CN108733980A - A kind of glioblastoma personalization prognostic evaluation methods based on multi-gene expression characteristic spectrum - Google Patents

A kind of glioblastoma personalization prognostic evaluation methods based on multi-gene expression characteristic spectrum Download PDF

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CN108733980A
CN108733980A CN201810440854.XA CN201810440854A CN108733980A CN 108733980 A CN108733980 A CN 108733980A CN 201810440854 A CN201810440854 A CN 201810440854A CN 108733980 A CN108733980 A CN 108733980A
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gene
patient
glioblastoma
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risk
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CN108733980B (en
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赵旭东
李文兴
李功华
黄京飞
代绍兴
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Kunming Institute of Zoology of CAS
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Abstract

The invention discloses a kind of glioblastoma personalization prognostic evaluation methods based on multi-gene expression characteristic spectrum, include the following steps:Obtain glioblastoma prognostic risk list of genes and gene weights;Prognosis evaluation model is built using glioblastoma specimens transcript profile and Survival data;The risk score of patient is calculated according to the gene expression profile of glioblastoma specimens;The annual survival probability of patient is calculated according to the risk score of patient.The annual survival probability of glioblastoma patient and the practical annual survival highly consistent (linear correlation R of ratio that the method for the present invention obtains2=0.963, P value=1.38E-13).It confirms that this method has very high forecasting accuracy, is identical with practical survival condition.Meanwhile for each tumor patient, the present invention can provide the distinctive survival probability curve of the patient.

Description

A kind of glioblastoma personalization prognosis evaluation based on multi-gene expression characteristic spectrum Method
Technical field
The invention belongs to biotechnologys and medical domain, specifically, being related to a kind of based on multi-gene expression characteristic spectrum Glioblastoma personalization prognostic evaluation methods.
Background technology
Glioblastoma, be it is a kind of it is most common be also the most aggressive cancer of the brain.Symptom at the beginning is not obvious, and is suffered from The symptom etc. that person may have a headache, personality change, feel nausea, have similar apoplexy.Symptom when deterioration is then come very quick, It may lead to patient's unconsciousness.Global disease burden (Global Burden of Disease, GBD) data show, 2016 Number of the year whole world with brain and nervous system cancer reaches 780,000, wherein Chinese number of patients is 260,000.The whole world in 2016 The death toll of cancer of the brain patient is 230,000, accounts for the 0.42% of total death toll.China's Died Patients number in 2016 is 5.9 ten thousand, is accounted for The 0.61% of total death toll.Statistical result showed, global glioblastoma illness rate and death from nineteen ninety by 2016 Rate sustainable growth, Chinese illness rate and the death rate increase relatively slow.
General neoplasm staging method is TNM stage system in the world at present, which is american cancer joint committee member A kind of malignant tumour sorting technique that meeting (American Joint Committee on Cancer, AJCC) proposes.State of the U.S. Family's Cancer Institute (National Cancer Institute, NCI) is described as TNM stage:T refers to the big of primary tumor Small and range, primary tumor are commonly known as primary tumor.N refers to the number with lymph node near cancer.M refers to cancer It is no transferred, i.e., other positions of body are diffused into from primary tumor.Malignant tumour can substantially be divided according to the above index For I phases, II phases, III phases and IV phases, wherein by stages higher indicate that the grade malignancy of tumour is higher.TNM stage system suffers from tumour The treatment of person and prognosis evaluation have certain help.But due to the mechanism of tumour in Different Individual and internal microenvironment Difference causes the life span difference of different patients huge, and TNM stage system cannot reflect the prognosis shape of patient well Condition.The study found that life cycle (1-2) that may be only shorter for certain patients for being diagnosed as the I phases, however some are examined Longer life cycle (5 years or more) may be had for the patient of IV phases by breaking.Therefore, TNM stage system may be more likely to retouch The average level for stating a cancer patient group, it is poor to personalized diagnosing and treating applicability.On the other hand, for diagnosis For the patient of late period (III phases, IV phases), certain therapeutic scheme can be caused to select to patient and medical worker difficult, caused very The more tumor patient that can be survived for a long time originally death in advance due to over-treatment or malpractice;And other should be into The patient that the appropriate treatment of row can extend existence also results in tumor patient and shifts to an earlier date death due to abandoning treatment or malpractice.
Currently, having been reported that proposition can carry out prognosis evaluation using gene expression profile to tumor patient.But it is most Report only using single or several genes, can only classify to a group, can only be carried out qualitatively to the individual survival phase It divides (such as good prognosis, poor prognosis two indices).Therefore, it is necessary to establish finer personalized tumor prognosis evaluation model to comment The life span of patient is estimated to select suitable therapeutic scheme.
Invention content
In view of this, the present invention provides a kind of glioblastoma personalization prognosis based on multi-gene expression characteristic spectrum Appraisal procedure, being capable of the annual survival probability of Accurate Prediction patient.
In order to solve the above-mentioned technical problem, the invention discloses a kind of glioblasts based on multi-gene expression characteristic spectrum Tumor personalization prognostic evaluation methods,
Include the following steps:
Step 1 obtains glioblastoma prognostic risk list of genes and gene weights;
Step 2 builds prognosis evaluation model using glioblastoma specimens transcript profile and Survival data;
Step 3, the risk score that patient is calculated according to the gene expression profile of glioblastoma specimens;
Step 4 calculates the annual survival probability of patient according to the risk score of patient.
Optionally, the acquisition glioblastoma prognostic risk list of genes in the step 1 is specifically pressed with gene weights Implement according to following steps:
Step 1.1 downloads glioblastoma trouble from Genomic Data Commons Data Portal databases Person's tumor tissues and cancer beside organism's transcript profile data and clinical data obtain glioblastoma specimens gene table Up to spectrum FPKM numerical value, Logarithm conversion is carried out;
Step 1.2 sets total number of samples as m, and all samples are divided into three groups according to the tertile of its gene expression values, In, gene expression values refer to the FPKM numerical value obtained in step 1.1, are indicated with V, and V is denoted as to i-th of genei, utilize Cox ratios Example risk model calculates survival risk of the third grouping compared to the first grouping, obtains Hazard ratio HRi and the P value of i-th of gene, i.e., Obtain the Hazard ratio of each gene;Define P values<0.05 has conspicuousness, screens the survival risk gene with conspicuousness, note For n1;In addition, calculating the correlation of each gene and survival of patients number of days, the correlation coefficient r and P values of each gene are obtained;It is fixed Adopted P values<0.05 has conspicuousness, screens the existence related gene with conspicuousness, is denoted as n2;By survival risk gene and existence The intersection of related gene is defined as prognostic risk gene, is denoted as n, then has:
N=n1∩n2 (1)
Step 1.3, the weight W that i-th of gene is calculated according to the Hazard ratio of i-th of genei, calculation formula is:
Thus obtain the weight of each gene, finally obtained glioblastoma prognostic risk list of genes and base Because of weight.
Optionally, the glioblastoma prognostic risk list of genes and gene weights are as shown in the table:
Optionally, it is built using glioblastoma specimens transcript profile and Survival data in the step 2 pre- Assessment models are specifically implemented according to the following steps afterwards:
Step 2.1, definition gene expression values are V, according to expression value and weight meter of i-th of gene in j-th of sample Calculate the risk score S of i-th of patientj;Calculation formula is:
Wherein, i indicates that gene number, j indicate that sample number, m indicate total sample number, VijIndicate i-th of gene at j-th Expression value in sample;
Step 2.2 sorts all glioblastoma clinical samples according to risk score from low to high, uses sliding window Mouth mold type calculates average risk score to every 50 samplesCalculation formula is:
Wherein j+49 indicates rear 50 samples started counting up from sample j;
Step 2.3 carries out curve fitting to the Survival data of 50 samples using Weibull distributions,
Weibull distribution probability density function be:
Wherein k > 0 are form parameters, and λ > 0 are the scale parameters of distribution;
Step 2.4 calculates every 50 samplesCorresponding kjAnd λj;Rule of thumb, kjIt is relatively-stationary for one Numerical value, mean value are:
Wherein, kjFor j-th of sample to the form parameter of+49 sample survivorship curve Weibull distributions of jth;
Scale parameter λjVariation range it is larger, define λjWithFunctional relation be:
Wherein, λjJ-th of sample is indicated to the scale parameter of+49 sample survivorship curve Weibull distributions of jth, e is certainly The bottom of right logarithm, α, β are the parameter of function, take logarithm to obtain above formula:
Wherein log λjWithFor linear relationship, solved by linear fit;
According to average risk scoreWith Weibull distributed constants λjMatched curve, the functional relation obtained is:
It willSubstitute into the λ that the function obtains predictionj', λj' it is with the calculated expected distributed constant of the function, calculating λjWith λj' correlation obtain coefficient R2=0.983, P value=6.44E-65.
Optionally, calculate patient's according to the gene expression profile of glioblastoma specimens in the step 3 Risk score is specifically implemented according to the following steps:Obtain i-th of gene expression profile of glioblastoma specimens FPKM numerical value, is denoted as:Vi;The corresponding weight of i-th of gene is denoted as:Wi;Patient risk's score is denoted as:S;Calculation formula is:
Wherein i numbers for gene, and n is the gene number listed in table 1.
Optionally, in the step 4 according to the risk score of patient calculate the annual survival probability of patient specifically according to Lower step is implemented:The cumulative distribution function that the risk score S of patient is brought into Weibull distributions obtains the survival probability of the patient Function is:
Wherein t be the time, α, β, S,It is preset parameter.
Compared with prior art, the present invention can be obtained including following technique effect:
1) continuous:The present invention can predict the survival probability of tumor patient continuous time.Such as patient's every month can be provided Survival probability, the annual survival probability etc. of patient.And the classifying method that clinic uses at present can only provide one and qualitatively sentence It is disconnected.
2) more accurate:The present invention is based on the glioblastoma personalization prognostic evaluation methods phases of multi-gene expression characteristic spectrum Than the survival condition that traditional TNM stage can more accurately reflect patient.
3) personalized:For each tumor patient, the present invention can provide the distinctive survival probability curve of the patient, this is Not available for general tumor prognosis evaluation model.
Certainly, it implements any of the products of the present invention it is not absolutely required to while reaching all the above technique effect.
Description of the drawings
Attached drawing described herein is used to provide further understanding of the present invention, and constitutes the part of the present invention, this hair Bright illustrative embodiments and their description are not constituted improper limitations of the present invention for explaining the present invention.In the accompanying drawings:
Fig. 1 is that the present invention predicts that survival probability is compared with practical annual survival probability every year on average;
Fig. 2 is the matched curve of average risk score of the present invention and Weibull distributed constants scale;
Fig. 3 is the regression criterion figure of average risk score of the present invention and Weibull distributed constants scale;
Fig. 4 is personalized glioblastoma prognosis evaluation result of the invention.
Specific implementation mode
Carry out the embodiment that the present invention will be described in detail below in conjunction with embodiment, thereby to the present invention how application technology hand Section solves technical problem and reaches the realization process of technical effect to fully understand and implement.
The invention discloses a kind of glioblastoma personalization prognostic evaluation methods based on multi-gene expression characteristic spectrum, Include the following steps:
Step 1 obtains glioblastoma prognostic risk list of genes and gene weights, specifically real according to the following steps It applies:
Step 1.1 downloads glioblastoma trouble from Genomic Data Commons Data Portal databases Person's tumor tissues and cancer beside organism's transcript profile data and clinical data obtain glioblastoma specimens gene table Up to spectrum FPKM (Fragments Per Kilobase of transcript per MIllion fragments mapped) number Value carries out Logarithm conversion (log2).
Step 1.2 sets total number of samples as m, and all samples are divided into three groups according to the tertile of its gene expression values, In, gene expression values refer to the FPKM numerical value obtained in step 1.1, are indicated with V, and V is denoted as to i-th of genei, utilize Cox ratios Example risk model calculates survival risk of the third grouping compared to the first grouping, obtains Hazard ratio HRi and the P value of i-th of gene, i.e., It can obtain the Hazard ratio of each gene.Define P values<0.05 has conspicuousness, screens the survival risk gene with conspicuousness, It is denoted as n1.In addition, calculating the correlation of each gene and survival of patients number of days, the correlation coefficient r and P values of each gene are obtained. Define P values<0.05 has conspicuousness, screens the existence related gene with conspicuousness, is denoted as n2.By survival risk gene and life The intersection for depositing related gene is defined as prognostic risk gene, is denoted as n, then has:
n-n1∩n2 (1)
Step 1.3, the weight W that i-th of gene is calculated according to the Hazard ratio of i-th of genei, calculation formula is:
Thus obtain the weight of each gene, finally obtained glioblastoma prognostic risk list of genes and base Because weight is shown in Table 1.
1 Gene Name of table and weight
Step 2 builds prognosis evaluation model, tool using glioblastoma specimens transcript profile and Survival data Body is implemented according to the following steps:
Step 2.1, definition gene expression values are V, according to expression value and weight meter of i-th of gene in j-th of sample Calculate the risk score S of i-th of patienti;Calculation formula is:
Wherein, i indicates that gene number, j indicate that sample number, m indicate total sample number, VijIndicate i-th of gene at j-th Expression value in sample;
Step 2.2 sorts all glioblastoma clinical samples according to risk score from low to high, uses sliding window Mouth mold type (Kang HJ et al.Spatio-temporal transcriptome of the human brain.Nature.2011;478(7370):Average risk score 483-489.) is calculated to every 50 samplesCalculation formula For:
Wherein j+49 indicates rear 50 samples started counting up from sample j.
Step 2.3 carries out curve fitting to the Survival data of 50 samples using Weibull distributions, Weibull distributions Probability density function is:
Wherein k > 0 are shape (shape) parameters, and λ > 0 are ratio (scale) parameters of distribution.
Step 2.4 calculates every 50 samplesCorresponding kjAnd λj.Rule of thumb, kjIt is relatively-stationary for one Numerical value, mean value are:
Wherein, kjFor j-th of sample to the form parameter of+49 sample survivorship curve Weibull distributions of jth;
Scale parameter λjVariation range it is larger, define λjWithFunctional relation be:
Wherein, λjJ-th of sample is indicated to the scale parameter of+49 sample survivorship curve Weibull distributions of jth, e is certainly The bottom of right logarithm, α, β are the parameter of function, take logarithm that can obtain above formula:
Wherein log λjWithFor linear relationship, can be solved by linear fit.
It is illustrated in figure 2 average risk scoreWith Weibull distributed constants λjMatched curve, the functional relation obtained For:
It willSubstitute into the λ that the function obtains predictionj', λj' it is with the calculated expected distributed constant of the function, calculating λjWith λj' correlation can obtain coefficient R2=0.983, P value=6.44E-65.
Scheme (Fig. 3) by analyzing regression criterion figure and Q-Q, shows that the model reaches conspicuousness, i.e. average risk score With Weibull distributed constants λjFunctional relation be believable.
Step 3, the risk score that patient is calculated according to the gene expression profile of glioblastoma specimens, specifically Implement according to the following steps:Obtaining the FPKM numerical value of i-th of gene expression profile of glioblastoma specimens (should wrap Containing listed gene in wholly or largely table 1), it is denoted as:Vi(i numbers for gene);The corresponding weight note of i-th of gene in table 1 For:Wi(i numbers for gene);Patient risk's score is denoted as:S;Calculation formula is:
Wherein i numbers for gene, and n is the gene number listed in table 1.
Step 4 calculates the annual survival probability of patient according to the risk score of patient, is specifically implemented according to the following steps: The risk score S of patient is brought into the cumulative distribution function of Weibull distributions can show that the survival probability function of the patient is:
Wherein t be the time, α, β, S,It is preset parameter.
It is illustrated in figure 4 the survival probability curve of a patient, abscissa is number of days in figure, and ordinate is survival probability. The annual survival probability of patient just marks under the curve.The practical number of days of patient's survival, state are marked in the black box of the upper right corner (Status) 1 indicate that patient is dead.It corresponding number of days and is deposited when red point marks death (at Death points) on curve Probability living, in figure when death corresponding survival probability 0.13 or so.
The present invention utilizes TCGA-GBM transcript profiles and clinical data, we have carried out all glioblastoma patients a The Prediction of survival of property, and obtained result is verified using the method for cross validation.As a result display uses polygenes The existence that the glioblastoma patient that obtains of glioblastoma personalization prognostic evaluation methods of expression characteristic spectrum is annual is general Rate and the practical annual survival highly consistent (linear correlation R of ratio2=0.963, P value=1.38E-13, Fig. 1).Confirm the party Method has very high forecasting accuracy, is identical with practical survival condition.
As shown in Figure 1, survival probability and practical annual survival probability are highly consistent every year on average for present invention prediction.Based on more The glioblastoma personalization prognostic evaluation methods of allelic expression spectrum, which compare traditional TNM stage, more accurately to be reflected The survival condition of patient.
As shown in figure 4, the present invention can predict the survival probability of tumor patient continuous time.Such as can to provide patient each The annual survival probability etc. of the survival probability of the moon, patient.And the clinical classifying method used can only provide one qualitatively at present Judge.For each tumor patient, the present invention can provide the distinctive survival probability curve of the patient, this is general tumor prognosis Not available for assessment models.
Above description has shown and described several preferred embodiments of invention, but as previously described, it should be understood that invention is not It is confined to form disclosed herein, is not to be taken as excluding other embodiments, and can be used for various other combinations, modification And environment, and can be carried out by the above teachings or related fields of technology or knowledge in the scope of the invention is set forth herein Change.And changes and modifications made by those skilled in the art do not depart from the spirit and scope of invention, then should all be weighed appended by invention In the protection domain that profit requires.

Claims (6)

1. a kind of glioblastoma personalization prognostic evaluation methods based on multi-gene expression characteristic spectrum, which is characterized in that packet Include following steps:
Step 1 obtains glioblastoma prognostic risk list of genes and gene weights;
Step 2 builds prognosis evaluation model using glioblastoma specimens transcript profile and Survival data;
Step 3, the risk score that patient is calculated according to the gene expression profile of glioblastoma specimens;
Step 4 calculates the annual survival probability of patient according to the risk score of patient.
2. prognostic evaluation methods according to claim 1, which is characterized in that the acquisition glioblast in the step 1 Tumor prognostic risk list of genes is specifically implemented according to the following steps with gene weights:
Step 1.1, download glioblastoma patient is swollen from Genomic Data Commons Data Portal databases Tumor tissue and cancer beside organism's transcript profile data and clinical data obtain glioblastoma specimens gene expression profile FPKM numerical value carries out Logarithm conversion;
Step 1.2 sets total number of samples as m, and all samples are divided into three groups according to the tertile of its gene expression values, wherein Gene expression values refer to the FPKM numerical value obtained in step 1.1, are indicated with V, and V is denoted as to i-th of genei, utilize Cox ratio wind Dangerous model calculates survival risk of the third grouping compared to the first grouping, obtains Hazard ratio HRi and the P value of i-th of gene to get going out The Hazard ratio of each gene;Define P values<0.05 has conspicuousness, screens the survival risk gene with conspicuousness, is denoted as n1;In addition, calculating the correlation of each gene and survival of patients number of days, the correlation coefficient r and P values of each gene are obtained;Define P Value<0.05 has conspicuousness, screens the existence related gene with conspicuousness, is denoted as n2;By survival risk gene and existence phase The intersection of correlation gene is defined as prognostic risk gene, is denoted as n, then has:
N=n1∩n2 (1)
Step 1.3, the weight W that i-th of gene is calculated according to the Hazard ratio of i-th of genei, calculation formula is:
The weight of each gene is thus obtained, finally obtained glioblastoma prognostic risk list of genes is weighed with gene Weight.
3. prognostic evaluation methods according to claim 2, which is characterized in that the glioblastoma prognostic risk base Because list is as shown in the table with gene weights:
4. prognostic evaluation methods according to claim 1, which is characterized in that utilize glioblastoma in the step 2 Specimens transcript profile and Survival data structure prognosis evaluation model are specifically implemented according to the following steps:
Step 2.1, definition gene expression values are V, according to expression value and weight calculation i-th of i-th of gene in j-th of sample The risk score S of a patientj;Calculation formula is:
Wherein, i indicates that gene number, j indicate that sample number, m indicate total sample number, VijIndicate i-th of gene in j-th of sample In expression value;
Step 2.2 sorts all glioblastoma clinical samples according to risk score from low to high, uses sliding window mouth mold Type calculates average risk score to every 50 samplesCalculation formula is:
Wherein j+49 indicates rear 50 samples started counting up from sample j;
Step 2.3 carries out curve fitting to the Survival data of 50 samples using Weibull distributions, the probability of Weibull distributions Density function is:
Wherein k > 0 are form parameters, and λ > 0 are the scale parameters of distribution;
Step 2.4 calculates every 50 samplesCorresponding kjAnd λj;Rule of thumb, kjFor a relatively-stationary number Value, mean value are:
Wherein, kjFor j-th of sample to the form parameter of+49 sample survivorship curve Weibull distributions of jth;
Scale parameter λjVariation range it is larger, define λjWithFunctional relation be:
Wherein, λjJ-th of sample is indicated to the scale parameter of+49 sample survivorship curve Weibull distributions of jth, e is nature pair Several bottoms, α, β are the parameter of function, take logarithm to obtain above formula:
Wherein log λjWithFor linear relationship, solved by linear fit;
According to average risk scoreWith Weibull distributed constants λjMatched curve, the functional relation obtained is:
It willSubstitute into the λ that the function obtains predictionj', λj' it is with the calculated expected distributed constant of the function, calculating λjWith λj' Correlation obtains coefficient R2=0.983, P value=6.44E-65.
5. prognostic evaluation methods according to claim 1, which is characterized in that according to glioblastoma in the step 3 The risk score that the gene expression profile of specimens calculates patient is specifically implemented according to the following steps:Obtain glioblast The FPKM numerical value of i-th of gene expression profile of tumor specimens, is denoted as:Vi;The corresponding weight of i-th of gene is denoted as:Wi; Patient risk's score is denoted as:S;Calculation formula is:
Wherein i numbers for gene, and n is the gene number listed in table 1.
6. prognostic evaluation methods according to claim 1, which is characterized in that obtained according to the risk of patient in the step 4 The survival probability for dividing calculating patient annual is specifically implemented according to the following steps:Bring the risk score S of patient into Weibull distributions Cumulative distribution function show that the survival probability function of the patient is:
Wherein t be the time, α, β, S,It is preset parameter.
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