
nothing:replicable_now
axes object · 3 fields
method object · 5 fields
tier
R1
expressible
true
required_operations array · 4 items
[0]
group_summary
[1]
welch_t
[2]
bootstrap_mean_difference
[3]
group_comparison_anova
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: anova.
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
R1
reachable
true
accessions array · 1 item
[0]
GSE37642
resolved_accessions array · 1 item
[0]
GSE37642
statements array · 1 item
[0]
The following information was supplied regarding data availability:The R script is available in the Supplemental Files.
basis
The paper names GSE37642 in Gene Expression Omnibus (GEO) and the accession resolves in the repository. No dataset was downloaded and no licence was read.
can_run object · 3 fields
dsl_operations array · 4 items
[0]
group_summary
[1]
welch_t
[2]
bootstrap_mean_difference
[3]
group_comparison_anova
assets array · 2 items
[0]
source:pmid:34447636
[1]
data:geo:GSE37642
steps array · 1 item
[0]
run_analysis
must_build object · 5 fields
dsl_operations array · 0 items
converters array · 0 items
readers array · 0 items
capabilities array · 0 items
data_gaps array · 1 item
[0]
data:geo:GSE37642
gaps array · 0 items
review object · 5 fields
state
partial
machine_critique object · 5 fields
kind
extraction_review
reader object · 5 fields
model
MiniMax-M3.1-Flash
provider
minimax
provider_family
minimax
read_at
2026-10-31T18:34:07Z
independence
single_reader
evidence_check object · 2 fields
method
verbatim
availability
verbatim
calls
3
usage object · 3 fields
prompt_tokens
35269
completion_tokens
1266
cached_tokens
793
stages array · 1 item
[0] object · 4 fields
id
extraction
state
complete
reader
MiniMax-M3.1-Flash
provider
minimax
gaps array · 3 items
[0]
review.independent_reader
[1]
review.machine_critique
[2]
review.human_critique
execution object · 5 fields
state
absent
status
not_run
mode
null
runs array · 0 items
gaps array · 1 item
[0]
execution.not_run
provenance object · 7 fields
entities array · 3 items
[0] object · 3 fields
id
pmid:34447636
type
paper
label
pmid:34447636
[1] object · 3 fields
id
source:pmid:34447636
type
manuscript
label
PMID 34447636 full text
[2] object · 3 fields
id
data:geo:GSE37642
type
dataset
label
GEO GSE37642
activities array · 3 items
[0] object · 4 fields
id
activity-reading-sci-2026-11-01
type
classification
used array · 3 items
[0] object · 3 fields
id
pmid:34447636
type
paper
label
pmid:34447636
[1] object · 3 fields
id
source:pmid:34447636
type
manuscript
label
PMID 34447636 full text
[2] object · 3 fields
id
data:geo:GSE37642
type
dataset
label
GEO GSE37642
agent
agent:corpus-assay-engine
[1] object · 4 fields
id
activity-read-34447636
type
extraction
used array · 1 item
[0]
source:pmid:34447636
agent
agent:minimax-reader
[2] object · 4 fields
id
activity-resolve-GSE37642
type
accession_resolution
used array · 1 item
[0]
data:geo:GSE37642
agent
agent:corpus-assay-engine
agents array · 2 items
[0] object · 3 fields
id
agent:corpus-assay-engine
type
software
label
Corpus assay engine
[1] object · 3 fields
id
agent:minimax-reader
type
software
label
MiniMax literature reader
source_run_id
reading-sci-2026-11-01
dsl_catalogue_fingerprint
343fb30756ba6ec3
capability_table_fingerprint
2cb3e42f047d2ecf
snapshot_id
ba34b49490d9bfaf
lineage object · 4 fields
parent_id
pmid:34447636
parent_hash
sha256:8893622fcd9f902c00d1e16a564688a38dd67e1a972f2a350c732fc546b959f6
fork_of
null
gaps array · 7 items
[0]
asset:data:geo:GSE37642 licence not read
[1]
asset:data:geo:GSE37642 not downloaded
[2]
execution.not_run
[3]
method.reader_named_unmapped
[4]
review.human_critique
[5]
review.independent_reader
[6]
review.machine_critique
assays array · 1 item
[0] object · 11 fields
role
analysis
definition_id
group_comparison
definition_version
f2132e96ae6c7a4e
required_operations array · 4 items
[0]
group_summary
[1]
welch_t
[2]
bootstrap_mean_difference
[3]
group_comparison_anova
support_state
supported
source_hashes object · 1 field
dsl_catalogue
f2132e96ae6c7a4e
evidence array · 1 item
[0]
ANOVA
order_basis
analysis_only
id
assay:1
Complete file
{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:34447636", "kind": "science-record", "revision": 7, "content_hash": "sha256:e01911970c5609337f0881c8b2969468b28bf6d9873c935e8a428a51f3bc0009", "created_at": "2026-11-01T15:41:50Z", "updated_at": "2026-11-01T22:04:36Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Development and validation of a novel survival model for acute myeloid leukemia based on autophagy-related genes.", "doi": "10.7717/peerj.11968", "pmid": "34447636", "authors": ["Li Huang", "Lier Lin", "Xiangjun Fu", "Can Meng"], "journal": "PeerJ", "year": 2021, "abstract": "BACKGROUND: Acute myeloid leukemia (AML) is one of the most common blood cancers, and is characterized by impaired hematopoietic function and bone marrow (BM) failure. Under normal circumstances, autophagy may suppress tumorigenesis, however under the stressful conditions of late stage tumor growth autophagy actually protects tumor cells, so inhibiting autophagy in these cases also inhibits tumor growth and promotes tumor cell death.\nMETHODS: AML gene expression profile data and corresponding clinical data were obtained from the Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases, from which prognostic-related genes were screened to construct a risk score model through LASSO and univariate and multivariate Cox analyses. Then the model was verified in the TCGA cohort and GEO cohorts. In addition, we also analyzed the relationship between autophagy genes and immune infiltrating cells and therapeutic drugs.\nRESULTS: We built a model containing 10 autophagy-related genes to predict the survival of AML patients by dividing them into high- or low-risk subgroups. The high-risk subgroup was prone to a poorer prognosis in both the training TCGA-LAML cohort and the validation GSE37642 cohort. Univariate and multivariate Cox analysis revealed that the risk score of the autophagy model can be used as an independent prognostic factor. The high-risk subgroup had not only higher fractions of CD4 naïve T cell, NK cell activated, and resting mast cells but also higher expression of immune checkpoint genes CTLA4 and CD274. Last, we screened drug sensitivity between high- and low-risk subgroups.\nCONCLUSION: The risk score model based on 10 autophagy-related genes can serve as an effective prognostic predictor for AML patients and may guide for patient stratification for immunotherapies and drugs.", "claims": [{"id": "claim-method", "statement": "The Time-dependent receiver operating characteristic (ROC) curve was used to evaluate the predictive performance of 10-gene features.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:34447636", "locator": "sections[8] \"Statistical analysis\" paragraph 2", "quote": "The Time-dependent receiver operating characteristic (ROC) curve was used to evaluate the predictive performance of 10-gene features."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The following information was supplied regarding data availability:The R script is available in the Supplemental Files.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:34447636", "locator": "sections[22] \"Data Availability\" paragraph 2", "quote": "The following information was supplied regarding data availability:The R script is available in the Supplemental Files."}], "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:34447636"], "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:GSE37642"], "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:GSE37642"], "outputs": ["the replicated result and its comparison"], "instruments": [], "reagents": []}], "materials": [], "instruments": [], "reagents": [], "conditions": {}, "gaps": []}, "data": {"state": "partial", "assets": [{"id": "source:pmid:34447636", "role": "manuscript", "format": "xml", "media_type": "application/xml", "uri": "https://doi.org/10.7717/peerj.11968", "sha256": "sha256:2569973ba9e0d1c158f59f5f7557d7d6dfef0abe5ac2b6f23d9a506fac086551", "bytes": 41386, "access": "open", "state": "resolved", "reader": null, "reader_status": "reader_required", "identifier": "10.7717/peerj.11968", "version": null, "note": "Full article fetched from PMC; the checksum covers the rendered section body, not the original XML bytes.", "structure": {"pmcid": "PMC8364747", "source": "europe_pmc_fulltext", "coverage": "whole_body", "text_hash_scope": "rendered_section_body"}}, {"id": "data:geo:GSE37642", "role": "raw", "format": "geo-series", "media_type": "application/vnd.ncbi.geo-series+json", "uri": "https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE37642", "sha256": null, "bytes": null, "access": "open", "state": "resolved", "reader": null, "reader_status": "reader_required", "identifier": "GSE37642", "version": null, "note": "The following information was supplied regarding data availability:The R script is available in the Supplemental Files.", "structure": 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