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

Six canonical targets

No ranking or composite score is used. Every verdict is derived from the pinned GitHub result tables.

02 · Separated evidence dimensions

Evidence map

Association, target-set robustness and transportability remain separate. No composite score is calculated.

TargetAssociationRobustnessTransportability
GATA2C2 Meets locked criteriaCAT2 DEPLETION No universal creditNo universal deletion credit Direction supportedExternally replicated direction
TCGA primaryd −0.553 · 95% CI −0.855 to −0.287 · q 0.0020
TCGA no purityd −0.539 · 95% CI −0.842 to −0.284
CPTAC Discoveryd −0.689 · 95% CI −1.409 to −0.045
CPTAC Confirmatoryd −0.999 · 95% CI −1.616 to −0.497
CPTAC metad −0.877 · 95% CI −1.306 to −0.449 · q 3.62e-4
Deletion ledger1/75 primary failures · worst NFE2
SOX9C2 Meets locked criteriaCAT2 DEPLETION No universal creditNo universal deletion credit Direction supportedExternally replicated direction
TCGA primaryd −0.527 · 95% CI −0.805 to −0.287 · q 0.0020
TCGA no purityd −0.509 · 95% CI −0.775 to −0.260
CPTAC Discoveryd −0.993 · 95% CI −1.735 to −0.264
CPTAC Confirmatoryd −0.641 · 95% CI −1.322 to −0.050
CPTAC metad −0.789 · 95% CI −1.254 to −0.323 · q 0.0018
Deletion ledger15/70 primary failures · worst XPO4
HOXA9C2 Meets locked criteriaCAT2 DEPLETION No universal creditNo universal deletion credit Unresolved / underpoweredevaluable: not replicated
TCGA primaryd −0.646 · 95% CI −0.921 to −0.382 · q 0.0020
TCGA no purityd −0.614 · 95% CI −0.894 to −0.354
CPTAC Discoveryd −0.550 · 95% CI −1.255 to +0.204
CPTAC Confirmatoryd −0.195 · 95% CI −0.797 to +0.377
CPTAC metad −0.333 · 95% CI −0.789 to +0.123 · q 0.1831
Deletion ledger2/19 primary failures · worst MYCN
WT1C2 Meets locked criteriaCAT2 DEPLETION No universal creditNo universal deletion credit Unresolved / underpoweredevaluable: not replicated
TCGA primaryd −0.591 · 95% CI −0.878 to −0.349 · q 0.0020
TCGA no purityd −0.598 · 95% CI −0.861 to −0.333
CPTAC Discoveryd −0.255 · 95% CI −0.794 to +0.390
CPTAC Confirmatoryd −0.115 · 95% CI −0.604 to +0.369
CPTAC metad −0.175 · 95% CI −0.547 to +0.198 · q 0.3584
Deletion ledger1/92 primary failures · worst SULF2
PAX8C1 Meets locked criteriaCAT1 ENRICHMENT Meets locked criteriaUniversal deletion credit Unresolved / underpoweredunderpowered sensitivity
TCGA primaryd +0.693 · 95% CI +0.473 to +0.924 · q 0.0020
TCGA no purityd +0.686 · 95% CI +0.471 to +0.925
CPTAC Discoveryd +0.500 · 95% CI −0.102 to +1.140
CPTAC Confirmatoryd +1.054 · 95% CI +0.508 to +1.649
CPTAC metad +0.795 · 95% CI +0.379 to +1.212 · q 5.54e-4
Deletion ledger0/23 primary failures · worst SLC3A1
LHX1C1 Meets locked criteriaCAT1 ENRICHMENT Meets locked criteriaUniversal deletion credit Blocked by vetoOpposite-direction veto
TCGA primaryd +0.962 · 95% CI +0.734 to +1.207 · q 0.0020
TCGA no purityd +0.956 · 95% CI +0.725 to +1.217
CPTAC Discoveryd −0.031 · 95% CI −0.698 to +0.656
CPTAC Confirmatoryd +1.048 · 95% CI +0.396 to +1.834
CPTAC metad +0.470 · 95% CI −0.013 to +0.953 · q 0.0845
Deletion ledger0/6 primary failures · worst HHEX