Evidence map›Paper›PMID 40319421›Full record

ArticleDiscover oncology2025

Molecular and immune landscape of melanoma: a risk stratification model for precision oncology.

Miao Sun, Junliang Wu

Abstract read
In one paragraph

Article in Discover oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Miao SunOperating Room, Department of Anesthesiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Junliang WuDepartment of Plastic and Burn Surgery , West China School of Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China. hxwujunliang@wchscu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMelanoma is a highly aggressive skin cancer with significant heterogeneity in immune infiltration and clinical outcomes. Accurate risk stratification is essential for improving personalized treatment strategies.

methodsThis study utilized data from The Cancer Genome Atlas (TCGA) to explore immune-related gene expression in melanoma. Single-sample gene set enrichment analysis (ssGSEA) was employed to classify patients into high and low immune groups. Tumor microenvironment (TME) characteristics, including immune cell infiltration, HLA gene expression, and TME scores, were analyzed. Prognostic genes were identified using univariate and multivariate Cox regression analyses. A risk score model and nomogram were constructed, and gene set enrichment analysis (GSEA) and gene set variation analysis (GSVA) were conducted to explore relevant signaling pathways.

resultsssGSEA-based classification revealed significant differences between high and low immune groups in terms of immune infiltration and HLA gene expression. The risk model incorporated immune-related genes such as GBP2, SEMA4D, and KIR2DL4, which demonstrated distinct tumor expression profiles and strong prognostic value. GSEA and GSVA analyses uncovered critical immune-related and oncogenic pathways linked to risk stratification. A predictive nomogram integrating molecular risk scores and clinical variables improved prognostic accuracy. Computational immune deconvolution highlighted CD8+ T cell infiltration as a key prognostic factor. To validate the functional role of candidate genes, KIR2DL4 was silenced in A375 melanoma cells using shRNA. Knockdown efficiency was confirmed by qRT-PCR. Functional assays revealed that KIR2DL4 silencing significantly reduced cell proliferation, as assessed by MTT assay, and impaired migratory capacity, as demonstrated by wound healing assay. These in vitro findings support the computational predictions and suggest that KIR2DL4 may play a tumor-promoting role in melanoma.

conclusionThis study provides a robust immune-related prognostic model for melanoma. It underscores the value of immune gene expression and T cell infiltration, particularly CD8+ T cells, in predicting patient outcomes. The model facilitates personalized treatment decisions and advances precision oncology approaches in melanoma. The integration of transcriptomic analysis with experimental validation confirms the tumor-promoting role of KIR2DL4 and enhances the translational value of the model in guiding precision immunotherapy.

Indexed as

Gene expression profilingImmune infiltrationMelanoma stratificationPrognostic biomarkersTCGA data analysis

Identifiers

PMID40319421
PMCPMC12050255

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.