机器学习在胃癌的分子特征筛选及预后模型建立应用的回顾
A Review of the Application of Machine Learning in Molecular Feature Screening and Prognostic Model Establishment of Gastric Cancer
DOI: 10.12677/ACM.2024.143788, PDF,    科研立项经费支持
作者: 宝 仰:大理大学临床医学院,云南 大理;和红阳, 管云飞, 张 阳, 方俊伟:大理大学第一附属医院普外一科,云南 大理
关键词: 胃癌机器学习MSIGastric Cancer Machine Learning MSI
摘要: 胃癌在我国恶性肿瘤的死亡率中位列第三,严重危害我们的生命和健康,目前治疗方式多以手术治疗为主,但许多患者发现时已经是晚期,基本无手术机会。微卫星不稳定是一种在胃癌中的遗传变异类型,与基因组不稳定性和肿瘤进展相关。机器学习作为一种近年来常用于肿瘤的数据分析工具,可以对大规模的基因表达数据进行分析,筛选出与胃癌微卫星不稳定相关的特征基因,建立预后模型,有助于指导胃癌的预后评估和治疗决策。本文综合归纳了机器学习在肿瘤中分子特征筛选及预后模型建立的应用,分析其在胃癌诊断、治疗及预后判断中的应用价值,并对今后的研究方向进行展望。
Abstract: Gastric cancer ranks third in the mortality rate of malignant tumors in China, which seriously en-dangers our lives and health. Microsatellite instability is a type of genetic variant in gastric cancer that is associated with genomic instability and tumor progression. As a data analysis tool commonly used in tumors in recent years, machine learning can analyze large-scale gene expression data, screen out characteristic genes associated with microsatellite instability of gastric cancer, and es-tablish prognostic models, which will help guide the prognosis assessment and treatment decisions of gastric cancer. This article comprehensively summarizes the application of machine learning in the screening of molecular features and the establishment of prognostic models in tumors, analyzes its application value in the diagnosis, treatment and prognosis of gastric cancer, and looks forward to future research directions.
文章引用:宝仰, 和红阳, 管云飞, 张阳, 方俊伟. 机器学习在胃癌的分子特征筛选及预后模型建立应用的回顾[J]. 临床医学进展, 2024, 14(3): 894-899. https://doi.org/10.12677/ACM.2024.143788

参考文献

[1] Sung, H., Ferlay, J., Siegel, R.L., et al. (2021) Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71, 209-249. [Google Scholar] [CrossRef] [PubMed]
[2] Zeng, H.M., Chen, W.Q., Zheng, R.S., et al. (2018) Changing Cancer Sur-vival in China during 2003-15: A Pooled Analysis of 17 Population-Based Cancer Registries. The Lancet Global Health, 6, e555-e567. [Google Scholar] [CrossRef
[3] 胃癌诊治难点中国专家共识(2020版) [J]. 中国实用外科杂志, 2020, 40(8): 869-904.
[4] 项涛, 雷慧, 谭绮琼, 等. IL-27, IL-29及miRNA-497在HER-2阳性胃癌患者放射性粒子联合靶向治疗中的价值[J]. 重庆医学, 2017, 46(30): 4204-4206.
[5] Baretti, M. and Le, D.T. (2018) DNA Mismatch Repair in Cancer. Pharmacology & Therapeutics, 189, 45-62. [Google Scholar] [CrossRef] [PubMed]
[6] Miceli, R., An, J., Di Bartolomeo, M., et al. (2019) Prog-nostic Impact of Microsatellite Instability in Asian Gastric Cancer Patients Enrolled in the ARTIST Trial. Oncology, 97, 38-43. [Google Scholar] [CrossRef] [PubMed]
[7] Pietrantonio, F., Miceli, R., Raimondi, A., et al. (2019) Individual Patient Data Meta-Analysis of the Value of Microsatellite Instability as a Biomarker in Gastric Cancer. Journal of Clinical Oncology, 37, 3392-3400. [Google Scholar] [CrossRef
[8] NCCN (2022) NCCN Clinical Practice Guideline in Oncology, Gastric Cancer (Version 2).
[9] 严健亮, 景蓉蓉, 谢泽宇, 崔明. 机器学习在胃癌生物标志物挖掘中的应用进展[J]. 实用医学杂志, 2023, 39(6): 783-787.
[10] Cancer Genome Atlas Research Network (2014) Comprehensive Molecular Characterization of Gastric Adenocarcinoma. Nature, 513, 202-209. [Google Scholar] [CrossRef] [PubMed]
[11] 郑瑞, 聂明明. 微卫星不稳定性在胃癌治疗作用中的研究进展[J]. 中国临床医学, 2022, 29(5): 864-869.
[12] 袁玥, 沈存芳. 微卫星不稳定型胃癌的研究进展[J]. 世界最新医学信息文摘, 2018, 18(28): 84-85+93.
[13] 施维, 薛均, 潘璀然, 任元凯, 倪正杰, 张远鹏, 王理, 吴辉群, 蒋葵, 董建成. 机器学习在肿瘤早期诊断与预后预测中的应用[J]. 医学信息学杂志, 2016, 37(11): 10-14+22.
[14] 刘欢, 辛彦. 微卫星不稳定性(MSI)与胃癌关系的研究进展[J]. 现代肿瘤医学, 2018, 26(1): 124-127.
[15] 李立立, 王艳军, 安有志. 微卫星不稳定型胃癌的研究进展[J]. 癌症进展, 2022, 20(15): 1519-1524.
[16] 王雅, 吕佳乐, 梁路等. MSI检测在胃癌治疗中的研究进展[J]. 胃肠病学和肝病学杂志, 2022, 31(6): 691-695.
[17] 陈凯, 朱钰. 机器学习及其相关算法综述[J]. 统计与信息论坛, 2007(5): 105-112.
[18] Golub, T.R., Slonim, D.K., Tamayo, P., et al. (1999) Molecular Classification of Cancer: Class Discovery and Class Prediction by Gene Expression Monitoring. Science, 286, 531-537. [Google Scholar] [CrossRef] [PubMed]
[19] Wang, Y., Makedon, F.S., Ford, J.C., et al. (2005) HykGene: A Hybrid Approach for Selecting Marker Genes for Phenotype Classification Using Microarray Gene Expression Data. Bi-oinformation, 21, 1530-1537. [Google Scholar] [CrossRef] [PubMed]
[20] Lin, T.C., Liu, R.S., Chao, Y.T., et al. (2013) Classifying Sub-types of Acute Lymphoblastic Leukemia Using Silhouette Statistics and Genetic Algorithms. Gene, 518, 159-163. [Google Scholar] [CrossRef] [PubMed]
[21] Pavithra, D. and Lakshmanan, B. (2017) Feature Selection and Classification in Gene Expression Cancer Data. 2017 IEEE International Conference on Computational Intelligence in Data Science (ICCIDS), Chennai, 2-3 June 2017, 1-6. [Google Scholar] [CrossRef
[22] Radovic, M., Ghalwash, M., Filipovic, N., et al. (2017) Min-imum Redundancy Maximum Relevance Feature Selection Approach for Temporal Gene Expression Data. BMC Bioin-formatics, 18, Article No. 9. [Google Scholar] [CrossRef] [PubMed]
[23] 魏晟宏, 陈路川, 叶再生, 林振孟, 王益, 严明芳. 胃癌肿瘤大小的临床病理特征及预后分析(附753例报告) [J]. 福建医药杂志, 2017, 39(6): 88-91.
[24] 陕飞, 李子禹, 张连海, 李双喜, 贾永宁, 苗儒林, 薛侃, 李浙民, 高翔宇, 王胤奎, 闫超, 李沈, 季加孚. 国际抗癌联盟及美国肿瘤联合会胃癌TNM分期系统(第8版)简介及解读[J]. 中国实用外科杂志, 2017, 37(1): 15-17.
[25] Cheong, J.H., Wang, S.C., Park, S., et al. (2022) Development and Validation of a Prognostic and Predictive 32-Gene Signature for Gastric Cancer. Nature Communications, 13, Article No. 774.
[26] Jiang, Y., Xie, J., Han, Z., et al. (2018) Im-munomarker Support Vector Machine Classifier for Prediction of Gastric Cancer Survival and Adjuvant Chemotherapeu-tic Benefit. Clinical Cancer Research, 24, 5574-5584. [Google Scholar] [CrossRef
[27] Liu, D., Wang, X., Li, L., et al. (2022) Machine Learn-ing-Based Model for the Prognosis of Postoperative Gastric Cancer. Cancer Management and Research, 14, 135-155. [Google Scholar] [CrossRef
[28] Wu, J., Xiao, Y., Xia, C., et al. (2017) Identification of Biomarkers for Predicting Lymph Node Metastasis of Stomach Cancer Using Clinical DNA Methylation Data. Disease Markers, 2017, Article ID: 5745724. [Google Scholar] [CrossRef] [PubMed]
[29] Joo, M., Park, A., Kim, K., et al. (2019) A Deep Learning Model for Cell Growth Inhibition IC50 Prediction and Its Application for Gastric Cancer Patients. International Journal of Molecu-lar Sciences, 20, Article No. 6276. [Google Scholar] [CrossRef] [PubMed]
[30] 徐嘉昕, 钱凯, 蒋立虹. 机器学习算法在肺癌临床诊断及生存预后分析中的应用[J]. 中国胸心血管外科临床杂志, 2022, 29(6): 777-781.