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An EMT-related gene signature for the prognosis of human bladder cancer

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单位: [1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China [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
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关键词: bladder cancer Cox EMT GEO LASSO signature TCGA

摘要:
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.

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出版当年[2019]版:
大类 | 2 区 医学
小类 | 2 区 医学:研究与实验 3 区 细胞生物学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 细胞生物学 3 区 医学:研究与实验
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出版当年[2018]版:
Q1 MEDICINE, RESEARCH & EXPERIMENTAL Q2 CELL BIOLOGY
最新[2023]版:
Q2 CELL BIOLOGY Q2 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2018版] 出版当年五年平均[2014-2018] 出版前一年[2017版] 出版后一年[2019版]

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第一作者单位: [1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China
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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.
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