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Differentially Expressed Genes Identify FIGO Stage II Cervical Cancer Patients with a Higher Risk of Relapse in a
Carolina P S Melo1, Angelo B Melo2, Fábio R Queiroz1
1Laboratory of Translational Research in Oncology, Teaching, Research and Innovation Center, Mario Penna Institute, Belo Horizonte 30380-490, MG, Brazil.
New biomarkers like GTF3C2-AS1 can predict recurrence risk in cervical cancer (CC) patients, improving prognostic accuracy beyond FIGO staging. This transcriptomic analysis identifies key genes for better risk assessment.
Area of Science:
- Oncology
- Genomics
- Biomarker Discovery
Background:
- Cervical cancer (CC) prognostic studies often overlook FIGO stage, potentially masking aggressive molecular features in FIGO II tumors.
- Intra-stage heterogeneity in FIGO II CC necessitates refined prognostic stratification.
- Molecular markers may improve risk assessment for cervical cancer patients.
Purpose of the Study:
- To identify a gene signature predictive of progression-free survival (PFS) in a FIGO II CC cohort.
- To investigate differential gene expression for prognostic biomarkers in CC.
- To refine prognostic stratification beyond FIGO staging for cervical cancer.
Main Methods:
- RNA sequencing and bioinformatics on 15 FIGO II CC tumor samples.
- Machine learning to identify differentially expressed genes (DEGs) associated with prognosis.
- Validation of findings in an independent CC cohort (n=174).
Main Results:
- High expression of B3GALT1, GTF3C2-AS1, and ZKSCAN4 correlated with increased recurrence risk.
- Elevated GTF3C2-AS1 expression predicted shorter PFS in both cohorts.
- GTF3C2-AS1 alone achieved 93.3% accuracy in prognostic classification via decision tree modeling.
Conclusions:
- Transcriptomic profiling identified potential biomarkers for refining CC prognostic stratification.
- GTF3C2-AS1 emerged as a consistent predictor of recurrence risk in cervical cancer.
- B3GALT1, ZKSCAN4, and immunoglobulin transcripts offer complementary insights requiring further validation.
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