An integrative multi-omics machine learning framework for precision metastasis prediction and clinical staging in non-small cell lung cancer.

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Background: Traditional TNM staging inadequately captures the biological aggressiveness of NSCLC. While cell cycle dysregulation is a cancer hallmark, its role in driving invasiveness remains under-characterized. We developed a Lasso-Logistic machine learning (ML) framework to integrate cell cycle transcriptomics for enhanced metastasis and staging prediction. Methods: We integrated multi-omics data from TCGA, GEO (n=3), and CPTAC, along with five scRNA-seq datasets. A 14-gene signature was identified through Lasso-Logistic regression to calculate a CCRS. The biological interpretability of the findings was ensured by employing scRNA-seq pseudotime trajectory inference. The model was validated both in vitro using four cell lines and ex vivo through RT-qPCR on cDNA microarrays with 15 paired tissues, as well as in an independent clinical cohort. Results: The ML framework identified a 14-gene signature (notably CCNB1, CDK1, CCNA2) with superior discriminative power. In the discovery meta-cohort, the model achieved an AUC of 0.879 for metastasis prediction, maintaining a C-index of 0.740 in the TCGA. scRNA-seq analysis confirmed that the CCRS genes were significantly upregulated along the EMT axis ( P < 0.001), identifying a specific "invasive-proliferative" cellular state. Ex vivo validation via RT-qPCR revealed significant transcriptional heterogeneity, with key drivers CCNA2 and CCNB1 exhibiting >10-fold upregulation in tumor versus adjacent normal tissues. In the independent clinical cohort, the model demonstrated a 75% accuracy in distinguishing pathological stages, outperforming individual gene markers. Conclusions: This study presents a rigorously validated machine learning framework that translates complex cell cycle transcriptomics into a clinically applicable tool. By bridging the gap between computational ‘big data' and bedside diagnostics, this framework provides a scalable solution for identifying high-risk NSCLC patients, thereby potentially facilitating the intensification of personalized treatment.

Performance metrics of the multi-omics machine learning framework.