Prediction of hepatocellular carcinoma prognosis based on expression of an immune-related gene set

Aging (Albany NY). 2020 Jan 12;12(1):965-977. doi: 10.18632/aging.102669. Epub 2020 Jan 12.

Abstract

Hepatocellular carcinoma (HCC) is a common type of malignant tumor with an extremely poor prognosis. Because many HCC patients are diagnosed with advanced disease, surgical treatment is typically not possible, and other currently available treatments are often ineffective. Immunotherapy is being explored as a new treatment method for a variety of cancers, including HCC. However, there have been no systematic reports about the relationship between immune-related genes and HCC patient prognosis. In this study, we established and verified a gene set-based model to examine the relationship between immune-related genes and prognosis in HCC patients. The model was based on a dataset from The Cancer Genome Atlas (TCGA), and its stability and reliability was confirmed in four verification datasets. In addition, we performed multivariate Cox regression analyses to identify the independent risk factors affecting HCC patient prognoses. We found that this new model based on immune-related genes was effective for predicting prognosis, evaluating disease state, and identifying treatment options for HCC patients.

Keywords: gene expression; hepatocellular carcinoma; immune; prognostic indicator.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biomarkers, Tumor*
  • Carcinoma, Hepatocellular / diagnosis
  • Carcinoma, Hepatocellular / etiology*
  • Carcinoma, Hepatocellular / mortality*
  • Databases, Genetic
  • Disease Susceptibility* / immunology
  • Female
  • Gene Expression Profiling
  • Genetic Predisposition to Disease
  • Humans
  • Kaplan-Meier Estimate
  • Liver Neoplasms / diagnosis
  • Liver Neoplasms / etiology*
  • Liver Neoplasms / mortality*
  • Male
  • MicroRNAs
  • Prognosis
  • Proportional Hazards Models

Substances

  • Biomarkers, Tumor
  • MicroRNAs