Prognostic value of cross-omics screening for kidney clear cell renal cancer survival

Slavica Dimitrieva1, Ralph Schlapbach2, Hubert Rehrauer2

  • 1Functional Genomics Center Zurich, ETH Zurich and University of Zurich, Winterthurerstrasse 190, Zurich, 8057, Switzerland. slavica.dimitrieva@fgcz.ethz.ch.

Biology Direct
|December 21, 2016
PubMed
Abstract

Insights

This study investigated molecular data for kidney renal clear cell carcinoma (KIRC) patients. Integrating molecular data with clinical information improved survival predictions, highlighting methylation alterations as potential therapeutic targets.

Area of Science:

  • Oncology
  • Genomics
  • Bioinformatics

Background:

  • Kidney renal clear cell carcinoma (KIRC) presents limited treatment options due to resistance to conventional therapies.
  • Large-scale molecular profiling of KIRC tumors is crucial for uncovering genetic and epigenetic drivers.
  • Current clinical and research practices often focus on single molecular platforms or limited gene sets.

Purpose of the Study:

  • To systematically assess the predictive power of different molecular data types for KIRC patient survival.
  • To determine the most informative molecular data for standalone and integrated prediction models.
  • To identify potential clinically useful biomarkers for KIRC prognosis.

Main Methods:

  • Applied computational approaches for preselecting survival-predictive genomic markers.
  • Evaluated mRNA, miRNA, protein expression, copy number variation (CNV), and DNA methylation data.
  • Integrated molecular data with clinical variables for enhanced survival prediction.

Main Results:

  • Expression and methylation data showed statistically significant predictive power for KIRC survival.
  • Neither expression nor methylation data alone outperformed predictions based on clinical data.
  • Integration of molecular data with clinical variables significantly improved survival prediction accuracy.

Conclusions:

  • Molecular data, particularly methylation, holds prognostic relevance in KIRC.
  • Combined molecular and clinical data offer superior survival prediction compared to clinical data alone.
  • Epigenetic modulators represent a promising avenue for KIRC treatment strategies.