Evidence map›Paper›PMID 39960194›Full record

ArticleImmunity, inflammation and disease2025

Identification of Natural Killer Cell-Associated Clusters in Skin Melanoma and the Impact on Prognosis and Drug Sensitivity.

Jun Zhou, Renhui Cai, Danqun Zhang, Caifeng Chen

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Article in Immunity, inflammation and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Jun ZhouDepartment of Dermatology, Fuzhou University Affiliated Provincial Hospital, Fujian Provincial Hospital, Clinical Medical College of Fujian Medical University, Fuzhou, China.ORCID 0009-0006-5112-7302
Renhui CaiDepartment of Dermatology, Fuzhou University Affiliated Provincial Hospital, Fujian Provincial Hospital, Clinical Medical College of Fujian Medical University, Fuzhou, China.
Danqun ZhangDepartment of Dermatology, Fuzhou University Affiliated Provincial Hospital, Fujian Provincial Hospital, Clinical Medical College of Fujian Medical University, Fuzhou, China.
Caifeng ChenDepartment of Dermatology, Fuzhou University Affiliated Provincial Hospital, Fujian Provincial Hospital, Clinical Medical College of Fujian Medical University, Fuzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSkin melanoma exhibits significant heterogeneity in clinical outcomes and treatment responses among patients. This study aimed to investigate natural killer (NK) cell clusters in skin melanoma, their impact on patient prognosis, and their value as biomarkers for tailoring treatment.

methodsWe used data from TCGA, GSE19234, GSE65904, GSE244982, and GSE78220. A gene classifier was developed to identify two distinct clusters of melanoma patients. Survival analysis, NK cell infiltration levels, and responses to immune and targeted therapies were evaluated.

resultsUnsupervised clustering revealed two distinct melanoma patient clusters with significant differences in NK cell activity and clinical outcomes. Cluster 1 showed higher NK cell infiltration, better overall survival (OS) (p < 0.0001), and greater activity in NK-cell-related pathways. In contrast, Cluster 2, characterized by lower NK cell activity and higher exhaustion markers, had poorer OS. Drug sensitivity analysis indicated that Cluster 1 was more responsive to most melanoma treatments, whereas Cluster 2 had higher sensitivity to trametinib (p < 0.001). The developed gene classifier had an AUC of 0.913 and effectively differentiated between clusters. Additionally, Cluster 1 showed better responses to immunotherapy with a higher rate of complete and partial responses (p < 0.001). These findings were validated in external databases.

conclusionThis study identifies two distinct NK-cell-related clusters in melanoma with differential prognoses and treatment responses. These findings underscore the importance of integrating NK-cell-related profiles into personalized treatment strategies, offering a pathway to optimize therapeutic outcomes based on specific immune profiles.

Indexed as

Killer Cells, NaturalMelanomaSkin NeoplasmsBiomarkers, TumorCluster AnalysisCutaneous Malignant MelanomaFemaleHumansMalePrognosisBiomarkers, Tumordrug sensitivityimmunotherapynatural killer cellskin melanomatumor microenvironment

Identifiers

PMID39960194
PMCPMC11831448

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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 OpenQuestion graph.