Identification of an extracellular matrix signature for predicting prognosis and sensitivity to therapy of patients with gastric cancer

Abstract Extracellular matrix (ECM) is a vital component of the tumor microenvironment and plays a crucial role in the development and progression of gastric cancer (GC). Co-expression networks were established by means of the “WGCNA” package, the optimal model for extracellular matrix scores (ECMs)...

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Main Authors: Nan Xu, Taojing Zhang, Weiwei Sun, Chenxiao Ye, Huamiao Zhou
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-88376-8
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author Nan Xu
Taojing Zhang
Weiwei Sun
Chenxiao Ye
Huamiao Zhou
author_facet Nan Xu
Taojing Zhang
Weiwei Sun
Chenxiao Ye
Huamiao Zhou
author_sort Nan Xu
collection DOAJ
description Abstract Extracellular matrix (ECM) is a vital component of the tumor microenvironment and plays a crucial role in the development and progression of gastric cancer (GC). Co-expression networks were established by means of the “WGCNA” package, the optimal model for extracellular matrix scores (ECMs) was developed and validated, with its accuracy in predicting the prognosis and treatment sensitivity of GC patients assessed. We performed univariate cox regression analysis [HR = 6.8 ( 3.3–14 ), p < 0.001] which demonstrated that ECMs was an independent risk character and perceptibly superior to other factors with further analysis of multivariate Cox regression [HR = 8.68 ( 4.16–18.08 ), p < 0.001]. The nomogram, presenting the clinical prognosis model for GC patients, demonstrated accuracy through KM analysis [HR = 3.97 (2.56–6.16), p < 0.001] and ROC curves with AUC values of 0.70, 0.72, and 0.72 at 1, 3, and 5 years, respectively. Using the ECMs model, we stratified GC patients into high- and low-risk groups, enabling precise predictions of prognosis and drug sensitivity. This stratification provides a new strategic direction for the personalized treatment of GC.
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spelling doaj-art-e0858406082a4af18ac2edf128258dae2025-08-20T01:57:51ZengNature PortfolioScientific Reports2045-23222025-03-0115111410.1038/s41598-025-88376-8Identification of an extracellular matrix signature for predicting prognosis and sensitivity to therapy of patients with gastric cancerNan Xu0Taojing Zhang1Weiwei Sun2Chenxiao Ye3Huamiao Zhou4School of Life Sciences, Zhejiang Chinese Medical UniversitySchool of Life Sciences, Zhejiang Chinese Medical UniversitySchool of Life Sciences, Zhejiang Chinese Medical UniversityThe First Clinical Medical College, Zhejiang Chinese Medical UniversityDepartment of Medical Oncology, The First Affiliated Hospital of Zhejiang Chinese Medical UniversityAbstract Extracellular matrix (ECM) is a vital component of the tumor microenvironment and plays a crucial role in the development and progression of gastric cancer (GC). Co-expression networks were established by means of the “WGCNA” package, the optimal model for extracellular matrix scores (ECMs) was developed and validated, with its accuracy in predicting the prognosis and treatment sensitivity of GC patients assessed. We performed univariate cox regression analysis [HR = 6.8 ( 3.3–14 ), p < 0.001] which demonstrated that ECMs was an independent risk character and perceptibly superior to other factors with further analysis of multivariate Cox regression [HR = 8.68 ( 4.16–18.08 ), p < 0.001]. The nomogram, presenting the clinical prognosis model for GC patients, demonstrated accuracy through KM analysis [HR = 3.97 (2.56–6.16), p < 0.001] and ROC curves with AUC values of 0.70, 0.72, and 0.72 at 1, 3, and 5 years, respectively. Using the ECMs model, we stratified GC patients into high- and low-risk groups, enabling precise predictions of prognosis and drug sensitivity. This stratification provides a new strategic direction for the personalized treatment of GC.https://doi.org/10.1038/s41598-025-88376-8Gastric cancerExtracellular matrixWeighted gene co-expression network analysisPrognosisImmunotherapy
spellingShingle Nan Xu
Taojing Zhang
Weiwei Sun
Chenxiao Ye
Huamiao Zhou
Identification of an extracellular matrix signature for predicting prognosis and sensitivity to therapy of patients with gastric cancer
Scientific Reports
Gastric cancer
Extracellular matrix
Weighted gene co-expression network analysis
Prognosis
Immunotherapy
title Identification of an extracellular matrix signature for predicting prognosis and sensitivity to therapy of patients with gastric cancer
title_full Identification of an extracellular matrix signature for predicting prognosis and sensitivity to therapy of patients with gastric cancer
title_fullStr Identification of an extracellular matrix signature for predicting prognosis and sensitivity to therapy of patients with gastric cancer
title_full_unstemmed Identification of an extracellular matrix signature for predicting prognosis and sensitivity to therapy of patients with gastric cancer
title_short Identification of an extracellular matrix signature for predicting prognosis and sensitivity to therapy of patients with gastric cancer
title_sort identification of an extracellular matrix signature for predicting prognosis and sensitivity to therapy of patients with gastric cancer
topic Gastric cancer
Extracellular matrix
Weighted gene co-expression network analysis
Prognosis
Immunotherapy
url https://doi.org/10.1038/s41598-025-88376-8
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