Development and validation of a prognostic gene-expression signature for lung adenocarcinoma.

Bibliographic Details
Title: Development and validation of a prognostic gene-expression signature for lung adenocarcinoma.
Authors: Yun-Yong Park, Eun Sung Park, Sang Bae Kim, Sang Cheol Kim, Bo Hwa Sohn, In-Sun Chu, Woojin Jeong, Gordon B Mills, Lauren Averett Byers, Ju-Seog Lee
Source: PLoS ONE, Vol 7, Iss 9, p e44225 (2012)
Publisher Information: Public Library of Science (PLoS), 2012.
Publication Year: 2012
Collection: LCC:Medicine
LCC:Science
Subject Terms: Medicine, Science
More Details: Although several prognostic signatures have been developed in lung cancer, their application in clinical practice has been limited because they have not been validated in multiple independent data sets. Moreover, the lack of common genes between the signatures makes it difficult to know what biological process may be reflected or measured by the signature. By using classical data exploration approach with gene expression data from patients with lung adenocarcinoma (n = 186), we uncovered two distinct subgroups of lung adenocarcinoma and identified prognostic 193-gene gene expression signature associated with two subgroups. The signature was validated in 4 independent lung adenocarcinoma cohorts, including 556 patients. In multivariate analysis, the signature was an independent predictor of overall survival (hazard ratio, 2.4; 95% confidence interval, 1.2 to 4.8; p = 0.01). An integrated analysis of the signature revealed that E2F1 plays key roles in regulating genes in the signature. Subset analysis demonstrated that the gene signature could identify high-risk patients in early stage (stage I disease), and patients who would have benefit of adjuvant chemotherapy. Thus, our study provided evidence for molecular basis of clinically relevant two distinct two subtypes of lung adenocarcinoma.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1932-6203
Relation: http://europepmc.org/articles/PMC3436895?pdf=render; https://doaj.org/toc/1932-6203
DOI: 10.1371/journal.pone.0044225
Access URL: https://doaj.org/article/411c9cc5b1284cf18d27c50d7613f223
Accession Number: edsdoj.411c9cc5b1284cf18d27c50d7613f223
Database: Directory of Open Access Journals
More Details
ISSN:19326203
DOI:10.1371/journal.pone.0044225
Published in:PLoS ONE
Language:English