Evidence map›Paper›PMID 41040512›Full record

ArticleFrontiers in oncology2025

Integration of autophagy-related genes and immune dysregulation reveals a prognostic landscape in multiple myeloma.

Yibo Xia, Dong Zheng, Xinyi Zhang, Shuxia Zhu, Enqing Lan, Hansen Ying, Zixing Chen, Bingxin Zhang, Shujuan Zhou, Yu Zhang and 12 more

Abstract read
In one paragraph

Article in Frontiers in 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.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

22 authors.

Yibo XiaDepartment of Medical Laboratory Technology, School of Laboratory Medicine and Life Science, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Dong ZhengDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xinyi ZhangDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Shuxia ZhuDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Enqing LanDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Hansen YingDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Zixing ChenDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Bingxin ZhangDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Shujuan ZhouDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yu ZhangDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xuanru LinDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Qiang ZhuangDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Honglan QianDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xudong HuDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yan ZhuangDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Qianying ZhangDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xiangjing ZhouDepartment of Blood Transfusion, The First Hospital, Wenzhou Medical College, Wenzhou, Zhejiang, China.
Zuoting XieDepartment of Blood Transfusion, The First Hospital, Wenzhou Medical College, Wenzhou, Zhejiang, China.
Songfu JiangDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Yongyong MaDepartment of Hematology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Zhouxiang JinDepartment of Hepatobiliary Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Sisi ZhengDepartment of Medical Laboratory Technology, School of Laboratory Medicine and Life Science, Wenzhou Medical University, Wenzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Autophagy is a self-renewal mechanism in which cells degrade damaged organelles or abnormal proteins through lysosomes. This process eliminates harmful components within the cell and maintains energy homeostasis. Multiple myeloma (MM) is a hematological malignancy characterized by uncontrolled plasma cell proliferation. Autophagy plays a dual role in tumorigenesis, yet its prognostic implications in MM remain underexplored. Methods: Transcriptomic and clinical data from 1,386 MM patients (training cohort: GSE136337, n = 415; validation cohorts: GSE24080, n = 558; GSE4581, n = 413) were analyzed. A seven-gene signature (ATIC, CDKN1A, DNAJB9, EDEM1, GABARAPL1, RAB1A, VAMP7) was identified using LASSO-Cox regression. Predictive performance of the autophagy-related model was assessed via Kaplan-Meier analysis, ROC curves, and nomograms. Immune infiltration, drug sensitivity, and functional pathways of the autophagy-related model were evaluated using CIBERSORT, ESTIMATE, and GSEA. The gene expression in the autophagy prognostic model was verified by qRT-PCR in the U266 and RPMI8226 cell lines and blood samples of multiple myeloma patients from the First Affiliated Hospital of Wenzhou Medical University. Results: The autophagy-related risk score stratified patients into high-risk and low-risk groups with distinct survival outcomes (high-risk HR = 0.391, 95%CI:0.284-0.540, p < 0.001). The model demonstrated robust predictive accuracy (5-year AUC = 0.729) and was independently validated. High-risk patients exhibited elevated immune checkpoint expression (CD48, CD70, BTLA), stromal infiltration, and drug resistance. Functional enrichment linked high-risk profiles to MYC activation and oxidative phosphorylation. Through qRT-PCR, the accuracy of the autophagy-related model has been verified in the U266 and RPMI8226 cell lines, as well as in the blood samples of multiple myeloma patients from the First Affiliated Hospital of Wenzhou Medical University. Conclusion: This autophagy-related gene signature provides a reliable prognostic tool for MM, highlighting immune dysregulation and therapeutic resistance mechanisms. Its integration with clinical parameters enhances risk stratification and treatment planning.

Indexed as

autophagydrug responseimmune dysregulationmultiple myelomaprognostic landscapetumor microenvironment

Identifiers

PMID41040512
PMCPMC12483933

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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.