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pmid:37768206

A cellular senescence-related genes model allows for prognosis and treatment stratification of cervical cancer: a bioinformatics analysis and external verification.

Weiwei Yang · Lijuan An · Yanfei Li · Sumin Qian

Aging · 2023 doi:10.18632/aging.204981

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complete

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Data

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title
A cellular senescence-related genes model allows for prognosis and treatment stratification of cervical cancer: a bioinformatics analysis and external verification.
doi
10.18632/aging.204981
pmid
37768206
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[0]
Weiwei Yang
[1]
Lijuan An
[2]
Yanfei Li
[3]
Sumin Qian
journal
Aging
year
2023
abstract
BACKGROUND: Cervical cancer (CC) is highly lethal and aggressive with an increasing trend of mortality for females. Molecular characterization-based methods hold great promise for improving the diagnostic accuracy and for predicting treatment response. METHODS: The mRNAs expression data of CC patients and cellular senescence-related genes were obtained from the Cancer Genome Atlas (TCGA) and CellAge databases, respectively. Differentially expressed genes (DEGs) of senescence related genes between tumor and normal tissues were used for Least absolute shrinkage and selection operator (LASSO) regression to construct a prognostic model. Univariate and LASSO regression analyses were applied to establish a predictive nomogram. The performance of the nomogram were evaluated by Kaplan-Meier curve, receiver operating characteristic (ROC), Harrell's concordance index (C-index), and calibration curve. GSE44001 and GSE52903 were used for external validation. RESULTS: We established a cellular senescence-related genes-based stratified model, and a multivariable-based nomogram, which could accurately predict the prognosis of CC patients in the TCGA database. The Kaplan-Meier curve indicated that patients in the low-risk group had considerably better overall survival (OS, P =2.021e-05). The area under the ROC curve (AUC) of this model was 0.743 for OS. Multivariate analysis found that the 6-gene risk signature (HR=3.166, 95%CI: 1.660-6.041, P<0.001) was an independent risk factor for CC patients. We then designed an OS-associated nomogram that included the risk signature and clinicopathological factors. The AUC reached 0.860 for predicting 5-year OS. The nomogram showed excellent consistency between the predictions and actual survival observations. Two external GEO validations were corresponding to the gene expression pattern in TCGA. CONCLUSIONS: Our results suggested a six-senescence related signature and established a prognostic nomogram that reliably predicted the overall survival for CC. These findings may be beneficial to personalized treatment and medical decision-making.
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Next, we employed LASSO regression analysis using the “glmnet” R package to identify key prognosis-related DE-SRGs.
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Next, we employed LASSO regression analysis using the “glmnet” R package to identify key prognosis-related DE-SRGs.
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The datasets analyzed during the current study are available in the TCGA repository, (https://portal.gdc.cancer.gov/. Accession No. TCGA-CC).
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The datasets analyzed during the current study are available in the TCGA repository, (https://portal.gdc.cancer.gov/. Accession No. TCGA-CC).
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The AUC reached 0.860 for predicting 5-year OS.
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The AUC reached 0.860 for predicting 5-year OS.
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quote
Next, we employed LASSO regression analysis using the “glmnet” R package to identify key prognosis-related DE-SRGs.
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The datasets analyzed during the current study are available in the TCGA repository, (https://portal.gdc.cancer.gov/. Accession No. TCGA-CC).
basis
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:37768206", "kind": "science-record", "revision": 3, "content_hash": "sha256:2f2fcac67255eea2021ecbd9a6f4946556a607a81deff1fd90fc3edaa1c10c60", "created_at": "2026-11-01T19:02:36Z", "updated_at": "2026-11-01T22:10:22Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "A cellular senescence-related genes model allows for prognosis and treatment stratification of cervical cancer: a bioinformatics analysis and external verification.", "doi": "10.18632/aging.204981", "pmid": "37768206", "authors": ["Weiwei Yang", "Lijuan An", "Yanfei Li", "Sumin Qian"], "journal": "Aging", "year": 2023, "abstract": "BACKGROUND: Cervical cancer (CC) is highly lethal and aggressive with an increasing trend of mortality for females. Molecular characterization-based methods hold great promise for improving the diagnostic accuracy and for predicting treatment response.\nMETHODS: The mRNAs expression data of CC patients and cellular senescence-related genes were obtained from the Cancer Genome Atlas (TCGA) and CellAge databases, respectively. Differentially expressed genes (DEGs) of senescence related genes between tumor and normal tissues were used for Least absolute shrinkage and selection operator (LASSO) regression to construct a prognostic model. Univariate and LASSO regression analyses were applied to establish a predictive nomogram. The performance of the nomogram were evaluated by Kaplan-Meier curve, receiver operating characteristic (ROC), Harrell's concordance index (C-index), and calibration curve. GSE44001 and GSE52903 were used for external validation.\nRESULTS: We established a cellular senescence-related genes-based stratified model, and a multivariable-based nomogram, which could accurately predict the prognosis of CC patients in the TCGA database. The Kaplan-Meier curve indicated that patients in the low-risk group had considerably better overall survival (OS, P =2.021e-05). The area under the ROC curve (AUC) of this model was 0.743 for OS. Multivariate analysis found that the 6-gene risk signature (HR=3.166, 95%CI: 1.660-6.041, P<0.001) was an independent risk factor for CC patients. We then designed an OS-associated nomogram that included the risk signature and clinicopathological factors. The AUC reached 0.860 for predicting 5-year OS. The nomogram showed excellent consistency between the predictions and actual survival observations. Two external GEO validations were corresponding to the gene expression pattern in TCGA.\nCONCLUSIONS: Our results suggested a six-senescence related signature and established a prognostic nomogram that reliably predicted the overall survival for CC. These findings may be beneficial to personalized treatment and medical decision-making.", "claims": [{"id": "claim-method", "statement": "Next, we employed LASSO regression analysis using the “glmnet” R package to identify key prognosis-related DE-SRGs.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:37768206", "locator": "sections[5] \"Development and validation of the prognostic signature related to senescence\" paragraph 2", "quote": "Next, we employed LASSO regression analysis using the “glmnet” R package to identify key prognosis-related DE-SRGs."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The datasets analyzed during the current study are available in the TCGA repository, (https://portal.gdc.cancer.gov/. Accession No. TCGA-CC).", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:37768206", "locator": "sections[10] \"Availability of data and materials\" paragraph 2", "quote": "The datasets analyzed during the current study are available in the TCGA repository, (https://portal.gdc.cancer.gov/. Accession No. TCGA-CC)."}], "state": "complete"}, {"id": "claim-target-result", "statement": "The AUC reached 0.860 for predicting 5-year OS.", "kind": "qualitative", "target": null, "evidence": [{"asset": "source:pmid:37768206", "locator": "sections[0] \"Abstract\" paragraph 3", "quote": "The AUC reached 0.860 for predicting 5-year OS."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "complete", "objective": "The AUC reached 0.860 for predicting 5-year OS.", "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:37768206"], "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:GSE44001"], "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:GSE44001"], "outputs": ["the replicated result and its comparison"], "instruments": [], "reagents": []}], "materials": [], "instruments": [], "reagents": [], "conditions": {}, "gaps": []}, "data": {"state": "partial", "assets": [{"id": "source:pmid:37768206", "role": "manuscript", "format": "xml", "media_type": "application/xml", "uri": "https://doi.org/10.18632/aging.204981", "sha256": "sha256:df17de3be590bdfa8c5f8a8992e71da0f40dba07c562fbbedd93e66f50cf2d3d", "bytes": 31540, "access": "open", "state": "resolved", "reader": null, "reader_status": "reader_required", "identifier": "10.18632/aging.204981", "version": null, "note": "Full article fetched from PMC; the checksum covers the rendered section body, not the original XML bytes.", "structure": {"pmcid": "PMC10564413", "source": "europe_pmc_fulltext", "coverage": "whole_body_without_references", "text_hash_scope": "rendered_section_body"}}, {"id": "data:geo:GSE44001", "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=GSE44001", "sha256": null, "bytes": null, "access": "open", "state": "resolved", "reader": null, "reader_status": "reader_required", "identifier": "GSE44001", "version": null, "note": "The datasets analyzed during the current study are available in the TCGA repository, (https://portal.gdc.cancer.gov/. 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