The prognostic landscape of interactive biological processes presents treatment responses in cancer

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Title: The prognostic landscape of interactive biological processes presents treatment responses in cancer
Authors: He, B
Gao, R
Lv, D
Wen, Y
Song, L
Wang, X
Lin, S
Huang, Q
Deng, Z
Wang, Z
Yan, M
Zheng, F
Lam, EW-F
Kelley, KW
Li, Z
Liu, Q
Item Type: Journal Article
Abstract: Background Differential gene expression patterns are commonly used as biomarkers to predict treatment responses among heterogeneous tumors. However, the link between response biomarkers and treatment-targeting biological processes remain poorly understood. Here, we develop a prognosis-guided approach to establish the determinants of treatment response. Methods The prognoses of biological processes were evaluated by integrating the transcriptomes and clinical outcomes of ~26,000 cases across 39 malignancies. Gene-prognosis scores of 39 malignancies (GEO datasets) were used for examining the prognoses, and TCGA datasets were selected for validation. The Oncomine and GEO datasets were used to establish and validate transcriptional signatures for treatment responses. Findings The prognostic landscape of biological processes was established across 39 malignancies. Notably, the prognoses of biological processes varied among cancer types, and transcriptional features underlying these prognostic patterns distinguished response to treatment targeting specific biological process. Applying this metric, we found that low tumor proliferation rates predicted favorable prognosis, whereas elevated cellular stress response signatures signified resistance to anti-proliferation treatment. Moreover, while high immune activities were associated with favorable prognosis, enhanced lipid metabolism signatures distinguished immunotherapy resistant patients. Interpretation These findings between prognosis and treatment response provide further insights into patient stratification for precision treatments, providing opportunities for further experimental and clinical validations.
Issue Date: 22-Feb-2019
Date of Acceptance: 31-Jan-2019
ISSN: 2352-3964
Publisher: Elsevier
Journal / Book Title: EBioMedicine
Copyright Statement: © 2019 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (
Sponsor/Funder: Cancer Research UK
Breast Cancer Now
Breast Cancer Now
Breast Cancer Now
Medical Research Council (MRC)
Funder's Grant Number: C37/A12011
Keywords: Biological processes
Immune processes
Treatment response
Publication Status: Published online
Online Publication Date: 2019-02-22
Appears in Collections:Division of Surgery
Division of Cancer
Faculty of Medicine

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