Evidence map›Paper›PMID 42591630›Full record

ArticleTranslational pediatrics2026

A m6A/m1A/m5C-related eight-gene signature predicts prognosis and correlates with immune microenvironment in pediatric acute myeloid leukemia.

Aiqin Song, Hua Pan, Antonio F Corno, Liang Song, Enben Guan, Jianke Liu, Xiaodan Liu

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Article in Translational pediatrics, 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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5 · Who and what money

Authors and funding

7 authors.

Aiqin SongDepartment of Pediatrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Hua PanDepartment of Pediatrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Antonio F CornoDepartment of Life and Science, Manchester Metropolitan University, Manchester, UK.
Liang SongDepartment of Pediatrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Enben GuanDepartment of Pediatrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Jianke LiuDepartment of Pediatrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Xiaodan LiuDepartment of Pediatrics, The Affiliated Hospital of Qingdao University, Qingdao, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: N6-methyladenosine (m6A), 5-methylcytosine (m5C) and N1-methyl-adenosine (m1A) are among predominate forms of RNA methylations implicated in the progression of cancer. The study aims to dissect the associations of m6A/m1A/m5C genes with survival, tumor microenvironment (TME) and predicted immunotherapy response in pediatric patients with acute myeloid leukemia (AML). Methods: RNA sequencing (RNA-seq) data were downloaded from Xena database. Differentially expressed m6A/m1A/m5C genes were filtered between dead and alive samples. Least absolute shrinkage and selection operator (LASSO) cox regression analysis was used to identify optimal prognostic genes and construct a risk-score model. TME characteristics and immunotherapy response were analyzed across different risk subgroups. Results: Twenty-five differentially expressed m6A/m1A/m5C genes were identified. Eight optimal prognostic genes were selected via LASSO and an 8-gene-based prognostic model was built. It effectively distinguished high- from low-risk patients [survival difference: P value =6.328e-07, area under the curve (AUC) value =0.861 (0.820, 0.778)], with valid verification in a validation dataset [survival difference: P value =2.677e-02, AUC value =0.774 (0.625, 0.833)]. The risk score was an independent prognostic factor and a composite nomogram could more accurately predict survival probability. Low-risk patients had significantly higher levels of monocytes and lower tumor purity compared to high-risk patients. A trend toward differential risk scores was observed between predicted immunotherapy responders and non-responders. Conclusions: We propose an 8-gene prognostic signature related to m6A/m5C/m1A and a risk-score model for assessing prognosis in pediatric AML. These genes may serve as promising preliminary prognostic biomarkers and warrant further exploration as potential immunotherapy targets for pediatric AML, pending validation in larger-scale prospective cohorts.

Indexed as

5-methylcytosine (m5C)N1-methyladenosine (m1A)N6-methyladenosine (m6A)prognosistumor microenvironment (TME)

Identifiers

PMID42591630
PMCPMC13462669

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