A response prediction model for taxane, cisplatin, and 5-fluorouracil chemotherapy in hypopharyngeal carcinoma

Abstract Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer worldwide. The five-year survival rate of HNSCC has not improved even with major technological advancements in surgery and chemotherapy. Currently, docetaxel, cisplatin, and 5-fluoruracil (TPF) treatment has been...

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Autores principales: Qi Zhong, Jugao Fang, Zhigang Huang, Yifan Yang, Meng Lian, Honggang Liu, Yixiang Zhang, Junhui Ye, Xinjie Hui, Yejun Wang, Ying Ying, Qing Zhang, Yingduan Cheng
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Publicado: Nature Portfolio 2018
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Acceso en línea:https://doaj.org/article/2b033c9903704388926ac8e5d4b2b0db
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spelling oai:doaj.org-article:2b033c9903704388926ac8e5d4b2b0db2021-12-02T15:07:50ZA response prediction model for taxane, cisplatin, and 5-fluorouracil chemotherapy in hypopharyngeal carcinoma10.1038/s41598-018-31027-y2045-2322https://doaj.org/article/2b033c9903704388926ac8e5d4b2b0db2018-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-31027-yhttps://doaj.org/toc/2045-2322Abstract Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer worldwide. The five-year survival rate of HNSCC has not improved even with major technological advancements in surgery and chemotherapy. Currently, docetaxel, cisplatin, and 5-fluoruracil (TPF) treatment has been the most popular chemotherapy method for HNSCC; but only a small percentage of HNSCC patients exhibit a good response to TPF treatment. Unfortunately, at present, no reasonably effective prediction model exists to assist clinicians with patient treatment. For this reason, patients have no other alternative but to risk neoadjuvant chemotherapy in order to determine their response to TPF. In this study, we analyzed the gene expression profile in TPF-sensitive and non-sensitive patient samples. We identified a gene expression signature between these two groups. We further chose 10 genes and trained a support vector machine (SVM) model. This model has 88.3% sensitivity and 88.9% specificity to predict the response to TPF treatment in our patients. In addition, four more TPF responsive and four more TPF non-sensitive patient samples were used for further validation. This SVM model has been proven to achieve approximately 75.0% sensitivity and 100% specificity to predict TPF response in new patients. This suggests that our 10-genes SVM prediction model has the potential to assist clinicians to personalize treatment for HNSCC patients.Qi ZhongJugao FangZhigang HuangYifan YangMeng LianHonggang LiuYixiang ZhangJunhui YeXinjie HuiYejun WangYing YingQing ZhangYingduan ChengNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-8 (2018)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Qi Zhong
Jugao Fang
Zhigang Huang
Yifan Yang
Meng Lian
Honggang Liu
Yixiang Zhang
Junhui Ye
Xinjie Hui
Yejun Wang
Ying Ying
Qing Zhang
Yingduan Cheng
A response prediction model for taxane, cisplatin, and 5-fluorouracil chemotherapy in hypopharyngeal carcinoma
description Abstract Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer worldwide. The five-year survival rate of HNSCC has not improved even with major technological advancements in surgery and chemotherapy. Currently, docetaxel, cisplatin, and 5-fluoruracil (TPF) treatment has been the most popular chemotherapy method for HNSCC; but only a small percentage of HNSCC patients exhibit a good response to TPF treatment. Unfortunately, at present, no reasonably effective prediction model exists to assist clinicians with patient treatment. For this reason, patients have no other alternative but to risk neoadjuvant chemotherapy in order to determine their response to TPF. In this study, we analyzed the gene expression profile in TPF-sensitive and non-sensitive patient samples. We identified a gene expression signature between these two groups. We further chose 10 genes and trained a support vector machine (SVM) model. This model has 88.3% sensitivity and 88.9% specificity to predict the response to TPF treatment in our patients. In addition, four more TPF responsive and four more TPF non-sensitive patient samples were used for further validation. This SVM model has been proven to achieve approximately 75.0% sensitivity and 100% specificity to predict TPF response in new patients. This suggests that our 10-genes SVM prediction model has the potential to assist clinicians to personalize treatment for HNSCC patients.
format article
author Qi Zhong
Jugao Fang
Zhigang Huang
Yifan Yang
Meng Lian
Honggang Liu
Yixiang Zhang
Junhui Ye
Xinjie Hui
Yejun Wang
Ying Ying
Qing Zhang
Yingduan Cheng
author_facet Qi Zhong
Jugao Fang
Zhigang Huang
Yifan Yang
Meng Lian
Honggang Liu
Yixiang Zhang
Junhui Ye
Xinjie Hui
Yejun Wang
Ying Ying
Qing Zhang
Yingduan Cheng
author_sort Qi Zhong
title A response prediction model for taxane, cisplatin, and 5-fluorouracil chemotherapy in hypopharyngeal carcinoma
title_short A response prediction model for taxane, cisplatin, and 5-fluorouracil chemotherapy in hypopharyngeal carcinoma
title_full A response prediction model for taxane, cisplatin, and 5-fluorouracil chemotherapy in hypopharyngeal carcinoma
title_fullStr A response prediction model for taxane, cisplatin, and 5-fluorouracil chemotherapy in hypopharyngeal carcinoma
title_full_unstemmed A response prediction model for taxane, cisplatin, and 5-fluorouracil chemotherapy in hypopharyngeal carcinoma
title_sort response prediction model for taxane, cisplatin, and 5-fluorouracil chemotherapy in hypopharyngeal carcinoma
publisher Nature Portfolio
publishDate 2018
url https://doaj.org/article/2b033c9903704388926ac8e5d4b2b0db
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