Evidence map›Paper›PMID 33934539›Full record

ArticleCancer medicine2021

A novel five-gene signature predicts overall survival of patients with hepatocellular carcinoma.

Zhigang Wang, Leyu Pan, Deliang Guo, Xiaofeng Luo, Jie Tang, Weihua Yang, Yuxian Zhang, Anni Luo, Yang Gu, Yuxuan Pan

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
8.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 88 citations in OpenAlex.

  1. Trafficking of the human NaProtein science : a publication of the Protein Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Zhigang WangDepartment of Hepatobiliary and Pancreas, The First People's Hospital of Jingmen, Jingmen, China.
Leyu PanDepartment of Hepatobiliary and Pancreas, The First People's Hospital of Jingmen, Jingmen, China.
Deliang GuoDepartment of Hepatobiliary and Pancreas, Zhongnan Hospital of Wuhan University, Wuhan, China.
Xiaofeng LuoDepartment of Hepatobiliary and Pancreas, The First People's Hospital of Jingmen, Jingmen, China.
Jie TangDepartment of Hepatobiliary and Pancreas, The First People's Hospital of Jingmen, Jingmen, China.
Weihua YangDepartment of Hepatobiliary and Pancreas, The First People's Hospital of Jingmen, Jingmen, China.
Yuxian ZhangDepartment of Hepatobiliary and Pancreas, The First People's Hospital of Jingmen, Jingmen, China.
Anni LuoDepartment of Anesthesiology, The First People's Hospital of Jingmen, Jingmen, China.
Yang GuDepartment of Hepatobiliary and Pancreas, The First People's Hospital of Jingmen, Jingmen, China.ORCID 0000-0002-6584-7216
Yuxuan PanDepartment of Blood Transfusion, The First People's Hospital of Jingmen, Jingmen, China.
First People’s Hospital of Jingmen · CNWuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) is one of the most common public health challenges, worldwide. Because of molecular complexity and tumor heterogeneity, there are no effective predictive models for prognosis of HCC. This underlines the unmet need for accurate prognostic models for HCC. Analysis of GSE14520 data from gene omnibus (GEO) database identified multiple differentially expressed mRNAs (DEMs) between HCC and normal tissues. After randomly stratifying the patients into the training and testing groups, we performed univariate, lasso, and multivariable Cox regression analyses to delineate the prognostic gene signature in training set. We then used Kaplan-Meier plot, time-dependent receiver operating characteristic (ROC), multivariable Cox regression analysis of clinical information, nomogram, and decision curve analysis (DCA) to evaluate the predictive and overall survival value of a novel five-gene signature (CNIH4, SOX4, SPP1, SORBS2, and CCL19) within and across sets, separately and combined. We also validated the prognostic value of the five-gene signature using The Cancer Genome Atlas-Liver Hepatocellular Carcinoma (TCGA-LIHC), GSE54236 and International Cancer Genome Consortium (ICGC) sets. Multivariable Cox regression analysis revealed that the five-gene signature and tumor node metastasis (TNM) stage were independent prognostic factors for overall survival of HCC patients in GSE14520 and TCGA-LIHC. Combining TNM stage clinical pathological parameters and nomogram greatly improved the prognosis prediction of HCC. Further gene set enrichment analysis (GSEA) revealed enrichment of KEGG pathways related to cell cycle in the high-risk group and histidine metabolism in the low-risk group. Finally, all these five mRNAs are overexpressed between 12 pairs of HCC and adjacent normal tissues by quantitative real-time PCR validation. In brief, a five-gene prognostic signature and a nomogram were identified and constructed, respectively, and further validated for their HCC prognostic value. The five-gene risk score together with TNM stage models could aid in rationalizing customized therapies in HCC patients.

Indexed as

TranscriptomeAdaptor Proteins, Signal TransducingAgedCarcinoma, HepatocellularChemokine CCL19Databases, GeneticDecision Support TechniquesFemaleGene Expression ProfilingHumansKaplan-Meier EstimateLiver NeoplasmsMaleMiddle AgedNomogramsOsteopontinAdaptor Proteins, Signal TransducingCCL19 protein, humanChemokine CCL19CNIH4 protein, humanOsteopontinReceptors, Cytoplasmic and NuclearRNA-Binding ProteinsRNA, MessengerSORBS2 protein, humanSOX4 protein, humanSOXC Transcription FactorsSPP1 protein, humanCox regression analysishepatocellular carcinomanomogramprognosisquantitative real-time PCR

Identifiers

PMID33934539
PMCPMC8178492
OpenAlexW3157325660

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.