ArticleEBioMedicine2026
Proteomic profiling and molecular reclassification of high-grade serous ovarian cancer identifies prognostic subtypes and immunotherapy biomarkers.
Article in EBioMedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh-grade serous ovarian cancer (HGSOC) is the most lethal histological subtype of ovarian cancer, exhibiting significant heterogeneity and limited therapeutic options. A comprehensive characterisation of proteomic landscape across disease stages is needed to identify actionable biomarkers and therapeutic targets.
methodsWe performed proteomic profiling of 116 primary HGSOC tumours, followed by integrative bioinformatics analyses incorporating clinical annotation. Key findings were validated using multiplex immunohistochemistry, in vitro and in vivo functional assays, and external datasets.
findingsWe identified FIGO stage IIA as a crucial turning point distinguishing early-from advanced-stage disease, marked by a transition from oxidative stress to cell cycle-driven programmes. Trajectory analysis of tumour progression revealed GOSR2 as a key regulator of stage transition. Mechanistically, GOSR2 interacted with SEC24D to inhibit the secretion of CXCL9 and CXCL12, resulting in reduced CD8+ T cell infiltration. Unsupervised clustering defined three reproducible proteomic subtypes (S-I to S-III), which were validated in TCGA and single-cell transcriptomic datasets and associated with distinct clinical outcomes. The S-III subtype was characterised by ECM-receptor interaction, immune evasion, and poor prognosis. Transcription factors network analysis identified regulators potentially driving these phenotypes. In parallel, three immune-contexture subtypes (IC1-IC3) were delineated, reflecting differential tumour immune microenvironment states with prognostic relevance. Advanced-stage HGSOC was further stratified using ISG15, ITGB2, and RELA expression, idenfifying a subgroup with potential susceptibility to immunotherapy.
interpretationOur findings provide a framework for biomarker-guided stratification and the development of precision therapeutic strategies in HGSOC.
fundingKey R&D Program of Zhejiang, NSFC, and 4+X CRP of WHZJU.
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