A 5-gene prognostic nomogram predicting survival probability of glioblastoma patients

Brain Behav. 2019 Apr;9(4):e01258. doi: 10.1002/brb3.1258. Epub 2019 Mar 11.

Abstract

Background: Glioblastoma (GBM) remains the most biologically aggressive subtype of gliomas with an average survival of 10 to 12 months. Considering that the overall survival (OS) of each GBM patient is a key factor in the treatment of individuals, it is meaningful to predict the survival probability for GBM patients newly diagnosed in clinical practice.

Material and methods: Using the TCGA dataset and two independent GEO datasets, we identified genes that are associated with the OS and differentially expressed between GBM tissues and the adjacent normal tissues. A robust likelihood-based survival modeling approach was applied to select the best genes for modeling. After the prognostic nomogram was generated, an independent dataset on different platform was used to evaluate its effectiveness.

Results: We identified 168 differentially expressed genes associated with the OS. Five of these genes were selected to generate a gene prognostic nomogram. The external validation demonstrated that 5-gene prognostic nomogram has the capability of predicting the OS of GBM patients.

Conclusion: We developed a novel and convenient prognostic tool based on five genes that exhibited clinical value in predicting the survival probability for newly diagnosed GBM patients, and all of these five genes could represent potential target genes for the treatment of GBM. The development of this model will provide a good reference for cancer researchers.

Keywords: SCR_001175; SCR_001905; SCR_003193; SCR_005012; SCR_006472; SCR_006786; SCR_010943; SCR_012802; differentially expressed genes; glioblastoma; overall survival; prediction method; prognostic nomogram; survival probability.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain Neoplasms / genetics
  • Brain Neoplasms / mortality*
  • Glioblastoma / genetics
  • Glioblastoma / mortality*
  • Humans
  • Nomograms*
  • Probability
  • Prognosis
  • Risk Assessment
  • Survival Rate