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Li R, Ma S, Zu Y, Wang F, Gao T, Yang Y, Guo H, Ha C. Value of the risk of ovarian malignancy algorithm index in predicting the recurrence of epithelial ovarian cancer. Biomark Med 2022; 16:1055-1066. [PMID: 36062577 DOI: 10.2217/bmm-2022-0287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Aim: This study aimed to assess the predictive and diagnostic value of the risk of ovarian malignancy algorithm (ROMA) index for epithelial ovarian cancer (EOC) recurrence. Materials & methods: The clinical features and follow-up data of 159 EOC cases were studied. The ROMA index was calculated by serum CA125 and HE4 levels with menopausal status. Recurrence-free survival was evaluated for an end point. Results: The ROMA was strongly associated with clinical characteristics. The ROMA index above the cutoff value (34.71%) was significantly associated with recurrence-free survival. The ROMA index had a significantly higher sensitivity (90.59%) than CA125 (84.71%) and HE4 (80.80%) for recurrence diagnosis, and its optimal cutoff value was 17.07%. Conclusion: The primary ROMA index is a predictive factor in EOC recurrence and has better performance in the diagnosis of EOC recurrence.
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Affiliation(s)
- Ruyue Li
- School of Clinical Medicine, Ningxia Medical University, Yinchuan Ningxia, 750000, China
| | - Shaohan Ma
- School of Clinical Medicine, Ningxia Medical University, Yinchuan Ningxia, 750000, China
| | - Yizheng Zu
- School of Clinical Medicine, Ningxia Medical University, Yinchuan Ningxia, 750000, China
| | - Fang Wang
- People's Hospital of Ningxia Hui Autonomous Region, Yinchuan, Ningxia, 750000, China
| | - Tingting Gao
- School of Clinical Medicine, Ningxia Medical University, Yinchuan Ningxia, 750000, China
| | - Yu'e Yang
- School of Clinical Medicine, Ningxia Medical University, Yinchuan Ningxia, 750000, China
| | - Hua Guo
- Gynecology Department, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750000, China
| | - Chunfang Ha
- Gynecology Department, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750000, China.,Key Laboratory of Fertility Preservation & Maintenance of Ministry of Education, Ningxia Medical University, Yinchuan, Ningxia, 750000, China
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Prognostic Value and Immune Infiltration Analysis of Nuclear Factor Erythroid-2 Family Members in Ovarian Cancer. BIOMED RESEARCH INTERNATIONAL 2022; 2022:8672258. [PMID: 35059466 PMCID: PMC8766182 DOI: 10.1155/2022/8672258] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Accepted: 12/20/2021] [Indexed: 12/29/2022]
Abstract
Ovarian cancer (OC) often presents at an advanced stage and is still one of the most frequent causes of gynecological cancer-related mortality worldwide. The nuclear factor erythroid-2 (NFE2) transcription factors include nuclear factor, erythroid 2 like 1 (NFE2L1), NFE2L2, and NFE2L3. NFE2 members bind to the antioxidant-response element (ARE) region and activate the expression of targeted genes. The distinct functions of NFE2 members in OC remain poorly elucidated. Several online bioinformatics databases were applied to determine gene expression, prognosis, mutations, and immune infiltration correlation in OC patients. NFE2L1 and NFE2L2 were decreased in OC, whereas NFE2L3 was increased. NFE2L2 and NFE2L3 were significantly correlated with the clinical stages of OC. High NFE2L1 level was significantly associated with short progression-free survival (PFS) in patients with OC (
,
), while high NFE2L2 expression strongly correlated with long PFS (
,
). High NFE2L3 expression was associated with better overall survival and postprogression survival in OC. Functional analysis showed that NFE2 members mainly focused on transcription coactivator activities. Genetic alterations of NFE2 members were found in 13% of OC patients, and amplification ranked the top. The expression of NFE2 members was significantly correlated with immune infiltration of CD4+ T cells, CD8+ T cells, B cells, macrophages, and neutrophils in OC. Our study provides novel insights into the roles and prognostic potential of NFE2 family members in OC.
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