Identification of Specific Role of SNX Family in Gastric Cancer Prognosis Evaluation
Abstract Project: We here perform a systematic bioinformatic analysis to uncover the role of SNX family in clinical outcome of gastric cancer (GC). Methods: Comprehensive bioinformatic analysis were realized with online tools such as TCGA, GEO, String, Timer, cBioportal and Kaplan-Meier Plotter. Statistic analysis was conducted with R language, and artificial neural network was constructed using Python.Results: Our analysis demonstrated that SNX4/5/6/7/8/10/13/14/15/16/20/22/25/27/30 were higher expressed in GC, whereas SNX1/17/21/24/33 were in the opposite expression profiles. Clustering results gave the relative transcriptional levels of 30 SNXs in tumor, and it was totally consistent to the inner relevance of SNXs at mRNA level. Protein-Protein Interaction (PPI) map showed closely and complex connection among 33 SNXs. Tumor immune infiltration analysis asserted that SNX1/3/9/18/19/21/29/33, SNX1/17/18/20/21/29/31/33, SNX1/2/3/6/10/18/29/33, and SNX1/2/6/10/17/18/20/29 were strongly correlated with four kinds of survival related TIICs, including Cancer associated fibroblast, endothelial cells, macrophages and Tregs. Kaplan-Meier survival analysis based on GEO presented more satisfactory results than that based on TCGA-STAD did, and all the 29 SNXs were statistically significant, SNX12/23/28 excluded. SNXs alteration contributed to MSI or higher level of MSI-H (hyper-mutated MSI or high level of MSI), and other malignancy such as mutation of TP53, ARID1A and MLH1.The multivariate cox model performed excellently in patients risk classification, for those with higher risk-score suffered from OS period and susceptibility to death as well as tumor immune infiltration. Compared to previous researches, our ANN models shown a predictive power at a middle-upper level, with AUC of 0.87/0.72, 0.84/0.72, 0.90/0.71, 0.94/0.66, 0.83/0.71, 0.88/0.72 corresponding to one-, three- and five-year OS and RFS estimation, but we were totally sure that those models would perform great better if given larger-size samples, which served as evidence to specific role of SNX family in prognosis assessment in GC. Conclusion: The SNX family shows great value in postoperative survival of GC, and artificial neural network models constructed using SNXs transcriptional data manifest excellent predictive power in both OS and RFS evaluation.