单位:[1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China临床科室泌尿外科泌尿外科首都医科大学附属北京友谊医院[2]Division of Nephrology, Department of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands[3]Department of Stomatology, Beijing Shijitan Hospital, Capital Medical University, Beijing, China[4]Department of Biological Repositories, Zhongnan Hospital of Wuhan University, Wuhan, China
The transition from non-muscle-invasive bladder cancer (NMIBC) to muscle-invasive bladder cancer (MIBC) is detrimental to bladder cancer (BLCA) patients. Here, we aimed to study the underlying mechanism of the subtype transition. Gene set variation analysis (GSVA) revealed the epithelial-mesenchymal transition (EMT) signalling pathway with the most positive correlation in this transition. Then, we built a LASSO Cox regression model of an EMT-related gene signature in BLCA. The patients with high risk scores had significantly worse overall survival (OS) and disease-free survival (DFS) than those with low risk scores. The EMT-related gene signature also performed favourably in the accuracy of prognosis and in the subtype survival analysis. Univariate and multivariate Cox regression analyses demonstrated that the EMT-related gene signature, pathological N stage and age were independent prognostic factors for predicting survival in BLCA patients. Furthermore, the predictive nomogram model was able to effectively predict the outcome of BLCA patients by appropriately stratifying the risk score. In conclusion, we developed a novel EMT-related gene signature that has tumour-promoting effects, acts as a negative independent prognostic factor and might facilitate personalized counselling and treatment in BLCA.
基金:
National Natural Scientific Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81802550]; Beijing Postdoctoral Research FoundationChina Postdoctoral Science Foundation [ZZ2019-04]; Beijing Municipal Science & Technology CommissionBeijing Municipal Science & Technology Commission [Z161100000516147]; Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support [ZYLX201604]; Hubei Provincial Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [2018CFB221]
第一作者单位:[1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China[*1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Yong an Road 95, Beijing 100050, China.
推荐引用方式(GB/T 7714):
Cao Rui,Yuan Lushun,Ma Bo,et al.An EMT-related gene signature for the prognosis of human bladder cancer[J].JOURNAL of CELLULAR and MOLECULAR MEDICINE.2020,24(1):605-617.doi:10.1111/jcmm.14767.
APA:
Cao, Rui,Yuan, Lushun,Ma, Bo,Wang, Gang,Qiu, Wei&Tian, Ye.(2020).An EMT-related gene signature for the prognosis of human bladder cancer.JOURNAL of CELLULAR and MOLECULAR MEDICINE,24,(1)
MLA:
Cao, Rui,et al."An EMT-related gene signature for the prognosis of human bladder cancer".JOURNAL of CELLULAR and MOLECULAR MEDICINE 24..1(2020):605-617