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Research Paper

Early 2 factor (E2F) transcription factors contribute to malignant progression and have clinical prognostic value in lower-grade glioma

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Pages 7765-7779 | Received 27 Jul 2021, Accepted 21 Sep 2021, Published online: 07 Oct 2021

Figures & data

Figure 1. Correlations between the expression levels of E2F members and different clinical characteristics of patients with LGG. (a-d): Expression of eight E2F genes in LGG of different WHO grades. (e-f): Expression of eight E2F genes in patients with differential IDH status from the CGGA (e) and TCGA datasets (f). * P< 0.05, ** P< 0.01, and *** P< 0.001

Figure 1. Correlations between the expression levels of E2F members and different clinical characteristics of patients with LGG. (a-d): Expression of eight E2F genes in LGG of different WHO grades. (e-f): Expression of eight E2F genes in patients with differential IDH status from the CGGA (e) and TCGA datasets (f). * P< 0.05, ** P< 0.01, and *** P< 0.001

Figure 2. Two categories of patients based on distinct clinical characteristics and OS according to the gene expression of eight E2Fs in the CGGA dataset. (a): Spearman’s correlation analysis of the E2F family members. (b): CDFs for K = 2–9. (c): Delta areas under the CDF curves for K = 2–9. (d): Clinical characteristics of the two clusters defined based on the consensus expression of the eight members of the E2F family. (e): PCA of total RNA expression profile in the CGGA datasets. (f): Kaplan-Meier curves for samples in the CGGA datasets

Figure 2. Two categories of patients based on distinct clinical characteristics and OS according to the gene expression of eight E2Fs in the CGGA dataset. (a): Spearman’s correlation analysis of the E2F family members. (b): CDFs for K = 2–9. (c): Delta areas under the CDF curves for K = 2–9. (d): Clinical characteristics of the two clusters defined based on the consensus expression of the eight members of the E2F family. (e): PCA of total RNA expression profile in the CGGA datasets. (f): Kaplan-Meier curves for samples in the CGGA datasets

Figure 3. Functional annotations of differentially expressed genes between cluster1 and cluster2. (a): Functional annotations of differentially expressed genes via GO and KEGG pathway analyses. (b): Malignant hallmarks enriched in cluster1 determined using GSEA

Figure 3. Functional annotations of differentially expressed genes between cluster1 and cluster2. (a): Functional annotations of differentially expressed genes via GO and KEGG pathway analyses. (b): Malignant hallmarks enriched in cluster1 determined using GSEA

Figure 4. Risk models derived from expression patterns of four E2F genes. (a): The process of risk model construction. (b-c): Kaplan-Meier OS curves for patients from the CGGA (b) and TCGA (c) datasets categorized into two groups based on the median risk scores. (d-e): ROC curve analysis of the predictive efficiency of our risk model in the CGGA (d) and TCGA (e) datasets. (f): Heatmap of genes corresponding to four E2F genes and the distributions of clinical characteristics in the two subgroups. * P< 0.05, ** P< 0.01, and *** P< 0.001

Figure 4. Risk models derived from expression patterns of four E2F genes. (a): The process of risk model construction. (b-c): Kaplan-Meier OS curves for patients from the CGGA (b) and TCGA (c) datasets categorized into two groups based on the median risk scores. (d-e): ROC curve analysis of the predictive efficiency of our risk model in the CGGA (d) and TCGA (e) datasets. (f): Heatmap of genes corresponding to four E2F genes and the distributions of clinical characteristics in the two subgroups. * P< 0.05, ** P< 0.01, and *** P< 0.001

Figure 5. Correlations between risk scores, clinical characteristics and clusters. (a-f): Distributions of risk scores stratified by WHO grade (a), age (b), 1p/19q status (c), IDH status (d), sex (e), and cluster (f). (g-j): Predictive efficiency of risk score, WHO grade and age relative to the survival rate (g), cluster1 group (h), IDH status (i) and 1p/19q codel status (j). (k-l): Relationships between clinical characteristics and OS of patients in the CGGA (k) and TCGA (l) datasets determined via univariate and multivariate Cox regression analyses. (m-n): Kaplan-Meier analysis of gliomas different WHO grades from the CGGA dataset. ns P> 0.05, * P< 0.05, ** P< 0.01, and *** P< 0.001

Figure 5. Correlations between risk scores, clinical characteristics and clusters. (a-f): Distributions of risk scores stratified by WHO grade (a), age (b), 1p/19q status (c), IDH status (d), sex (e), and cluster (f). (g-j): Predictive efficiency of risk score, WHO grade and age relative to the survival rate (g), cluster1 group (h), IDH status (i) and 1p/19q codel status (j). (k-l): Relationships between clinical characteristics and OS of patients in the CGGA (k) and TCGA (l) datasets determined via univariate and multivariate Cox regression analyses. (m-n): Kaplan-Meier analysis of gliomas different WHO grades from the CGGA dataset. ns P> 0.05, * P< 0.05, ** P< 0.01, and *** P< 0.001

Figure 6. Construction and assessment of a nomogram to predict patient’ OS. (a): Nomogram based on the clinical characteristics and risk scores for predicting patient survival. (b-d): Calibration curve for predicting patient survival at 2 years (b), 3 years (c), and 5 years (d). (e-g): The predictive efficiency of the risk scores, WHO grade, and age showed by ROC curves based on 2- (e), 3- (f), and 5- (g) year survival rates

Figure 6. Construction and assessment of a nomogram to predict patient’ OS. (a): Nomogram based on the clinical characteristics and risk scores for predicting patient survival. (b-d): Calibration curve for predicting patient survival at 2 years (b), 3 years (c), and 5 years (d). (e-g): The predictive efficiency of the risk scores, WHO grade, and age showed by ROC curves based on 2- (e), 3- (f), and 5- (g) year survival rates

Figure 7. Validation of four selected E2F members by RT-qPCR and immunohistochemistry analysis. (a-d): Comparative E2F2 (a), E2F3 (b), E2F4 (c), and E2F7 (d) mRNA expression levels in NBT and LGG tissues. (e-h): Comparative E2F2 (e), E2F3 (f), E2F4 (g), and E2F7 (h) protein expression levels in NBT and LGG tissues by immunohistochemistry assay. ns P > 0.05, * P < 0.05, ** P < 0.01, and *** P < 0.001

Figure 7. Validation of four selected E2F members by RT-qPCR and immunohistochemistry analysis. (a-d): Comparative E2F2 (a), E2F3 (b), E2F4 (c), and E2F7 (d) mRNA expression levels in NBT and LGG tissues. (e-h): Comparative E2F2 (e), E2F3 (f), E2F4 (g), and E2F7 (h) protein expression levels in NBT and LGG tissues by immunohistochemistry assay. ns P > 0.05, * P < 0.05, ** P < 0.01, and *** P < 0.001
Supplemental material

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Data availability statement

Data for this work were obtained from the CGGA (http://www.cgga.org.cn/), TCGA (https://portal.gdc.cancer.gov/), GSE16011 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE16011), ONCOMINE (https://www.oncomine.org/), and Human Protein Atlas datasets (https://www.proteinatlas.org/).