Evidence map›Paper›PMID 41428021›Full record

ArticleAnnals of surgical oncology2026

Smooth Muscle Disruptive Feature Defines Molecular Subtyping, Risk Stratification, and Metastatic Potential in Prostate Cancer.

Yu Luo, Zixiong Jiang, Zhangcheng Liu, Xiaoqi Deng, Jue Wang, Shuai Su

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

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2citing papers in PubMed
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1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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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

6 authors.

Yu Luo *Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Zixiong Jiang *International Medical College, Chongqing Medical University, Chongqing, China.
Zhangcheng Liu *Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xiaoqi DengDepartment of Nephrology, Zigong Fourth People's Hospital, Zigong, Sichuan Province, China. dengxiaoqi999@163.com.
Jue WangDepartment of Urology, Panzhihua Central Hospital, Panzhihua, Sichuan Province, China. 441574157@qq.com.
Shuai SuDepartment of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. sushuai13108902059@163.com.

Funding

Doctoral Program of the First Affiliated Hospital of Chongqing Medical University CYYY- BSYJSKYCXXM202421Youth Medical Research and Innovation Project of Sichuan Medical Association Q21011
6 · The paper itself

Abstract

backgroundSmooth muscle (SM) invasion represents a critical feature of prostate cancer (PCa) progression and metastasis. This study aimed to develop a SM-based molecular score for progression and metastasis forecasting for PCa. PATIENTS AND

methodsA total of 952 patients with PCa with transcriptomic sequencing data and corresponding clinical information were included in this study to develop and validate a SM-related signature (SM score). SM-related molecular subtypes were identified on the basis of 35 smooth muscle-related gene sets using unsupervised clustering. Weighted gene coexpression network analysis (WGCNA) was employed to identify key SM-related genes. The SM score was subsequently developed using machine learning across, The Cancer Genome Atlas Prostate Adenocarcinoma (TCGA-PRAD) training cohort and four independent external validation cohorts.

resultsUtilizing 35 gene sets related to SM function, we identified pronounced SM disruption in PCa compared with normal prostate tissues. Unsupervised consensus clustering stratified patients into two distinct molecular subtypes, which exhibited significant differences in prognosis and immune infiltration profiles. We subsequently developed a robust prognostic signature termed SM score, and multiomics analyses confirmed a strong association between the SM score and SM disruption. The SM score consistently demonstrated superior prognostic performance across all cohorts and showed potential as a biomarker for responsiveness to immunotherapy. Notably, SM score was significantly elevated in metastatic lesions compared with primary tumors and normal tissues and accurately predicted metastatic potential.

conclusionsSM disruption is associated with tumor progression in PCa. The SM score captures SM disruption and predicts PCa progression and metastasis potential, aiding personalized immunotherapy decisions.

Indexed as

Biomarkers, TumorMuscle, SmoothProstatic NeoplasmsDisease ProgressionFollow-Up StudiesGene Expression ProfilingGene Expression Regulation, NeoplasticHumansMachine LearningMaleMiddle AgedPrognosisRisk AssessmentSurvival RateTranscriptomeBiomarkers, TumorImmunotherapy responseMetastasis predictionPrognostic biomarkerProstate cancerSmooth muscle

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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.