Evidence map›Paper›PMID 41473685›Full record

ArticleAdvanced genetics (Hoboken, N.J.)2025

Identification of Cathepsin H and Metabolic Traits as Potential Biomarkers for Lung Cancer by Mendelian Randomization and Single-Cell Transcriptomics.

Chenghu Song, Weici Liu, Zhao He, Jiwei Liu, Ruixin Wang, Lei Wu, Yize Wang, Mingfeng Zheng, Dong Tian, Wenjun Mao

Abstract read
In one paragraph

Article in Advanced genetics (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Chenghu SongDepartment of Thoracic Surgery The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital Wuxi Medical Center Nanjing Medical University Wuxi China.
Weici LiuDepartment of Thoracic Surgery The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital Wuxi Medical Center Nanjing Medical University Wuxi China.
Zhao HeDepartment of Thoracic Surgery The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital Wuxi Medical Center Nanjing Medical University Wuxi China.
Jiwei LiuDepartment of Thoracic Surgery The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital Wuxi Medical Center Nanjing Medical University Wuxi China.
Ruixin WangDepartment of Thoracic Surgery The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital Wuxi Medical Center Nanjing Medical University Wuxi China.
Lei WuDepartment of Thoracic Surgery The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital Wuxi Medical Center Nanjing Medical University Wuxi China.
Yize WangDepartment of Thoracic Surgery The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital Wuxi Medical Center Nanjing Medical University Wuxi China.
Mingfeng ZhengDepartment of Thoracic Surgery The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital Wuxi Medical Center Nanjing Medical University Wuxi China.
Dong TianDepartment of Thoracic Surgery West China Hospital Sichuan University Chengdu China.
Wenjun MaoDepartment of Thoracic Surgery The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital Wuxi Medical Center Nanjing Medical University Wuxi China.ORCID https://orcid.org/0000-0002-4644-9749

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lung cancer is a major global malignancy with debated roles for cathepsin H (CTSH), a lysosomal protease, and underexplored regulation by metabolites. We analyzed lung cancer incidence and hyperglycemia-related mortality trends (1990-2021) using Joinpoint regression. Mendelian randomization (MR), meta-analysis, and two-step mediation examined CTSH and 233 metabolic traits. Single-cell RNA sequencing (scRNA-seq) and TCGA/HPA datasets validated CTSH expression. Lung cancer incidence decreased overall but rose in women, while fasting hyperglycemia-related mortality increased. CTSH elevated lung cancer and adenocarcinoma risks, with docosahexaenoic acid (22:6) and omega-3 fatty acids driving adenocarcinoma progression. A higher linoleic acid (18:2)/total fatty acid ratio reduced risk. scRNA-seq identified CTSH in myeloid cells, especially "mo-Mac," which promoted tumors. CTSH expression patterns were evaluated using TCGA and HPA data, revealing protein-level overexpression in tumors with some divergence from transcriptomic results. CTSH is linked to lung cancer, particularly adenocarcinoma, with modest effects mediated by metabolites like omega-3 fatty acids. Its prominent expression in macrophages suggests novel therapeutic targets. These findings, though consistent, require further validation due to modest effect sizes and dataset heterogeneity.

Indexed as

capthesin Hlung adenocarcinoma, metabolic traits, Mendelian Randomization, single‐cell transcriptome

Identifiers

PMID41473685
PMCPMC12747557

What OpenQuestion holds

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Registered trials

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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.