Excavation of a Novel Transcription Factors-related Prognostic Signature for Osteosarcoma
Abstract BackgroundTranscription factors (TFs) are involved in the initiation and development of many cancers, regulating cancer-related activities. However, the significance of TF-related genes in predicting the prognosis of osteosarcoma (OS) patients is not yet clear. Risk stratification using prognostic markers can facilitate clinical decision-making and effect in the treatment of cancer.Material and methodsIn the study, we aimed to establish an optimal TF signature for predicting the prognosis of OS patients. We identified 24 differentially expressed TFs in metastatic and non-metastatic OS samples from the Therapeutically Applicable Research to Generate Effective Treatments (TARGET) database. Subsequently, we performed univariate and multivariate cox regression analysis to built a TFs-related prognostic signature (TRPS) confirmed in an independent cohort (GSE39055). The ESTIMATE algorithm was used to estimate the immune/stromal cell score.ResultsWe built a TRPS for OS patients, including MESP1 and ZNF597. Kaplan-Meier (KM) survival analysis and receiver operating characteristic (ROC) curve both confirmed the accuracy of the signature. Multivariate analysis proved that this TRPS was an independent prognostic predictor of OS, and it was further confirmed in the GSE39055 dataset and multiple clinical subtypes. In addition, we found a significant negative correlation between stromal score and risk score. Moreover, the relative abundance of NK cells in the low-risk prognosis group was notably higher than that in the high-risk prognosis group. ConclusionIn summary, we established a TFs-related prognostic signature with high diagnostic, prognostic efficacy in OS patients, which may optimize the prognostic management of osteosarcoma patients and help achieve individualized treatment.