Development and validation of autophagy-related-gene biomarker and nomogram for predicting the survival of cutaneous melanoma

IUBMB Life. 2020 Jul;72(7):1364-1378. doi: 10.1002/iub.2258. Epub 2020 Feb 21.

Abstract

Autophagy plays a critical role in cutaneous melanoma, but the prognostic research of differentially expressed autophagy-related genes (DEARGs) in melanoma is lacking. Therefore, autophagy-related gene expression data of 630 melanoma patients were obtained from Gene Expression Omnibus (GEO) and The Cancer Genome Atlas database. The DEARGs were identified by "limma" package in R software. Best survival analysis and the least absolute shrinkage and selection operator method were performed to identify a robust 7-DEARG signature as well as construct nomogram associated with the clinical characteristics and validation in internal and external sets. This 7-DEARG signature could be regarded as an independent prognostic signature in clinical setting, and nomogram may supply a more simple and accurate prediction for the prognosis of melanoma. Moreover, 5 cancer hallmarks and 18 potential compounds are commonly enriched in high-risk expression phenotype. Thus, our finding provides new clinical evidences for the accurate diagnosis and identifies a potential prognostic autophagy-related marker for the treatment of melanoma.

Keywords: differentially expressed autophagy-related genes; melanoma; nomogram; prognostic biomarker.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Autophagy-Related Proteins / genetics*
  • Biomarkers, Tumor / genetics*
  • Case-Control Studies
  • Female
  • Follow-Up Studies
  • Gene Expression Regulation, Neoplastic*
  • Humans
  • Male
  • Melanoma / genetics
  • Melanoma / mortality*
  • Melanoma / pathology
  • Middle Aged
  • Nomograms*
  • Prognosis
  • Skin Neoplasms / genetics
  • Skin Neoplasms / mortality*
  • Skin Neoplasms / pathology
  • Survival Rate
  • Transcriptome*

Substances

  • Autophagy-Related Proteins
  • Biomarkers, Tumor