Randomized trial evaluates primary–metastatic state prediction in prostate and breast cancer, suggesting a biologically guided approach improves accuracy.
Metastasis remains a major cause of cancer mortality, making reliable primary–metastatic state prediction from somatic genomic alterations clinically important yet technically difficult. We present TF-GateNet, a biologically constrained neural network that combines TF-aware feature integration based on TRRUST and DoRothEA TF–gene regulatory priors with sample-specific dynamic gating on a Reactome-defined hierarchical sparse backbone. The model was evaluated on multi-center prostate and breast-cancer cohorts using mutation and copy-number features across 10 repeated runs on a fixed 80/10/10 split, together with independent prostate external validation, and was compared with biologically informed neural-network baselines (P-NET, BKGNet-Pathway, and BKGNet-Protein), a dense feed-forward neural network (FNN), and conventional machine-learning baselines (LR, SVM, RF, DT, and XGBoost). On prostate, TF-GateNet achieved the best internal performance (AUROC 0.954 ± 0.005; AUPRC 0.925 ± 0.007) and the best combined external performance (AUROC 0.952 ± 0.009; AUPRC 0.898 ± 0.018). On breast, TF-GateNet achieved the strongest internal ranking performance, reaching AUROC 0.893 ± 0.004 and AUPRC 0.835 ± 0.006. Ablation analysis indicated that TF-aware integration accounted for the larger prostate gain, whereas within the TF-GateNet family on breast, both TF-aware integration and dynamic gating contributed positively. Interpretability analysis further supported a cross-level route from TF-related genomic perturbation cues to genes, pathways, and phenotype-associated predictions. These results position TF-GateNet as a biologically grounded and interpretable framework for primary–metastatic state prediction, with the strongest overall evidence in prostate cancer and favorable internal evidence in breast cancer.
No takes yet. Share an insight, caveat, or question.
Zhou et al. (2026) studied this question.