Development and pan-cancer validation of an epigenetics-based random survival forest model for prognosis prediction and drug response in OS

  • 0Department of Orthopaedics, Dongguan Hospital of Guangzhou University of Chinese Medicine, Dongguan, China.

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Summary

This summary is machine-generated.

This study developed an epigenetics-based model to predict osteosarcoma (OS) patient outcomes and guide treatment. The model accurately stratifies patients, improving personalized therapy selection for better clinical outcomes.

Area Of Science

  • Oncology
  • Epigenetics
  • Genomics

Background

  • Osteosarcoma (OS) displays significant epigenetic heterogeneity, necessitating systematic characterization for clinical application.
  • Current understanding of OS epigenetic landscape and its clinical implications is limited.

Purpose Of The Study

  • To systematically characterize epigenetic features in osteosarcoma.
  • To develop and validate an epigenetics-based predictive model for patient prognosis and treatment stratification.

Main Methods

  • Single-cell transcriptomic analysis of primary OS samples.
  • Construction and validation of a Random Survival Forest (RSF) model using 801 epigenetic factors.
  • Analysis of epigenetic states in the OS microenvironment and identification of key predictive genes.

Main Results

  • Distinct epigenetic states identified in OS cells and the tumor microenvironment.
  • RSF model identified OLFML2B, ACTB, and C1QB as key predictive genes with broad applicability across cancers.
  • Risk stratification revealed differential responses to chemotherapy and targeted therapies.

Conclusions

  • The epigenetics-based RSF model shows high prognostic accuracy (AUC > 0.83 in external cohorts).
  • The model serves as a practical tool for treatment stratification in osteosarcoma.
  • Findings establish a framework for personalized therapy selection in OS patients.