An oral microbiota-based deep neural network model for risk stratification and prognosis prediction in gastric cancer

Background This study aims to develop an oral microbiota-based model for gastric cancer (GC) risk stratification and prognosis prediction.Methods Oral microbial markers for GC prognosis and risk stratification were identified from 99 GC patients, and their predictive potential was validated on an ex...

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Main Authors: Xue-Feng Gao, Can-Gui Zhang, Kun Huang, Xiao-Lin Zhao, Ying-Qiao Liu, Zi-Kai Wang, Rong-Rong Ren, Geng-Hui Mai, Ke-Ren Yang, Ye Chen
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Oral Microbiology
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Online Access:https://www.tandfonline.com/doi/10.1080/20002297.2025.2451921
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author Xue-Feng Gao
Can-Gui Zhang
Kun Huang
Xiao-Lin Zhao
Ying-Qiao Liu
Zi-Kai Wang
Rong-Rong Ren
Geng-Hui Mai
Ke-Ren Yang
Ye Chen
author_facet Xue-Feng Gao
Can-Gui Zhang
Kun Huang
Xiao-Lin Zhao
Ying-Qiao Liu
Zi-Kai Wang
Rong-Rong Ren
Geng-Hui Mai
Ke-Ren Yang
Ye Chen
author_sort Xue-Feng Gao
collection DOAJ
description Background This study aims to develop an oral microbiota-based model for gastric cancer (GC) risk stratification and prognosis prediction.Methods Oral microbial markers for GC prognosis and risk stratification were identified from 99 GC patients, and their predictive potential was validated on an external dataset of 111 GC patients. The identified bacterial markers were used to construct a Deep Neural Network (DNN) model, a Random Forest (RF) model, and a Support Vector Machine (SVM) model for predicting GC prognosis.Results GC patients with <3 years of survival showed a higher abundance of Aggregatibacter and diminished abundances of Filifactor and Moryella than those who survived ≥3 years. The Boruta algorithm unearthed Leptotrichia as another significant marker for GC prognosis. Consequently, a DNN model was constructed based on the relative abundances of these bacteria, predicting 3-year and 5-year survival in GC patients with Area Under Curve of 0.814 and 0.912, respectively. Notably, the DNN model outperformed the TNM staging system, SVM and RF models. The prognostic value of these bacterial markers was further reinforced by external validation.Conclusion The oral microbiota-based DNN model may advance GC prognosis. The biological functions of these oral bacterial markers warrant further investigation from the perspective of GC progression.
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spelling doaj-art-a9103893fac948238f7a231ba9bf5c6b2025-01-18T04:46:54ZengTaylor & Francis GroupJournal of Oral Microbiology2000-22972025-12-0117110.1080/20002297.2025.2451921An oral microbiota-based deep neural network model for risk stratification and prognosis prediction in gastric cancerXue-Feng Gao0Can-Gui Zhang1Kun Huang2Xiao-Lin Zhao3Ying-Qiao Liu4Zi-Kai Wang5Rong-Rong Ren6Geng-Hui Mai7Ke-Ren Yang8Ye Chen9Integrative Microecology Clinical Center, Shenzhen Clinical Research Center for Digestive Disease, Shenzhen Technology Research Center of Gut Microbiota Transplantation, The Clinical Innovation &amp; Research Center, Shenzhen Key Laboratory of Viral Oncology, Department of Clinical Nutrition, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaIntegrative Microecology Clinical Center, Shenzhen Clinical Research Center for Digestive Disease, Shenzhen Technology Research Center of Gut Microbiota Transplantation, The Clinical Innovation &amp; Research Center, Shenzhen Key Laboratory of Viral Oncology, Department of Clinical Nutrition, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaDepartment of Gastroenterology, Civil Aviation General Hospital, Beijing, ChinaDepartment of Gastroenterology, Civil Aviation General Hospital, Beijing, ChinaDepartment of Oral and Maxillofacial Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Center, Chinese PLA General Hospital, Beijing, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Center, Chinese PLA General Hospital, Beijing, ChinaDepartment of Gastroenterology, State Key Laboratory of Organ Failure Research, Guangdong Provincial Key Laboratory of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, ChinaIntegrative Microecology Clinical Center, Shenzhen Clinical Research Center for Digestive Disease, Shenzhen Technology Research Center of Gut Microbiota Transplantation, The Clinical Innovation &amp; Research Center, Shenzhen Key Laboratory of Viral Oncology, Department of Clinical Nutrition, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaIntegrative Microecology Clinical Center, Shenzhen Clinical Research Center for Digestive Disease, Shenzhen Technology Research Center of Gut Microbiota Transplantation, The Clinical Innovation &amp; Research Center, Shenzhen Key Laboratory of Viral Oncology, Department of Clinical Nutrition, Shenzhen Hospital, Southern Medical University, Shenzhen, ChinaBackground This study aims to develop an oral microbiota-based model for gastric cancer (GC) risk stratification and prognosis prediction.Methods Oral microbial markers for GC prognosis and risk stratification were identified from 99 GC patients, and their predictive potential was validated on an external dataset of 111 GC patients. The identified bacterial markers were used to construct a Deep Neural Network (DNN) model, a Random Forest (RF) model, and a Support Vector Machine (SVM) model for predicting GC prognosis.Results GC patients with <3 years of survival showed a higher abundance of Aggregatibacter and diminished abundances of Filifactor and Moryella than those who survived ≥3 years. The Boruta algorithm unearthed Leptotrichia as another significant marker for GC prognosis. Consequently, a DNN model was constructed based on the relative abundances of these bacteria, predicting 3-year and 5-year survival in GC patients with Area Under Curve of 0.814 and 0.912, respectively. Notably, the DNN model outperformed the TNM staging system, SVM and RF models. The prognostic value of these bacterial markers was further reinforced by external validation.Conclusion The oral microbiota-based DNN model may advance GC prognosis. The biological functions of these oral bacterial markers warrant further investigation from the perspective of GC progression.https://www.tandfonline.com/doi/10.1080/20002297.2025.2451921Gastric cancerprognosisrisk stratificationoral microbiotadeep neural network
spellingShingle Xue-Feng Gao
Can-Gui Zhang
Kun Huang
Xiao-Lin Zhao
Ying-Qiao Liu
Zi-Kai Wang
Rong-Rong Ren
Geng-Hui Mai
Ke-Ren Yang
Ye Chen
An oral microbiota-based deep neural network model for risk stratification and prognosis prediction in gastric cancer
Journal of Oral Microbiology
Gastric cancer
prognosis
risk stratification
oral microbiota
deep neural network
title An oral microbiota-based deep neural network model for risk stratification and prognosis prediction in gastric cancer
title_full An oral microbiota-based deep neural network model for risk stratification and prognosis prediction in gastric cancer
title_fullStr An oral microbiota-based deep neural network model for risk stratification and prognosis prediction in gastric cancer
title_full_unstemmed An oral microbiota-based deep neural network model for risk stratification and prognosis prediction in gastric cancer
title_short An oral microbiota-based deep neural network model for risk stratification and prognosis prediction in gastric cancer
title_sort oral microbiota based deep neural network model for risk stratification and prognosis prediction in gastric cancer
topic Gastric cancer
prognosis
risk stratification
oral microbiota
deep neural network
url https://www.tandfonline.com/doi/10.1080/20002297.2025.2451921
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