An outcome model for human bladder cancer: A comprehensive study based on weighted gene co‐expression network analysis

The precision evaluation of prognosis is crucial for clinical treatment decision of bladder cancer (BCa). Therefore, establishing an effective prognostic model for BCa has significant clinical implications. We performed WGCNA and DEG screening to initially identify the candidate genes. The candidate...

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Veröffentlicht in:Journal of cellular and molecular medicine 2020-02, Vol.24 (3), p.2342-2355
Hauptverfasser: Xiong, Yaoyi, Yuan, Lushun, Xiong, Jing, Xu, Huimin, Luo, Yongwen, Wang, Gang, Ju, Lingao, Xiao, Yu, Wang, Xinghuan
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container_title Journal of cellular and molecular medicine
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creator Xiong, Yaoyi
Yuan, Lushun
Xiong, Jing
Xu, Huimin
Luo, Yongwen
Wang, Gang
Ju, Lingao
Xiao, Yu
Wang, Xinghuan
description The precision evaluation of prognosis is crucial for clinical treatment decision of bladder cancer (BCa). Therefore, establishing an effective prognostic model for BCa has significant clinical implications. We performed WGCNA and DEG screening to initially identify the candidate genes. The candidate genes were applied to construct a LASSO Cox regression analysis model. The effectiveness and accuracy of the prognostic model were tested by internal/external validation and pan‐cancer validation and time‐dependent ROC. Additionally, a nomogram based on the parameter selected from univariate and multivariate cox regression analysis was constructed. Eight genes were eventually screened out as progression‐related differentially expressed candidates in BCa. LASSO Cox regression analysis identified 3 genes to build up the outcome model in E‐MTAB‐4321 and the outcome model had good performance in predicting patient progress free survival of BCa patients in discovery and test set. Subsequently, another three datasets also have a good predictive value for BCa patients' OS and DFS. Time‐dependent ROC indicated an ideal predictive accuracy of the outcome model. Meanwhile, the nomogram showed a good performance and clinical utility. In addition, the prognostic model also exhibits good performance in pan‐cancer patients. Our outcome model was the first prognosis model for human bladder cancer progression prediction via integrative bioinformatics analysis, which may aid in clinical decision‐making.
doi_str_mv 10.1111/jcmm.14918
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Therefore, establishing an effective prognostic model for BCa has significant clinical implications. We performed WGCNA and DEG screening to initially identify the candidate genes. The candidate genes were applied to construct a LASSO Cox regression analysis model. The effectiveness and accuracy of the prognostic model were tested by internal/external validation and pan‐cancer validation and time‐dependent ROC. Additionally, a nomogram based on the parameter selected from univariate and multivariate cox regression analysis was constructed. Eight genes were eventually screened out as progression‐related differentially expressed candidates in BCa. LASSO Cox regression analysis identified 3 genes to build up the outcome model in E‐MTAB‐4321 and the outcome model had good performance in predicting patient progress free survival of BCa patients in discovery and test set. Subsequently, another three datasets also have a good predictive value for BCa patients' OS and DFS. Time‐dependent ROC indicated an ideal predictive accuracy of the outcome model. Meanwhile, the nomogram showed a good performance and clinical utility. In addition, the prognostic model also exhibits good performance in pan‐cancer patients. 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subjects Accuracy
Bioinformatics
Biomarkers
Bladder cancer
Cancer
Computational Biology - methods
Datasets
Decision making
Disease Progression
Gene expression
Gene Expression Omnibus (GEO)
Gene Expression Profiling - methods
Gene Expression Regulation, Neoplastic - genetics
Humans
LASSO
Medical prognosis
Multivariate Analysis
Nomograms
Original
Patients
Performance evaluation
Prognosis
Proportional Hazards Models
Regression Analysis
Researchers
Software
Survival analysis
Urinary Bladder Neoplasms - genetics
Urinary Bladder Neoplasms - pathology
WGCNA
title An outcome model for human bladder cancer: A comprehensive study based on weighted gene co‐expression network analysis
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