单位:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Canc Biol Res Ctr,Wuhan,Peoples R China肿瘤生物医学中心华中科技大学同济医学院附属同济医院妇产科学系妇科肿瘤[2]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept,Wuhan,Peoples R China华中科技大学同济医学院附属同济医院[3]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Inst Urol,Wuhan,Peoples R China外科学系华中科技大学同济医学院附属同济医院泌尿外科[4]Chinese Univ Hong Kong, Prince Wales Hosp, Dept Orthopaed & Traumatol, Hong Kong, Hong Kong, Peoples R China[5]Huazhong Univ Sci & Technol,Inst Pathol,Tongji Hosp,Tongji Med Coll,Wuhan,Peoples R China病理研究所华中科技大学同济医学院附属同济医院病理科[6]Wuhan Univ Sci & Technol, Dept Pathol, Coll Med, Wuhan, Peoples R China
Clear-cell renal-cell carcinoma (ccRCC) is the most common pathological subtype of renal cell carcinoma (RCC), accounting for about 80% of RCC. In order to find potential prognostic biomarkers in ccRCC, we presented a four-gene signature to evaluate the prognosis of ccRCC. SurvExpress and immunohistochemical (IHC) staining of tissue microarrays were used to analyze the association between the four genes and the prognosis of ccRCC. Data from TCGA dataset revealed a prognostic prompt function of the four genes (PTEN, PIK3C2A, ITPA and BCL3). Further discovery suggested that the four-gene signature predicted survival better than any of the four genes alone. Moreover, IHC staining demonstrated a consistent result with TCGA, indicating that the signature was an independent prognostic factor of survival in ccRCC. Univariate and multivariate Cox proportional hazard regression analysis were conducted to verify the association of clinicopathological variables and the four genes' expression levels with survival. The results further testified that the risk (four-gene signature) was an independent prognostic factors of both Overall Survival (OS) and Disease-free Survival (DFS) (P<0.05). In conclusion, the four-gene signature was correlated with the survival of ccRCC, and therefore, may help to provide significant clinical implications for predicting the prognosis of patients.
基金:
National Natural Science Foundation of China [81200103]
第一作者单位:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Canc Biol Res Ctr,Wuhan,Peoples R China
通讯作者:
通讯机构:[2]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept,Wuhan,Peoples R China[3]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Inst Urol,Wuhan,Peoples R China
推荐引用方式(GB/T 7714):
Dai Jun,Lu Yuchao,Wang Jinyu,et al.A four-gene signature predicts survival in clear-cell renal-cell carcinoma[J].ONCOTARGET.2016,7(50):82712-82726.doi:10.18632/oncotarget.12631.