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Large meta-analysis of multiple cancers reveals a common, compact and highly prognostic hypoxia metagene
Open accessAbstract
BACKGROUND: There is a need to develop robust and clinically applicable gene expression signatures. Hypoxia is a key factor promoting solid tumour progression and resistance to therapy; a hypoxia signature has the potential to be not only prognostic but also to predict benefit from particular interventions. METHODS: An approach for deriving signatures that combine knowledge of gene function and analysis of in vivo co-expression patterns was used to define a common hypoxia signature from three head and neck and five breast cancer studies. Previously validated hypoxia-regulated genes (seeds) were used to generate hypoxia co-expression cancer networks. RESULTS: A common hypoxia signature, or metagene, was derived by selecting genes that were consistently co-expressed with the hypoxia seeds in multiple cancers. This was highly enriched for hypoxia-regulated pathways, and prognostic in multivariate analyses. Genes with the highest connectivity were also the most prognostic, and a reduced metagene consisting of a small number of top-ranked genes, including VEGFA, SLC2A1 and PGAM1, outperformed both a larger signature and reported signatures in independent data sets of head and neck, breast and lung cancers. CONCLUSION: Combined knowledge of multiple genes' function from in vitro experiments together with meta-analysis of multiple cancers can deliver compact and robust signatures suitable for clinical application.
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“This work employs a seed gene approach, inspired by Buffa et al., where previously identi fi ed hypoxia-regulated genes became seeds in a co-expression network, and highly connected genes formed a hypoxia metagene (gene signature) 20 .”
InfluentialExploiting metabolic vulnerabilities after anti-VEGF antibody therapy in ovarian cancer
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Metadata
- Authors
- Buffa, F. M., Harris, A. L., West, C. M., & Miller, C. J.
- Venue
- British Journal of Cancer
- Published
- 2010-01-19
- Volume
- 102
- Issue
- 2
- Pages
- 428-435
- ISSN
- 0007-0920 (ISSN-L)
- 1532-1827
- OpenAlex
- W2084116712
- Cited by
- 556
- References
- 7
- FWCI
- 0.87
- Type
- journal article
- Language
- en
- Open access
- hybrid
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