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Identification of a nine-gene panel as a prognostic indicator for recurrence with muscle-invasive bladder cancer

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单位: [1]Department of Medical Genetics and Developmental Biology, School of Basic Medical Sciences, Beijing Key Laboratory of Neural Regeneration and Repair, Capital Medical University, Beijing, China [2]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China
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关键词: bladder cancer gene panel prognosis recurrence

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Background and Objectives Bladder cancer is one of the most common and highly recurrent cancers worldwide. Recurrence-associated genes may potentially predict cancer recurrence. We aimed to construct a recurrence-associated gene panel to improve the prognostic prediction of bladder cancer. Methods Based on DNA sequencing and clinical data from the TCGA-BLCA project, we identified 10 potential driver genes significantly associated with recurrence of bladder cancer. We performed multivariable logistic regression analysis to construct an optimized recurrence prediction model with nine recurrence-associated genes (EME1, AKAP9, ZNF91, PARD3, STAG2, ZFP36L2, METTL3, POLR3B, and MUC7) and clinical information as the independent variables. Results The area under the receiver operating characteristic (ROC) curve was 0.80 in this model, much higher than that of the baseline model (AUC = 0.73) and the same trend was also validated in its subset. Decision curve analysis also revealed that there is a significant net benefit gained by adding nine genes mutation to the baseline model. Furthermore, Kaplan-Meier survival analysis showed that eight out of the nine genes (excluding MUC7) had good effects on the overall prognosis of patients. Conclusions This nine-gene panel will most likely be a useful tool for prognostic evaluation and will facilitate the personalized management of patients with bladder cancer.

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 2 区 外科 4 区 肿瘤学
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 肿瘤学 4 区 外科
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出版当年[2017]版:
Q1 SURGERY Q3 ONCOLOGY
最新[2023]版:
Q2 SURGERY Q3 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2017版] 出版当年五年平均[2013-2017] 出版前一年[2016版] 出版后一年[2018版]

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第一作者单位: [1]Department of Medical Genetics and Developmental Biology, School of Basic Medical Sciences, Beijing Key Laboratory of Neural Regeneration and Repair, Capital Medical University, Beijing, China
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通讯机构: [1]Department of Medical Genetics and Developmental Biology, School of Basic Medical Sciences, Beijing Key Laboratory of Neural Regeneration and Repair, Capital Medical University, Beijing, China [2]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, 100050 Beijing, China [*2]Department of Medical Genetics and Developmental Biology, School of Basic Medical Sciences, Capital Medical University, You An Men Xi Tou Tiao 10, 100069 Beijing, China
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