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1/20/2026 9:06:32 AM | Browse: 2 | Download: 0
Publication Name World Journal of Clinical Oncology
Manuscript ID 114238
Country China
Received
2025-09-18 04:07
Peer-Review Started
2025-09-18 04:07
First Decision by Editorial Office Director
2025-10-10 08:51
Return for Revision
2025-10-10 08:51
Revised
2025-10-12 16:15
Publication Fee Transferred
2025-10-18 03:10
Second Decision by Editor
2025-12-01 03:10
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-01 08:48
Articles in Press
2025-12-01 08:48
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-01-08 00:43
Publish the Manuscript Online
2026-01-20 09:06
ISSN 2218-4333 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Immunology
Manuscript Type Retrospective Cohort Study
Article Title Development and internal validation of an immune-based prognostic modeling of early-onset colorectal cancer via machine learning
Manuscript Source Unsolicited Manuscript
All Author List Xiu Chen, Yong Wang, Heng-Yang Shen, Rui Wu and Zan Fu
ORCID
Author(s) ORCID Number
Xiu Chen http://orcid.org/0000-0002-1686-6269
Zan Fu http://orcid.org/0000-0003-4753-1821
Funding Agency and Grant Number
Funding Agency Grant Number
National Natural Science Foundation of China 82172956
Jiangsu Province Capability Improvement Project through Science, Technology and Education (Jiangsu Provincial Medical Key Discipline) ZDXK202222
Corresponding Author Zan Fu, MD, Professor, Department of General Surgery, The First Affiliated Hospital with Nanjing Medical University, No. 300 Guangzhou Road, Nanjing 210029, Jiangsu Province, China. fuzan1971@njmu.edu.cn
Key Words Early-onset colorectal cancer; Progression-free survival; Immune markers; Machine learning; Prognostic modeling
Core Tip Early-onset colorectal cancer (EOCRC) represents a growing public health challenge, characterized by aggressive biology and poor prognosis in young adults. While circulating immune cells play a pivotal role in cancer progression, their prognostic utility in EOCRC remains underexplored. In this study, we leveraged machine learning techniques to develop and validate a novel prognostic model integrating disease stage with peripheral cluster of differentiation 16+ cluster of differentiation 56+ natural killer cell percentages. Our parsimonious Cox model demonstrated moderate discriminatory accuracy and clear risk stratification, with high-risk patients exhibiting significantly inferior progression-free survival. These findings highlight systemic natural killer cell dysfunction as a potential biomarker and immunotherapy target for EOCRC.
Publish Date 2026-01-20 09:06
Citation

Chen X, Wang Y, Shen HY, Wu R, Fu Z. Development and internal validation of an immune-based prognostic modeling of early-onset colorectal cancer via machine learning. World J Clin Oncol 2026; 17(1): 114238

URL https://www.wjgnet.com/2218-4333/full/v17/i1/114238.htm
DOI https://dx.doi.org/10.5306/wjco.v17.i1.114238
Full Article (PDF) WJCO-17-114238-with-cover.pdf
STROBE Statement 114238-STROBE-statement.pdf
Manuscript File 114238_Auto_Edited_082633.docx
Answering Reviewers 114238-answering-reviewers.pdf
Audio Core Tip 114238-audio.m4a
Biostatistics Review Certificate 114238-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 114238-conflict-of-interest-statement.pdf
Copyright License Agreement 114238-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 114238-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 114238-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 114238-non-native-speakers.pdf
Supplementary Material 114238-supplementary-material.pdf
Peer-review Report 114238-peer-reviews.pdf
Scientific Misconduct Check 114238-scientific-misconduct-check.png
Scientific Editor Work List 114238-scientific-editor-work-list.pdf
CrossCheck Report 114238-crosscheck-report.pdf