Background: Due to tumor heterogeneity, the diagnosis, treatment, and prognosis of patients with lung squamous cell carcinoma (LUSC) are difficult. DNA methylation can affect tumor heterogeneity by participating in gene expression.
Methods: In this study, we collected the clinical information of LUSC patients in the Cancer Genome Atlas (TCGA) database and the relevant methylated sequences of the University of California Santa Cruz (UCSC) database to construct methylated subtypes and performed prognostic analysis.
Results: 965 potential independent prognosis methylation sites were finally identified and the genes were identified. Based on consensus clustering analysis, seven subtypes were identified by using 965 CpG sites and corresponding survival curves were plotted. The prognostic analysis model was constructed according to the methylation sites’ information of the subtype with the best prognosis. Internal and external verifications were used to evaluate the prediction model.
Conclutions: Models based on differences in DNA methylation levels may help to classify the molecular subtypes of LUSC patients, and provide more individualized treatment recommendations and prognostic assessments for different clinical subtypes. GNAS, FZD2, FZD10 are the core three genes that may be related to the prognosis of LUSC patients.

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This is a list of supplementary files associated with this preprint. Click to download.
Appendix S1. The clinical information and follow-up data of 504 patients
Appendix S2. The clinical information of External training dataset
Appendix S3. The clinical information of external testing dataset
Appendix S4. Univariate Cox regression analysis of the training dataset(1159)
Appendix S5. Multivariate Cox regression analysis of the 965 methylation sites(965)
Appendix S6. Functional enrichment analysis and the identified 27 enriched pathways
Appendix S7. The available expression profile of 965 sites in 266 training set samples
Appendix S8. Calculating differences of each methylation sites among 7 clusters
Appendix S9. The 41 cluster-specific methylation sites
Appendix S10. Genome annotations of the 41 cluster-specific methylation sites
Appendix S11. Functional enrichment analysis and the enriched 30 pathways
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Posted 15 Oct, 2020
On 04 Nov, 2020
Received 01 Nov, 2020
Received 23 Oct, 2020
On 12 Oct, 2020
Invitations sent on 09 Oct, 2020
On 09 Oct, 2020
On 08 Oct, 2020
On 07 Oct, 2020
On 07 Oct, 2020
Posted 15 Oct, 2020
On 04 Nov, 2020
Received 01 Nov, 2020
Received 23 Oct, 2020
On 12 Oct, 2020
Invitations sent on 09 Oct, 2020
On 09 Oct, 2020
On 08 Oct, 2020
On 07 Oct, 2020
On 07 Oct, 2020
Background: Due to tumor heterogeneity, the diagnosis, treatment, and prognosis of patients with lung squamous cell carcinoma (LUSC) are difficult. DNA methylation can affect tumor heterogeneity by participating in gene expression.
Methods: In this study, we collected the clinical information of LUSC patients in the Cancer Genome Atlas (TCGA) database and the relevant methylated sequences of the University of California Santa Cruz (UCSC) database to construct methylated subtypes and performed prognostic analysis.
Results: 965 potential independent prognosis methylation sites were finally identified and the genes were identified. Based on consensus clustering analysis, seven subtypes were identified by using 965 CpG sites and corresponding survival curves were plotted. The prognostic analysis model was constructed according to the methylation sites’ information of the subtype with the best prognosis. Internal and external verifications were used to evaluate the prediction model.
Conclutions: Models based on differences in DNA methylation levels may help to classify the molecular subtypes of LUSC patients, and provide more individualized treatment recommendations and prognostic assessments for different clinical subtypes. GNAS, FZD2, FZD10 are the core three genes that may be related to the prognosis of LUSC patients.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

Figure 8

Figure 9

Figure 10
This is a list of supplementary files associated with this preprint. Click to download.
Appendix S1. The clinical information and follow-up data of 504 patients
Appendix S2. The clinical information of External training dataset
Appendix S3. The clinical information of external testing dataset
Appendix S4. Univariate Cox regression analysis of the training dataset(1159)
Appendix S5. Multivariate Cox regression analysis of the 965 methylation sites(965)
Appendix S6. Functional enrichment analysis and the identified 27 enriched pathways
Appendix S7. The available expression profile of 965 sites in 266 training set samples
Appendix S8. Calculating differences of each methylation sites among 7 clusters
Appendix S9. The 41 cluster-specific methylation sites
Appendix S10. Genome annotations of the 41 cluster-specific methylation sites
Appendix S11. Functional enrichment analysis and the enriched 30 pathways
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