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MoACG: A self-attention and gated fusion-based multi-omics and clinical data integration model for pan-cancer prognosis prediction
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Maoyang QIN, Junjie SHEN, Longhao WANG, Honglin GUO, Yazhou WU
Journal of Army Medical University | 2026, 48(6) : 809 - 821
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Journal of Army Medical University | 2026, 48(6): 809-821
• Intelligent Medicine and Prediction Model •
MoACG: A self-attention and gated fusion-based multi-omics and clinical data integration model for pan-cancer prognosis prediction
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Maoyang QIN, Junjie SHEN, Longhao WANG, Honglin GUO, Yazhou WU
Affiliations
  • 1Department of Military Health Statistics, College of Military Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, China
Published: 2026-03-30 doi: 10.16016/j.2097-0927.202512061
Outline
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Objective

To perform in-depth integration and analysis of cancer multi-omics data and clinical data to enhance the predictive capability for cancer prognosis.

Methods

Multi-omics data (mRNA, lncRNA, and miRNA profiles) and clinical data for 3 cancer types, namely ovarian cancer, liver cancer, and colorectal cancer, were retrieved from The Cancer Genome Atlas (TCGA) database. A novel cancer prognosis prediction model, MoACG (Multi-omics Attention Clinical Gating Model), was constructed based on the self-attention mechanism to explore potential associations among different omics layers, and gated fusion was employed to adaptively integrate multi-omics information with clinical information(age, sex, and treatment modality) . The effectiveness of the model was validated through comparison with multiple machine learning methods, and the interpretability algorithm DeepLIFT was utilized to quantify gene contributions to the model and identify core prognostic genes.

Results

In the ovarian cancer, liver cancer, and colorectal cancer datasets, five-fold cross-validation yielded the area under curve (AUC) values of receiver operating characteristic (ROC) curve of (0.793±0.042), (0.791±0.065), and (0.789±0.086), respectively, and the AUC values of precision-recall curve (AUPR) were (0.915±0.020), (0.855±0.058), and (0.917±0.039), respectively. The comprehensive performance surpassed that of 9 other machine learning models. Ablation experiments demonstrated that the 3-omics data integration model exhibited optimal predictive performance across all cancer types. The DeepLIFT algorithm identified MED8, DLGAP4, and NABP2 as genes associated with liver cancer, showing high concordance with existing research findings and effectively stratifying patient survival risk based on expression levels (P<0.005).

Conclusion

Compared with previous studies, the MoACG model, constructed by integrating multi-omics and clinical data, effectively enhances the predictive performance for cancer prognosis, thereby providing a novel approach for cancer diagnosis, treatment, and prognostic research.

self-attention mechanism  /  cancer multi-omics  /  gated fusion  /  cancer prognosis  /  interpretability
秦茂洋, 沈俊杰, 王龙昊, 郭泓麟, 伍亚舟. MoACG:一种基于自注意力机制和门控融合的多组学与临床数据整合模型用于多癌种预后预测. 陆军军医大学学报, 2026 , 48 (6) : 809 -821 . DOI: 10.16016/j.2097-0927.202512061
Maoyang QIN, Junjie SHEN, Longhao WANG, Honglin GUO, Yazhou WU. MoACG: A self-attention and gated fusion-based multi-omics and clinical data integration model for pan-cancer prognosis prediction[J]. Journal of Army Medical University, 2026 , 48 (6) : 809 -821 . DOI: 10.16016/j.2097-0927.202512061
Year 2026 volume 48 Issue 6
98
41
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Article Info
doi: 10.16016/j.2097-0927.202512061
  • Receive Date:2025-12-11
  • Online Date:2026-10-23
  • Published:2026-03-30
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History
  • Received:2025-12-11
  • Revised:2026-01-26
Affiliations
    1Department of Military Health Statistics, College of Military Preventive Medicine, Army Medical University (Third Military Medical University), Chongqing, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
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Percentage of
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种数
Number of
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Percentage of total
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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