Exploring the role of monocarboxylate transporter 4 in diverse KRAS mutation subtypes of colorectal Cancer

Abstract This study explored the therapeutic potential of monocarboxylate transporter 4 (MCT4/SLC16A3) in KRAS-mutant colorectal cancer (CRC). By integrating immunohistochemistry with UCSC Xena database analysis, we identified a distinct MCT4 expression pattern in KRAS-mutant CRC. Cytoplasmic MCT4 e...

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Main Authors: Qian Gong, Jing Huang, Qingshu Li, Shuxian Zhang, Ming Xiao, Ming Li, Yaying Yang, Yi Tang, Yalan Wang
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-06254-9
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author Qian Gong
Jing Huang
Qingshu Li
Shuxian Zhang
Ming Xiao
Ming Li
Yaying Yang
Yi Tang
Yalan Wang
author_facet Qian Gong
Jing Huang
Qingshu Li
Shuxian Zhang
Ming Xiao
Ming Li
Yaying Yang
Yi Tang
Yalan Wang
author_sort Qian Gong
collection DOAJ
description Abstract This study explored the therapeutic potential of monocarboxylate transporter 4 (MCT4/SLC16A3) in KRAS-mutant colorectal cancer (CRC). By integrating immunohistochemistry with UCSC Xena database analysis, we identified a distinct MCT4 expression pattern in KRAS-mutant CRC. Cytoplasmic MCT4 expression was positively correlated with KRAS mutation status and mismatch repair (MMR) proficiency, but negatively associated with sex and tumor differentiation. Plasma membranous MCT4 expression was also positively correlated with KRAS mutations and negatively with differentiation grade. Notably, tumors harboring KRAS codon 13 mutations, particularly G13D, showed higher MCT4 expression than those with codon 12 mutations, such as G12D. Kaplan–Meier survival analysis revealed a significant association between high SLC16A3 expression and poor prognosis. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses indicated that MCT4 is mainly involved in immune regulation and metabolism-related pathways. Furthermore, CIBERSORT analysis combined with immunohistochemistry confirmed a relationship between KRAS mutations and immune cell infiltration. This is the first study to systematically characterize MCT4 expression across different KRAS-mutant CRC subtypes. Our findings suggest that MCT4 may modulate the tumor immune microenvironment in KRAS-mutant CRC and could serve as a potential target for precision therapy.
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spelling doaj-art-b3fd73850c50438ea0e542287ef2e5ef2025-08-20T03:38:16ZengNature PortfolioScientific Reports2045-23222025-07-0115111110.1038/s41598-025-06254-9Exploring the role of monocarboxylate transporter 4 in diverse KRAS mutation subtypes of colorectal CancerQian Gong0Jing Huang1Qingshu Li2Shuxian Zhang3Ming Xiao4Ming Li5Yaying Yang6Yi Tang7Yalan Wang8Department of Pathology, Molecular Medicine Diagnostic and Testing Center, College of Basic Medicine, Chongqing Medical UniversityDepartment of Pathology, Molecular Medicine Diagnostic and Testing Center, College of Basic Medicine, Chongqing Medical UniversityDepartment of Pathology, Molecular Medicine Diagnostic and Testing Center, College of Basic Medicine, Chongqing Medical UniversityDepartment of Pathology, Molecular Medicine Diagnostic and Testing Center, College of Basic Medicine, Chongqing Medical UniversityDepartment of Pathology, Molecular Medicine Diagnostic and Testing Center, College of Basic Medicine, Chongqing Medical UniversityDepartment of Pathology, Molecular Medicine Diagnostic and Testing Center, College of Basic Medicine, Chongqing Medical UniversityDepartment of Pathology, Molecular Medicine Diagnostic and Testing Center, College of Basic Medicine, Chongqing Medical UniversityDepartment of Pathology, Molecular Medicine Diagnostic and Testing Center, College of Basic Medicine, Chongqing Medical UniversityDepartment of Pathology, Molecular Medicine Diagnostic and Testing Center, College of Basic Medicine, Chongqing Medical UniversityAbstract This study explored the therapeutic potential of monocarboxylate transporter 4 (MCT4/SLC16A3) in KRAS-mutant colorectal cancer (CRC). By integrating immunohistochemistry with UCSC Xena database analysis, we identified a distinct MCT4 expression pattern in KRAS-mutant CRC. Cytoplasmic MCT4 expression was positively correlated with KRAS mutation status and mismatch repair (MMR) proficiency, but negatively associated with sex and tumor differentiation. Plasma membranous MCT4 expression was also positively correlated with KRAS mutations and negatively with differentiation grade. Notably, tumors harboring KRAS codon 13 mutations, particularly G13D, showed higher MCT4 expression than those with codon 12 mutations, such as G12D. Kaplan–Meier survival analysis revealed a significant association between high SLC16A3 expression and poor prognosis. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses indicated that MCT4 is mainly involved in immune regulation and metabolism-related pathways. Furthermore, CIBERSORT analysis combined with immunohistochemistry confirmed a relationship between KRAS mutations and immune cell infiltration. This is the first study to systematically characterize MCT4 expression across different KRAS-mutant CRC subtypes. Our findings suggest that MCT4 may modulate the tumor immune microenvironment in KRAS-mutant CRC and could serve as a potential target for precision therapy.https://doi.org/10.1038/s41598-025-06254-9Monocarboxylate transporter 4(MCT4)SLC16A3Colorectal cancerKRASImmunohistochemistry
spellingShingle Qian Gong
Jing Huang
Qingshu Li
Shuxian Zhang
Ming Xiao
Ming Li
Yaying Yang
Yi Tang
Yalan Wang
Exploring the role of monocarboxylate transporter 4 in diverse KRAS mutation subtypes of colorectal Cancer
Scientific Reports
Monocarboxylate transporter 4(MCT4)
SLC16A3
Colorectal cancer
KRAS
Immunohistochemistry
title Exploring the role of monocarboxylate transporter 4 in diverse KRAS mutation subtypes of colorectal Cancer
title_full Exploring the role of monocarboxylate transporter 4 in diverse KRAS mutation subtypes of colorectal Cancer
title_fullStr Exploring the role of monocarboxylate transporter 4 in diverse KRAS mutation subtypes of colorectal Cancer
title_full_unstemmed Exploring the role of monocarboxylate transporter 4 in diverse KRAS mutation subtypes of colorectal Cancer
title_short Exploring the role of monocarboxylate transporter 4 in diverse KRAS mutation subtypes of colorectal Cancer
title_sort exploring the role of monocarboxylate transporter 4 in diverse kras mutation subtypes of colorectal cancer
topic Monocarboxylate transporter 4(MCT4)
SLC16A3
Colorectal cancer
KRAS
Immunohistochemistry
url https://doi.org/10.1038/s41598-025-06254-9
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