RNA m6A methylation patterns in hepatocellular carcinoma and their association with characteristics of the tumor microenvironment and prognosis

Abstract Background Methylation at the N 6 atom of adenosine (m6A) of RNA has been linked to immune responses to various types of tumors. How m6A methylation affects tumorigenicity, progression, and tumor microenvironment in hepatocellular carcinoma (HCC) is unclear. Methods Consensus clustering was...

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Main Authors: Zongcai Yan, Meiling He, Lifeng He, Liuxia Wei, Yumei Zhang
Format: Article
Language:English
Published: Springer 2025-06-01
Series:Discover Oncology
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Online Access:https://doi.org/10.1007/s12672-025-02965-7
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author Zongcai Yan
Meiling He
Lifeng He
Liuxia Wei
Yumei Zhang
author_facet Zongcai Yan
Meiling He
Lifeng He
Liuxia Wei
Yumei Zhang
author_sort Zongcai Yan
collection DOAJ
description Abstract Background Methylation at the N 6 atom of adenosine (m6A) of RNA has been linked to immune responses to various types of tumors. How m6A methylation affects tumorigenicity, progression, and tumor microenvironment in hepatocellular carcinoma (HCC) is unclear. Methods Consensus clustering was used to define m6A methylation patterns based on expression of 26 regulatory factors in HCC. The relative abundance of various immune cell types in the tumor microenvironment was quantified using single-sample gene set enrichment analysis. Cox regression with LASSO was used to screen for genes whose expression correlated with survival of patients with HCC. Results Two patterns of m6A methylation in HCC were identified: pattern C1 was associated with abundant tumor infiltration by activated CD8+ T cells and by effector memory CD8+ T cells, as well as longer survival; pattern C2 was associated with abundant tumor infiltration by activated CD4+ T cells and by type 2 helper T cells, as well as with shorter survival. Cox regression identified a seven-gene signature capable of predicting the characteristics of the tumor microenvironment and overall survival in HCC: patients in the high-risk group had a lower immunophenoscore, higher TIDE score, and worse survival. Conclusions Patterns of m6A methylation in HCC are related to immune cell characteristics of the tumor microenvironment and to disease progression and prognosis. Analyzing these patterns in detail may clarify when and how the HCC responds to checkpoint inhibitors and guide the personalization of immunotherapy.
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spelling doaj-art-a703b21ae8a444a7a0d558249e1a3e9d2025-08-20T02:06:31ZengSpringerDiscover Oncology2730-60112025-06-0116112010.1007/s12672-025-02965-7RNA m6A methylation patterns in hepatocellular carcinoma and their association with characteristics of the tumor microenvironment and prognosisZongcai Yan0Meiling He1Lifeng He2Liuxia Wei3Yumei Zhang4Department of Medical Oncology, Guangxi Medical University Cancer HospitalDepartment of Medical Oncology, Guangxi Medical University Cancer HospitalDepartment of Thoracic Surgery, The People’s Hospital of Guangxi Zhuang Autonomous RegionDepartment of Oncology, Ruikang Hospital Affiliated to Guangxi University of Chinese MedicineDepartment of Medical Oncology, Guangxi Medical University Cancer HospitalAbstract Background Methylation at the N 6 atom of adenosine (m6A) of RNA has been linked to immune responses to various types of tumors. How m6A methylation affects tumorigenicity, progression, and tumor microenvironment in hepatocellular carcinoma (HCC) is unclear. Methods Consensus clustering was used to define m6A methylation patterns based on expression of 26 regulatory factors in HCC. The relative abundance of various immune cell types in the tumor microenvironment was quantified using single-sample gene set enrichment analysis. Cox regression with LASSO was used to screen for genes whose expression correlated with survival of patients with HCC. Results Two patterns of m6A methylation in HCC were identified: pattern C1 was associated with abundant tumor infiltration by activated CD8+ T cells and by effector memory CD8+ T cells, as well as longer survival; pattern C2 was associated with abundant tumor infiltration by activated CD4+ T cells and by type 2 helper T cells, as well as with shorter survival. Cox regression identified a seven-gene signature capable of predicting the characteristics of the tumor microenvironment and overall survival in HCC: patients in the high-risk group had a lower immunophenoscore, higher TIDE score, and worse survival. Conclusions Patterns of m6A methylation in HCC are related to immune cell characteristics of the tumor microenvironment and to disease progression and prognosis. Analyzing these patterns in detail may clarify when and how the HCC responds to checkpoint inhibitors and guide the personalization of immunotherapy.https://doi.org/10.1007/s12672-025-02965-7Hepatocellular carcinomam6A modificationTumor microenvironmentPrognosisImmunotherapy
spellingShingle Zongcai Yan
Meiling He
Lifeng He
Liuxia Wei
Yumei Zhang
RNA m6A methylation patterns in hepatocellular carcinoma and their association with characteristics of the tumor microenvironment and prognosis
Discover Oncology
Hepatocellular carcinoma
m6A modification
Tumor microenvironment
Prognosis
Immunotherapy
title RNA m6A methylation patterns in hepatocellular carcinoma and their association with characteristics of the tumor microenvironment and prognosis
title_full RNA m6A methylation patterns in hepatocellular carcinoma and their association with characteristics of the tumor microenvironment and prognosis
title_fullStr RNA m6A methylation patterns in hepatocellular carcinoma and their association with characteristics of the tumor microenvironment and prognosis
title_full_unstemmed RNA m6A methylation patterns in hepatocellular carcinoma and their association with characteristics of the tumor microenvironment and prognosis
title_short RNA m6A methylation patterns in hepatocellular carcinoma and their association with characteristics of the tumor microenvironment and prognosis
title_sort rna m6a methylation patterns in hepatocellular carcinoma and their association with characteristics of the tumor microenvironment and prognosis
topic Hepatocellular carcinoma
m6A modification
Tumor microenvironment
Prognosis
Immunotherapy
url https://doi.org/10.1007/s12672-025-02965-7
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