Machine learning derived development and validation of extracellular matrix related signature for predicting prognosis in adolescents and young adults glioma

Abstract The mortality rates have been increasing for glioma in adolescents and young adults (AYAs, aged 15–39 years). However, current biomarkers for clinical assessment in AYAs glioma are limited, prompting the urgent need for identifying ideal prognostic signature. Extracellular matrix is involve...

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Main Authors: Pancheng Wu, Yi Zheng, Wei Wu, Beichen Zhang, Yichang Wang, Mingjing Zhou, Ziyi Liu, Zhao Wang, Maode Wang, Jia Wang
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-13547-6
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author Pancheng Wu
Yi Zheng
Wei Wu
Beichen Zhang
Yichang Wang
Mingjing Zhou
Ziyi Liu
Zhao Wang
Maode Wang
Jia Wang
author_facet Pancheng Wu
Yi Zheng
Wei Wu
Beichen Zhang
Yichang Wang
Mingjing Zhou
Ziyi Liu
Zhao Wang
Maode Wang
Jia Wang
author_sort Pancheng Wu
collection DOAJ
description Abstract The mortality rates have been increasing for glioma in adolescents and young adults (AYAs, aged 15–39 years). However, current biomarkers for clinical assessment in AYAs glioma are limited, prompting the urgent need for identifying ideal prognostic signature. Extracellular matrix is involved in the development of tumors, while their prognostic significance in AYAs glioma remains unclear. By an integrated machine learning workflow and circuit training and validation procedure, we developed a machine learning-derived prognostic signature (MLDPS) based on 1,026 extracellular matrix-related genes and 3 AYAs glioma cohorts. MLDPS exhibited robust and consistent predictive performance in overall survival and could serve as an independent prognostic factor for AYAs glioma. Simultaneously, MLDPS outperformed previous 89 published prognostic signatures and traditional clinical characteristics, confirming the robust predictive capability. Besides, MLDPS had the potential to stratify prognosis in patients with other cancer types. In addition, the tumor microenvironment between high and low MLDPS groups displayed different patterns while more tumor-infiltrating immune cells were observed in high MLDPS group. Additionally, patients in low MLDPS group had significantly prolonged survival when received immunotherapy in cancers including glioblastoma, urothelial carcinoma and melanoma. Overall, our study proposes a promising signature, which can be utilized for clinicians to evaluate prognosis and might provide individualized clinical management for AYAs glioma.
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spelling doaj-art-5fd43276e5e140e78db68a37e52f1e512025-08-20T03:45:48ZengNature PortfolioScientific Reports2045-23222025-08-0115111710.1038/s41598-025-13547-6Machine learning derived development and validation of extracellular matrix related signature for predicting prognosis in adolescents and young adults gliomaPancheng Wu0Yi Zheng1Wei Wu2Beichen Zhang3Yichang Wang4Mingjing Zhou5Ziyi Liu6Zhao Wang7Maode Wang8Jia Wang9Department of Neurosurgery, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Clinical Oncology, Xijing Hospital, The Fourth Military Medical UniversityDepartment of Neurosurgery, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Neurosurgery, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Neurosurgery, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Neurosurgery, The First Affiliated Hospital of Xi’an Jiaotong UniversityCenter of Brain Science, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Bone and Joint Surgery, The Second Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Neurosurgery, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Neurosurgery, The First Affiliated Hospital of Xi’an Jiaotong UniversityAbstract The mortality rates have been increasing for glioma in adolescents and young adults (AYAs, aged 15–39 years). However, current biomarkers for clinical assessment in AYAs glioma are limited, prompting the urgent need for identifying ideal prognostic signature. Extracellular matrix is involved in the development of tumors, while their prognostic significance in AYAs glioma remains unclear. By an integrated machine learning workflow and circuit training and validation procedure, we developed a machine learning-derived prognostic signature (MLDPS) based on 1,026 extracellular matrix-related genes and 3 AYAs glioma cohorts. MLDPS exhibited robust and consistent predictive performance in overall survival and could serve as an independent prognostic factor for AYAs glioma. Simultaneously, MLDPS outperformed previous 89 published prognostic signatures and traditional clinical characteristics, confirming the robust predictive capability. Besides, MLDPS had the potential to stratify prognosis in patients with other cancer types. In addition, the tumor microenvironment between high and low MLDPS groups displayed different patterns while more tumor-infiltrating immune cells were observed in high MLDPS group. Additionally, patients in low MLDPS group had significantly prolonged survival when received immunotherapy in cancers including glioblastoma, urothelial carcinoma and melanoma. Overall, our study proposes a promising signature, which can be utilized for clinicians to evaluate prognosis and might provide individualized clinical management for AYAs glioma.https://doi.org/10.1038/s41598-025-13547-6Adolescents and young adultsGliomaMachine learningPrognosisImmunotherapy
spellingShingle Pancheng Wu
Yi Zheng
Wei Wu
Beichen Zhang
Yichang Wang
Mingjing Zhou
Ziyi Liu
Zhao Wang
Maode Wang
Jia Wang
Machine learning derived development and validation of extracellular matrix related signature for predicting prognosis in adolescents and young adults glioma
Scientific Reports
Adolescents and young adults
Glioma
Machine learning
Prognosis
Immunotherapy
title Machine learning derived development and validation of extracellular matrix related signature for predicting prognosis in adolescents and young adults glioma
title_full Machine learning derived development and validation of extracellular matrix related signature for predicting prognosis in adolescents and young adults glioma
title_fullStr Machine learning derived development and validation of extracellular matrix related signature for predicting prognosis in adolescents and young adults glioma
title_full_unstemmed Machine learning derived development and validation of extracellular matrix related signature for predicting prognosis in adolescents and young adults glioma
title_short Machine learning derived development and validation of extracellular matrix related signature for predicting prognosis in adolescents and young adults glioma
title_sort machine learning derived development and validation of extracellular matrix related signature for predicting prognosis in adolescents and young adults glioma
topic Adolescents and young adults
Glioma
Machine learning
Prognosis
Immunotherapy
url https://doi.org/10.1038/s41598-025-13547-6
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