Literature DB >> 21483631

Discovery and validation of prognostic markers in gastric cancer by genome-wide expression profiling.

Yue-Zheng Zhang1, Lian-Hai Zhang, Yang Gao, Chao-Hua Li, Shu-Qin Jia, Ni Liu, Feng Cheng, De-Yun Niu, William Cs Cho, Jia-Fu Ji, Chang-Qing Zeng.   

Abstract

AIM: To develop a prognostic gene set that can predict patient overall survival status based on the whole genome expression analysis.
METHODS: Using Illumina HumanWG-6 BeadChip followed by semi-supervised analysis, we analyzed the expression of 47,296 transcripts in two batches of gastric cancer patients who underwent surgical resection. Thirty-nine samples in the first batch were used as the training set to discover candidate markers correlated to overall survival, and thirty-three samples in the second batch were used for validation.
RESULTS: A panel of ten genes were identified as prognostic marker in the first batch samples and classified patients into a low- and a high-risk group with significantly different survival times (P = 0.000047). This prognostic marker was then verified in an independent validation sample batch (P = 0.0009). By comparing with the traditional Tumor-node-metastasis (TNM) staging system, this ten-gene prognostic marker showed consistent prognosis results. It was the only independent prognostic value by multivariate Cox regression analysis (P = 0.007). Interestingly, six of these ten genes are ribosomal proteins, suggesting a possible association between the deregulation of ribosome related gene expression and the poor prognosis.
CONCLUSION: A ten-gene marker correlated with overall prognosis, including 6 ribosomal proteins, was identified and verified, which may complement the predictive value of TNM staging system.

Entities:  

Keywords:  Gastric cancer; Gene expression profiling; Prognosis; Ribosomal proteins; Survival markers

Mesh:

Substances:

Year:  2011        PMID: 21483631      PMCID: PMC3072635          DOI: 10.3748/wjg.v17.i13.1710

Source DB:  PubMed          Journal:  World J Gastroenterol        ISSN: 1007-9327            Impact factor:   5.742


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