Evidence map›Paper›PMID 41239433›Full record

ArticleCancer cell international2025

Aldolase a in pan-cancer and lung squamous cell carcinoma: prognostic value and macrophage-driven immune suppression unveiled by multi-omics and cohort validation.

Ying Ji, Xincheng Li, Xihao Shen, Xiumei Hu, Yujing Du, Bin Hu, Wei Wang, Fanjie Meng

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Article in Cancer cell international, 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

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Ying JiDepartment of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, NO.8 Gongti South Road, Beijing, 100020, Chaoyang District, China.
Xincheng LiDepartment of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, NO.8 Gongti South Road, Beijing, 100020, Chaoyang District, China.
Xihao ShenBeijing Chao-Yang Hospital, Capital Medical University, NO.8 Gongti South Road, Beijing, 100020, Chaoyang District, China.
Xiumei HuDepartment of Pathology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China.
Yujing DuDepartment of Nuclear Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China.
Bin HuDepartment of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, NO.8 Gongti South Road, Beijing, 100020, Chaoyang District, China. cyyyhubin@163.com.
Wei WangBeijing Chao-Yang Hospital, Capital Medical University, NO.8 Gongti South Road, Beijing, 100020, Chaoyang District, China. weiwang0920@163.com.
Fanjie MengDepartment of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, NO.8 Gongti South Road, Beijing, 100020, Chaoyang District, China. mfjwill99@gmail.com.

Funding

Beijing Nova Program grant No. 20240484492Clinical Research Incubation Project, Beijing Chao Yang Hospital, Capital Medical University CYFH202324National Natural Science Foundation of China grant No. 62306189Reform and Development Program of Beijing Institute of Respiratory Medicine Ggyfz202325Reform and Development Program of Beijing Institute of Respiratory Medicine Ggyfz202516
6 · The paper itself

Abstract

backgroundAldolase A (ALDOA), a key glycolytic enzyme, has been implicated in tumor progression and metabolic reprogramming across multiple cancers [1]. However, its role in lung squamous cell carcinoma (LUSC) remains largely unexplored. Recent studies suggest that ALDOA may influence the tumor immune microenvironment, particularly through its association with macrophages [2, 3]. This study aims to investigate the prognostic value of ALDOA in LUSC and its role in macrophage-mediated immune suppression.

methodsWe conducted a comprehensive pan-cancer analysis to evaluate ALDOA expression, genomic alterations, and prognostic relevance across different cancer types. In LUSC, we validated its prognostic value using immunohistochemical (IHC) staining and independent patient cohorts. Immune infiltration was assessed using multiple bioinformatics algorithms and single-cell RNA sequencing (scRNA-seq) from the TISCH2 database. Spatial transcriptomics and immunofluorescence (IF) staining were performed to determine ALDOA's co-localization with CD68 + macrophages in LUSC tissues. Functional enrichment and drug sensitivity analyses were conducted to explore ALDOA's role in tumor progression and therapeutic resistance.

resultsALDOA was significantly overexpressed in multiple cancers, with LUSC showing one of the highest expression levels. Elevated ALDOA expression was strongly correlated with poor overall survival (OS), disease-specific survival (DSS), and progression-free interval (PFI) in LUSC patients. Copy number variations and promoter hypomethylation were identified as potential mechanisms driving ALDOA overexpression. ALDOA-high tumors exhibited increased M0 macrophage and reduced CD8 + T-cell infiltration, suggesting a role in immune suppression and evasion. Spatial transcriptomic and immunofluorescence analyses confirmed the co-localization of ALDOA with CD68 + tumor-associated macrophages (TAMs). Additionally, ALDOA-high tumors demonstrated increased resistance to multiple chemotherapeutic agents and EGFR-TKIs, highlighting its potential as a predictive biomarker for drug response.

conclusionOur findings establish ALDOA as a robust prognostic biomarker and a key regulator of macrophage-mediated immune suppression in LUSC. Its involvement in tumor metabolism, immune evasion, and therapy resistance suggests that targeting ALDOA could enhance both metabolic inhibition strategies and immune checkpoint blockade therapies. Future research should focus on mechanistic studies and therapeutic interventions targeting ALDOA to improve treatment outcomes in LUSC.

Indexed as

Aldolase a (ALDOA)Immune suppressionLung squamous cell carcinoma (LUSC)Prognostic biomarkerTumor-associated macrophages

Identifiers

PMID41239433
PMCPMC12619220

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