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Prediction of survival of HPV16-negative, p16-negative oral cavity cancer patients using a 13-gene signature: A multicenter study using FFPE samples
C. Chen, P. Lohavanichbutr, Y. Zhang, JR. Houck, MP. Upton, B. Abedi-Ardekani, A. Agudo, W. Ahrens, L. Alemany, D. Anantharaman, DI. Conway, ND. Futran, I. Holcatova, K. Günther, BT. Hansen, CM. Healy, D. Itani, K. Kjaerheim, MM. Monroe, PJ....
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články, multicentrická studie, Research Support, N.I.H., Extramural, práce podpořená grantem
Grantová podpora
T32 DC000018
NIDCD NIH HHS - United States
R01 CA177736
NCI NIH HHS - United States
T32 DC005356
NIDCD NIH HHS - United States
U24 CA210993
NCI NIH HHS - United States
P30 CA042014
NCI NIH HHS - United States
P50 CA097248
NCI NIH HHS - United States
T42 OH008455
NIOSH CDC HHS - United States
P30 CA046592
NCI NIH HHS - United States
P30 CA015704
NCI NIH HHS - United States
K12 RR023265
NCRR NIH HHS - United States
R01 CA095419
NCI NIH HHS - United States
- MeSH
- analýza přežití MeSH
- dospělí MeSH
- fixace tkání MeSH
- inhibitor p16 cyklin-dependentní kinasy metabolismus MeSH
- lidé středního věku MeSH
- lidé MeSH
- lidský papilomavirus 16 izolace a purifikace MeSH
- mladý dospělý MeSH
- nádorové biomarkery genetika MeSH
- nádory úst genetika metabolismus patologie MeSH
- plocha pod křivkou MeSH
- sekvenční analýza RNA MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- spinocelulární karcinom genetika metabolismus patologie MeSH
- staging nádorů MeSH
- stanovení celkové genové exprese metody MeSH
- zalévání tkání do parafínu MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
OBJECTIVES: To test the performance of an oral cancer prognostic 13-gene signature for the prediction of survival of patients diagnosed with HPV-negative and p16-negative oral cavity cancer. MATERIALS AND METHODS: Diagnostic formalin-fixed paraffin-embedded oral cavity cancer tumor samples were obtained from the Fred Hutchinson Cancer Research Center/University of Washington, University of Calgary, University of Michigan, University of Utah, and seven ARCAGE study centers coordinated by the International Agency of Research on Cancer. RNA from 638 Human Papillomavirus (HPV)-negative and p16-negative samples was analyzed for the 13 genes using a NanoString assay. Ridge-penalized Cox regressions were applied to samples randomly split into discovery and validation sets to build models and evaluate the performance of the 13-gene signature in predicting 2-year oral cavity cancer-specific survival overall and separately for patients with early and late stage disease. RESULTS: Among AJCC stage I/II patients, including the 13-gene signature in the model resulted in substantial improvement in the prediction of 2-year oral cavity cancer-specific survival. For models containing age and sex with and without the 13-gene signature score, the areas under the Receiver Operating Characteristic Curve (AUC) and partial AUC were 0.700 vs. 0.537 (p < 0.001), and 0.046 vs. 0.018 (p < 0.001), respectively. Improvement in predicting prognosis for AJCC stage III/IV disease also was observed, but to a lesser extent. CONCLUSIONS: If confirmed using tumor samples from a larger number of early stage oral cavity cancer patients, the 13-gene signature may inform personalized treatment of early stage HPV-negative and p16-negative oral cavity cancer patients.
Cancer Registry of Norway Ullernchausseen 64 0379 Oslo Norway
Department of Epidemiology University of Washington 1959 NE Pacific St Seattle WA USA
Department of Pathology University of Washington 1959 NE Pacific St Seattle WA USA
Dublin Dental University Hospital Trinity College Dublin Lincoln Pl Dublin Ireland
Icahn School of Medicine at Mount Sinai 1 Gustave L Levy Pl New York NY USA
Institute of Statistics Bremen University Achterstraße 30 28359 Bremen Germany
International Agency of Research on Cancer 150 Cours Albert Thomas Lyon France
Leibniz Institute for Prevention Research and Epidemiology BIPS Bremen Germany
Oral and Maxillofacial Surgery The University of Hong Kong Pok Fu Lam Hong Kong
Rajiv Gandhi Centre for Biotechnology Melarannoor Road Thycaud Thiruvananthapuram India
School of Medicine Dentistry and Nursing University of Glasgow University Avenue Glasgow UK
Citace poskytuje Crossref.org
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- $a Chen, Chu $u Program in Epidemiology, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Seattle, WA, USA; Department of Epidemiology, University of Washington, 1959 NE Pacific St, Seattle, WA, USA; Department of Otolaryngology -- Head and Neck Surgery, University of Washington, 1959, NE Pacific St, Seattle, WA, USA. Electronic address: cchen@fredhutch.org.
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- $a Prediction of survival of HPV16-negative, p16-negative oral cavity cancer patients using a 13-gene signature: A multicenter study using FFPE samples / $c C. Chen, P. Lohavanichbutr, Y. Zhang, JR. Houck, MP. Upton, B. Abedi-Ardekani, A. Agudo, W. Ahrens, L. Alemany, D. Anantharaman, DI. Conway, ND. Futran, I. Holcatova, K. Günther, BT. Hansen, CM. Healy, D. Itani, K. Kjaerheim, MM. Monroe, PJ. Thomson, BL. Witt, S. Nakoneshny, LA. Peterson, SM. Schwartz, KR. Zarins, M. Hashibe, P. Brennan, LS. Rozek, G. Wolf, JC. Dort, P. Wang,
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- $a OBJECTIVES: To test the performance of an oral cancer prognostic 13-gene signature for the prediction of survival of patients diagnosed with HPV-negative and p16-negative oral cavity cancer. MATERIALS AND METHODS: Diagnostic formalin-fixed paraffin-embedded oral cavity cancer tumor samples were obtained from the Fred Hutchinson Cancer Research Center/University of Washington, University of Calgary, University of Michigan, University of Utah, and seven ARCAGE study centers coordinated by the International Agency of Research on Cancer. RNA from 638 Human Papillomavirus (HPV)-negative and p16-negative samples was analyzed for the 13 genes using a NanoString assay. Ridge-penalized Cox regressions were applied to samples randomly split into discovery and validation sets to build models and evaluate the performance of the 13-gene signature in predicting 2-year oral cavity cancer-specific survival overall and separately for patients with early and late stage disease. RESULTS: Among AJCC stage I/II patients, including the 13-gene signature in the model resulted in substantial improvement in the prediction of 2-year oral cavity cancer-specific survival. For models containing age and sex with and without the 13-gene signature score, the areas under the Receiver Operating Characteristic Curve (AUC) and partial AUC were 0.700 vs. 0.537 (p < 0.001), and 0.046 vs. 0.018 (p < 0.001), respectively. Improvement in predicting prognosis for AJCC stage III/IV disease also was observed, but to a lesser extent. CONCLUSIONS: If confirmed using tumor samples from a larger number of early stage oral cavity cancer patients, the 13-gene signature may inform personalized treatment of early stage HPV-negative and p16-negative oral cavity cancer patients.
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