IMR Press / CEOG / Volume 49 / Issue 12 / DOI: 10.31083/j.ceog4912273
Open Access Original Research
A Metabolic Gene Prognostic Risk Model for Cervical Cancer
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1 Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Zhengzhou University, 450052 Zhengzhou, Henan, China
2 Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430030 Wuhan, Hubei, China
*Correspondence: xiaofenglv202208@163.com (Xiaofeng Lv)
These authors contributed equally.
Academic Editor: Andrzej Semczuk
Clin. Exp. Obstet. Gynecol. 2022, 49(12), 273; https://doi.org/10.31083/j.ceog4912273
Submitted: 27 July 2022 | Revised: 26 October 2022 | Accepted: 1 November 2022 | Published: 12 December 2022
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Previous studies have identified hundreds of constantly changing metabolic genes in cervical cancer, however, their prognostic effect remains to be explored. Methods: In this paper, Cox univariate regression and Lasso regression models were used to identify metabolic genes associated with squamous cervical cancer prognosis, and developed a prognostic risk score. Next, on the basis of the median risk score, cervical squamous cancer patients were divided into two groups: high- and low-risk patients. Kaplan-Meier analysis and receiver operating characteristic (ROC) curves were used to evaluate the predictive efficacy of the metabolic gene prognostic risk model. In addition, we analysed the correlation between drug sensitivity, immune cell infiltration, and Gene set variation analysis (GSVA) and the metabolic gene prognostic risk model. Results: The results showed that the prognosis of patients in the high-risk group was worse. The metabolic gene prognostic model was correlated with immune cell infiltration. It is also correlated with sensitivity to common chemotherapeutic drugs. In addition, gene set enrichment analysis results revealed several significantly enriched pathways, which may help to explain the underlying mechanisms of cervical carcinogenesis. Conclusions: The proposed prediction model can be potentially used for prognosis prediction of cervical cancer.

Keywords
cervical cancer
metabolic gene
TCGA
prognostic risk model
Funding
LHGJ20190353/Henan Medical Science and Technique Foundation
Figures
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