Nomogram based on autophagy related genes for predicting the survival in melanoma

Abstract Background Autophagy, a highly conserved lysosomal degradation pathway, is associated with the prognosis of melanoma. However, prognostic prediction models based on autophagy related genes (ARGs) have never been recognized in melanoma. In the present study, we aimed to establish a novel nom...

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Autores principales: Guangtong Deng, Wenhua Wang, Yayun Li, Huiyan Sun, Xiang Chen, Furong Zeng
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Lenguaje:EN
Publicado: BMC 2021
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spelling oai:doaj.org-article:883b5e7a2f1c4898aa6fac8f3cc1cdbb2021-11-28T12:27:39ZNomogram based on autophagy related genes for predicting the survival in melanoma10.1186/s12885-021-08928-91471-2407https://doaj.org/article/883b5e7a2f1c4898aa6fac8f3cc1cdbb2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12885-021-08928-9https://doaj.org/toc/1471-2407Abstract Background Autophagy, a highly conserved lysosomal degradation pathway, is associated with the prognosis of melanoma. However, prognostic prediction models based on autophagy related genes (ARGs) have never been recognized in melanoma. In the present study, we aimed to establish a novel nomogram to predict the prognosis of melanoma based on ARGs signature and clinical parameters. Methods Data from The Cancer Genome Atlas (TCGA) and the Genotype-Tissue Expression (GTEx) databases were extracted to identify the differentially expressed ARGs. Univariate, least absolute shrinkage and selection operator (LASSO) and multivariate analysis were used to select the prognostic ARGs. ARGs signature, age and stage were then enrolled to establish a nomogram to predict the survival probabilities of melanoma. The nomogram was evaluated by concordance index (C-index), receiver operating characteristic (ROC) curve and calibration curve. Decision curve analysis (DCA) was performed to assess the clinical benefits of the nomogram and TNM stage model. The nomogram was validated in GEO cohorts. Results Five prognostic ARGs were selected to construct ARGs signature model and validated in the GEO cohort. Kaplan-Meier survival analysis suggested that patients in high-risk group had significantly worse overall survival than those in low-risk group in TCGA cohort (P = 5.859 × 10–9) and GEO cohort (P = 3.075 × 10–9). We then established and validated a novel promising prognostic nomogram through combining ARGs signature and clinical parameters. The C-index of the nomogram was 0.717 in TCGA training cohort and 0.738 in GEO validation cohort. TCGA/GEO-based ROC curve and decision curve analysis (DCA) demonstrated that the nomogram was better than traditional TNM staging system for melanoma prognosis. Conclusion We firstly developed and validated an ARGs signature based-nomogram for individualized prognosis prediction in melanoma patients, which could assist with decision making for clinicians.Guangtong DengWenhua WangYayun LiHuiyan SunXiang ChenFurong ZengBMCarticleAutophagyMelanomaSurvivalNomogramNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBMC Cancer, Vol 21, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Autophagy
Melanoma
Survival
Nomogram
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Autophagy
Melanoma
Survival
Nomogram
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Guangtong Deng
Wenhua Wang
Yayun Li
Huiyan Sun
Xiang Chen
Furong Zeng
Nomogram based on autophagy related genes for predicting the survival in melanoma
description Abstract Background Autophagy, a highly conserved lysosomal degradation pathway, is associated with the prognosis of melanoma. However, prognostic prediction models based on autophagy related genes (ARGs) have never been recognized in melanoma. In the present study, we aimed to establish a novel nomogram to predict the prognosis of melanoma based on ARGs signature and clinical parameters. Methods Data from The Cancer Genome Atlas (TCGA) and the Genotype-Tissue Expression (GTEx) databases were extracted to identify the differentially expressed ARGs. Univariate, least absolute shrinkage and selection operator (LASSO) and multivariate analysis were used to select the prognostic ARGs. ARGs signature, age and stage were then enrolled to establish a nomogram to predict the survival probabilities of melanoma. The nomogram was evaluated by concordance index (C-index), receiver operating characteristic (ROC) curve and calibration curve. Decision curve analysis (DCA) was performed to assess the clinical benefits of the nomogram and TNM stage model. The nomogram was validated in GEO cohorts. Results Five prognostic ARGs were selected to construct ARGs signature model and validated in the GEO cohort. Kaplan-Meier survival analysis suggested that patients in high-risk group had significantly worse overall survival than those in low-risk group in TCGA cohort (P = 5.859 × 10–9) and GEO cohort (P = 3.075 × 10–9). We then established and validated a novel promising prognostic nomogram through combining ARGs signature and clinical parameters. The C-index of the nomogram was 0.717 in TCGA training cohort and 0.738 in GEO validation cohort. TCGA/GEO-based ROC curve and decision curve analysis (DCA) demonstrated that the nomogram was better than traditional TNM staging system for melanoma prognosis. Conclusion We firstly developed and validated an ARGs signature based-nomogram for individualized prognosis prediction in melanoma patients, which could assist with decision making for clinicians.
format article
author Guangtong Deng
Wenhua Wang
Yayun Li
Huiyan Sun
Xiang Chen
Furong Zeng
author_facet Guangtong Deng
Wenhua Wang
Yayun Li
Huiyan Sun
Xiang Chen
Furong Zeng
author_sort Guangtong Deng
title Nomogram based on autophagy related genes for predicting the survival in melanoma
title_short Nomogram based on autophagy related genes for predicting the survival in melanoma
title_full Nomogram based on autophagy related genes for predicting the survival in melanoma
title_fullStr Nomogram based on autophagy related genes for predicting the survival in melanoma
title_full_unstemmed Nomogram based on autophagy related genes for predicting the survival in melanoma
title_sort nomogram based on autophagy related genes for predicting the survival in melanoma
publisher BMC
publishDate 2021
url https://doaj.org/article/883b5e7a2f1c4898aa6fac8f3cc1cdbb
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AT wenhuawang nomogrambasedonautophagyrelatedgenesforpredictingthesurvivalinmelanoma
AT yayunli nomogrambasedonautophagyrelatedgenesforpredictingthesurvivalinmelanoma
AT huiyansun nomogrambasedonautophagyrelatedgenesforpredictingthesurvivalinmelanoma
AT xiangchen nomogrambasedonautophagyrelatedgenesforpredictingthesurvivalinmelanoma
AT furongzeng nomogrambasedonautophagyrelatedgenesforpredictingthesurvivalinmelanoma
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