Hypoxia signature derived from tumor-associated endothelial cells predict prognosis in gastric cancer

BackgroundA hypoxic metabolism environment in the tumors is often associated with poor prognostic events such as tumor progression and treatment resistance. In gastric cancer, the mechanism of how hypoxia metabolism affects the tumor microenvironment and immunotherapy efficacy remains to be elucidat...

Full description

Saved in:
Bibliographic Details
Main Authors: Ruiheng Wang, Guijun Liu, Ke Wang, Zhanglei Pan, Zhihua Pei, Xijiao Hu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cell and Developmental Biology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2025.1515681/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832593934003470336
author Ruiheng Wang
Ruiheng Wang
Guijun Liu
Guijun Liu
Ke Wang
Zhanglei Pan
Zhanglei Pan
Zhihua Pei
Xijiao Hu
Xijiao Hu
author_facet Ruiheng Wang
Ruiheng Wang
Guijun Liu
Guijun Liu
Ke Wang
Zhanglei Pan
Zhanglei Pan
Zhihua Pei
Xijiao Hu
Xijiao Hu
author_sort Ruiheng Wang
collection DOAJ
description BackgroundA hypoxic metabolism environment in the tumors is often associated with poor prognostic events such as tumor progression and treatment resistance. In gastric cancer, the mechanism of how hypoxia metabolism affects the tumor microenvironment and immunotherapy efficacy remains to be elucidated.MethodsWe used the bulk-mapping method to analyze the signatures correlated with the response of immunotherapy in the single-cell dataset. Cellular, pathway, and gene were systematically analyzed in both single-cell and bulk validation datasets.ResultsThe most significant cell proportion difference between the response and non-response groups was in endothelial cells, which represent the malignant cells. VWF was specifically overexpressed in endothelial cells and was the hub gene of differential genes. EPAS1 was a VWF trans-regulated gene and highly positively correlated with VWF in expression. Knockdown experiments demonstrated that siVWF reduced the expression of VWF, EPAS1, and HIF1A, as well as the synthesis of lactate and adenosine which are indicators of hypoxic metabolism. These results suggest that the overexpression of core malign endothelial genes such as VWF drives hypoxic metabolism in tumors and creates an immunosuppressive environment that reduces the efficacy of immunotherapy. The adverse prognosis of the hypoxia signature was validated in the bulk cohort and significance was further enhanced after selecting core genes and combined survival weight scoring.ConclusionIn summary, high expression of the malignant endothelial cell driver genes VWF and EPAS1 enhances hypoxic metabolism, and malignant cell-immune cell interactions suppress the immune response. Therefore, the two core genes of hypoxic metabolism might represent potential therapeutic and predicting biomarkers for immunotherapy of gastric cancer in the future.
format Article
id doaj-art-7223e95788bf40518b9e54b4bb051e00
institution Kabale University
issn 2296-634X
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Cell and Developmental Biology
spelling doaj-art-7223e95788bf40518b9e54b4bb051e002025-01-20T07:19:54ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2025-01-011310.3389/fcell.2025.15156811515681Hypoxia signature derived from tumor-associated endothelial cells predict prognosis in gastric cancerRuiheng Wang0Ruiheng Wang1Guijun Liu2Guijun Liu3Ke Wang4Zhanglei Pan5Zhanglei Pan6Zhihua Pei7Xijiao Hu8Xijiao Hu9Surgical Ward, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, ChinaHeilongjiang University of Chinese Medicine, Harbin, ChinaHeilongjiang University of Chinese Medicine, Harbin, ChinaDepartment of administrative, The Fourth Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, ChinaEndoscopy Room, First Affiliated Hospital of Jiamusi University, Jiamusi, ChinaSurgical Ward, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, ChinaHeilongjiang University of Chinese Medicine, Harbin, ChinaHubei Key Laboratory of Agricultural Bioinformatics, College of Informatics, Huazhong Agricultural University, Wuhan, ChinaDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, ChinaPostdoctoral Research Station of Heilongjiang Academy of Traditional Chinese Medicine, Harbin, ChinaBackgroundA hypoxic metabolism environment in the tumors is often associated with poor prognostic events such as tumor progression and treatment resistance. In gastric cancer, the mechanism of how hypoxia metabolism affects the tumor microenvironment and immunotherapy efficacy remains to be elucidated.MethodsWe used the bulk-mapping method to analyze the signatures correlated with the response of immunotherapy in the single-cell dataset. Cellular, pathway, and gene were systematically analyzed in both single-cell and bulk validation datasets.ResultsThe most significant cell proportion difference between the response and non-response groups was in endothelial cells, which represent the malignant cells. VWF was specifically overexpressed in endothelial cells and was the hub gene of differential genes. EPAS1 was a VWF trans-regulated gene and highly positively correlated with VWF in expression. Knockdown experiments demonstrated that siVWF reduced the expression of VWF, EPAS1, and HIF1A, as well as the synthesis of lactate and adenosine which are indicators of hypoxic metabolism. These results suggest that the overexpression of core malign endothelial genes such as VWF drives hypoxic metabolism in tumors and creates an immunosuppressive environment that reduces the efficacy of immunotherapy. The adverse prognosis of the hypoxia signature was validated in the bulk cohort and significance was further enhanced after selecting core genes and combined survival weight scoring.ConclusionIn summary, high expression of the malignant endothelial cell driver genes VWF and EPAS1 enhances hypoxic metabolism, and malignant cell-immune cell interactions suppress the immune response. Therefore, the two core genes of hypoxic metabolism might represent potential therapeutic and predicting biomarkers for immunotherapy of gastric cancer in the future.https://www.frontiersin.org/articles/10.3389/fcell.2025.1515681/fullgastric cancerimmunotherapysingle-cellendothelial cellshypoxiaprognosis
spellingShingle Ruiheng Wang
Ruiheng Wang
Guijun Liu
Guijun Liu
Ke Wang
Zhanglei Pan
Zhanglei Pan
Zhihua Pei
Xijiao Hu
Xijiao Hu
Hypoxia signature derived from tumor-associated endothelial cells predict prognosis in gastric cancer
Frontiers in Cell and Developmental Biology
gastric cancer
immunotherapy
single-cell
endothelial cells
hypoxia
prognosis
title Hypoxia signature derived from tumor-associated endothelial cells predict prognosis in gastric cancer
title_full Hypoxia signature derived from tumor-associated endothelial cells predict prognosis in gastric cancer
title_fullStr Hypoxia signature derived from tumor-associated endothelial cells predict prognosis in gastric cancer
title_full_unstemmed Hypoxia signature derived from tumor-associated endothelial cells predict prognosis in gastric cancer
title_short Hypoxia signature derived from tumor-associated endothelial cells predict prognosis in gastric cancer
title_sort hypoxia signature derived from tumor associated endothelial cells predict prognosis in gastric cancer
topic gastric cancer
immunotherapy
single-cell
endothelial cells
hypoxia
prognosis
url https://www.frontiersin.org/articles/10.3389/fcell.2025.1515681/full
work_keys_str_mv AT ruihengwang hypoxiasignaturederivedfromtumorassociatedendothelialcellspredictprognosisingastriccancer
AT ruihengwang hypoxiasignaturederivedfromtumorassociatedendothelialcellspredictprognosisingastriccancer
AT guijunliu hypoxiasignaturederivedfromtumorassociatedendothelialcellspredictprognosisingastriccancer
AT guijunliu hypoxiasignaturederivedfromtumorassociatedendothelialcellspredictprognosisingastriccancer
AT kewang hypoxiasignaturederivedfromtumorassociatedendothelialcellspredictprognosisingastriccancer
AT zhangleipan hypoxiasignaturederivedfromtumorassociatedendothelialcellspredictprognosisingastriccancer
AT zhangleipan hypoxiasignaturederivedfromtumorassociatedendothelialcellspredictprognosisingastriccancer
AT zhihuapei hypoxiasignaturederivedfromtumorassociatedendothelialcellspredictprognosisingastriccancer
AT xijiaohu hypoxiasignaturederivedfromtumorassociatedendothelialcellspredictprognosisingastriccancer
AT xijiaohu hypoxiasignaturederivedfromtumorassociatedendothelialcellspredictprognosisingastriccancer