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@ARTICLE{Zhou:163272,
author = {Zhou, Lulin and Niu, Zubiao and Wang, Yuqi and Zheng, You
and Zhu, Yichao and Wang, Chenxi and Gao, Xiaoyan and Gao,
Lihua and Zhang, Wen and Zhang, Kaitai and Melino, Gerry and
Huang, Hongyan and Wang, Xiaoning and Sun, Qiang},
title = {{S}enescence as a dictator of patient outcomes and
therapeutic efficacies in human gastric cancer.},
journal = {Cell death discovery},
volume = {8},
number = {1},
issn = {2058-7716},
address = {London},
publisher = {Nature Publishing Group},
reportid = {DZNE-2022-00052},
pages = {13},
year = {2022},
abstract = {Senescence is believed to be a pivotal player in the onset
and progression of tumors as well as cancer therapy.
However, the guiding roles of senescence in clinical
outcomes and therapy selection for patients with cancer
remain obscure, largely due to the absence of a feasible
senescence signature. Here, by integrative analysis of
single cell and bulk transcriptome data from multiple
datasets of gastric cancer patients, we uncovered senescence
as a veiled tumor feature characterized by senescence gene
signature enriched, unexpectedly, in the noncancerous cells,
and further identified two distinct senescence-associated
subtypes based on the unsupervised clustering. Patients with
the senescence subtype had higher tumor mutation loads and
better prognosis as compared with the aggressive subtype. By
the machine learning, we constructed a scoring system termed
as senescore based on six signature genes: ADH1B, IL1A,
SERPINE1, SPARC, EZH2, and TNFAIP2. Higher senescore
demonstrated robustly predictive capability for longer
overall and recurrence-free survival in 2290 gastric cancer
samples, which was independently validated by the multiplex
staining analysis of gastric cancer samples on the tissue
microarray. Remarkably, the senescore signature served as a
reliable predictor of chemotherapeutic and immunotherapeutic
efficacies, with high-senescore patients benefited from
immunotherapy, while low-senescore patients were responsive
to chemotherapy. Collectively, we report senescence as a
heretofore unrecognized hallmark of gastric cancer that
impacts patient outcomes and therapeutic efficacy.},
cin = {AG Nicotera},
ddc = {610},
cid = {I:(DE-2719)5000018},
pnm = {351 - Brain Function (POF4-351)},
pid = {G:(DE-HGF)POF4-351},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:35013121},
pmc = {pmc:PMC8748965},
doi = {10.1038/s41420-021-00769-6},
url = {https://pub.dzne.de/record/163272},
}