Study · Endometrial regulons

Robustness and cross-cohort concordance of developmental regulons in endometrial carcinoma

Prespecified TCGA-UCEC discovery with CPTAC-UCEC external evaluation, target-deletion robustness and clinical sensitivity analyses.

Abstract

This study asks whether the molecular classes of endometrial carcinoma differ in developmental regulatory programmes while keeping association, target-set robustness and cross-cohort transportability as separate claims.

A fetal Müllerian epithelial module and 20 prespecified developmental transcription-factor regulons were evaluated in TCGA-UCEC. Six signals then underwent external evaluation in two independent CPTAC-UCEC strata, together with deletion, purity, molecular-subtype, grade and histology sensitivity analyses.

Two regulons hold their prespecified direction in an independent cohort. None is presented as a validated biomarker.

01 · Effect estimates

Cross-cohort forest plot

−1.5−1.0−0.50.0+0.5+1.0+1.5GATA2C2GATA2: d −0.553, 95% CI −0.855 to −0.287, q 0.0020−0.553SOX9C2SOX9: d −0.527, 95% CI −0.805 to −0.287, q 0.0020−0.527HOXA9C2HOXA9: d −0.646, 95% CI −0.921 to −0.382, q 0.0020−0.646WT1C2WT1: d −0.591, 95% CI −0.878 to −0.349, q 0.0020−0.591PAX8C1PAX8: d +0.693, 95% CI +0.473 to +0.924, q 0.0020+0.693LHX1C1LHX1: d +0.962, 95% CI +0.734 to +1.207, q 0.0020+0.962standardized effect size d
ZeroLocked |d| = 0.50 floorValues and intervals: GitHub scientific release
This site presents cohort-level research results. It does not provide patient-specific interpretation, treatment prediction or clinical decision support.
Releasev1.0.1
DiscoveryTCGA-UCEC · n=507
External evaluationCPTAC-UCEC · n=230
Scientific commitf702249bd50d

Leave-one-target-out robustness

Deletion results test dependence on individual regulon targets; they do not measure external replication.

03 · Gene leave-one-out

Deletion robustness map

Every mark is one mapped gene removed and re-estimated under the locked pointwise gate. Orange marks fall below |d| = 0.50.

GATA2

75 mapped genes
Failures
1/75
Minimum |d|
0.4950
Worst deletion
NFE2

SOX9

70 mapped genes
Failures
15/70
Minimum |d|
0.4593
Worst deletion
XPO4

HOXA9

19 mapped genes
Failures
2/19
Minimum |d|
0.4701
Worst deletion
MYCN

WT1

92 mapped genes
Failures
1/92
Minimum |d|
0.4877
Worst deletion
SULF2

PAX8

23 mapped genes
Failures
0/23
Minimum |d|
0.5767
Worst deletion
SLC3A1

LHX1

6 mapped genes
Failures
0/6
Minimum |d|
0.6999
Worst deletion
HHEX