Evidence map›Paper›PMID 42703336›Full record

ArticleJournal of gastrointestinal oncology2026

Immunological characteristics of calmodulin-related genes in hepatocellular carcinoma and their potential for prognostic prediction and diagnostic applications.

Wenjia Wei, Shuangling Ni, Luxiang Liu, Siqin Long, Yuli Ge

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Article in Journal of gastrointestinal oncology, 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

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Wenjia WeiDepartment of Infectious Diseases, The First Affiliated Hospital of Lishui University, Lishui People's Hospital, Lishui, China.
Shuangling NiDepartment of Infectious Diseases, The First Affiliated Hospital of Lishui University, Lishui People's Hospital, Lishui, China.
Luxiang LiuDepartment of Infectious Diseases, The First Affiliated Hospital of Lishui University, Lishui People's Hospital, Lishui, China.
Siqin LongDepartment of Infectious Diseases, The First Affiliated Hospital of Lishui University, Lishui People's Hospital, Lishui, China.
Yuli GeDepartment of Infectious Diseases, The First Affiliated Hospital of Lishui University, Lishui People's Hospital, Lishui, China.ORCID https://orcid.org/0009-0004-2888-0406

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: As a primary liver cancer with high malignancy, hepatocellular carcinoma (HCC) is notoriously difficult to detect early, which often leads to an unfavorable prognosis for patients. Calmodulin-related genes (CRGs) participate in the regulation of cellular calcium signaling, yet their roles in HCC development, immune microenvironment remodeling, and clinical application value remain incompletely understood. This study aims to systematically screen key CRGs and evaluate their clinical value as prognostic biomarkers for HCC. Methods: Intersection analysis identified differentially expressed calmodulin-related genes (DECRGs). Integration of three algorithms-least absolute shrinkage and selection operator (LASSO), support vector machine recursive feature elimination (SVM-RFE), and random forest-identified core diagnostic genes, whose efficacy was validated by receiver operating characteristic (ROC) curves and a diagnostic nomogram. Based on DECRGs, we screened prognosis-related genes and constructed prognosis risk models using LASSO regression and multivariate Cox regression. Model performance was validated in the external GSE14520 cohort. We investigated differences in immune infiltration and gene enrichment features across risk groups, analyzed associations between risk scores and clinical characteristics, and assessed predictive value for immune therapy response. Results: Through analysis of 51 DECRGs, we identified a five-gene HCC diagnostic signature demonstrating robust diagnostic performance in both training and validation cohorts. Concurrently, a nine-gene prognostic risk model based on DECRGs was constructed, validated in an external cohort, with its associated nomogram successfully predicting patient survival. High- and low-risk groups exhibited distinct biological characteristics: the low-risk group displayed an active immune phenotype and predicted superior response to immune checkpoint inhibitors, while the high-risk group enriched cell cycle pathways and metabolic processes. Conclusions: The calmodulin-related core genes identified in this study may serve as potential diagnostic biomarkers for HCC. The prognostic risk model constructed based on these CRGs effectively enables risk stratification and prognosis assessment in HCC patients. Furthermore, CRG expression is closely associated with the HCC immune microenvironment and response to immunotherapy, offering new insights for optimizing HCC diagnosis and treatment strategies.

Indexed as

calmodulin-related genes (CRGs)diagnosis and prognosisHepatocellular carcinoma (HCC)immune landscape

Identifiers

PMID42703336
PMCPMC13546567

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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.