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               <mods:name>
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                  <mods:namePart>Ji, Xinyu</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Lin, Lijuan</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Fan, Juanjuan</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Li, Yi</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Wei, Yongyue</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Shen, Sipeng</mods:namePart>
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                  <mods:namePart>Su, Li</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Shafer, Andrea</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Bjaanæs, Maria Moksnes</mods:namePart>
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                  <mods:namePart>Planck, Maria</mods:namePart>
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                  <mods:namePart>Staaf, Johan</mods:namePart>
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                  <mods:namePart>Helland, Åslaug</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Esteller, M</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Zhang, Ruyang</mods:namePart>
               </mods:name>
               <mods:name>
                  <mods:role>
                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Chen, Feng</mods:namePart>
               </mods:name>
               <mods:name>
                  <mods:role>
                     <mods:roleTerm type="text">author</mods:roleTerm>
                  </mods:role>
                  <mods:namePart>Christiani, David C</mods:namePart>
               </mods:name>
               <mods:name>
                  <mods:role>
                     <mods:roleTerm type="text">author</mods:roleTerm>
                  </mods:role>
                  <mods:namePart>Universitat Autònoma de Barcelona</mods:namePart>
               </mods:name>
               <mods:originInfo>
                  <mods:dateIssued encoding="iso8601">2022</mods:dateIssued>
               </mods:originInfo>
               <mods:identifier type="none"/>
               <mods:abstract>The interaction between DNA methylation of tripartite motif containing 27 (cg05293407) and smoking has previously been identified to reveal histologically heterogeneous effects of TRIM27 DNA methylation on early-stage non-small-cell lung cancer (NSCLC) survival. However, to understand the complex mechanisms underlying NSCLC progression, we searched three-way interactions. A two-phase study was adopted to identify three-way interactions in the form of pack-year of smoking (number of cigarettes smoked per day × number of years smoked) × cg05293407 × epigenome-wide DNA methylation CpG probe. Two CpG probes were identified with FDR-q ≤ 0.05 in the discovery phase and P ≤ 0.05 in the validation phase: cg00060500 and cg17479956. Compared to a prediction model with only clinical information, the model added 42 significant three-way interactions using a looser criterion (discovery: FDR-q ≤ 0.10, validation: P ≤ 0.05) had substantially improved the area under the receiver operating characteristic curve (AUC) of the prognostic prediction model for both 3-year and 5-year survival. Our research identified the complex interaction effects among multiple environment and epigenetic factors, and provided therapeutic target for NSCLC patients.</mods:abstract>
               <mods:language>
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               <mods:accessCondition type="useAndReproduction">open access Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. https://creativecommons.org/licenses/by/4.0/</mods:accessCondition>
               <mods:subject>
                  <mods:topic>Carcinoma, Non-Small-Cell Lung</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>CpG Islands</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DNA Methylation</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DNA-Binding Proteins</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Epigenesis, Genetic</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Epigenome</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Genome-Wide Association Study</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Humans</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Lung Neoplasms</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Nuclear Proteins</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Smoking</mods:topic>
               </mods:subject>
               <mods:titleInfo>
                  <mods:title>Epigenome-wide three-way interaction study identifies a complex pattern between TRIM27, KIAA0226, and smoking associated with overall survival of early-stage NSCLC</mods:title>
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