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Author:

Liu, Bo (Liu, Bo.) | Wang, Huina (Wang, Huina.) | Wang, Xin (Wang, Xin.) | Long, Junqi (Long, Junqi.) | Zhuang, Xujie (Zhuang, Xujie.) | Ji, Xinchan (Ji, Xinchan.) | Zhu, Nian (Zhu, Nian.) | Li, Jinmeng (Li, Jinmeng.) | Gao, Ting (Gao, Ting.) | Zhang, Xuehui (Zhang, Xuehui.) | Yu, Jiangyong (Yu, Jiangyong.) | Zhao, Shuangtao (Zhao, Shuangtao.)

Indexed by:

EI Scopus SCIE

Abstract:

Background This study aims to propose a breast cancer prediction model for early diagnosis and prognosis management of breast cancer. Objective In order to explore the pathogenesis of breast cancer and develop accurate breast cancer screening and treatment methods, we have used machine-learning technologies to conduct an in-depth study of breast cancer genetic data to obtain new breast cancer signature and prognostic prediction models. Methods We explored an optimal cluster by unsupervised clustering methods with different expression genes (DEGs) between normal (n = 113) and tumour (n = 1,102) samples. Using least absolute shrinkage and selection operator (LASSO) regression, we selected four biomarkers to develop a predictive model by Cox regression method in the training set (n = 1,083) and validated its predictive accuracy and independence in the testing sets (n = 2,480). Then Gene Set Enrichment Analysis (GSEA) revealed enriched biological pathways in clusters. Finally, we constructed a nomogram including this signature and other significant risk factors to predict survival rates in patients. Results Four mRNAs (CD163L1, QPRT, NKAIN1 and TP53AIP1) between two clusters from 4,938 DEGs were identified, and then a four-gene model (risk scores = 0.454*CD163L1-0.360*NKAIN1 + 0.581*QPRT + 0.788*TP53AIP1) was established to divide patients into high- and low-risk group with significantly different prognosis (p < 0.0001) in the training set. Integrated analysis revealed dysregulated molecular processes including predominantly oncogenic signalling pathway, cell cycle and DNA repair in high-risk group but enriched metabolism pathway in low-risk group. In addition, this model had similar predictive value (HR >1.60; p < 0.05) in three independent validation sets, which could predict survival independently with more power compared with single clinical factor. In addition, the nomogram could predict the prognosis of breast cancer patients precisely in the training set and another three testing sets. Conclusion This model could predict prognosis of breast cancer patients precisely and independently, and provide evidence to make treatment decisions and design clinical trials.

Keyword:

predicative model prognosis breast cancer signalling pathway

Author Community:

  • [ 1 ] [Liu, Bo]Beijing Univ Technol, Fac Informat Technol, Sch Software Engn, Beijing, Peoples R China
  • [ 2 ] [Wang, Huina]Beijing Univ Technol, Fac Informat Technol, Sch Software Engn, Beijing, Peoples R China
  • [ 3 ] [Long, Junqi]Beijing Univ Technol, Fac Informat Technol, Sch Software Engn, Beijing, Peoples R China
  • [ 4 ] [Zhuang, Xujie]Beijing Univ Technol, Fac Informat Technol, Sch Software Engn, Beijing, Peoples R China
  • [ 5 ] [Ji, Xinchan]Beijing Univ Technol, Fac Informat Technol, Sch Software Engn, Beijing, Peoples R China
  • [ 6 ] [Zhu, Nian]Beijing Univ Technol, Fac Informat Technol, Sch Software Engn, Beijing, Peoples R China
  • [ 7 ] [Li, Jinmeng]Beijing Univ Technol, Fac Informat Technol, Sch Software Engn, Beijing, Peoples R China
  • [ 8 ] [Liu, Bo]Massey Univ, Sch Math & Computat Sci, Palmerston North, New Zealand
  • [ 9 ] [Wang, Xin]Zhengzhou Univ, Dept Basic Med, Coll Nursing & Hlth, Zhengzhou, Henan, Peoples R China
  • [ 10 ] [Gao, Ting]Chinese Acad Med Sci & Peking Union Med Coll, Natl Canc Ctr, Dept Dis & Infect Control, Canc Hosp, Beijing, Peoples R China
  • [ 11 ] [Zhang, Xuehui]Tianjin Med Univ Canc Inst & Hosp, Dept Blood Transfus, Natl Clin Res Ctr Canc, Key Lab Canc Prevent & Therapy, Tianjin, Peoples R China
  • [ 12 ] [Yu, Jiangyong]Chinese Acad Med Sci, Beijing Hosp, Natl Ctr Gerontol, Dept Med Oncol,Inst Geriatr Med, Beijing, Peoples R China
  • [ 13 ] [Zhao, Shuangtao]Capital Med Univ, Beijing TB & Thorac Tumor Res Inst, Dept Thorac Surg, Beijing Chest Hosp, Beijing 101149, Peoples R China

Reprint Author's Address:

  • [Zhao, Shuangtao]Capital Med Univ, Beijing TB & Thorac Tumor Res Inst, Dept Thorac Surg, Beijing Chest Hosp, Beijing 101149, Peoples R China;;

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Source :

EXPERT SYSTEMS

ISSN: 0266-4720

Year: 2022

Issue: 2

Volume: 40

3 . 3

JCR@2022

3 . 3 0 0

JCR@2022

ESI Discipline: COMPUTER SCIENCE;

ESI HC Threshold:46

JCR Journal Grade:2

CAS Journal Grade:4

Cited Count:

WoS CC Cited Count: 0

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 6

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