Artificial intelligence-assisted RNA-binding protein signature for prognostic stratification and therapeutic guidance in breast cancer

BackgroundBreast cancer is the most common malignancy in women globally, with significant heterogeneity affecting prognosis and treatment. RNA-binding proteins play vital roles in tumor progression, yet their prognostic potential remains unclear. This study introduces an Artificial Intelligence-Assi...

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Main Authors: Yunxia Zhao, Li Li, Shuqi Yuan, Zixin Meng, Jiayi Xu, Zhaogen Cai, Yijing Zhang, Xiaonan Zhang, Tao Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1583103/full
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author Yunxia Zhao
Li Li
Shuqi Yuan
Zixin Meng
Jiayi Xu
Zhaogen Cai
Yijing Zhang
Xiaonan Zhang
Tao Wang
author_facet Yunxia Zhao
Li Li
Shuqi Yuan
Zixin Meng
Jiayi Xu
Zhaogen Cai
Yijing Zhang
Xiaonan Zhang
Tao Wang
author_sort Yunxia Zhao
collection DOAJ
description BackgroundBreast cancer is the most common malignancy in women globally, with significant heterogeneity affecting prognosis and treatment. RNA-binding proteins play vital roles in tumor progression, yet their prognostic potential remains unclear. This study introduces an Artificial Intelligence-Assisted RBP Signature (AIRS) model to improve prognostic accuracy and guide personalized treatment.MethodsData from 14 BC cohorts (9,000+ patients) were analyzed using 108 machine learning model combinations. The AIRS model, built on three key RBP genes (PGK1, MPHOSPH10, MAP2K6), stratified patients into high- and low-risk groups. Genomic alterations, single-cell transcriptomics, tumor microenvironment characteristics, and drug sensitivity were assessed to uncover AIRS-associated mechanisms.ResultsThe AIRS model demonstrated superior prognostic performance, surpassing 106 established signatures. High AIRS scores correlated with elevated tumor mutational burden, specific copy number alterations, and an immune-suppressive TME. Single-cell analysis revealed functional heterogeneity in epithelial cells, linking high AIRS scores to pathways like transcription factor binding. Regulatory network analysis identified key transcription factors such as MYC. Low AIRS scores predicted better responses to immune checkpoint inhibitors, while drug sensitivity analysis highlighted panobinostat and paclitaxel as potential therapies for high-risk patients.ConclusionsThe AIRS model offers a robust tool for BC prognosis and treatment stratification, integrating genomic, transcriptomic, and single-cell data. It provides actionable insights for personalized therapy, paving the way for improved clinical outcomes. Future studies should validate findings across diverse populations and expand functional analyses.
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spelling doaj-art-080d938bb84045b481127728f5279f032025-08-20T02:17:34ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-04-011610.3389/fimmu.2025.15831031583103Artificial intelligence-assisted RNA-binding protein signature for prognostic stratification and therapeutic guidance in breast cancerYunxia Zhao0Li Li1Shuqi Yuan2Zixin Meng3Jiayi Xu4Zhaogen Cai5Yijing Zhang6Xiaonan Zhang7Tao Wang8Department of Pathophysiology, Bengbu Medical University, Longzihu, Bengbu, Anhui, ChinaDepartment of Pathology, Bengbu Medical University, Anqing 116 Hospital, Anqing, Anhui, ChinaDepartment of Rheumatology and Immunology, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui, ChinaSchool of Clinical Medicine, Bengbu Medical University, Longzihu, Bengbu, Anhui, ChinaSchool of Clinical Medicine, Bengbu Medical University, Longzihu, Bengbu, Anhui, ChinaDepartment of Pathology, Bengbu Medical University, Longzihu, Bengbu, Anhui, ChinaSchool of Clinical Medicine, Bengbu Medical University, Longzihu, Bengbu, Anhui, ChinaDepartment of Pathophysiology, Bengbu Medical University, Longzihu, Bengbu, Anhui, ChinaResearch Laboratory Center, Guizhou Provincial People’s Hospital, Nanming, Guiyang, Guizhou, ChinaBackgroundBreast cancer is the most common malignancy in women globally, with significant heterogeneity affecting prognosis and treatment. RNA-binding proteins play vital roles in tumor progression, yet their prognostic potential remains unclear. This study introduces an Artificial Intelligence-Assisted RBP Signature (AIRS) model to improve prognostic accuracy and guide personalized treatment.MethodsData from 14 BC cohorts (9,000+ patients) were analyzed using 108 machine learning model combinations. The AIRS model, built on three key RBP genes (PGK1, MPHOSPH10, MAP2K6), stratified patients into high- and low-risk groups. Genomic alterations, single-cell transcriptomics, tumor microenvironment characteristics, and drug sensitivity were assessed to uncover AIRS-associated mechanisms.ResultsThe AIRS model demonstrated superior prognostic performance, surpassing 106 established signatures. High AIRS scores correlated with elevated tumor mutational burden, specific copy number alterations, and an immune-suppressive TME. Single-cell analysis revealed functional heterogeneity in epithelial cells, linking high AIRS scores to pathways like transcription factor binding. Regulatory network analysis identified key transcription factors such as MYC. Low AIRS scores predicted better responses to immune checkpoint inhibitors, while drug sensitivity analysis highlighted panobinostat and paclitaxel as potential therapies for high-risk patients.ConclusionsThe AIRS model offers a robust tool for BC prognosis and treatment stratification, integrating genomic, transcriptomic, and single-cell data. It provides actionable insights for personalized therapy, paving the way for improved clinical outcomes. Future studies should validate findings across diverse populations and expand functional analyses.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1583103/fullbreast cancerRNA-binding proteinsprognostic modelpersonalized treatmentimmunotherapy
spellingShingle Yunxia Zhao
Li Li
Shuqi Yuan
Zixin Meng
Jiayi Xu
Zhaogen Cai
Yijing Zhang
Xiaonan Zhang
Tao Wang
Artificial intelligence-assisted RNA-binding protein signature for prognostic stratification and therapeutic guidance in breast cancer
Frontiers in Immunology
breast cancer
RNA-binding proteins
prognostic model
personalized treatment
immunotherapy
title Artificial intelligence-assisted RNA-binding protein signature for prognostic stratification and therapeutic guidance in breast cancer
title_full Artificial intelligence-assisted RNA-binding protein signature for prognostic stratification and therapeutic guidance in breast cancer
title_fullStr Artificial intelligence-assisted RNA-binding protein signature for prognostic stratification and therapeutic guidance in breast cancer
title_full_unstemmed Artificial intelligence-assisted RNA-binding protein signature for prognostic stratification and therapeutic guidance in breast cancer
title_short Artificial intelligence-assisted RNA-binding protein signature for prognostic stratification and therapeutic guidance in breast cancer
title_sort artificial intelligence assisted rna binding protein signature for prognostic stratification and therapeutic guidance in breast cancer
topic breast cancer
RNA-binding proteins
prognostic model
personalized treatment
immunotherapy
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1583103/full
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