机构:[1]Department of Gastroenterology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China[2]School of Biomedical Sciences, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China[3]Department of Internal Medicine, People's Hospital of Jinping County, Yunnan Province, China
The management of stage II colorectal cancer is still difficult. We aimed to construct a new immune cellassociated signature for prognostic evaluation and guiding chemotherapy in stage II colorectal cancer. We used the "Cell Type Identification by Estimating Relative Subsets of RNA Transcripts" (CIBERSORT) method to estimate the fraction of 22 immune cells by analyzing bulk tumor transcriptomes and a LASSO Cox regression model to select the prognostic immune cells. A 12-immune cell prognostic classifier, ISCRC, was built, which could successfully discriminate the high-risk patients in the training cohort (GSE39582: HR = 3.16, 95% CI: 1.85-5.40, P < 0.0001) and another independent cohorts (GSE14333: HR = 3.47, 95% CI: 1.18-10.15, P =0.0167). The receiver operating characteristic analysis revealed that the AUC of the ISCRC model was significantly greater than that of oncotypeDX model (0.7111 versus 0.5647, p=0.0152). We introduced the propensity score matching analysis to eliminate the selection bias; survival analysis showed relatively poor prognosis after chemotherapy in stage II CRC patients. Furthermore, a nomogram was built for clinicians and did well in the calibration plots. In conclusion, this immune cell-based signature could improve prognostic prediction and may help guide chemotherapy in stage II colorectal cancer patients.
基金:
Shanghai Changning Science and Technology Committee [CNKW2018Y11, CNKW2017Y05]; Shanghai Changning Health Commission [20194Y002]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81871912, 81970530]; Shanghai Municipal Health Bureau Key Disciplines Grant [ZK2019C012]
第一作者机构:[1]Department of Gastroenterology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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推荐引用方式(GB/T 7714):
Tian Xianglong,Zhu Xiaoqiang,Meng Wenying,et al.A 12-immune cell signature to predict relapse and guide chemotherapy for stage II colorectal cancer[J].AGING-US.2020,12(18):18363-18383.doi:10.18632/aging.103707.
APA:
Tian, Xianglong,Zhu, Xiaoqiang,Meng, Wenying,Bai, Shiguang,Shi, Min...&Wang, Yugang.(2020).A 12-immune cell signature to predict relapse and guide chemotherapy for stage II colorectal cancer.AGING-US,12,(18)
MLA:
Tian, Xianglong,et al."A 12-immune cell signature to predict relapse and guide chemotherapy for stage II colorectal cancer".AGING-US 12..18(2020):18363-18383