Integrated multiomics analysis identifies PHLDA1+ fibroblasts as prognostic biomarkers and mediators of biological functions in pancreatic cancer

BackgroundPancreatic cancer (PC) is marked by extensive heterogeneity, posing significant challenges to effective treatment. The tumor microenvironment (TME), particularly cancer-associated fibroblasts (CAFs), plays a critical role in driving PC progression. However, the prognostic and functional co...

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Main Authors: Rui Wang, Guan-Hua Qin, Yifei Jiang, Fu-Xiang Chen, Zi-Han Wang, Lin-Ling Ju, Lin Chen, Da Fu, En-Yu Liu, Su-Qing Zhang, Wei-Hua Cai
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1592416/full
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author Rui Wang
Rui Wang
Guan-Hua Qin
Guan-Hua Qin
Yifei Jiang
Fu-Xiang Chen
Fu-Xiang Chen
Zi-Han Wang
Zi-Han Wang
Lin-Ling Ju
Lin Chen
Da Fu
En-Yu Liu
Su-Qing Zhang
Wei-Hua Cai
author_facet Rui Wang
Rui Wang
Guan-Hua Qin
Guan-Hua Qin
Yifei Jiang
Fu-Xiang Chen
Fu-Xiang Chen
Zi-Han Wang
Zi-Han Wang
Lin-Ling Ju
Lin Chen
Da Fu
En-Yu Liu
Su-Qing Zhang
Wei-Hua Cai
author_sort Rui Wang
collection DOAJ
description BackgroundPancreatic cancer (PC) is marked by extensive heterogeneity, posing significant challenges to effective treatment. The tumor microenvironment (TME), particularly cancer-associated fibroblasts (CAFs), plays a critical role in driving PC progression. However, the prognostic and functional contributions of distinct CAF subtypes remain inadequately understood. Here, we introduce a novel 7-gene risk model that not only robustly stratifies PC patients but also unveils the unique role of PHLDA1 as a key mediator in tumor-stroma crosstalk.MethodsBy integrating single-cell RNA sequencing (scRNA-seq), spatial transcriptomics, and bulk RNA sequencing data, we comprehensively characterized the heterogeneity of CAFs in PC. We identified five CAF subtypes and focused on matrix CAFs (mCAFs), which were strongly associated with poor prognosis. A 7-gene mCAF-associated risk model was constructed using advanced machine learning algorithms, and the biological significance of PHLDA1 was validated through co-culture experiments and pan-cancer analyses.ResultsOur multiomics analysis revealed that the novel 7-gene model (comprising USP36, KLF5, MT2A, KDM6B, PHLDA1, REL, and DDIT4) accurately predicts patient survival, immunotherapy response, and TME status. Notably, PHLDA1 was uniquely overexpressed in CAFs and correlated with the activation of key protumorigenic pathways, including EMT, KRAS, and TGF-β, underscoring its central role in modulating the crosstalk between CAFs and malignant ductal cells. Pan-cancer analysis further supported PHLDA1’s prognostic and immunomodulatory significance across multiple tumor types.ConclusionOur study presents a novel 7-gene prognostic model that significantly enhances risk stratification in PC and identifies PHLDA1+ CAFs as promising prognostic biomarkers and therapeutic targets. These findings provide new insights into the TME of PC and open avenues for personalized treatment strategies.
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spelling doaj-art-60bfeaa7440f439eae08bff543d054c82025-08-20T03:16:10ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-07-011610.3389/fimmu.2025.15924161592416Integrated multiomics analysis identifies PHLDA1+ fibroblasts as prognostic biomarkers and mediators of biological functions in pancreatic cancerRui Wang0Rui Wang1Guan-Hua Qin2Guan-Hua Qin3Yifei Jiang4Fu-Xiang Chen5Fu-Xiang Chen6Zi-Han Wang7Zi-Han Wang8Lin-Ling Ju9Lin Chen10Da Fu11En-Yu Liu12Su-Qing Zhang13Wei-Hua Cai14Department of Hepatobiliary Surgery, Affiliated Nantong Hospital 3 of Nantong University, Nantong, Jiangsu, ChinaMedical School of Nantong University, Nantong, Jiangsu, ChinaMedical School of Nantong University, Nantong, Jiangsu, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, ChinaDepartment of Nuclear Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaMedical School of Nantong University, Nantong, Jiangsu, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, ChinaDepartment of Hepatobiliary Surgery, Affiliated Nantong Hospital 3 of Nantong University, Nantong, Jiangsu, ChinaMedical School of Nantong University, Nantong, Jiangsu, ChinaNantong Institute of Liver Disease, Affiliated Nantong Hospital 3 of Nantong University, Nantong, Jiangsu, ChinaNantong Institute of Liver Disease, Affiliated Nantong Hospital 3 of Nantong University, Nantong, Jiangsu, ChinaDepartment of General Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, ChinaDepartment of Hepatobiliary Surgery, Affiliated Nantong Hospital 3 of Nantong University, Nantong, Jiangsu, ChinaBackgroundPancreatic cancer (PC) is marked by extensive heterogeneity, posing significant challenges to effective treatment. The tumor microenvironment (TME), particularly cancer-associated fibroblasts (CAFs), plays a critical role in driving PC progression. However, the prognostic and functional contributions of distinct CAF subtypes remain inadequately understood. Here, we introduce a novel 7-gene risk model that not only robustly stratifies PC patients but also unveils the unique role of PHLDA1 as a key mediator in tumor-stroma crosstalk.MethodsBy integrating single-cell RNA sequencing (scRNA-seq), spatial transcriptomics, and bulk RNA sequencing data, we comprehensively characterized the heterogeneity of CAFs in PC. We identified five CAF subtypes and focused on matrix CAFs (mCAFs), which were strongly associated with poor prognosis. A 7-gene mCAF-associated risk model was constructed using advanced machine learning algorithms, and the biological significance of PHLDA1 was validated through co-culture experiments and pan-cancer analyses.ResultsOur multiomics analysis revealed that the novel 7-gene model (comprising USP36, KLF5, MT2A, KDM6B, PHLDA1, REL, and DDIT4) accurately predicts patient survival, immunotherapy response, and TME status. Notably, PHLDA1 was uniquely overexpressed in CAFs and correlated with the activation of key protumorigenic pathways, including EMT, KRAS, and TGF-β, underscoring its central role in modulating the crosstalk between CAFs and malignant ductal cells. Pan-cancer analysis further supported PHLDA1’s prognostic and immunomodulatory significance across multiple tumor types.ConclusionOur study presents a novel 7-gene prognostic model that significantly enhances risk stratification in PC and identifies PHLDA1+ CAFs as promising prognostic biomarkers and therapeutic targets. These findings provide new insights into the TME of PC and open avenues for personalized treatment strategies.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1592416/fullpancreatic cancerPHLDA1prognostic biomarkertumor microenvironment (TME)spatial transcriptomics
spellingShingle Rui Wang
Rui Wang
Guan-Hua Qin
Guan-Hua Qin
Yifei Jiang
Fu-Xiang Chen
Fu-Xiang Chen
Zi-Han Wang
Zi-Han Wang
Lin-Ling Ju
Lin Chen
Da Fu
En-Yu Liu
Su-Qing Zhang
Wei-Hua Cai
Integrated multiomics analysis identifies PHLDA1+ fibroblasts as prognostic biomarkers and mediators of biological functions in pancreatic cancer
Frontiers in Immunology
pancreatic cancer
PHLDA1
prognostic biomarker
tumor microenvironment (TME)
spatial transcriptomics
title Integrated multiomics analysis identifies PHLDA1+ fibroblasts as prognostic biomarkers and mediators of biological functions in pancreatic cancer
title_full Integrated multiomics analysis identifies PHLDA1+ fibroblasts as prognostic biomarkers and mediators of biological functions in pancreatic cancer
title_fullStr Integrated multiomics analysis identifies PHLDA1+ fibroblasts as prognostic biomarkers and mediators of biological functions in pancreatic cancer
title_full_unstemmed Integrated multiomics analysis identifies PHLDA1+ fibroblasts as prognostic biomarkers and mediators of biological functions in pancreatic cancer
title_short Integrated multiomics analysis identifies PHLDA1+ fibroblasts as prognostic biomarkers and mediators of biological functions in pancreatic cancer
title_sort integrated multiomics analysis identifies phlda1 fibroblasts as prognostic biomarkers and mediators of biological functions in pancreatic cancer
topic pancreatic cancer
PHLDA1
prognostic biomarker
tumor microenvironment (TME)
spatial transcriptomics
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1592416/full
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