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CDKN3, PKP2, ADM, MS4A1, FAM83A, and DKK1 Define a Posttranslational Modification (PTM)–Associated Prognostic Model for Lung Adenocarcinoma

Jan 2026 · Human Mutation · Vol 2026 · 0 citations · 60 references
Medicine

TL;DR

The PTM‐related six‐gene model showed potential for prognostic stratification and characterization of immune‐related features in LUAD and demonstrated that the low‐risk group may be more likely to benefit from immunotherapy.

Abstract

Introduction Posttranslational modification (PTM) plays an important role in protein regulation and may influence tumor initiation and progression. However, the role of PTM‐related programs in lung adenocarcinoma (LUAD) remains incompletely understood. Materials and Methods Single‐cell RNA sequencing (scRNA‐seq) data were analyzed to quantify the activity of PTM‐related gene set using the AUCell algorithm and to characterize intercellular communication using CellChat. Molecular subtypes and differentially expressed genes (DEGs) were identified using ConsensusClusterPlus and limma packages, respectively, followed by functional enrichment analysis. Univariate Cox regression, LASSO regression with 10‐fold cross‐validation, and stepwise multivariable Cox regression based on the Akaike information criterion (AIC) were used to construct a prognostic model. Immune infiltration was evaluated using ESTIMATE, CIBERSORT, MCP‐counter, and TIMER algorithms, and drug sensitivity was predicted using oncoPredict package. The IMvigor210 cohort was used for exploratory assessment of immunotherapy response. Quantitative real‐time reverse transcription PCR (qRT‐PCR) was used to measure the expressions of the model genes. CCK‐8, wound‐healing, and Transwell assays were performed to evaluate the effects of CDKN3 knockdown on LUAD cells. Results Comparison between two PTM groups revealed that receptor ligands such as MIF‐(CD74+CXCR4) and MIF‐(CD74+CD44) had higher communication probabilities in the high–PTM‐score group. Two molecular subtypes were identified, and a six‐gene risk model for LUAD was established based on CDKN3, PKP2, ADM, MS4A1, FAM83A, and DKK1. The high‐risk group showed a lower immune score, and drugs such as Docetaxel_1007 may have therapeutic potential for LUAD. Immunotherapy response prediction further demonstrated that the low‐risk group may be more likely to benefit from immunotherapy. In vitro experiments demonstrated that CDKN3, PKP2, ADM, FAM83A, and DKK1 were upregulated, whereas MS4A1 was downregulated in A549 cells compared with BEAS‐2B cells. Additionally, knockdown of CDKN3 significantly suppressed the viability, migration, and invasion of LUAD cells. Conclusion The PTM‐related six‐gene model showed potential for prognostic stratification and characterization of immune‐related features in LUAD. However, further prospective and experimental validation is required before direct clinical application.

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A Rho GTPase-related gene signature predicts prognosis and reveals an immunosuppressive microenvironment in lung adenocarcinoma: an integrated analysis of bulk and single-cell RNA sequencing data

A robust prognostic model based on four RhoGTPase-related prognostic genes was established, effectively stratifying LUAD patients and provides valuable insights into the heterogeneity of LUAD and has the potential to inform personalized therapeutic strategies.

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Integrative Bioinformatics and Experimental Validation Reveal that METTL9 Drives Lung Adenocarcinoma Progression via TGF-β/Smad-Mediated EMT Activation.

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Open access Jul 2026

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Background PTPRF interacting protein alpha 1 (PPFIA1), a cytoplasmic scaffold protein of the liprin family, modulates cell adhesion, signal transduction, and cytoskeletal dynamics. Its pan-cancer prognostic implications and functional roles, particularly in pancreatic cancer, remain underexplored. Methods Pan-cancer datasets including TCGA, GTEx and TISCH were integrated to assess PPFIA1 expression, genomic alterations, and pathway enrichment via Kaplan-Meier survival analysis, Cox regression, cBioPortal, and GSEA. In pancreatic cancer, external cohorts (e.g., GSE28735, GSE52452) were used for expression and prognosis validation. Besides, immunotherapy response was analyzed by using TIGER cohorts. Functional impacts were determined by using ShRNA-mediated knockdown in CFPAC-1, PANC-1 and Panc-02 cells and evaluating their proliferation, migration and invasion in vitro and in vivo. Results PPFIA1 exhibited differential expression across multiple cancer types, with overexpression in pancreatic adenocarcinoma (PAAD) versus non-tumor tissue at mRNA/protein levels, predominantly in malignant cells. High PPFIA1 correlated with adverse prognosis in PAAD across multiple endpoints. Genomic analyses revealed amplifications in head/neck cancers and mutations in endometrial carcinoma, clustering in SAM domains. GSEA enrichment analysis indicated pan-cancer activation of the mitotic spindle assembly pathway and Epithelial-Mesenchymal Transition (EMT) pathways in PAAD. Knockdown suppressed PAAD cell proliferation, colony formation, migration, invasion, and tumor growth in vivo. Notably, elevated PPFIA1 predicted superior responses to immunotherapy in pan-cancer cohorts rather than pancreatic cancer. Conclusions PPFIA1 emerges as a pan-cancer biomarker with prognostic significance and shows an oncogenic role in PAAD, potentially associating with EMT-related malignant phenotypes. Its association with immunotherapy efficacy suggests PPFIA1 warrants further investigation as a candidate biomarker and potential functional target for precision oncology.

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Mengru Zhan, Penghui Li, Wanyi Wang et al. · 0 citations

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