Evidence map›Paper›PMID 40205481›Full record

ArticleEuropean journal of medical research2025

Identification of immune-related cervical cancer prognostic biomarkers and construction of prognostic model based on tumor microenvironment.

Qiufang Bao, Wenlu Tang, Wenzhong Tang, Xiaohong Zhu, Linliang Hong, Bin Zhang

Abstract read
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Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Qiufang Bao *Department of Obstetrics and Gynecology, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, People's Republic of China.
Wenlu Tang *Department of Anesthesiology, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, Fujian, People's Republic of China.
Wenzhong TangDepartment of Orthopaedics, Tingzhou Hospital of Fujian Province, Longyan, Fujian, People's Republic of China.
Xiaohong ZhuDepartment of Obstetrics and Gynecology, The First Clinical College of Fujian Medical University, Fuzhou, Fujian, People's Republic of China.
Linliang HongDepartment of Pediatrics, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, People's Republic of China. trap2008@163.com.
Bin ZhangDepartment of Obstetrics and Gynecology, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, People's Republic of China. zhangbin89@fjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTumor microenvironment (TME) and the expression of immune-related genes (IRGs) are closely related to the development of cervical cancer (CC). This study aims to explore some IRGs as prognostic biomarkers for CC patients based on TME.

methodsThe abundance of tumor-infiltrating immune cells in CC samples was assessed using single-sample gene set enrichment analysis (ssGSEA). Thus, two immune-related groups are generated according to the immune status. The differentially expressed genes were discovered based on the grouping. Then, univariate Cox and LASSO regression analyses were performed using the R package glmnet. Five IRG prognostic signatures (HLA-DMA, DMBT1, CXCR6, CX3CL1, and SEMA3A) were established after that. The protein expression of some genes was verified by immunohistochemistry (IHC).

resultsThe signature of the five IRGs was identified to be an independent prognostic indicator for the overall survival in CC patients. A prognostic risk model was also constructed. CC patients were classified into high- and low-risk groups based on the median risk score. The survival time of patients in the high-risk group was shorter than that of those in the low-risk group. The five genes remarkably related to prognosis were screened, among which HLA-DMA, CXCR6, and CX3CL1 were the protective factors, whereas DMBT1 and SEMA3A were the risk factors. GO and KEGG enrichment analyses showed that the biomarkers of the five IRGs were enriched in the receptor-ligand interaction and chemokine signaling pathway. Moreover, CXCR6 expression was significantly correlated with immune cell infiltration among the five hub genes. IHC results demonstrated that the expression of SEMA3A protein level was increased, and CX3CL1 protein level was decreased in cervical cancer tissue.

conclusionImmune-related prognostic biomarkers in CC include HLA-DMA, DMBT1, CXCR6, CX3CL1, and SEMA3A. The risk score for the five genes is more accurate than that for other clinical risk factors in predicting prognosis at 3 and 5 years. The higher the risk score is, the worse the prognosis of CC patients is. Five prognostic biomarkers may participate in regulating TME through chemokine-mediated signaling pathways and receptor-ligand interactions. These findings provide new insights into the immunotherapy of CC.

Indexed as

Biomarkers, TumorTumor MicroenvironmentUterine Cervical NeoplasmsChemokine CX3CL1FemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHumansPrognosisBiomarkers, TumorChemokine CX3CL1CX3CL1 protein, humanBiomarkersCervical cancerImmune-related genesPrognosisTumor immune microenvironment

Identifiers

PMID40205481
PMCPMC11984189

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.