Table 1_Plasma exosomal lncRNA-related signatures define molecular subtypes and predict survival and treatment response in hepatocellular carcinoma.docx

Background<p>Hepatocellular carcinoma (HCC) faces challenges in early diagnosis, prognosis, and treatment stratification due to molecular heterogeneity. This study aimed to establish a plasma exosomal long non-coding RNA (lncRNA)-based framework for molecular classification, prognostication, a...

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Main Author: Fangmin Zhong (17415318) (author)
Other Authors: Fangyi Yao (1759132) (author), Xin-Lu Wang (17148202) (author), Zihao Wang (845023) (author), Bo Huang (30906) (author), Jing Liu (38537) (author), Xiaozhong Wang (353073) (author), Lei Zhang (38117) (author)
Published: 2025
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_version_ 1852015783145635840
author Fangmin Zhong (17415318)
author2 Fangyi Yao (1759132)
Xin-Lu Wang (17148202)
Zihao Wang (845023)
Bo Huang (30906)
Jing Liu (38537)
Xiaozhong Wang (353073)
Lei Zhang (38117)
author2_role author
author
author
author
author
author
author
author_facet Fangmin Zhong (17415318)
Fangyi Yao (1759132)
Xin-Lu Wang (17148202)
Zihao Wang (845023)
Bo Huang (30906)
Jing Liu (38537)
Xiaozhong Wang (353073)
Lei Zhang (38117)
author_role author
dc.creator.none.fl_str_mv Fangmin Zhong (17415318)
Fangyi Yao (1759132)
Xin-Lu Wang (17148202)
Zihao Wang (845023)
Bo Huang (30906)
Jing Liu (38537)
Xiaozhong Wang (353073)
Lei Zhang (38117)
dc.date.none.fl_str_mv 2025-10-15T05:23:53Z
dc.identifier.none.fl_str_mv 10.3389/fimmu.2025.1663943.s001
dc.relation.none.fl_str_mv https://figshare.com/articles/dataset/Table_1_Plasma_exosomal_lncRNA-related_signatures_define_molecular_subtypes_and_predict_survival_and_treatment_response_in_hepatocellular_carcinoma_docx/30361789
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Genetic Immunology
hepatocellular carcinoma
exosomal lncRNA
molecular subtype
prognosis
treatment response
dc.title.none.fl_str_mv Table 1_Plasma exosomal lncRNA-related signatures define molecular subtypes and predict survival and treatment response in hepatocellular carcinoma.docx
dc.type.none.fl_str_mv Dataset
info:eu-repo/semantics/publishedVersion
dataset
description Background<p>Hepatocellular carcinoma (HCC) faces challenges in early diagnosis, prognosis, and treatment stratification due to molecular heterogeneity. This study aimed to establish a plasma exosomal long non-coding RNA (lncRNA)-based framework for molecular classification, prognostication, and therapeutic guidance in HCC.</p>Methods<p>The transcriptomic data from 230 plasma exosomes and 831 HCC tissues were integrated. A competitive endogenous RNA (ceRNA) network was constructed via the miRcode, miRTarBase, TargetScan, and miRDB databases to define exosome-related genes (ERGs). Unsupervised consensus clustering was used to stratify HCC patients on the basis of ERG profiles. Prognostic models were developed and optimized via 10 machine learning algorithms with 10-fold cross-validation. Treatment responses were predicted via the SubMap, TIDE, and oncoPredict algorithms. RT-qPCR experiments were conducted to validate the expression of model genes.</p>Results<p>We identified 22 dysregulated plasma exosomal lncRNAs in HCC. The upregulated lncRNAs formed a ceRNA network regulating 61 ERGs and were significantly enriched in cell cycle regulation, TGF-β signaling, the p53 pathway, and ferroptosis. ERG expression stratified HCC into three subtypes (C1–C3). The C3 subtype exhibited the poorest overall survival, advanced grade and stage, an immunosuppressive microenvironment (increased Treg infiltration, elevated PD-L1/CTLA4 expression, highest TIDE score), and hyperactivation of proliferation (MYC, E2F targets) and metabolic pathways (glycolysis, mTORC1). A random survival forest-derived 6-gene risk score (G6PD, KIF20A, NDRG1, ADH1C, RECQL4, MCM4) demonstrated high prognostic accuracy. High-risk patients presented increased TP53/TTN mutations and increased tumor mutational burdens. Risk model analysis predicted differential treatment responses: low-risk patients exhibited superior anti-PD-1 immunotherapy responses, whereas high-risk patients showed increased sensitivity to DNA-damaging agents (e.g., the Wee1 inhibitor MK-1775) and sorafenib. Experimental validation confirmed consistent dysregulation of the six-gene signature (G6PD, KIF20A, NDRG1, ADH1C, RECQL4, MCM4) in HCC cell lines, reinforcing the model’s biological relevance.</p>Conclusion<p>Plasma exosomal lncRNAs enable robust molecular subtyping, accurate prognostic stratification, and treatment response prediction in HCC. The ERG-centric classification system and validated 6-gene risk model provide clinically actionable tools for precision oncology.</p>
eu_rights_str_mv openAccess
id Manara_be21e2358be09d3de8d1fd3022d080fb
identifier_str_mv 10.3389/fimmu.2025.1663943.s001
network_acronym_str Manara
network_name_str ManaraRepo
oai_identifier_str oai:figshare.com:article/30361789
publishDate 2025
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Table 1_Plasma exosomal lncRNA-related signatures define molecular subtypes and predict survival and treatment response in hepatocellular carcinoma.docxFangmin Zhong (17415318)Fangyi Yao (1759132)Xin-Lu Wang (17148202)Zihao Wang (845023)Bo Huang (30906)Jing Liu (38537)Xiaozhong Wang (353073)Lei Zhang (38117)Genetic Immunologyhepatocellular carcinomaexosomal lncRNAmolecular subtypeprognosistreatment responseBackground<p>Hepatocellular carcinoma (HCC) faces challenges in early diagnosis, prognosis, and treatment stratification due to molecular heterogeneity. This study aimed to establish a plasma exosomal long non-coding RNA (lncRNA)-based framework for molecular classification, prognostication, and therapeutic guidance in HCC.</p>Methods<p>The transcriptomic data from 230 plasma exosomes and 831 HCC tissues were integrated. A competitive endogenous RNA (ceRNA) network was constructed via the miRcode, miRTarBase, TargetScan, and miRDB databases to define exosome-related genes (ERGs). Unsupervised consensus clustering was used to stratify HCC patients on the basis of ERG profiles. Prognostic models were developed and optimized via 10 machine learning algorithms with 10-fold cross-validation. Treatment responses were predicted via the SubMap, TIDE, and oncoPredict algorithms. RT-qPCR experiments were conducted to validate the expression of model genes.</p>Results<p>We identified 22 dysregulated plasma exosomal lncRNAs in HCC. The upregulated lncRNAs formed a ceRNA network regulating 61 ERGs and were significantly enriched in cell cycle regulation, TGF-β signaling, the p53 pathway, and ferroptosis. ERG expression stratified HCC into three subtypes (C1–C3). The C3 subtype exhibited the poorest overall survival, advanced grade and stage, an immunosuppressive microenvironment (increased Treg infiltration, elevated PD-L1/CTLA4 expression, highest TIDE score), and hyperactivation of proliferation (MYC, E2F targets) and metabolic pathways (glycolysis, mTORC1). A random survival forest-derived 6-gene risk score (G6PD, KIF20A, NDRG1, ADH1C, RECQL4, MCM4) demonstrated high prognostic accuracy. High-risk patients presented increased TP53/TTN mutations and increased tumor mutational burdens. Risk model analysis predicted differential treatment responses: low-risk patients exhibited superior anti-PD-1 immunotherapy responses, whereas high-risk patients showed increased sensitivity to DNA-damaging agents (e.g., the Wee1 inhibitor MK-1775) and sorafenib. Experimental validation confirmed consistent dysregulation of the six-gene signature (G6PD, KIF20A, NDRG1, ADH1C, RECQL4, MCM4) in HCC cell lines, reinforcing the model’s biological relevance.</p>Conclusion<p>Plasma exosomal lncRNAs enable robust molecular subtyping, accurate prognostic stratification, and treatment response prediction in HCC. The ERG-centric classification system and validated 6-gene risk model provide clinically actionable tools for precision oncology.</p>2025-10-15T05:23:53ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.3389/fimmu.2025.1663943.s001https://figshare.com/articles/dataset/Table_1_Plasma_exosomal_lncRNA-related_signatures_define_molecular_subtypes_and_predict_survival_and_treatment_response_in_hepatocellular_carcinoma_docx/30361789CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/303617892025-10-15T05:23:53Z
spellingShingle Table 1_Plasma exosomal lncRNA-related signatures define molecular subtypes and predict survival and treatment response in hepatocellular carcinoma.docx
Fangmin Zhong (17415318)
Genetic Immunology
hepatocellular carcinoma
exosomal lncRNA
molecular subtype
prognosis
treatment response
status_str publishedVersion
title Table 1_Plasma exosomal lncRNA-related signatures define molecular subtypes and predict survival and treatment response in hepatocellular carcinoma.docx
title_full Table 1_Plasma exosomal lncRNA-related signatures define molecular subtypes and predict survival and treatment response in hepatocellular carcinoma.docx
title_fullStr Table 1_Plasma exosomal lncRNA-related signatures define molecular subtypes and predict survival and treatment response in hepatocellular carcinoma.docx
title_full_unstemmed Table 1_Plasma exosomal lncRNA-related signatures define molecular subtypes and predict survival and treatment response in hepatocellular carcinoma.docx
title_short Table 1_Plasma exosomal lncRNA-related signatures define molecular subtypes and predict survival and treatment response in hepatocellular carcinoma.docx
title_sort Table 1_Plasma exosomal lncRNA-related signatures define molecular subtypes and predict survival and treatment response in hepatocellular carcinoma.docx
topic Genetic Immunology
hepatocellular carcinoma
exosomal lncRNA
molecular subtype
prognosis
treatment response