单位:[a]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, 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[b]Department of Stomatology, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China[c]Department of Biological Repositories, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China[d]Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China[e]Department of Internal Medicine, Division of Nephrology, Leiden University Medical Center, Leiden, 2333 ZA, Netherlands
Lymph node (LN) metastasis is a lethal independent risk factor for patients with bladder cancer (BLCA). Accurate evaluation of LN metastasis is of vital importance for disease staging, treatment selection, and prognosis prediction. Several histopathologic parameters are available to predict LN metastasis postoperatively. To date, medical imaging techniques have made a great contribution to preoperatively diagnosis of LN metastasis, but it also exhibits substantial false positives. Therefore, a reliable and robust method to preoperatively predict LN metastasis is urgently needed. Here, we selected 19 candidate genes related to epithelial-mesenchymal transition (EMT) across the LN metastasis samples, which was previously reported to be responsible for the subtype transition and correlation with malignancy and prognosis of BLCA, to establish an EMT-LN signature through LASSO logistic regression analysis. The EMT-LN signature could significantly predict LN metastasis with high accuracy in the TCGA-BLCA cohort, as well as several independent cohorts. As integrating with C3orf70 mutation, we developed an individualized prediction nomogram based on the EMT-LN signature. The nomogram exhibited good discrimination on LN metastasis status, with AUC of 71.7% and 75.9% in training and testing datasets of the TCGA-BLCA cohort. Moreover, the EMT-LN nomogram displayed good calibration with p>0.05 in the Hosmer-Lemeshow goodness of fit test. Decision curve analysis (DCA) revealed that the EMT-LN nomogram was of high potential for clinical utility. In summary, we established an EMT-LN nomogram integrating an EMT-LN signature and C3orf70 mutation status, which acted as an easy-to-use tool to facilitate preoperative prediction of LN metastasis in BLCA individuals.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81802550]; China Postdoctoral Science FoundationChina Postdoctoral Science Foundation [2019M660041]; Beijing Postdoctoral Research FoundationChina Postdoctoral Science Foundation [ZZ2019-04]
语种:
外文
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2019]版:
大类|3 区医学
小类|3 区生物工程与应用微生物3 区遗传学3 区病理学4 区医学:研究与实验
最新[2025]版:
无
JCR分区:
出版当年[2018]版:
Q2GENETICS & HEREDITYQ2PATHOLOGYQ2BIOTECHNOLOGY & APPLIED MICROBIOLOGYQ3MEDICINE, RESEARCH & EXPERIMENTAL
第一作者单位:[a]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China
通讯作者:
推荐引用方式(GB/T 7714):
Cao R,Ma B,Wang G,et al.An Epithelial-Mesenchymal Transition (EMT) Preoperative Nomogram for Prediction of Lymph Node Metastasis in Bladder Cancer (BLCA)[J].DISEASE MARKERS.2020,2020:doi:10.1155/2020/8833972.
APA:
Cao, R,Ma, B,Wang, G,Xiong, Y,Tian, Y&Yuan, L.(2020).An Epithelial-Mesenchymal Transition (EMT) Preoperative Nomogram for Prediction of Lymph Node Metastasis in Bladder Cancer (BLCA).DISEASE MARKERS,2020,
MLA:
Cao, R,et al."An Epithelial-Mesenchymal Transition (EMT) Preoperative Nomogram for Prediction of Lymph Node Metastasis in Bladder Cancer (BLCA)".DISEASE MARKERS 2020.(2020)