Evidence map›Paper›PMID 41514406›Full record

ArticleEuropean journal of medical research2026

KNTC1 and PRC1 define an immunosuppressive microenvironment and poor prognosis in liposarcoma.

Lele Zhang, Xiangjie Fang, Zihan Yang, Minghang Zhang, Yanpin Ma, Penghui Li

Abstract read
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Article in European journal of medical research, 2026. 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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5 · Who and what money

Authors and funding

6 authors.

Lele Zhang *Department of Integrated Traditional and Western Medicine, The First Affiliated Hospital, College of Clinical Medicine of Henan University of Science and Technology, Luoyang, 471003, China.
Xiangjie Fang *Department of General Surgery, the First Affiliated Hospital of Xinxiang Medical University, Weihui, 453100, China.
Zihan YangHenan Key Laboratory of Cancer Epigenetics, Cancer Institute, The First Affiliated Hospital, College of Clinical Medicine, Henan University of Science and Technology, Luoyang, 471003, China.
Minghang ZhangHenan Key Laboratory of Cancer Epigenetics, Cancer Institute, The First Affiliated Hospital, College of Clinical Medicine, Henan University of Science and Technology, Luoyang, 471003, China.
Yanpin MaHenan Key Laboratory of Cancer Epigenetics, Cancer Institute, The First Affiliated Hospital, College of Clinical Medicine, Henan University of Science and Technology, Luoyang, 471003, China. mypdemail123@163.com.
Penghui LiDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, College of Clinical Medicine, Henan University of Science and Technology, Luoyang, 471003, China. lph0819@163.com.

Funding

Science and Technology Research Project of Henan Province 252102311048Science and Technology Research Project of Henan Province 252102311274
6 · The paper itself

Abstract

backgroundLiposarcomas (LPS) is a highly heterogeneous malignant soft tissue tumor. Tumor microenvironment immune traits critically affect cancer progression and treatment efficacy. However, immune-related biomarkers for prognostic assessment, reflecting tumor immune microenvironment features and with diagnostic potential, remain insufficiently explored in LPS.

methodsThe RNA-seq data and clinical information of patients with liposarcoma were downloaded from the GEO and TCGA database. The "limma" package performed the differential expression genes (DEGs) analysis, and the weighted gene co-expression network analysis (WGCNA) method was used to identify the liposarcoma-related module. We performed the single sample gene set enrichment analysis (ssGSEA) to calculate the enrichment scores for 28 tumor-infiltrating lymphocyte (TIL) subpopulations based on previously established immune signatures. Then, the consensus clustering was conducted using the "ConsensusClusterPlus" package. After that, the lasso and multivariate Cox regression analysis was applied for the risk model construction. The ESTIMATE algorithm for immune infiltration, "clusterProfiler" for function enrichment, "survival" for prognostic difference and "timeROC" for receiver operator characteristic curve (ROC) analysis were performed. The wound healing and transwell assay were conducted.

resultsAfter differential expression analysis, 852 DEGs between liposarcoma and para-cancer samples were obtained, and the turquoise was the liposarcoma-related gene module through WGCNA analysis. Consensus clustering based on immune signatures stratified patients into immunity-high (H) and immunity-low (L) subtypes with significant survival differences. Integration of these findings led to a robust 2-gene prognostic signature (KNTC1 and PRC1) via LASSO and Cox regression. Both model genes exhibited outstanding diagnostic performance (AUC > 0.9). High RiskScore was significantly associated with aggressive pathological subtypes, metastasis, and an immunosuppressive microenvironment characterized by lower overall immune infiltration. Conversely, low-risk patients showed enhanced immune cell abundance and activity. In addition, functional validation confirmed that KNTC1 silencing significantly impaired LPS cell migration and invasion, underscoring its role in tumor progression.

conclusionsWe constructed a robust two-gene prognostic model that effectively predicts survival, reflects tumor immune microenvironment heterogeneity, and distinguishes pathological subtypes in LPS. Our findings provided valuable insights for prognostic stratification and personalized treatment strategies.

Indexed as

Coherent clusteringDiagnostic markerDifferential expression analysisLiposarcomaPrognostic model

Identifiers

PMID41514406
PMCPMC12882619

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