Osteosarcoma (OS) is the most common primary bone tumor, whose poor prognosis is mainly due to lung metastasis. The aim of this study is to build a practical and valid diagnostic test that can predict the risk of OS metastasis and progression. We performed weighted gene co-expression network analysis (WGCNA) on GSE21257 from the Gene Expression Omnibus (GEO) database, which contains microarray data of biopsies from OS patients. In these modules, the highest association was found between the blue module and metastasis stage (r = -0.52) by Pearson's correlation analysis. Based on Least Absolute Shrinkage and Selection Operator (LASSO) Cox regression, we derived eight clinically significant genes and constructed an eight-gene signature for metastasis status. It showed great efficacy to distinguish metastasis from non-metastasis (AUC = 0.886) and the results were validated in The Cancer Genome Atlas (TCGA) database. Functional enrichment analysis of hub genes showed that their biological processes focused on immune-related pathways, suggesting the important roles of immune cells, immune pathways and the tumor microenvironment in metastasis development. In conclusion, we discovered an efficient gene signature with great efficacy to distinguish metastasis status, which may help improve early diagnosis and treatment, enhancing the clinical outcomes of OS patients. Besides we created an effective protocol to seek for several hub genes in high-throughput data by combining WGCNA and LASSO Cox regression.
基金:
National Key R&D program of China [2016YFB1101305]; National Natural Science Foundation of China [81472133, 81572857, 81401762]
第一作者单位:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Dept Orthoped,Tongji Med Coll,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Zhang Honghua,Guo Linwei,Zhang Zheng,et al.Co-Expression Network Analysis Identified Gene Signatures in Osteosarcoma as a Predictive Tool for Lung Metastasis and Survival[J].JOURNAL OF CANCER.2019,10(16):3706-3716.doi:10.7150/jca.32092.
APA:
Zhang, Honghua,Guo, Linwei,Zhang, Zheng,Sun, Yunlong,Kang, Honglei...&Li, Feng.(2019).Co-Expression Network Analysis Identified Gene Signatures in Osteosarcoma as a Predictive Tool for Lung Metastasis and Survival.JOURNAL OF CANCER,10,(16)
MLA:
Zhang, Honghua,et al."Co-Expression Network Analysis Identified Gene Signatures in Osteosarcoma as a Predictive Tool for Lung Metastasis and Survival".JOURNAL OF CANCER 10..16(2019):3706-3716