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A novel risk signature for predicting brain metastasis in patients with lung adenocarcinoma.


ABSTRACT:

Background

Brain metastasis (BM) are a devastating consequence of lung cancer. This study was aimed to screen risk factors for predicting BM.

Methods

Using an in vivo BM preclinical model, we established a series of lung adenocarcinoma (LUAD) cell subpopulations with different metastatic ability. Quantitative proteomics analysis was used to screen and identify the differential protein expressing map among subpopulation cells. Q-PCR and Western-blot were used to validate the differential proteins in vitro. The candidate proteins were measured in frozen LUAD tissue samples (n = 81) and validated in an independent TMA cohort (n = 64). A nomogram establishment was undertaken by performing multivariate logistic regression analysis.

Results

The quantitative proteomics analysis, qPCR and Western blot assay implied a five-gene signature that might be key proteins associated with BM. In multivariate analysis, the occurrence of BM was associated with age ≤ 65 years, high expressions of NES and ALDH6A1. The nomogram showed an area under the receiver operating characteristic curve (AUC) of 0.934 (95% CI, 0.881-0.988) in the training set. The validation set showed a good discrimination with an AUC of 0.719 (95% CI, 0.595-0.843).

Conclusions

We have established a tool that is able to predict occurrence of BM in LUAD patients. Our model based on both clinical information and protein biomarkers will help to screen patient in high-risk population of BM, so as to facilitate preventive intervention in this part of the population.

SUBMITTER: Zhao Y 

PROVIDER: S-EPMC10708939 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature

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Publications

A novel risk signature for predicting brain metastasis in patients with lung adenocarcinoma.

Zhao Yanyan Y   Gu Shen S   Li Lingjie L   Zhao Ruping R   Xie Shujun S   Zhang Jingjing J   Zhou Rongjing R   Tu Linglan L   Jiang Lei L   Zhang Shirong S   Ma Shenglin S  

Neuro-oncology 20231201 12


<h4>Background</h4>Brain metastasis (BM) are a devastating consequence of lung cancer. This study was aimed to screen risk factors for predicting BM.<h4>Methods</h4>Using an in vivo BM preclinical model, we established a series of lung adenocarcinoma (LUAD) cell subpopulations with different metastatic ability. Quantitative proteomics analysis was used to screen and identify the differential protein expressing map among subpopulation cells. Q-PCR and Western-blot were used to validate the differ  ...[more]

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