Evidence map›Paper›PMID 41163337›Full record

ArticleCancer science2026

CpG Methylation-Driven Pleiotropic Spliced Isoforms of PRSS3 Facilitate Gastric Intratumor Heterogeneity and Metastasis.

Mengdi Pang, Hanli Xu, Duoduo Li, Meiying Zhang, Daichuan Chen, Rongmeng Tian, Jie Gu, Nafisa Alimu, EnKai Wang, Ziyun Zhou and 6 more

Abstract read
In one paragraph

Article in Cancer science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

16 authors.

Mengdi PangCollege of Life Sciences & Bioengineering, Beijing Jiaotong University, Beijing, China.
Hanli XuCollege of Life Sciences & Bioengineering, Beijing Jiaotong University, Beijing, China.
Duoduo LiCollege of Life Sciences & Bioengineering, Beijing Jiaotong University, Beijing, China.
Meiying ZhangDepartment of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, China.
Daichuan ChenCollege of Life Sciences & Bioengineering, Beijing Jiaotong University, Beijing, China.
Rongmeng TianCollege of Life Sciences & Bioengineering, Beijing Jiaotong University, Beijing, China.
Jie GuCollege of Life Sciences & Bioengineering, Beijing Jiaotong University, Beijing, China.
Nafisa AlimuSchool of Stomatology, Xinjiang Medical University, Urumqi, Xinjiang, China.
EnKai WangCollege of Life Sciences & Bioengineering, Beijing Jiaotong University, Beijing, China.
Ziyun ZhouCollege of Life Sciences & Bioengineering, Beijing Jiaotong University, Beijing, China.
Xinyi LiCollege of Life Sciences & Bioengineering, Beijing Jiaotong University, Beijing, China.
Qihang PengCollege of Life Sciences & Bioengineering, Beijing Jiaotong University, Beijing, China.
Yuqi HeDepartment of Gastroenterology, Beijing Chest Hospital, Capital Medical University, Beijing, China.
Shuye LinDepartment of Gastroenterology, Beijing Chest Hospital, Capital Medical University, Beijing, China.
Mingzhou GuoDepartment of Gastroenterology and Hepatology, Chinese PLA General Hospital, Beijing, China.ORCID https://orcid.org/0000-0002-9445-9984
Jiaqiang HuangCollege of Life Sciences & Bioengineering, Beijing Jiaotong University, Beijing, China.ORCID https://orcid.org/0000-0002-6610-8159

Funding

Beijing Natural Science Foundation of China 7214242Beijing Natural Science Foundation of China 7242091National Natural Science Foundation of China 32200462National Natural Science Foundation of China 81672318National Natural Science Foundation of China 81872021National Natural Science Foundation of China 82272632National Natural Science Foundation of China U1604281The National Key Research and Development Program of China 2018YFA0208902The National Key Research and Development Program of China 2020YFC2002705
6 · The paper itself

Abstract

Investigating the phenotypic contribution of gene-spliced isoforms to tumor cellular heterogeneity can facilitate the development of innovative strategies for precision medicine. Serine protease 3 (PRSS3), a trypsin-like protease with four spliced variants (PRSS3-SVs: PRSS3-V1 to V4), plays diverse biological roles in cancer progression. Herein, we systematically analyzed the expression patterns and functional implications of PRSS3-SVs in gastric cancer (GC) using an integrative approach that combined bioinformatic analyses, CpG site-specific methylation detection, splice-specific qPCR, isoform-based methodologies, and multiple functional assays. Our findings revealed that differentially expressed PRSS3 isoforms, predominantly PRSS3-V1 and PRSS3-V2, are regulated by intragenic methylation and exert pleiotropic roles in GC. Overexpression of PRSS3 transcripts suppressed GC cell proliferation via the NF-κB signaling pathway, while exerting distinct effects on matrix metalloproteinase-associated cell migration and invasion. Clinically, patients with low PRSS3-V1 or high PRSS3-V2 expression exhibited poorer survival outcomes, and the expression difference between these two transcripts was identified as an independent prognostic indicator for GC patients. Epigenetically, differential methylation patterns within PRSS3 enabled stratification of GC patients into subgroups characterized by either high-methylation with low-expressed PRSS3-SVs or low-methylation with high-expressed PRSS3-SVs. The UHRF1/DNMT1 complex was found to mediate CpG site methylation and regulate PRSS3 transcripts, particularly silencing PRSS3-V1 through intragenic CpG methylation. This methylation pattern was associated with reduced survival rates and further validated its correlation with tumor metastasis in an independent cohort (n = 243). Our study elucidates that methylation-regulated alternative splicing contributes to phenotypic heterogeneity in GC, highlighting its potential advantage over differentially expressed genes in improving stratification strategies for precision oncology.

Indexed as

CpG IslandsDNA MethylationSerine EndopeptidasesStomach NeoplasmsAlternative SplicingCell Line, TumorCell MovementCell ProliferationEpigenesis, GeneticFemaleGene Expression Regulation, NeoplasticHumansMaleMiddle AgedNeoplasm MetastasisPrognosisPRSS3 protein, humanSerine EndopeptidasesTrypsingastric cancerintratumor heterogeneitymethylationserine protease 3 (PRSS3)spliced isoforms

Identifiers

PMID41163337
PMCPMC12775575

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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.