Development of Prognostic Model Based on Five-gene Related to Tumor Mutation Burden in Hepatocellular Carcinoma
Abstract BackgroundHepatocellular carcinoma (HCC) , the incidence rate ranks sixth and regards as the second leading cause of cancer-related death in the world. Tumor mutation burden (TMB) , a novel biomarker featured with microsatellite instability, has been thought to be closely related to tumor microenvironment and immunotherapy.MethodsIn this study, the 357 HCC samples were download from The Cancer Genome Atlas (TCGA) and analyzed.ResultsSingle nucleotide polymorphism (SNP) and C > T variation had the most missense mutations, and we also observed the higher mutation frequency in TP53, TTN, CTNNB1. With an optimal cut-off value of 4.61, the high level of TMB presented a worse prognosis. Functional analysis of the differentially expressed genes (DEGs) showed they were enriched in the pathway of the formation of extracellular matrix organization and sulfur compound metabolic. A 5-gene-based (including SFRP4, IL7R, FBLN2, COLEC10 and CHGA) model has been constructed to explore the independent prognosis capacity of each HCC patient.ConclusionsThe establishment of 5-gene-based prognosis model functions well in predicting the median of 1- , 3- and 5-year outcome of the individual patient and which will be beneficial for pre-clinical diagnosis and therapeutic decision-making.