Recurrent amplification of MYC and TNFRSF11B in 8q24 is associated with poor survival in patients with gastric cancer Supplementary results: Independent cohort validation of MYC and TNFRSF11B at 8q24 An independent validation cohort of 413 cases was used to validate the association between gains of MYC, TNFRSF11B, ESRP1, MMP9, and CSE1L and patient prognosis. The general conditions of the patients in the training and validation cohorts are comparable. Patients with a gain of either MYC or TNFRSF11B presented a shorter median overall survival than those without gain (MYC: median survival: 23.24 months vs. 42.77 months, P = 0.034; TNFRSF11B: median survival: 26.36 months vs. 30.06 months, P = 0.047, Supplementary Figures A and 1B), whereas there was no significant difference in survival between the patients with a gain of MMP9, CSE1L, or ESRP1 and those without gain (data not shown). Moreover, the GC patients with a high copy number gain (copy number > 4) of MYC or TNFRSF11B exhibited an even poorer overall survival than those with a copy number gain (2 < copy number ≤ 4) and those with no gain (MYC: median survival: 12.26 months vs. 26.56 months vs. 42.77 months, P < 0.001; TNFRSF11B: median survival: 17.98 months vs. 26.66 months vs. 36.06 months, P = 0.015, Supplementary Figures C and D). Association of 8q24 gain with survival and clinicopathological features The survival-related genes MYC and TNFRSF11B are found within a wide range of amplified regions in 8q24, which spans approximately 20 million base pairs. We found that the patient group with gains of both MYC and TNFRSF11B was markedly segregated from non-gain group. The co-gain group presented a significantly lower five-year survival rate than the non-gain group (median survival: 23.24 months vs. 45.14 months, P = 0.019, Supplementary Figure E). The statistical analysis showed that the co-gain of MYC and TNFRSF11B was strongly associated with the depth of wall invasion and TNM stage in both the training and validation cohorts (supplementary Table 4). Table 1S. Probe information. Chromosome chr20 chr8 chr8 chr20 chr8 chr8 chr20 Symbol CSE1L TNFRSF11B ESRP1 MMP9 MYC CCNE2 SRC DNA srand + + + + + Probe set region 108-672 656-1260 8160-8805 1171-1782 674-1182 13207-13777 27895-28533 Chromosome region 47096244-47146892 120004976-120033563 95722575-95788869 44070953-44078606 128817497-128822855 95961627-95976659 35406501-35467234 Table 2S. Representative amplified genomic loci and genes by aCGH analysis. Chromosome Region Location chr20 p13 0-5M p12.3 p12.2 p12.1 5-6M 10-11M 16-17M p11.21-23 20-25M chr8 chr7 chr13 Representative Genes TCF15, PSMF1, SNRPB, TMC2, NOP56, EBF4, PTPRA, GNRH2, MRPS26, OXT, AVP, UBOX5, FASTKD5, GFRA4, ADAM33, CENPB, CDC25B, ANK2, SMOX, ADRA1D, PRND, PRNT, RASSF2, SLC23A2, PCNA, CDS2 PROKR2, CHGB, TRMT6, MCM8, CRLS1, LRRN4, FERMT1 JAG1, BTBD3 SNRPB2, OTOR, BFSP1, DSTN, RRBP1, BANF2, SNX5, SNORD17, OVOL2 CD93, NXT1, GZF1, NAPB, CST11, CST8, CST2, CST5, CST7, ACSS1, VSX1, ENTPD6, PYGB, NLP BCL2L1, PLAGL2, SNTA1, E2F1, TP53INP2, NCOA6, HMGB3L1, MMP24, UQCC, CEP250, SRC, NNAT, STK4, TP53TG5, MMP9, NCOA5, CD40, CDH22, TP53RK, NCOA3, B4GALT5, SNAI1, CEBPB, PTPN1, BCAS4, ATP9A, BCAS1, BMP7, PTK6, SRMS, TNFRSF6B, SAMD10 q11-q13 29-62M p11.22 39M ADAM5, ADAM3A q21.13q24.3 80M146M ESRP1, CCNE2, TP53INP1, UQCRB, RPL30, SNORA72, STK3, COX6C, YWHAZ, SAMD12, TNFRSF11B, MYC, TG, SLA, PTK2, GPR20, LYPD2, CYP11B1, CYP11B2, MAPK15, EPPK1, PARP10 p14-p22.3 0-30M q22.1 100M q14.11 q21.33 q22-q31 40-41M 72-73M 74-95M q32 q33-q34 MMD2, RNF216L, RBAK, WIPI2, SLC29A4, RPA3, CDCA7L, IL6, CCDC126, STK31, NPY, MPP6, DFNA5, OSBPL3, CYCS, C7orf31, NPVF, NFE2L3, CBX3, SNX10, SKAP2, CREB5, CPVL, CHN2, PRR15 , NOD1 LRCH4, FBXO24, PCOLCE, MOSPD3, TFR2, GNB2, GIGYF1, POP7, EPO, ZAN KIAA0564 C13orf34, DIS3, PIBF1, KLF5, KLF12 LMO7, KCTD12, BTF3L1, CLN5, FBXL3, MYCBP2, SCEL, SLAIN1, EDNRB, POU4F1, RBM26, SPRY2, GPR180 95-104M STK24, SLC15A1, UBAC2, GPR18, GPR183, FKSG29, TM9SF2, CLYBL, PCCA, TMTC4 109-115M CARKD, CARS2, ING1, SOX1, ATP11A, F10, ATP4B, GRK1, GAS6, RASA3, CDC16 chr5 p15.33 0-1M p13.3-p12 31-45M CEP72, TPPP, ZDHHC11 CDH6, PDZD2, SPEF2, IL7R, CAPSL, SKP2, GDNF, EGFLAM, LIFR, DAB2, SEPP1, HMGCS1, CCL28, NNT chr19 q13.11 32-35M q13.12-33 35-49M UQCRFS1, POP4, CCNE1 PDCD5, ANKRD27, SLC7A9, CCDC123, CEBPA, CEBPG, PEPD, GPI, PDCD2L, WTIP, SCGBL, BCL3, CBLC chr17 q12 34-36M q25.3 77M STARD3, PNMT, PERLD1, ERBB2, GRB7, PSMD3, CSF3, MSL1, CASC3, CDC6, RARA, GFBP4, TNS4 ANAPC11, NPB, SIRT7, MAFG, LOC92659, PYCR1, NOTUM chr11 p11.2 q11 q13.3 chr1 q21.2q21.3 45M PHF21A 55M OR4C11,OR4P4,OR4S2,OR4C6 68M-69M MRPL21, GHMBP2, CCND1, ORAOV1, FGF19, FGF4, FGF3, ANO1, FADD 149MSEMA6C, PSMB4, SNX27, TNRC4, MRPL9, OAZ3, LINGO4, RORC, 151M THEM5, LCE3C, LCE1D chr3 q26.2q26.31 170M MDS1, TERC, SAMD7, SEC62, GPR160, PHC3, PRKCI, SKIL, CLDN11, SLC7A14 chr15 q11.1 18-19M CXADRP2, POTEB, OR4M2, OR4N4 chr22 q11.21 22M GSTT1, LOC391322, GSTTP2 chr18 q11.1 17-18M MIB1, GATA6, CTAGE1 chr6 p21.33 32M HLA-DRB5 Table 3S Representative deleted genes in loss regions by aCGH analysis. Chromosome chr19 Region Location Representative Genes q13.42 56M SIGLEC14 q13.42 59M LILRA3, KIR3DP1 q13.43 60M KIR2DL4 p13.3 0-1M q11.2 19M q24.2 73M HEATR4 q11.22 22M LOC391322, GSTT1, GSTTP2 q13.1 37M APOBEC3A, APOBEC3B p15.4 5M OR52N5 p15.4 55M OR4C11, OR4P4, OR4S2,OR4C6 q44 246M OR2T10, OR2T11, OR2T34 p31.1 71M NEGR1 p24.1 8M PTPRD p21.3 21M C9orf53, CDKN2A p14.1 69M UGT2B17 p26.31 172M GALNTL6 p21.33 32M HLA-DRB5 p25.2 3M HLA-DRB6 q12.2 54M CES4 q23.1 76M WWOX chr17 q21.31 41M KIAA1267 chr18 q21.1 46M SMAD4 chr3 p14.2 59M FHIT chr14 chr22 chr11 chr1 chr9 chr4 chr6 chr16 KIR2DL2, KIR2DL5A, KIR2DL5B, KIR3DS1 OR4Q3, OR4M1, OR4N2, OR4K2, OR4K5, OR4K1 Table 4S. Association of co-gain of MYC and TNFRSF11B with clinicopathological parameters in gastric cancer patients Characteristic Non-gain Signature Original cohort 20 No. of patient 57.05±9.71 Age at surgery-year Sex Male 12 Female 8 Tumor stage I+II 8 III+IV 12 T stage 1+2 8 3+4 12 N stage Negative 34 Positive 84 Differentiation Moderately differentiated 5 Poorly differentiated 15 Vascular invasion V(-) 10 V(+) 8 Location Cardia 5 Non-cardia 15 Validation cohort 131 No. of patient 59.64±11.62 Age at surgery-year Sex Male 86 Female 45 Tumor stage I+II 46 III+IV 85 T stage 1+2 24 3+4 107 N stage Negative 35 Positive 96 Differentiation Moderately differentiated 34 Poorly differentiated 92 Vascular invasion V(-) 51 V(+) 71 Location Cardia 31 Non-cardia 100 Co-gain Signature 21 62.43±8.55 P Value 0.032 17 4 0.232 1 20 0.022 1 20 0.022 27 129 0.023 4 17 0.886 7 14 0.378 7 14 0.764 168 61.05±10.24 <0.001 121 47 0.236 37 131 0.012 13 155 0.006 30 138 0.065 40 122 0.659 56 101 0.296 54 114 0.107 Table 5S Characteristic parameters analysis in two cohorts Characteristic aCGH cohort QGP cohort P Value No. of patient (%) 129 384 Age at surgery 60.5 58.4 0.081 Male 94 264 0.378 Female 35 120 I+II 39 122 III+IV 90 262 39 99 90 273 V(-) 50 145 V(+) 72 215 Cardia 39 112 Non-cardia 90 272 Original cohort Sex Tumor stage <0.001 Differentiation Well-moderately differentiated Poorly differentiated 0.886 Vascular invasion 0.891 Location 0.818
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