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pmid:37636564

Neutrophil extracellular traps-related signature predicts the prognosis and immune infiltration in gastric cancer.

Mingzhe Li · Zidan Zhao · Tsz Kin Mak · Xiaoqun Wang · Jingyao Chen · Hui Ren · Zhiwei Yu · Changhua Zhang

Frontiers in medicine · 2023 doi:10.3389/fmed.2023.1174764

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title
Neutrophil extracellular traps-related signature predicts the prognosis and immune infiltration in gastric cancer.
doi
10.3389/fmed.2023.1174764
pmid
37636564
authors array · 8 items
[0]
Mingzhe Li
[1]
Zidan Zhao
[2]
Tsz Kin Mak
[3]
Xiaoqun Wang
[4]
Jingyao Chen
[5]
Hui Ren
[6]
Zhiwei Yu
[7]
Changhua Zhang
journal
Frontiers in medicine
year
2023
abstract
Introduction: Gastric cancer (GC) is the fifth most prevalent cancer globally, with the third highest case fatality rate. Neutrophil extracellular traps (NETs) are a reticulated structure of DNA, histones, and antimicrobial peptides produced by active neutrophils that trap pathogens. Even though NETs are associated with poorer recurrence-free survival (RFS) and overall survival (OS), the specifics of this interaction between NETs and cancer cells are yet unknown. Methods: The keywords "neutrophil extracellular traps and gastric cancer" were used in the GEO database for retrieval, and the GSE188741 dataset was selected to obtain the NETs-related gene. 27 NETs-related genes were screened by univariate Cox regression analysis (p < 0.05). 27 NETs-related genes were employed to identify and categorize NETs-subgroups of GC patients under the Consensus clustering analysis. 808 GC patients in TCGA-STAD combined with GES84437 were randomly divided into a training group (n = 403) and a test group (n = 403) at a ratio of 1:1 to validate the NETs-related signature. Results: Based on Multivariate Cox regression and LASSO regression analysis to develop a NETs-related prognosis model. We developed a very specific nomogram to improve the NETs-clinical score's usefulness. Similarly, we also performed a great result in pan-cancer study with NETs-score. Low NETs scores were linked to higher MSI-H (microsatellite instability-high), mutation load, and immune activity. The cancer stem cell (CSC) index and chemotherapeutic treatment sensitivity were also connected to the NET score. Our comprehensive analysis of NETs in GC suggests that NETs have a role in the tumor microenvironment, clinicopathological features, and prognosis. Discussion: The NETs-score risk model provides a basis for better prognosis and therapy outcomes in GC patients.
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Based on R 4.1.1, we used the “survival” and “glmnet” packages for Multivariate Cox regression and LASSO regression analysis to develop a NETs-related prognosis model.
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sections[7] "Construction and validation of the NETs-related prognostic model" paragraph 2
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Based on R 4.1.1, we used the “survival” and “glmnet” packages for Multivariate Cox regression and LASSO regression analysis to develop a NETs-related prognosis model.
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sections[27] "Data availability statement" paragraph 2
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The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
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A NETs-related prognostic model was constructed using differential analysis, univariate Cox regression, multivariate Cox regression, and LASSO regression and validated using internal and external cohorts and consensus clustering analysis.
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sections[1] "Introduction" paragraph 4
quote
The GC prognostic model based on seven NETs-related differential expression genes (DEGs) was constructed using differential analysis, univariate Cox, Multivariate cox, and most minor absolute shrinkage and selection operator (LASSO) analysis, and the predictive efficacy of the model was validated using internal cohort, external cohort, and consensus clustering analysis.
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sections[18] "Establishment of risk assessment model and survival outcomes in GC" paragraph 2
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Seven genes (SERPINE1, LAMC2, MYLK, IL21R, KRT81, MAMDC2, and PAEP) were ultimately retrieved after multivariate Cox regression analysis to create the risk score, known as the “NETs-score.”
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A NETs-related prognostic model was constructed using differential analysis, univariate Cox regression, multivariate Cox regression, and LASSO regression and validated using internal and external cohorts and consensus clustering analysis.
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[5]
GSM5416024
[6]
GSM5416025
[7]
GSM5416026
[8]
GSM5416027
[9]
GSM5416028
[10]
GSM5416029
[11]
GSM5416030
[12]
GSM5416031
[13]
GSM5416032
[14]
GSM5416033
[15]
GSM5416034
[16]
GSM5416035
[17]
GSM5416036
[18]
GSM5416037
[19]
GSM5416038
[20]
GSM5416039
[21]
GSM5416040
[22]
GSM5416041
[23]
GSM5416042
[24]
GSM5416043
[25]
GSM5416044
[26]
GSM5416045
[27]
GSM5416046
[28]
GSM5416047
[29]
GSM5416048
[30]
GSM5416049
[31]
GSM5416050
[32]
GSM5416051
[33]
GSM5416052
[34]
GSM5416053
[35]
GSM5416054
[36]
GSM5416055
[37]
GSM5416056
[38]
GSM5416057
[39]
GSM5416058
[40]
GSM5416059
[41]
GSM5416060
[42]
GSM5416061
[43]
GSM5416062
[44]
GSM5416063
[45]
GSM5416064
[46]
GSM5416065
[47]
GSM5416066
[48]
GSM5416067
[49]
GSM5416068
[50]
GSM5416069
[51]
GSM5416070
[52]
GSM5416071
[53]
GSM5416072
sample_count
54
group_sizes
null
group_sizes_basis
null
platform
18573
taxon
Homo sapiens
title
Radiation Therapy Inhances Immunotherapy Response in  Microsatellite-stable Colorectal and Pancreatic Adenocarcinoma in a Phase II Trial
resolution_checked_at
2026-11-01T19:09:46Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
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[6] object · 15 fields
id
data:geo:GSE188741
role
raw
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geo-series
media_type
application/vnd.ncbi.geo-series+json
uri
https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE188741
sha256
null
bytes
null
access
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reader_status
reader_required
identifier
GSE188741
version
null
note
The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
structure object · 15 fields
repository
GEO
access_route
GEO accession URL
access_statement_verbatim
The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
access_statement_kind
data_availability_statement
sample_accessions array · 12 items
[0]
GSM5689130
[1]
GSM5689131
[2]
GSM5689132
[3]
GSM5689133
[4]
GSM5689134
[5]
GSM5689135
[6]
GSM5689136
[7]
GSM5689137
[8]
GSM5689138
[9]
GSM5689139
[10]
GSM5689140
[11]
GSM5689141
sample_count
12
group_sizes
null
group_sizes_basis
null
platform
24676
taxon
Homo sapiens
title
mRNA, ncRNA-seq and miRNA-seq of AGS cellline and AGS cellline with neutrophil extracellular traps
resolution_checked_at
2026-11-01T19:09:46Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[7] object · 15 fields
id
data:geo:GSE26253
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=GSE26253
sha256
null
bytes
null
access
open
state
resolved
reader
null
reader_status
reader_required
identifier
GSE26253
version
null
note
The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
structure object · 15 fields
repository
GEO
access_route
GEO accession URL
access_statement_verbatim
The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
access_statement_kind
data_availability_statement
sample_accessions array · 432 items
[0]
GSM644519
[1]
GSM644520
[2]
GSM644521
[3]
GSM644522
[4]
GSM644523
[5]
GSM644524
[6]
GSM644525
[7]
GSM644526
[8]
GSM644527
[9]
GSM644528
[10]
GSM644529
[11]
GSM644530
[12]
GSM644531
[13]
GSM644532
[14]
GSM644533
[15]
GSM644534
[16]
GSM644535
[17]
GSM644536
[18]
GSM644537
[19]
GSM644538
[20]
GSM644539
[21]
GSM644540
[22]
GSM644541
[23]
GSM644542
[24]
GSM644543
[25]
GSM644544
[26]
GSM644545
[27]
GSM644546
[28]
GSM644547
[29]
GSM644548
[30]
GSM644549
[31]
GSM644550
[32]
GSM644551
[33]
GSM644552
[34]
GSM644553
[35]
GSM644554
[36]
GSM644555
[37]
GSM644556
[38]
GSM644557
[39]
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[40]
GSM644559
[41]
GSM644560
[42]
GSM644561
[43]
GSM644562
[44]
GSM644563
[45]
GSM644564
[46]
GSM644565
[47]
GSM644566
[48]
GSM644567
[49]
GSM644568
[50]
GSM644569
[51]
GSM644570
[52]
GSM644571
[53]
GSM644572
[54]
GSM644573
[55]
GSM644574
[56]
GSM644575
[57]
GSM644576
[58]
GSM644577
[59]
GSM644578
[60]
GSM644579
[61]
GSM644580
[62]
GSM644581
[63]
GSM644582
[64]
GSM644583
[65]
GSM644584
[66]
GSM644585
[67]
GSM644586
[68]
GSM644587
[69]
GSM644588
[70]
GSM644589
[71]
GSM644590
[72]
GSM644591
[73]
GSM644592
[74]
GSM644593
[75]
GSM644594
[76]
GSM644595
[77]
GSM644596
[78]
GSM644597
[79]
GSM644598
[80]
GSM644599
[81]
GSM644600
[82]
GSM644601
[83]
GSM644602
[84]
GSM644603
[85]
GSM644604
[86]
GSM644605
[87]
GSM644606
[88]
GSM644607
[89]
GSM644608
[90]
GSM644609
[91]
GSM644610
[92]
GSM644611
[93]
GSM644612
[94]
GSM644613
[95]
GSM644614
[96]
GSM644615
[97]
GSM644616
[98]
GSM644617
[99]
GSM644618
[100]
GSM644619
[101]
GSM644620
[102]
GSM644621
[103]
GSM644622
[104]
GSM644623
[105]
GSM644624
[106]
GSM644625
[107]
GSM644626
[108]
GSM644627
[109]
GSM644628
[110]
GSM644629
[111]
GSM644630
[112]
GSM644631
[113]
GSM644632
[114]
GSM644633
[115]
GSM644634
[116]
GSM644635
[117]
GSM644636
[118]
GSM644637
[119]
GSM644638
[120]
GSM644639
[121]
GSM644640
[122]
GSM644641
[123]
GSM644642
[124]
GSM644643
[125]
GSM644644
[126]
GSM644645
[127]
GSM644646
[128]
GSM644647
[129]
GSM644648
[130]
GSM644649
[131]
GSM644650
[132]
GSM644651
[133]
GSM644652
[134]
GSM644653
[135]
GSM644654
[136]
GSM644655
[137]
GSM644656
[138]
GSM644657
[139]
GSM644658
[140]
GSM644659
[141]
GSM644660
[142]
GSM644661
[143]
GSM644662
[144]
GSM644663
[145]
GSM644664
[146]
GSM644665
[147]
GSM644666
[148]
GSM644667
[149]
GSM644668
[150]
GSM644669
[151]
GSM644670
[152]
GSM644671
[153]
GSM644672
[154]
GSM644673
[155]
GSM644674
[156]
GSM644675
[157]
GSM644676
[158]
GSM644677
[159]
GSM644678
[160]
GSM644679
[161]
GSM644680
[162]
GSM644681
[163]
GSM644682
[164]
GSM644683
[165]
GSM644684
[166]
GSM644685
[167]
GSM644686
[168]
GSM644687
[169]
GSM644688
[170]
GSM644689
[171]
GSM644690
[172]
GSM644691
[173]
GSM644692
[174]
GSM644693
[175]
GSM644694
[176]
GSM644695
[177]
GSM644696
[178]
GSM644697
[179]
GSM644698
[180]
GSM644699
[181]
GSM644700
[182]
GSM644701
[183]
GSM644702
[184]
GSM644703
[185]
GSM644704
[186]
GSM644705
[187]
GSM644706
[188]
GSM644707
[189]
GSM644708
[190]
GSM644709
[191]
GSM644710
[192]
GSM644711
[193]
GSM644712
[194]
GSM644713
[195]
GSM644714
[196]
GSM644715
[197]
GSM644716
[198]
GSM644717
[199]
GSM644718
[200]
GSM644719
[201]
GSM644720
[202]
GSM644721
[203]
GSM644722
[204]
GSM644723
[205]
GSM644724
[206]
GSM644725
[207]
GSM644726
[208]
GSM644727
[209]
GSM644728
[210]
GSM644729
[211]
GSM644730
[212]
GSM644731
[213]
GSM644732
[214]
GSM644733
[215]
GSM644734
[216]
GSM644735
[217]
GSM644736
[218]
GSM644737
[219]
GSM644738
[220]
GSM644739
[221]
GSM644740
[222]
GSM644741
[223]
GSM644742
[224]
GSM644743
[225]
GSM644744
[226]
GSM644745
[227]
GSM644746
[228]
GSM644747
[229]
GSM644748
[230]
GSM644749
[231]
GSM644750
[232]
GSM644751
[233]
GSM644752
[234]
GSM644753
[235]
GSM644754
[236]
GSM644755
[237]
GSM644756
[238]
GSM644757
[239]
GSM644758
[240]
GSM644759
[241]
GSM644760
[242]
GSM644761
[243]
GSM644762
[244]
GSM644763
[245]
GSM644764
[246]
GSM644765
[247]
GSM644766
[248]
GSM644767
[249]
GSM644768
[250]
GSM644769
[251]
GSM644770
[252]
GSM644771
[253]
GSM644772
[254]
GSM644773
[255]
GSM644774
[256]
GSM644775
[257]
GSM644776
[258]
GSM644777
[259]
GSM644778
[260]
GSM644779
[261]
GSM644780
[262]
GSM644781
[263]
GSM644782
[264]
GSM644783
[265]
GSM644784
[266]
GSM644785
[267]
GSM644786
[268]
GSM644787
[269]
GSM644788
[270]
GSM644789
[271]
GSM644790
[272]
GSM644791
[273]
GSM644792
[274]
GSM644793
[275]
GSM644794
[276]
GSM644795
[277]
GSM644796
[278]
GSM644797
[279]
GSM644798
[280]
GSM644799
[281]
GSM644800
[282]
GSM644801
[283]
GSM644802
[284]
GSM644803
[285]
GSM644804
[286]
GSM644805
[287]
GSM644806
[288]
GSM644807
[289]
GSM644808
[290]
GSM644809
[291]
GSM644810
[292]
GSM644811
[293]
GSM644812
[294]
GSM644813
[295]
GSM644814
[296]
GSM644815
[297]
GSM644816
[298]
GSM644817
[299]
GSM644818
[300]
GSM644819
[301]
GSM644820
[302]
GSM644821
[303]
GSM644822
[304]
GSM644823
[305]
GSM644824
[306]
GSM644825
[307]
GSM644826
[308]
GSM644827
[309]
GSM644828
[310]
GSM644829
[311]
GSM644830
[312]
GSM644831
[313]
GSM644832
[314]
GSM644833
[315]
GSM644834
[316]
GSM644835
[317]
GSM644836
[318]
GSM644837
[319]
GSM644838
[320]
GSM644839
[321]
GSM644840
[322]
GSM644841
[323]
GSM644842
[324]
GSM644843
[325]
GSM644844
[326]
GSM644845
[327]
GSM644846
[328]
GSM644847
[329]
GSM644848
[330]
GSM644849
[331]
GSM644850
[332]
GSM644851
[333]
GSM644852
[334]
GSM644853
[335]
GSM644854
[336]
GSM644855
[337]
GSM644856
[338]
GSM644857
[339]
GSM644858
[340]
GSM644859
[341]
GSM644860
[342]
GSM644861
[343]
GSM644862
[344]
GSM644863
[345]
GSM644864
[346]
GSM644865
[347]
GSM644866
[348]
GSM644867
[349]
GSM644868
[350]
GSM644869
[351]
GSM644870
[352]
GSM644871
[353]
GSM644872
[354]
GSM644873
[355]
GSM644874
[356]
GSM644875
[357]
GSM644876
[358]
GSM644877
[359]
GSM644878
[360]
GSM644879
[361]
GSM644880
[362]
GSM644881
[363]
GSM644882
[364]
GSM644883
[365]
GSM644884
[366]
GSM644885
[367]
GSM644886
[368]
GSM644887
[369]
GSM644888
[370]
GSM644889
[371]
GSM644890
[372]
GSM644891
[373]
GSM644892
[374]
GSM644893
[375]
GSM644894
[376]
GSM644895
[377]
GSM644896
[378]
GSM644897
[379]
GSM644898
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GSM644899
[381]
GSM644900
[382]
GSM644901
[383]
GSM644902
[384]
GSM644903
[385]
GSM644904
[386]
GSM644905
[387]
GSM644906
[388]
GSM644907
[389]
GSM644908
[390]
GSM644909
[391]
GSM644910
[392]
GSM644911
[393]
GSM644912
[394]
GSM644913
[395]
GSM644914
[396]
GSM644915
[397]
GSM644916
[398]
GSM644917
[399]
GSM644918
[400]
GSM644919
[401]
GSM644920
[402]
GSM644921
[403]
GSM644922
[404]
GSM644923
[405]
GSM644924
[406]
GSM644925
[407]
GSM644926
[408]
GSM644927
[409]
GSM644928
[410]
GSM644929
[411]
GSM644930
[412]
GSM644931
[413]
GSM644932
[414]
GSM644933
[415]
GSM644934
[416]
GSM644935
[417]
GSM644936
[418]
GSM644937
[419]
GSM644938
[420]
GSM644939
[421]
GSM644940
[422]
GSM644941
[423]
GSM644942
[424]
GSM644943
[425]
GSM644944
[426]
GSM644945
[427]
GSM644946
[428]
GSM644947
[429]
GSM644948
[430]
GSM644949
[431]
GSM644950
sample_count
432
group_sizes
null
group_sizes_basis
null
platform
8432
taxon
Homo sapiens
title
Gene expression profiling of formalin fixed paraffin embedded tumor tissue identifies gastric cancer patients who are at high risk after curative surgery plus adjuvant chemoradiotherapy
resolution_checked_at
2026-11-01T15:39:54Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[8] object · 15 fields
id
data:geo:GSE38749
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=GSE38749
sha256
null
bytes
null
access
open
state
resolved
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null
reader_status
reader_required
identifier
GSE38749
version
null
note
The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
structure object · 15 fields
repository
GEO
access_route
GEO accession URL
access_statement_verbatim
The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
access_statement_kind
data_availability_statement
sample_accessions array · 15 items
[0]
GSM949009
[1]
GSM949010
[2]
GSM949011
[3]
GSM949012
[4]
GSM949013
[5]
GSM949014
[6]
GSM949015
[7]
GSM949016
[8]
GSM949017
[9]
GSM949018
[10]
GSM949019
[11]
GSM949020
[12]
GSM949021
[13]
GSM949022
[14]
GSM949023
sample_count
15
group_sizes
null
group_sizes_basis
null
platform
570
taxon
Homo sapiens
title
Expression data of Human Gastric Adenocarcinoma
resolution_checked_at
2026-11-01T18:46:34Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[9] object · 15 fields
id
data:geo:GSE66229
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=GSE66229
sha256
null
bytes
null
access
open
state
resolved
reader
null
reader_status
reader_required
identifier
GSE66229
version
null
note
The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
structure object · 15 fields
repository
GEO
access_route
GEO accession URL
access_statement_verbatim
The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
access_statement_kind
data_availability_statement
sample_accessions array · 400 items
[0]
GSM1523727
[1]
GSM1523728
[2]
GSM1523729
[3]
GSM1523730
[4]
GSM1523731
[5]
GSM1523732
[6]
GSM1523733
[7]
GSM1523734
[8]
GSM1523735
[9]
GSM1523736
[10]
GSM1523737
[11]
GSM1523738
[12]
GSM1523739
[13]
GSM1523740
[14]
GSM1523741
[15]
GSM1523742
[16]
GSM1523743
[17]
GSM1523744
[18]
GSM1523745
[19]
GSM1523746
[20]
GSM1523747
[21]
GSM1523748
[22]
GSM1523749
[23]
GSM1523750
[24]
GSM1523751
[25]
GSM1523752
[26]
GSM1523753
[27]
GSM1523754
[28]
GSM1523755
[29]
GSM1523756
[30]
GSM1523757
[31]
GSM1523758
[32]
GSM1523759
[33]
GSM1523760
[34]
GSM1523761
[35]
GSM1523762
[36]
GSM1523763
[37]
GSM1523764
[38]
GSM1523765
[39]
GSM1523766
[40]
GSM1523767
[41]
GSM1523768
[42]
GSM1523769
[43]
GSM1523770
[44]
GSM1523771
[45]
GSM1523772
[46]
GSM1523773
[47]
GSM1523774
[48]
GSM1523775
[49]
GSM1523776
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sample_count
400
group_sizes
null
group_sizes_basis
null
platform
570
taxon
Homo sapiens
title
Molecular analysis of gastric cancer identifies discrete subtypes associated with distinct clinical characteristics and survival outcomes: the ACRG (Asian Cancer Research Group) study
resolution_checked_at
2026-11-01T15:39:55Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[10] object · 15 fields
id
data:geo:GSE84437
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=GSE84437
sha256
null
bytes
null
access
open
state
resolved
reader
null
reader_status
reader_required
identifier
GSE84437
version
null
note
The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
structure object · 15 fields
repository
GEO
access_route
GEO accession URL
access_statement_verbatim
The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
access_statement_kind
data_availability_statement
sample_accessions array · 483 items
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Homo sapiens
title
Molecular subtypes in gastric cancer.
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2026-11-01T15:39:55Z
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identifier_resolution_only_no_download_no_licence_read
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Based on R 4.1.1, we used the “survival” and “glmnet” packages for Multivariate Cox regression and LASSO regression analysis to develop a NETs-related prognosis model.
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The original contributions presented in the study are included in the article/Supplementary material, further inquiries can be directed to the corresponding authors.
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Based on R 4.1.1, we used the “survival” and “glmnet” packages for Multivariate Cox regression and LASSO regression analysis to develop a NETs-related prognosis model.
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:37636564", "kind": "science-record", "revision": 4, "content_hash": "sha256:ad38eae362432be0b15057ef9d4da1799005ea7e1e191865b153a802f0cb4722", "created_at": "2026-11-01T19:02:25Z", "updated_at": "2026-11-01T22:10:09Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Neutrophil extracellular traps-related signature predicts the prognosis and immune infiltration in gastric cancer.", "doi": "10.3389/fmed.2023.1174764", "pmid": "37636564", "authors": ["Mingzhe Li", "Zidan Zhao", "Tsz Kin Mak", "Xiaoqun Wang", "Jingyao Chen", "Hui Ren", "Zhiwei Yu", "Changhua Zhang"], "journal": "Frontiers in medicine", "year": 2023, "abstract": "Introduction: Gastric cancer (GC) is the fifth most prevalent cancer globally, with the third highest case fatality rate. Neutrophil extracellular traps (NETs) are a reticulated structure of DNA, histones, and antimicrobial peptides produced by active neutrophils that trap pathogens. Even though NETs are associated with poorer recurrence-free survival (RFS) and overall survival (OS), the specifics of this interaction between NETs and cancer cells are yet unknown.\nMethods: The keywords \"neutrophil extracellular traps and gastric cancer\" were used in the GEO database for retrieval, and the GSE188741 dataset was selected to obtain the NETs-related gene. 27 NETs-related genes were screened by univariate Cox regression analysis (p < 0.05). 27 NETs-related genes were employed to identify and categorize NETs-subgroups of GC patients under the Consensus clustering analysis. 808 GC patients in TCGA-STAD combined with GES84437 were randomly divided into a training group (n = 403) and a test group (n = 403) at a ratio of 1:1 to validate the NETs-related signature.\nResults: Based on Multivariate Cox regression and LASSO regression analysis to develop a NETs-related prognosis model. We developed a very specific nomogram to improve the NETs-clinical score's usefulness. Similarly, we also performed a great result in pan-cancer study with NETs-score. Low NETs scores were linked to higher MSI-H (microsatellite instability-high), mutation load, and immune activity. The cancer stem cell (CSC) index and chemotherapeutic treatment sensitivity were also connected to the NET score. 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