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基于TCGA数据库肺腺癌自噬相关基因预后模型的建立与验证OA

Establishment and validation of a prognostic model for autophagy related genes in lung adenocarcinoma based on TCGA database

中文摘要英文摘要

目的 探究肺腺癌自噬相关基因(ARGs),并构建肺腺癌ARGs的预后模型.方法 肺腺癌的RNA高通量转录组数据下载于癌症基因组图谱(TCGA)数据库和人类自噬基因(HADb)数据库,获取ARGs,并基于肺腺癌差异表达ARGs构建肺腺癌预后模型并验证,进一步构建列线图及校准曲线探究模型在临床中的应用价值.对差异表达ARGs进行基因本体和京都基因与基因组百科全书富集分析.对获得的具有预后意义的差异表达ARGs进行Lasso回归分析并构建肺腺癌预后模型.绘制Kaplan-Meier生存曲线.结果 共获得31个差异表达ARGs,筛选得到10个具有预后意义的差异表达ARGs.高风险组患者与较差的总生存期明显相关,差异有统计学意义(P<0.05).T分期、N分期、风险评分为肺腺癌患者的独立预后因素.校准曲线和列线图全局一致性为0.710,说明模型预测结果与实际情况具有较高的符合度.结论 基于差异表达ARGs构建的风险模型可作为肺腺癌患者的一种预后特征或可为肺腺癌患者的个体化治疗提供参考依据.

Objective To explore autophagy-related genes(ARGs)in lung adenocarcinoma and con-struct a prognostic model for lung adenocarcinoma based on ARGs.Methods RNA high-throughput tran-scriptome data of lung adenocarcinoma were obtained from The Cancer Genome Atlas(TCGA)database and HADb database to acquire ARGs.A prognostic model for lung adenocarcinoma was constructed and validated based on differentially expressed ARGs,followed by the construction of column line graphs and calibration curves to explore the clinical application value of the model.Gene ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analyses were performed on differentially expressed ARGs.Lasso regression analysis was conducted on differentially expressed ARGs with prognostic significance to construct the prognostic model for lung adenocarcinoma.Kaplan-Meier survival curves were plotted.Results A total of 31 differentially expressed ARGs were obtained,and 10 differentially expressed ARGs with prognostic signifi-cance were selected.Patients in the high-risk group were significantly associated with poorer overall survival,with statistical significance(P<0.05).T stage,N stage and risk score was an independent prognostic factor for patients with lung adenocarcinoma.The global consistency of the calibration curve column line graph was 0.710,indi-cating a high level of agreement between the model's predicted results and actual outcomes.Conclusion The risk model constructed based on differentially expressed ARGs can serve as a prognostic feature for patients with lung ade-nocarcinoma or provide a reference for individualized treatment for patients with lung adenocarcinoma.

吴双丽;吴铁成;喻光;徐敬宣;李保健;邢龙

青岛滨海学院附属医院 神经电生理科,山东 青岛 266500青岛滨海学院附属医院 肿瘤内科,山东 青岛 266500

临床医学

肺腺癌自噬相关基因预后模型癌症基因组图谱数据库计算生物学

Lung adenocarcinomaAutophagy-related genesPrognosis modelThe Cancer Ge-nome Atlas databaseComputational biology

《现代医药卫生》 2024 (010)

1621-1626 / 6

山东省医药卫生科技发展计划项目(202203100054);青岛西海岸新区2020年度科技惠民项目(2020-44).

10.3969/j.issn.1009-5519.2024.10.001

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