Evidence map›Paper›PMID 37860187›Full record

ArticleFrontiers in oncology2023

A prognostic mathematical model based on tumor microenvironment-related genes expression for breast cancer patients.

Hong Chen, Shan Wang, Yuting Zhang, Xue Gao, Yufu Guan, Nan Wu, Xinyi Wang, Tianyang Zhou, Ying Zhang, Di Cui and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

13 authors at 2 institutions in 1 country.

Hong ChenDepartment of Breast Surgery, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Shan WangDepartment of Breast Surgery, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Yuting ZhangDepartment of Breast Surgery, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Xue GaoDepartment of Pathology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Yufu GuanDepartment of Breast and Thyroid Surgery, Affiliated Zhongshan Hospital of Dalian University, Dalian, China.
Nan WuDepartment of Breast Surgery, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Xinyi WangDepartment of Breast Surgery, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Tianyang ZhouDepartment of Breast Surgery, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Ying ZhangDepartment of Breast Surgery, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Di CuiInformation Center, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Mijia WangDepartment of Breast Surgery, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Dianlong ZhangDepartment of Breast and Thyroid Surgery, Affiliated Zhongshan Hospital of Dalian University, Dalian, China.
Jia WangDepartment of Breast Surgery, Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Dalian Medical University · CNAffiliated Zhongshan Hospital of Dalian University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tumor microenvironment (TME) status is closely related to breast cancer (BC) prognosis and systemic therapeutic effects. However, to date studies have not considered the interactions of immune and stromal cells at the gene expression level in BC as a whole. Herein, we constructed a predictive model, for adjuvant decision-making, by mining TME molecular expression information related to BC patient prognosis and drug treatment sensitivity. Methods: Clinical information and gene expression profiles were extracted from The Cancer Genome Atlas (TCGA), with patients divided into high- and low-score groups according to immune/stromal scores. TME-related prognostic genes were identified using Kaplan-Meier analysis, functional enrichment analysis, and protein-protein interaction (PPI) networks, and validated in the Gene Expression Omnibus (GEO) database. Least absolute shrinkage and selection operator (LASSO) Cox regression analysis was used to construct and verify a prognostic model based on TME-related genes. In addition, the patients' response to chemotherapy and immunotherapy was assessed by survival outcome and immunohistochemistry (IPS). Immunohistochemistry (IHC) staining laid a solid foundation for exploring the value of novel therapeutic target genes. Results: By dividing patients into low- and high-risk groups, a significant distinction in overall survival was found (p < 0.05). The risk model was independent of multiple clinicopathological parameters and accurately predicted prognosis in BC patients (p < 0.05). The nomogram-integrated risk score had high prediction accuracy and applicability, when compared with simple clinicopathological features. As predicted by the risk model, regardless of the chemotherapy regimen, the survival advantage of the low-risk group was evident in those patients receiving chemotherapy (p < 0.05). However, in patients receiving anthracycline (A) therapy, outcomes were not significantly different when compared with those receiving no-A therapy (p = 0.24), suggesting these patients may omit from A-containing adjuvant chemotherapy. Our risk model also effectively predicted tumor mutation burden (TMB) and immunotherapy efficacy in BC patients (p < 0.05). Conclusion: The prognostic score model based on TME-related genes effectively predicted prognosis and chemotherapy effects in BC patients. The model provides a theoretical basis for novel driver-gene discover in BC and guides the decision-making for the adjuvant treatment of early breast cancer (eBC).

Indexed as

breast cancerprognosticresistancetherapeutic sensitivitytumor microenvironment

Identifiers

PMID37860187
PMCPMC10583559
OpenAlexW4387334507

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.