Colon Cancer Patient-Derived Spheroids and their Stem Cell-Intrinsic mRNA Expression Yield Novel Prognostic Signatures
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ABSTRACT: We characterized colorectal cancer stem cell (CRC-SC)-intrinsic subtypes based on mRNA expression of 57 patient-derived SC lines. We compared their expression profiles with those of normal colonic epithelial stem cells (NCE-SC), and obtained genes relatively underexpressed or overexpressed. First, we found a subgroup of CRC-SC lines in which seven genes were overexpressed despite very low expression in the remaining CRC-SC lines. Importantly, cross-reference of the expression-survival relationship in public databases indicated the Lucky Seven genes to constitute a signature for improved outcome. Likewise, five lead genes were expressed at higher levels than in NCE-SC, representing non-overlapping subtypes. While their expression affected patient outcome singly in each subtype, other related genes overexpressed within the subtype were also associated with better or poorer prognosis. When combined, collective signatures provided novel predictive signatures with much stronger statistical significance. Finally, we integrated the six signatures into a comprehensive signature, which yielded a novel survival prognostic indicator.
ORGANISM(S): Homo sapiens
PROVIDER: GSE216724 | GEO | 2025/10/27
REPOSITORIES: GEO
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