Development and validation of a risk model for effective immune and stromal related signature predicting prognosis of patients with ovarian cancer

Abstract The tumor microenvironment (TME) plays a critical role in ovarian cancer (OC) progression, yet the relationship between immune and stromal scores within the TME and prognostic outcomes remains poorly understood. Immune and stromal cell scores were computed using the “estimate” R package, wh...

Full description

Saved in:
Bibliographic Details
Main Authors: Yiping Yu, Wen Yin, Jing Feng, Sumin Qian
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-01212-x
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850273032144158720
author Yiping Yu
Wen Yin
Jing Feng
Sumin Qian
author_facet Yiping Yu
Wen Yin
Jing Feng
Sumin Qian
author_sort Yiping Yu
collection DOAJ
description Abstract The tumor microenvironment (TME) plays a critical role in ovarian cancer (OC) progression, yet the relationship between immune and stromal scores within the TME and prognostic outcomes remains poorly understood. Immune and stromal cell scores were computed using the “estimate” R package, which enabled the assessment of immune and stromal components in OC samples. We then performed univariate and multivariate Cox regression analyses to identify prognostic factors associated with these scores using data from The Cancer Genome Atlas (TCGA). Additionally, LASSO Cox regression were employed to identify key prognostic genes linked to immune infiltration. Our analysis of OC expression data identified 1,667 differentially expressed genes (DEGs) associated with immune and stromal scores. From these, we developed a 6-gene risk model, consisting of ALOX5AP, FCGR1C, GBP2, IL21R, KLRB1, and PIK3CG, which effectively stratified OC patients into high-risk and low-risk groups. Survival analysis and area under the curve (AUC) assessment confirmed the model’s strong predictive accuracy. Furthermore, drug sensitivity predictions indicated that sorafenib was particularly effective in high-risk patients, with this finding validated through in vitro experiments. The 6-gene TME-related risk model offers robust prognostic capabilities for OC and could serve as a valuable tool for clinical stratification and personalized treatment approaches.
format Article
id doaj-art-89dad173141d45c19fa48d3fb33e708c
institution OA Journals
issn 2045-2322
language English
publishDate 2025-05-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-89dad173141d45c19fa48d3fb33e708c2025-08-20T01:51:38ZengNature PortfolioScientific Reports2045-23222025-05-0115111710.1038/s41598-025-01212-xDevelopment and validation of a risk model for effective immune and stromal related signature predicting prognosis of patients with ovarian cancerYiping Yu0Wen Yin1Jing Feng2Sumin Qian3Gynecology Department 2, Cangzhou Central HospitalGynecology Department 2, Cangzhou Central HospitalGynecology Department 2, Cangzhou Central HospitalGynecology Department 2, Cangzhou Central HospitalAbstract The tumor microenvironment (TME) plays a critical role in ovarian cancer (OC) progression, yet the relationship between immune and stromal scores within the TME and prognostic outcomes remains poorly understood. Immune and stromal cell scores were computed using the “estimate” R package, which enabled the assessment of immune and stromal components in OC samples. We then performed univariate and multivariate Cox regression analyses to identify prognostic factors associated with these scores using data from The Cancer Genome Atlas (TCGA). Additionally, LASSO Cox regression were employed to identify key prognostic genes linked to immune infiltration. Our analysis of OC expression data identified 1,667 differentially expressed genes (DEGs) associated with immune and stromal scores. From these, we developed a 6-gene risk model, consisting of ALOX5AP, FCGR1C, GBP2, IL21R, KLRB1, and PIK3CG, which effectively stratified OC patients into high-risk and low-risk groups. Survival analysis and area under the curve (AUC) assessment confirmed the model’s strong predictive accuracy. Furthermore, drug sensitivity predictions indicated that sorafenib was particularly effective in high-risk patients, with this finding validated through in vitro experiments. The 6-gene TME-related risk model offers robust prognostic capabilities for OC and could serve as a valuable tool for clinical stratification and personalized treatment approaches.https://doi.org/10.1038/s41598-025-01212-xOvarian cancerESTIMATEGSEAPrognostic signatureImmune drug response
spellingShingle Yiping Yu
Wen Yin
Jing Feng
Sumin Qian
Development and validation of a risk model for effective immune and stromal related signature predicting prognosis of patients with ovarian cancer
Scientific Reports
Ovarian cancer
ESTIMATE
GSEA
Prognostic signature
Immune drug response
title Development and validation of a risk model for effective immune and stromal related signature predicting prognosis of patients with ovarian cancer
title_full Development and validation of a risk model for effective immune and stromal related signature predicting prognosis of patients with ovarian cancer
title_fullStr Development and validation of a risk model for effective immune and stromal related signature predicting prognosis of patients with ovarian cancer
title_full_unstemmed Development and validation of a risk model for effective immune and stromal related signature predicting prognosis of patients with ovarian cancer
title_short Development and validation of a risk model for effective immune and stromal related signature predicting prognosis of patients with ovarian cancer
title_sort development and validation of a risk model for effective immune and stromal related signature predicting prognosis of patients with ovarian cancer
topic Ovarian cancer
ESTIMATE
GSEA
Prognostic signature
Immune drug response
url https://doi.org/10.1038/s41598-025-01212-x
work_keys_str_mv AT yipingyu developmentandvalidationofariskmodelforeffectiveimmuneandstromalrelatedsignaturepredictingprognosisofpatientswithovariancancer
AT wenyin developmentandvalidationofariskmodelforeffectiveimmuneandstromalrelatedsignaturepredictingprognosisofpatientswithovariancancer
AT jingfeng developmentandvalidationofariskmodelforeffectiveimmuneandstromalrelatedsignaturepredictingprognosisofpatientswithovariancancer
AT suminqian developmentandvalidationofariskmodelforeffectiveimmuneandstromalrelatedsignaturepredictingprognosisofpatientswithovariancancer