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Gene & Protein in Disease                                      A pyroptosis-related gene signature in myeloma




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            Figure 6. The MM risk differentiation using the risk model, considering gender and disease stage. (A-E) Kaplan–Meier analyses of the survival time in the
            two risk groups based on gender (A and B) and disease stage (C-E). (F) The nomogram established for predicting survival rate in MM patients.
            Abbreviation: MM: Multiple myeloma.

            to 9 in a stepwise manner. Moreover, we classified the   exhibited markedly different survival outcomes, thereby
            patients into two risk groups by fully considering the   offering a new dimension to clinical stratification. Further,
            clinical outcomes.                                 we constructed a prognostic model employing LASSO
              In this investigation, we conducted a comprehensive   regression analysis by focusing on these prognostic genes.
            analysis of the expression patterns of PRGs in MM   The robustness of the model was confirmed in an internal
            patients, uncovering that 22 PRGs were significantly   validation cohort, where it was capable of effectively
            suppressed, whereas 31 PRGs displayed high expression.   differentiating  survival  outcomes  across  diverse  patient
            Through consensus clustering analysis, we identified 20   subsets,  particularly  when  age  and  disease  stage  were
            PRGs with prognostic implications, which enable the   taken into account. This novel prognostic model thus
            stratification of MM patients into two distinct subgroups.   outstrips the predictive power of the existing models
            Notably, these subgroups showed no  distinction when   reported in the literature. 18,42  These 9-gene prognostic risk
            evaluated by conventional clinical parameters, yet they   model could effectively classify and evaluate the survival


            Volume 3 Issue 4 (2024)                         11                              doi: 10.36922/gpd.4534
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