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  4. Oncology And Carcinogenesis
  5. Predictive And Prognostic Markers
  6. Construction And Multicohort Validation Of A Colon Cancer Prognostic Risk Score System Based On Big Data Of Neutrophil-associated Differentially Expressed Genes.
  1. Home
  2. Research Domains
  3. Biomedical And Clinical Sciences
  4. Oncology And Carcinogenesis
  5. Predictive And Prognostic Markers
  6. Construction And Multicohort Validation Of A Colon Cancer Prognostic Risk Score System Based On Big Data Of Neutrophil-associated Differentially Expressed Genes.

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Construction and multicohort validation of a colon cancer prognostic risk score system based on big data of neutrophil-associated differentially expressed genes.

Yunxi Yang1, Cheng Lu1, Linbin Li1

  • 1Research Center for Neutrophil Engineering Technology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou 215002, Jiangsu Province, China.

Journal of Cancer
|April 5, 2024

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
colon cancerimmunotherapymolecular subtypesneutrophil

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A new prognostic risk score (PRS) system based on neutrophil-associated genes predicts colon cancer outcomes and immunotherapy effectiveness. This tool aids in developing targeted neutrophil-focused antitumor strategies.

Area of Science:

  • Oncology
  • Immunology
  • Bioinformatics

Background:

  • Neutrophils play a complex role in cancer progression.
  • Understanding neutrophil involvement is crucial for developing effective colon cancer therapies.

Purpose of the Study:

  • To investigate the prognostic value of neutrophil-associated genes in colon cancer.
  • To develop a prognostic risk score (PRS) system for colon cancer patients.
  • To evaluate the PRS system's potential as a predictor of immunotherapy efficacy.

Main Methods:

  • Unsupervised clustering of genetic data from 1,273 colon cancer patients based on neutrophil-associated genes.
  • Identification of differentially expressed genes (DEGs) impacting overall survival (OS) using Cox regression.
  • Construction and validation of a prognostic risk score (PRS) system.
prognosis risk score
  • Analysis of PRS correlation with prognosis, immune cell infiltration, tumor microenvironment, and mutations.
  • Validation in pan-tumor immunotherapy cohorts.
  • Main Results:

    • Two colon cancer subtypes (Cluster A and B) were identified, with Cluster B showing a superior prognosis.
    • A 17-gene PRS system was developed from 109 DEGs, identifying high-PRS individuals with poorer prognosis, increased mutations, and an immunosuppressive microenvironment.
    • High-PRS patients demonstrated enhanced response rates, progression-free survival, and overall survival in immunotherapy cohorts.
    • The PRS system effectively predicted immunotherapy efficacy across different tumor types.

    Conclusions:

    • The PRS system is a valuable prognostic model for colon cancer.
    • The PRS system shows potential as a universal marker for predicting immunotherapy response.
    • Findings support the development of neutrophil-targeted antitumor strategies.