Abstract

BackgroundSeveral works suggest the importance of autophagy during esophageal carcinoma development. The aim of the study is to construct a scoring system according to the expression profiles of major autophagy-related genes (ARGs) among esophageal carcinoma cases.MethodsThe Cancer Genome Atlas was employed to obtain the esophageal carcinoma data. Thereafter, the online database Oncolnc (http://www.oncolnc.org/) was employed to verify the accuracy of our results. According to our results, the included ARGs were related to overall survival (OS).ResultsWe detected the expression patterns of ARG within esophageal carcinoma and normal esophageal tissues. In addition, we identified the autophagy related gene set, including 14 genes displaying remarkable significance in predicting the esophageal carcinoma prognosis. The cox regression results showed that, 7 ARGs (including TBK1, ATG5, HSP90AB1, VAMP7, DNAJB1, GABARAPL2, and MAP2K7) were screened to calculate the ARGs scores. Typically, patients with higher ARGs scores were associated with poorer OS. Moreover, the receiver operating characteristic (ROC) curve analysis suggested that, ARGs accurately distinguished the healthy people from esophageal carcinoma patients, with the area under curve (AUC) value of > 0.6.ConclusionA scoring system is constructed in this study based on the main ARGs, which accurately predicts the outcomes for esophageal carcinoma.

Highlights

  • Several works suggest the importance of autophagy during esophageal carcinoma development

  • Both enhancing and inhibiting autophagy have been suggested as the treatment strategies [18,19,20,21], which suggest that patient assessment plays an important role in autophagy

  • Patient samples Both clinical data and gene expression patterns of esophageal carcinoma were retrieved based on The Cancer Genome Atlas (TCGA) database

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Summary

Introduction

Several works suggest the importance of autophagy during esophageal carcinoma development. The aim of the study is to construct a scoring system according to the expression profiles of major autophagy-related genes (ARGs) among esophageal carcinoma cases. Previous studies have validated the role of autophagy in promoting tumor cell survival and suppressing oncogenesis [15,16,17]. On this account, both enhancing and inhibiting autophagy have been suggested as the treatment strategies [18,19,20,21], which suggest that patient assessment plays an important role in autophagy. A large number of studies demonstrate that autophagy activation shows marked correlation with the tumor dormancy, chemoresistance, as well as stem cell survival [22]

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