A gene-based score for the risk stratification of stage IA lung adenocarcinoma.

IA score IAExpSuv LUAD Prognosis Risk stratification Stage IA

Journal

Respiratory research
ISSN: 1465-993X
Titre abrégé: Respir Res
Pays: England
ID NLM: 101090633

Informations de publication

Date de publication:
04 Jan 2024
Historique:
received: 25 09 2022
accepted: 20 12 2023
medline: 5 1 2024
pubmed: 5 1 2024
entrez: 4 1 2024
Statut: epublish

Résumé

We aim to molecularly stratify stage IA lung adenocarcinoma (LUAD) for precision medicine. Twelve multi-institution datasets (837 cases of IA) were used to classify the high- and low-risk types (based on survival status within 5 years), and the biological differences were compared. Then, a gene-based classifying score (IA score) was trained, tested and validated by several machine learning methods. Furthermore, we estimated the significance of the IA score in the prognostic assessment, chemotherapy prediction and risk stratification of stage IA LUAD. We also developed an R package for the clinical application. The SEER database (15708 IA samples) and TCGA Pan-Cancer (1881 stage I samples) database were used to verify clinical significance. Compared with the low-risk group, the high-risk group of stage IA LUAD has obvious enrichment of the malignant pathway and more driver mutations and copy number variations. The effect of the IA score on the classification of high- and low-risk stage IA LUAD was much better than that of classical clinicopathological factors (training set: AUC = 0.9, validation set: AUC = 0.7). The IA score can significantly predict the prognosis of stage IA LUAD and has a prognostic effect for stage I pancancer. The IA score can effectively predict chemotherapy sensitivity and occult metastasis or invasion in stage IA LUAD. The R package IAExpSuv has a good risk probability prediction effect for both groups and single stages of IA LUAD. The IA score can effectively stratify the risk of stage IA LUAD, offering good assistance in precision medicine.

Identifiants

pubmed: 38178073
doi: 10.1186/s12931-023-02647-4
pii: 10.1186/s12931-023-02647-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

18

Subventions

Organisme : National Natural Science Foundation of China
ID : 82002421

Informations de copyright

© 2024. The Author(s).

Références

Baldwin DR, Callister ME. The British Thoracic Society guidelines on the investigation and management of pulmonary nodules. Thorax. 2015;70:794–8.
pubmed: 26135833 doi: 10.1136/thoraxjnl-2015-207221
Wang L, Jiang W, Zhan C, Shi Y, Zhang Y, Lin Z, Yuan Y, Wang Q. Lymph node metastasis in clinical stage IA peripheral lung cancer. Lung Cancer. 2015;90:41–6.
pubmed: 26212683 doi: 10.1016/j.lungcan.2015.07.003
Saji H, Okada M, Tsuboi M, Nakajima R, Suzuki K, Aokage K, Aoki T, Okami J, Yoshino I, Ito H, et al. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet. 2022;399:1607–17.
pubmed: 35461558 doi: 10.1016/S0140-6736(21)02333-3
Wang C, Yang J, Lu M. Micropapillary predominant lung adenocarcinoma in stage IA benefits from adjuvant chemotherapy. Ann Surg Oncol. 2020;27:2051–60.
pubmed: 31848813 doi: 10.1245/s10434-019-08113-0
Hattori A, Suzuki K, Takamochi K, Wakabayashi M, Aokage K, Saji H, Watanabe SI. Prognostic impact of a ground-glass opacity component in clinical stage IA non-small cell lung cancer. J Thorac Cardiovasc Surg. 2021;161:1469–80.
pubmed: 32451073 doi: 10.1016/j.jtcvs.2020.01.107
Suzuki K, Watanabe SI, Wakabayashi M, Saji H, Aokage K, Moriya Y, Yoshino I, Tsuboi M, Nakamura S, Nakamura K, et al. A single-arm study of sublobar resection for ground-glass opacity dominant peripheral lung cancer. J Thorac Cardiovasc Surg. 2022;163:289-301.e282.
pubmed: 33487427 doi: 10.1016/j.jtcvs.2020.09.146
Liu C, Wang LC, Chen HS, Yeh YC, Hsu PK, Huang CS, Hsieh CC, Hsu HS. Outcomes of patients with different lepidic percentage and tumor size of stage I lung adenocarcinoma. Thorac Cancer. 2022;13:2005–13.
pubmed: 35680127 pmcid: 9284188 doi: 10.1111/1759-7714.14477
Tsuchiya T, Akamine S, Muraoka M, Kamohara R, Tsuji K, Urabe S, Honda S, Yamasaki N. Stage IA non-small cell lung cancer: vessel invasion is a poor prognostic factor and a new target of adjuvant chemotherapy. Lung Cancer. 2007;56:341–8.
pubmed: 17350137 doi: 10.1016/j.lungcan.2007.01.019
Hoadley KA, Yau C, Hinoue T, Wolf DM, Lazar AJ, Drill E, Shen R, Taylor AM, Cherniack AD, Thorsson V, et al. Cell-of-origin patterns dominate the molecular classification of 10,000 tumors from 33 types of cancer. Cell. 2018;173:291-304.e296.
pubmed: 29625048 pmcid: 5957518 doi: 10.1016/j.cell.2018.03.022
Wei L, Jin Z, Yang S, Xu Y, Zhu Y, Ji Y. TCGA-assembler 2: software pipeline for retrieval and processing of TCGA/CPTAC data. Bioinformatics. 2018;34:1615–7.
pubmed: 29272348 doi: 10.1093/bioinformatics/btx812
Zhu Y, Qiu P, Ji Y. TCGA-assembler: open-source software for retrieving and processing TCGA data. Nat Methods. 2014;11:599–600.
pubmed: 24874569 pmcid: 4387197 doi: 10.1038/nmeth.2956
Liu J, Lichtenberg T, Hoadley KA, Poisson LM, Lazar AJ, Cherniack AD, Kovatich AJ, Benz CC, Levine DA, Lee AV, et al. An integrated TCGA pan-cancer clinical data resource to drive high-quality survival outcome analytics. Cell. 2018;173:400-416.e411.
pubmed: 29625055 pmcid: 6066282 doi: 10.1016/j.cell.2018.02.052
Davis S, Meltzer PS. GEOquery: a bridge between the Gene Expression Omnibus (GEO) and BioConductor. Bioinformatics. 2007;23:1846–7.
pubmed: 17496320 doi: 10.1093/bioinformatics/btm254
Doll KM, Rademaker A, Sosa JA. Practical guide to surgical data sets: surveillance, epidemiology, and end results (SEER) database. JAMA Surg. 2018;153:588–9.
pubmed: 29617544 doi: 10.1001/jamasurg.2018.0501
Postmus PE, Kerr KM, Oudkerk M, Senan S, Waller DA, Vansteenkiste J, Escriu C, Peters S. Early and locally advanced non-small-cell lung cancer (NSCLC): ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2017;28:iv1–21.
pubmed: 28881918 doi: 10.1093/annonc/mdx222
Watanabe K, Tsuboi M, Sakamaki K, Nishii T, Yamamoto T, Nagashima T, Ando K, Ishikawa Y, Woo T, Adachi H, et al. Postoperative follow-up strategy based on recurrence dynamics for non-small-cell lung cancer. Eur J Cardiothorac Surg. 2016;49:1624–31.
pubmed: 26792922 doi: 10.1093/ejcts/ezv462
Demicheli R, Fornili M, Ambrogi F, Higgins K, Boyd JA, Biganzoli E, Kelsey CR. Recurrence dynamics for non-small-cell lung cancer: effect of surgery on the development of metastases. J Thorac Oncol. 2012;7:723–30.
pubmed: 22425921 doi: 10.1097/JTO.0b013e31824a9022
Luo J, Schumacher M, Scherer A, Sanoudou D, Megherbi D, Davison T, Shi T, Tong W, Shi L, Hong H, et al. A comparison of batch effect removal methods for enhancement of prediction performance using MAQC-II microarray gene expression data. Pharmacogenomics J. 2010;10:278–91.
pubmed: 20676067 pmcid: 2920074 doi: 10.1038/tpj.2010.57
Ritchie ME, Phipson B, Wu D, Hu Y, Law CW, Shi W, Smyth GK. limma powers differential expression analyses for RNA-sequencing and microarray studies. Nucleic Acids Res. 2015;43: e47.
pubmed: 25605792 pmcid: 4402510 doi: 10.1093/nar/gkv007
Diaz-Papkovich A, Anderson-Trocmé L, Gravel S. A review of UMAP in population genetics. J Hum Genet. 2021;66:85–91.
pubmed: 33057159 doi: 10.1038/s10038-020-00851-4
Dadu A, Satone VK, Kaur R, Koretsky MJ, Iwaki H, Qi YA, Ramos DM, Avants B, Hesterman J, Gunn R, et al. Application of Aligned-UMAP to longitudinal biomedical studies. Patterns (N Y). 2023;4: 100741.
pubmed: 37409055 doi: 10.1016/j.patter.2023.100741
Yu G, Wang LG, Han Y, He QY. clusterProfiler: an R package for comparing biological themes among gene clusters. OMICS. 2012;16:284–7.
pubmed: 22455463 pmcid: 3339379 doi: 10.1089/omi.2011.0118
Mayakonda A, Lin DC, Assenov Y, Plass C, Koeffler HP. Maftools: efficient and comprehensive analysis of somatic variants in cancer. Genome Res. 2018;28:1747–56.
pubmed: 30341162 pmcid: 6211645 doi: 10.1101/gr.239244.118
Deo RC. Machine learning in medicine. Circulation. 2015;132:1920–30.
pubmed: 26572668 pmcid: 5831252 doi: 10.1161/CIRCULATIONAHA.115.001593
Greener JG, Kandathil SM, Moffat L, Jones DT. A guide to machine learning for biologists. Nat Rev Mol Cell Biol. 2022;23:40–55.
pubmed: 34518686 doi: 10.1038/s41580-021-00407-0
Tibshirani R. Regression shrinkage and selection via the lasso: a retrospective. J R Stat Soc Ser B Stat Methodol. 2011;73:273–82.
doi: 10.1111/j.1467-9868.2011.00771.x
Lamb J. The Connectivity Map: a new tool for biomedical research. Nat Rev Cancer. 2007;7:54–60.
pubmed: 17186018 doi: 10.1038/nrc2044
Subramanian A, Narayan R, Corsello SM, Peck DD, Natoli TE, Lu X, Gould J, Davis JF, Tubelli AA, Asiedu JK, et al. A next generation connectivity map: L1000 platform and the first 1,000,000 profiles. Cell. 2017;171:1437-1452.e1417.
pubmed: 29195078 pmcid: 5990023 doi: 10.1016/j.cell.2017.10.049
Vickers AJ, Elkin EB. Decision curve analysis: a novel method for evaluating prediction models. Med Decis Making. 2006;26:565–74.
pubmed: 17099194 pmcid: 2577036 doi: 10.1177/0272989X06295361
Chan BKC. Data analysis using R programming. Adv Exp Med Biol. 2018;1082:47–122.
pubmed: 30357717 doi: 10.1007/978-3-319-93791-5_2
Lin S, Lin Y, Nery JR, Urich MA, Breschi A, Davis CA, Dobin A, Zaleski C, Beer MA, Chapman WC, et al. Comparison of the transcriptional landscapes between human and mouse tissues. Proc Natl Acad Sci U S A. 2014;111:17224–9.
pubmed: 25413365 pmcid: 4260565 doi: 10.1073/pnas.1413624111
Ettinger DS, Wood DE, Aisner DL, Akerley W, Bauman JR, Bharat A, Bruno DS, Chang JY, Chirieac LR, D’Amico TA, et al. NCCN guidelines insights: non-small cell lung cancer, version 2.2021. J Natl Compr Canc Netw. 2021;19:254–66.
pubmed: 33668021 doi: 10.6004/jnccn.2021.0013
Ginsberg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg. 1995;60:615–22 (discussion 622-613).
pubmed: 7677489 doi: 10.1016/0003-4975(95)00537-U
Veluswamy RR, Ezer N, Mhango G, Goodman E, Bonomi M, Neugut AI, Swanson S, Powell CA, Beasley MB, Wisnivesky JP. Limited resection versus lobectomy for older patients with early-stage lung cancer: impact of histology. J Clin Oncol. 2015;33:3447–53.
pubmed: 26240229 pmcid: 4606062 doi: 10.1200/JCO.2014.60.6624
Pignon JP, Tribodet H, Scagliotti GV, Douillard JY, Shepherd FA, Stephens RJ, Dunant A, Torri V, Rosell R, Seymour L, et al. Lung adjuvant cisplatin evaluation: a pooled analysis by the LACE Collaborative Group. J Clin Oncol. 2008;26:3552–9.
pubmed: 18506026 doi: 10.1200/JCO.2007.13.9030
Kato H, Ichinose Y, Ohta M, Hata E, Tsubota N, Tada H, Watanabe Y, Wada H, Tsuboi M, Hamajima N, Ohta M. A randomized trial of adjuvant chemotherapy with uracil-tegafur for adenocarcinoma of the lung. N Engl J Med. 2004;350:1713–21.
pubmed: 15102997 doi: 10.1056/NEJMoa032792
Ost D, Goldberg J, Rolnitzky L, Rom WN. Survival after surgery in stage IA and IB non-small cell lung cancer. Am J Respir Crit Care Med. 2008;177:516–23.
pubmed: 18006887 doi: 10.1164/rccm.200706-815OC
Chen D, Wang X, Zhang F, Han R, Ding Q, Xu X, Shu J, Ye F, Shi L, Mao Y, et al. Could tumor spread through air spaces benefit from adjuvant chemotherapy in stage I lung adenocarcinoma? A multi-institutional study. Ther Adv Med Oncol. 2020;12:1758835920978147.
pubmed: 33403018 pmcid: 7739212 doi: 10.1177/1758835920978147
Nicholson AG, Tsao MS, Beasley MB, Borczuk AC, Brambilla E, Cooper WA, Dacic S, Jain D, Kerr KM, Lantuejoul S, et al. The 2021 WHO classification of lung tumors: impact of advances since 2015. J Thorac Oncol. 2021;17:362–87.
pubmed: 34808341 doi: 10.1016/j.jtho.2021.11.003
Travis WD, Asamura H, Bankier AA, Beasley MB, Detterbeck F, Flieder DB, Goo JM, MacMahon H, Naidich D, Nicholson AG, et al. The IASLC Lung Cancer Staging Project: proposals for coding T categories for subsolid nodules and assessment of tumor size in part-solid tumors in the forthcoming eighth edition of the TNM classification of lung cancer. J Thorac Oncol. 2016;11:1204–23.
pubmed: 27107787 doi: 10.1016/j.jtho.2016.03.025
Hattori A, Matsunaga T, Takamochi K, Oh S, Suzuki K. Neither maximum tumor size nor solid component size is prognostic in part-solid lung cancer: impact of tumor size should be applied exclusively to solid lung cancer. Ann Thorac Surg. 2016;102:407–15.
pubmed: 27177840 doi: 10.1016/j.athoracsur.2016.02.074
Ye T, Deng L, Wang S, Xiang J, Zhang Y, Hu H, Sun Y, Li Y, Shen L, Xie L, et al. Lung adenocarcinomas manifesting as radiological part-solid nodules define a special clinical subtype. J Thorac Oncol. 2019;14:617–27.
pubmed: 30659988 doi: 10.1016/j.jtho.2018.12.030
Strauss GM, Herndon JE 2nd, Maddaus MA, Johnstone DW, Johnson EA, Harpole DH, Gillenwater HH, Watson DM, Sugarbaker DJ, Schilsky RL, et al. Adjuvant paclitaxel plus carboplatin compared with observation in stage IB non-small-cell lung cancer: CALGB 9633 with the Cancer and Leukemia Group B, Radiation Therapy Oncology Group, and North Central Cancer Treatment Group Study Groups. J Clin Oncol. 2008;26:5043–51.
pubmed: 18809614 pmcid: 2652093 doi: 10.1200/JCO.2008.16.4855
Butts CA, Ding K, Seymour L, Twumasi-Ankrah P, Graham B, Gandara D, Johnson DH, Kesler KA, Green M, Vincent M, et al. Randomized phase III trial of vinorelbine plus cisplatin compared with observation in completely resected stage IB and II non-small-cell lung cancer: updated survival analysis of JBR-10. J Clin Oncol. 2010;28:29–34.
pubmed: 19933915 doi: 10.1200/JCO.2009.24.0333
Arriagada R, Bergman B, Dunant A, Le Chevalier T, Pignon JP, Vansteenkiste J. Cisplatin-based adjuvant chemotherapy in patients with completely resected non-small-cell lung cancer. N Engl J Med. 2004;350:351–60.
pubmed: 14736927 doi: 10.1056/NEJMoa031644
Winton T, Livingston R, Johnson D, Rigas J, Johnston M, Butts C, Cormier Y, Goss G, Inculet R, Vallieres E, et al. Vinorelbine plus cisplatin vs. observation in resected non-small-cell lung cancer. N Engl J Med. 2005;352:2589–97.
pubmed: 15972865 doi: 10.1056/NEJMoa043623
Douillard JY, Rosell R, De Lena M, Carpagnano F, Ramlau R, Gonzáles-Larriba JL, Grodzki T, Pereira JR, Le Groumellec A, Lorusso V, et al. Adjuvant vinorelbine plus cisplatin versus observation in patients with completely resected stage IB-IIIA non-small-cell lung cancer (Adjuvant Navelbine International Trialist Association [ANITA]): a randomised controlled trial. Lancet Oncol. 2006;7:719–27.
pubmed: 16945766 doi: 10.1016/S1470-2045(06)70804-X
Altorki N, Wang X, Kozono D, Watt C, Landrenau R, Wigle D, Port J, Jones DR, Conti M, Ashrafi AS, et al. Lobar or sublobar resection for peripheral stage IA non-small-cell lung cancer. N Engl J Med. 2023;388:489–98.
pubmed: 36780674 pmcid: 10036605 doi: 10.1056/NEJMoa2212083
Zhu J, Fan Y, Xiong Y, Wang W, Chen J, Xia Y, Lei J, Gong L, Sun S, Jiang T. Delineating the dynamic evolution from preneoplasia to invasive lung adenocarcinoma by integrating single-cell RNA sequencing and spatial transcriptomics. Exp Mol Med. 2022;54:2060–76.
pubmed: 36434043 pmcid: 9722784 doi: 10.1038/s12276-022-00896-9
Chen H, Carrot-Zhang J, Zhao Y, Hu H, Freeman SS, Yu S, Ha G, Taylor AM, Berger AC, Westlake L, et al. Genomic and immune profiling of pre-invasive lung adenocarcinoma. Nat Commun. 2019;10:5472.
pubmed: 31784532 pmcid: 6884501 doi: 10.1038/s41467-019-13460-3
Hu X, Fujimoto J, Ying L, Fukuoka J, Ashizawa K, Sun W, Reuben A, Chow CW, McGranahan N, Chen R, et al. Multi-region exome sequencing reveals genomic evolution from preneoplasia to lung adenocarcinoma. Nat Commun. 2019;10:2978.
pubmed: 31278276 pmcid: 6611767 doi: 10.1038/s41467-019-10877-8
Zhang C, Zhang J, Xu FP, Wang YG, Xie Z, Su J, Dong S, Nie Q, Shao Y, Zhou Q, et al. Genomic landscape and immune microenvironment features of preinvasive and early invasive lung adenocarcinoma. J Thorac Oncol. 2019;14:1912–23.
pubmed: 31446140 pmcid: 6986039 doi: 10.1016/j.jtho.2019.07.031
Wang Z, Li Z, Zhou K, Wang C, Jiang L, Zhang L, Yang Y, Luo W, Qiao W, Wang G, et al. Deciphering cell lineage specification of human lung adenocarcinoma with single-cell RNA sequencing. Nat Commun. 2021;12:6500.
pubmed: 34764257 pmcid: 8586023 doi: 10.1038/s41467-021-26770-2
Xing X, Yang F, Huang Q, Guo H, Li J, Qiu M, Bai F, Wang J. Decoding the multicellular ecosystem of lung adenocarcinoma manifested as pulmonary subsolid nodules by single-cell RNA sequencing. Sci Adv. 2021;7:eabd9738.
pubmed: 33571124 pmcid: 7840134 doi: 10.1126/sciadv.abd9738

Auteurs

Yanlu Xiong (Y)

Department of Thoracic Surgery, First Medical Center, Chinese PLA General Hospital and PLA Medical School, Beijing, China.
Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Innovation Center for Advanced Medicine, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.

Yongfu Ma (Y)

Department of Thoracic Surgery, First Medical Center, Chinese PLA General Hospital and PLA Medical School, Beijing, China.

Kun Liu (K)

Department of Epidemiology, Ministry of Education Key Laboratory of Hazard Assessment and Control in Special Operational Environment, School of Public Health, Air Force Medical University, Xi'an, China.

Jie Lei (J)

Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.

Jinbo Zhao (J)

Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.

Jianfei Zhu (J)

Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Department of Thoracic Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.

Wenchen Wang (W)

Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.

Miaomiao Wen (M)

Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.

Xuejiao Wang (X)

Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.

Ying Sun (Y)

Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.

Yabo Zhao (Y)

Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.

Yong Han (Y)

Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China. hanyong_td@163.com.
Department of Thoracic Surgery, Air Force Medical Center, Fourth Military Medical University, Beijing, China. hanyong_td@163.com.

Tao Jiang (T)

Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China. jiangtaochest@163.com.

Yang Liu (Y)

Department of Thoracic Surgery, First Medical Center, Chinese PLA General Hospital and PLA Medical School, Beijing, China. sunny301x@sina.com.

Classifications MeSH