首页|基于铁死亡相关基因的生物信息学分析及结肠癌预后模型构建

基于铁死亡相关基因的生物信息学分析及结肠癌预后模型构建

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目的 筛选结肠癌(CC)差异预后铁死亡基因(CFRGs)并构建CC预后模型.方法 通过癌症基因组图谱(TCGA)、FerrDb数据库获取相关数据,采用生物信息学方法筛选出CFRGs;通过TCGA数据库对所筛选出的CFRGs进行表达差异分析;采用Kaplan-Meier曲线与时间依赖性ROC曲线对所筛选出的CFRGs进行预后分析;采用单因素和多因素Cox回归分析构建CFRGs Nomogram图,并采用Calibration分析验证该模型的预测能力.结果 共获取CFRGs 3个,即ALOXE3、CRYAB、CDKN2A;其中ALOXE3、CDKN2A表达上调,CRYAB表达下调.ALOXE3、CRYAB、CDKN2A高表达的CC患者生存结局均较差.联合3个基因的风险评分系统公式为0.172×ALOXE3(exp)+0.126× CRYAB(exp)+0.171 ×CDKN2A(exp)-0.772,其预测CC患者1、3、5年生存的AUC分别为0.642、0.643、0.593.以年龄、性别、风险评分为因子构建CFRGs Nomogram图,预测能力较好(C指数为0.651);Calibration分析显示其预测的1、3、5年生存率与理想线段吻合良好.结论 ALOXE3、CRYAB、CDKN2A与CC患者的生存预后显著相关,联合3个基因构建的风险评分系统和以年龄、性别、风险评分为因子构建的CFRGs Nomogram图均有良好的预测效能.
Construction of a prognostic model for colon cancer based on bioinformatics analysis of ferroptosis-related genes
Objective To screen colon cancer(CC)prognosis and ferroptosis related genes(CFRGs)and construct CC prognostic model.Methods Relevant data were obtained from The Cancer Genome Atlas(TCGA)and FerrDb database,and CFRGs were screened by bioinformatics method.The expression difference of the selected CFRGs was analyzed by TCGA database.Kaplan-Meier curve and time-ROC curve were used to analyze the prognosis of the selected CFRGs.The CFRGs Nomogram model was constructed by univariate and multivariate Cox regression analysis,and the predictive ability of the model was verified by Calibration analysis.Results Three differentially expressed ferroptosis-related genes ALOXE3,CRYAB and CDKN2A were identified;the expression of ALOXE3 and CDKN2A was upregulated and CRYAB expression was downregulated.CC patients with higher expression of ALOXE3,CRYAB and CDKN2A had a poorer survival outcome.A risk scoring system of three genes was constructed,risk score=0.172 × ALOXE3(exp)+0.126 × CRYAB(exp)+0.171 × CDKN2A(exp)-0.772,and the AUC for predicting 1,3 and 5-year survival of CC patients was 0.642,0.643 and 0.593,respectively.The CFRGs Nomogram model was constructed with age,sex and risk score,and the prediction ability was good(C index was 0.651).Calibration analysis showed that the model predicted 1-,3-and 5-year survival rates were in good agreement with the ideal line segment.Conclusion The survival prognosis of colon cancer patients is significantly associated with ALOXE3,CRYAB and CDKN2A,and the constructed risk scoring system of three genes and CFRGs Nomogram model combined with age,sex and risk score have good efficacy.

Colon cancerFerroptosisRisk scoreNomogramPrognostic model

张婧婷、陈红瑶、杨仁义、郜文辉、曾普华

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410006 长沙,湖南省中医药研究院附属医院(湖南省中西医结合医院)肿瘤科

湖南中医药大学

湖南中医药大学研究生院

湖南中医药大学中医学院

湖南省中医药研究院肿瘤研究所

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结肠癌 铁死亡 风险评分系统 Nomogram图 生存预后

国家中医药管理局青年岐黄学者人才项目湖南省卫健委中医药神农领军人才项目湖南省科技拔尖领军人才项目湖南省中医药管理局"十四五"中医药科技创新平台建设项目

国中医药人教函20207号湘中医药202110号2022RC3081湘中医药函202293号

2024

浙江医学
浙江省医学会

浙江医学

CSTPCD
影响因子:0.428
ISSN:1006-2785
年,卷(期):2024.46(11)