实用肿瘤学杂志 ›› 2022, Vol. 36 ›› Issue (1): 37-43.doi: 10.11904/j.issn.1002-3070.2022.01.007

• 临床研究 • 上一篇    下一篇

基于TCGA数据库代谢相关基因构建乳腺癌预后模型

李伟华1, 张广凤2, 马骊骊3, 何品4, 王雯5, 李顶夫1   

  1. 1.深圳大学第一附属医院,深圳市第二人民医院医学影像科(深圳 518035);
    2.深圳市第三人民医院放射科;
    3.深圳市眼科医院医学影像科;
    4.中国医学科学院肿瘤医院深圳医院;
    5.深圳大学第一附属医院,深圳市第二人民医院医学病理科
  • 收稿日期:2021-11-24 修回日期:2022-01-06 出版日期:2022-02-28 发布日期:2022-01-21
  • 通讯作者: 李伟华,E-mail:18804511716@163.com
  • 作者简介:李伟华,女,(1979-),博士,副主任医师,从事肿瘤分子影像领域的研究。
  • 基金资助:
    深科技创新重点基础研究项目(编号:JCYJ20200109120205924)

Construction of a breast cancer prognostic model based on metabolism-related genes in the TCGA database

LI Weihua1, ZHANG Guangfeng2, MA Lili3, HE Pin4, WANG Wen5, LI Dingfu1   

  1. 1. Department of Medical Imaging,First Affiliated Hospital of Shenzhen University,Shenzhen Second People's Hospital,Shenzhen 518035,China;
    2. Department of Radiology,Shenzhen Third People's Hospital;
    3. Department of Medical Imaging,Shenzhen Eye Hospital;
    4. Oncology,Chinese Academy of Medical Sciences Hospital Shenzhen Hospital;
    5. The First Affiliated Hospital of Shenzhen University,Department of Medical Pathology,Shenzhen Second People's Hospital
  • Received:2021-11-24 Revised:2022-01-06 Online:2022-02-28 Published:2022-01-21

摘要: 目的 基于TCGA数据库构建乳腺癌代谢相关预后模型,揭示代谢与乳腺癌预后之间的关系。方法 代谢相关基因从KEGG数据库中获取,limma包用于去筛选TCGA数据库中1 109例乳腺癌样本和113例正常对照的代谢相关差异基因,随机抽取70%样本作为训练集,剩余30%样本作为验证集,单因素Cox回归用于筛选预后相关基因,基于glmnet包构建代谢相关预后模型,并通过单因素和多因素Cox回归对模型进行验证。结果 本研究筛选出168个代谢相关差异基因,通过生存过滤及去掉过度拟合的基因后最终13个代谢相关的基因用作预后模型的构建,包括NMNAT2、NT5E、QPRT、UGP2、MTHFD2、TSTA3、TYMP、ALDH2、ALDH1A1、IDO1、IL4I1、INPP1和ENPP6。生存分析显示,高风险组患者生存时间显著长于低风险组(P<0.05)。单因素和多因素Cox回归结果表明构建的代谢相关预后模型的风险得分是乳腺癌患者的一个独立预后因素。结论 本研究构建的预后模型揭示了代谢与乳腺癌预后之间的关系,为乳腺癌的诊断及研究提供了一个新的视角。

关键词: 乳腺癌, 代谢相关基因, 预测模型, 基因特征, 预后

Abstract: Objective The aims of this study were to construct a breast cancer metabolism-related prognostic model based on the TCGA database,and to reveal the relationship between metabolism and breast cancer prognosis.Methods Metabolism related genes were retrieved from KEGG database,and limma package was used to screen metabolism-related differential genes of 1109 breast cancer samples and 113 normal controls in the TCGA database.The 70% of samples were randomly selected as the training set,and the remaining 30% of the samples were used as the validation set.Univariate Cox regression was used to screen prognosis-related genes,a metabolism-related prognostic model was constructed based on glmnet package,and the model was validated by univariate and multivariate Cox regression.Results In this study,168 metabolically related differential genes were screened.After survival filtering and overfitted genes were removed,13 metabolically related genes were finally used for the construction of prognostic model,including NMNAT2、NT5E、QPRT、UGP2、MTHFD2、TSTA3、TYMP、ALDH2、ALDH1A1、IDO1、IL4I1、INPP1 and ENPP6.Survival analysis showed that the survival time of patients in the high-risk group was significantly longer than that in the low-risk group(P<0.05).Univariate and multivariate Cox regression results indicated that the risk score of the constructed metabolism related prognostic model was an independent prognostic factor for breast cancer patients.Conclusion The prognostic model constructed in this study revealed the relationship between metabolism and breast cancer prognosis,and provided a new perspective for breast cancer diagnosis and research of breast cancer.

Key words: Breast cancer, Metabolism-related genes, Prediction model, Gene signature, Prognosis

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