Evidence map›Paper›PMID 40849857›Full record

ArticleDiscover oncology2025

A novel immune-metabolic prognostic model stratifies survival and personalizes therapy in hepatocellular carcinoma.

Zejin Lin, Jiaheng Wang, Yiping Li, Taijun Yi, Xiaoyue Huang, Chengrui Zhong, Zhiping Chen, Zeyu Lin

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. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Zejin Lin *Department of General Surgery (Hepatobiliary, Pancreatic and Splenic Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, Guangdong, China.
Jiaheng Wang *Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, Guangdong, China.
Yiping Li *Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, Guangdong, China.
Taijun YiDepartment of General Surgery (Hepatobiliary, Pancreatic and Splenic Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, Guangdong, China.
Xiaoyue HuangDepartment of General Surgery (Hepatobiliary, Pancreatic and Splenic Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, Guangdong, China.
Chengrui ZhongDepartment of General Surgery (Hepatobiliary, Pancreatic and Splenic Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, Guangdong, China.
Zhiping ChenDepartment of General Surgery (Hepatobiliary, Pancreatic and Splenic Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, Guangdong, China. chenzhp39@mail.sysu.edu.cn.
Zeyu LinDepartment of General Surgery (Hepatobiliary, Pancreatic and Splenic Surgery), The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, Guangdong, China. linzy29@mail.sysu.edu.cn.

Funding

The Natural Science Foundation of Guangdong Province 2022A1515012509The Project of Guangdong clinical medical research center of digestive diseases 2020B1111170004
6 · The paper itself

Abstract

backgroundThe etiology of HCC is multifactorial, with pathogenesis involving immune and metabolic pathways. This study developed a prognostic model based on immune- and metabolism-related genes (IMRGs) to improve personalized HCC management.

methodsTranscriptomic data from HCC patients were obtained from TCGA (n = 377) and GEO (n = 115). Differentially expressed IMRGs between tumor and adjacent normal tissues were identified, and patients were stratified using non-negative matrix factorization (NMF). A LASSO-Cox prognostic model was constructed and validated, with assessments of immune microenvironment, therapeutic sensitivity, and functional pathways.

resultsHCC patients were classified into two subgroups with distinct immune microenvironment features. LASSO regression identified nine key prognostic genes from 54 consensus IMRGs, forming a robust risk model. High-risk patients had significantly worse survival, and the model outperformed existing immune/metabolic signatures (5-year AUC = 0.700 vs. 0.570-0.603) and clinical parameters (AUC = 0.720 vs. 0.470-0.712). Functional analysis revealed enhanced chromosome separation and nuclear division in high-risk patients, while low-risk patients showed elevated amino acid catabolism and fatty acid metabolism. High-risk patients also exhibited reduced Natural Killer cell activity and type II interferon responses but increased oxaliplatin sensitivity and 5-Fluorouracil resistance.

conclusionThis IMRG-based prognostic model effectively predicts HCC outcomes, enabling risk stratification and personalized therapy. It demonstrates strong clinical utility, advancing precision medicine in HCC management.

Indexed as

Hepatocellular carcinomaIMRGsPrognostic modelRisk stratification

Identifiers

PMID40849857
PMCPMC12375519

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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.