Evidence map›Paper›PMID 41266623›Full record

ArticleDiscover oncology2025

A pan-cancer analysis of CTSC as a candidate prognostic and immune-related biomarker.

Lan Zheng, Xin Liu, Yiling Xi, Dacai Gong, Bin Ge, Xing Wei, Jinwen Cai, Peng Chen

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. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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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

8 authors.

Lan ZhengDepartment of Clinical Laboratory, Pidu District People's Hospital, The 3rd Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China.
Xin LiuDepartment of Clinical Laboratory, 363 Hospital, Wuhou District, Chengdu, Sichuan, China.
Yiling XiChongqing University Three Gorges Hospital, Wanzhou, China.
Dacai GongDepartment of Clinical Laboratory, Pidu District People's Hospital, The 3rd Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China.
Bin GeDepartment of Clinical Laboratory, Pidu District People's Hospital, The 3rd Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China.
Xing WeiDepartment of Clinical Laboratory, Pidu District People's Hospital, The 3rd Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China.
Jinwen CaiDazhou Vocational College of Chinese Medicine, Acupuncture and Rehabilitation College, Dazhou, China.
Peng ChenDepartment of Clinical Laboratory, Pidu District People's Hospital, The 3rd Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China. chenpeng12375@163.com.

Funding

Natural Science Foundation of Sichuan Province 24NSFSC0600the Scientific Research Project of Sichuan Provincial Health Commission 19PJ181
6 · The paper itself

Abstract

backgroundCathepsin C (CTSC) is a lysosomal protease involved in immune regulation and inflammatory responses, with emerging roles in tumor progression and microenvironment remodeling. Although CTSC dysregulation has been observed in several cancers, its pan-cancer significance, immune-related functions, and clinical relevance remain poorly characterized.

methodsWe conducted an integrated multi-omics analysis using data from TCGA, GTEx, CPTAC, cBioPortal, HPA, and other public databases. We evaluated CTSC expression patterns, prognostic value, immune infiltration, epigenetic regulation, mutation profiles, and drug sensitivity across diverse cancer types. Analytical methods included survival analysis, functional enrichment, immune correlation assays, and single-cell sequencing.

resultsCTSC was widely expressed and significantly dysregulated in multiple cancers. High CTSC expression correlated with poor prognosis in 10 cancer types and was linked to advanced tumor stage. CTSC expression was associated with immune checkpoint genes, infiltration of cancer-associated fibroblasts (CAFs), and γδ T cells, indicating a dual role in both promoting and suppressing anti-tumor immunity. Additionally, CTSC expression correlated with DNA hypermethylation, RNA methylation regulators, TMB, and MSI. Drug sensitivity analysis suggested that high CTSC expression may enhance response to certain anti-cancer agents.

conclusionOur study underscores the multifaceted role of CTSC in tumor immunity and progression, supporting its potential as a prognostic biomarker and therapeutic target across cancer types. These findings provide a foundation for further mechanistic and clinical investigation into CTSC-targeted strategies.

Indexed as

BiomarkerCTSCImmune infiltrationImmunotherapyPan-cancerPrognosis

Identifiers

PMID41266623
PMCPMC12748366

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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.