Evidence map›Paper›PMID 34738918›Full record

ArticleAging2021

Construction and external validation of a 5-gene random forest model to diagnose non-obstructive azoospermia based on the single-cell RNA sequencing of testicular tissue.

Ranran Zhou, Xianyuan Lv, Tianle Chen, Qi Chen, Hu Tian, Cheng Yang, Wenbin Guo, Cundong Liu

Open access · hybridAbstract read
In one paragraph

Article in Aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Chaperonin in health and disease.Molecular biomedicine · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. Observational
  7. Review
  8. Article
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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

8 authors at 1 institution in 1 country.

Ranran ZhouDepartment of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Xianyuan LvDepartment of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Tianle ChenDepartment of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Qi ChenDepartment of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Hu TianDepartment of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Cheng YangDepartment of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Wenbin GuoDepartment of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Cundong LiuDepartment of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Third Affiliated Hospital of Southern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-obstructive azoospermia (NOA) is among the most severe factors for male infertility, but our understandings of the latent biological mechanisms remain insufficient. The single-cell RNA sequencing (scRNA-seq) data of 432 testicular cells isolated from the patient with NOA was analyzed, and the cell samples were grouped into 5 cell clusters. A sum of 455 cell markers was identified and then included in the protein-protein interaction network. The Top 5 most critical genes in the network, including CCT8, CDC6, PSMD1, RPS4X, RPL36A, were selected for the diagnosis model construction through the random forest (RF). The RF model was a strong classifier for NOA and obstructive azoospermia (OA), which was validated in the training cohort (n = 58, AUC = 1) and external validation cohort (n = 20, AUC = 0.9). We collected the seminal plasma samples and testicular biopsy samples from 20 OA and 20 NOA cases from the local hospital, and the gene expression was detected via Real-Time quantitative Polymerase Chain Reaction (RT-qPCR) and Immunohistochemistry. The RF model also exhibited high accuracy (AUC = 0.725) in the local cohort. In summary, a novel gene signature was developed and externally validated based on scRNA-seq analysis, providing some new biomarkers to uncover the underlying mechanisms and a promising clinical tool for diagnosis in NOA.

Indexed as

Machine LearningAdultAzoospermiaDiagnosis, Computer-AssistedHumansMaleProtein Interaction MapsRNA-SeqSingle-Cell AnalysisTranscriptomediagnosismachine learningnon-obstructive azoospermiarandom forestscRNA-seq

Identifiers

PMID34738918
PMCPMC8610122
OpenAlexW3211038588

What OpenQuestion holds

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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.