Evidence map›Paper›PMID 42870849›Full record

ArticleTranslational lung cancer research2026

A T-cell exhaustion-related signature for predicting response to immunotherapy among patients with lung adenocarcinoma.

Chengcheng Yang, Zefeng Wang, Jintao Xie, Huanhuan Zhao, Tianqi Song, Shiqi Luo, Xinyan Wang

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Article in Translational lung cancer 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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5 · Who and what money

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7 authors.

Chengcheng YangDepartment of Pulmonary and Critical Care Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.ORCID https://orcid.org/0000-0002-2021-3922
Zefeng WangDepartment of Geriatrics, The 924th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Guilin, China.ORCID https://orcid.org/0009-0009-3716-9233
Jintao XieDepartment of Pulmonary and Critical Care Medicine, The First People's Hospital of Chenzhou, Chenzhou, China.
Huanhuan ZhaoDepartment of Pulmonary and Critical Care Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Tianqi SongDepartment of Pulmonary and Critical Care Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Shiqi LuoDepartment of Pulmonary and Critical Care Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Xinyan WangDepartment of Pulmonary and Critical Care Medicine, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.ORCID https://orcid.org/0009-0006-4993-5300

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lung adenocarcinoma (LUAD) remains a leading cause of cancer-related mortality, and although immunotherapy has improved outcomes for a proportion of patients, reliable predictive biomarkers of response are lacking. T-cell exhaustion-associated transcriptional states are increasingly recognized as relevant to antitumor immunity, yet their prognostic and predictive associations in LUAD remain incompletely defined. The aim of this study was to evaluate transcription factors previously linked to T-cell exhaustion and to construct a prognostic gene signature for stratifying patients with LUAD and estimating potential benefit from immunotherapy. Methods: Ten transcription factors previously linked to T-cell exhaustion were identified from the literature. Using LUAD transcriptomic data, we evaluated their prognostic relevance and identified four factors associated with overall survival (OS). Based on these, patients were divided into high- and low-risk exhaustion groups, and differentially expressed genes (DEGs) were derived. Univariate Cox regression and least absolute shrinkage and selection operator (LASSO) Cox analysis were applied to screen prognosis-related DEGs, through which a six-gene T-cell exhaustion-related prognostic score (TEXRGPS) was constructed. The expression of these six genes was validated via reverse-transcription quantitative polymerase chain reaction (RT-qPCR) in 20 pairs of LUAD and adjacent normal tissues from our hospital. Associations of TEXRGPS with clinical characteristics, immune cell infiltration, and predicted response to immune checkpoint inhibitors (ICIs) were also assessed. Results: Four of the ten transcription factors were associated with prognosis and were used to stratify patients. Six key DEGs- Conclusions: The TEXRGPS was associated with prognosis, computational estimates of immune infiltration, and predicted immunotherapy response in retrospective LUAD cohorts. The signature may support future risk-stratification research, but it does not establish a direct functional relationship between the selected genes and exhausted T cells. Prospective multicenter validation, together with single-cell, protein-level, and functional studies, is required before clinical use.

Indexed as

immunotherapyLung adenocarcinoma (LUAD)T-cell exhaustion

Identifiers

PMID42870849
PMCPMC13657880

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