Figure 1. Low visceral fat percentage is associated with better disease-specific survival and enrichment of immune and inflammation related gene sets in endometrial tumors.
Abdominal CT scans with segmentation of subcutaneous and visceral fat compartments in two patients with comparable BMI measurements, but with different visceral fat percentage (VAV%): (A) Patient with BMI 29 and low visceral fat percentage (VAV%=21%). (B) Patient with BMI 30 and high visceral fat percentage (VAV%=62%). (C) Kaplan-Meier curve showing significantly reduced disease-specific survival in patients with high VAV% (median cut-off: ≥37%; p=0.005, log-rank test). (D) Gene set enrichment analysis of tumors with low (<37%, n=56) versus high (≥37%, n=49) VAV% was performed. Diagram shows the percentage of Hallmark and Gene ontology (GO) gene sets enriched in tumors with low VAV% that were linked to immunogenic and inflammatory pathways versus other pathways. Cut-off for selected gene sets was False Discovery Rate (FDR) <5%. A full description of the gene sets is supplied in Supplementary Table 2.